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

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

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{
  "resourceType" : "Bundle",
  "id" : "DebugBundleClinical-02-SixMonths",
  "type" : "transaction",
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        "resourceType" : "ValueSet",
        "id" : "TNMPrimaryTumorVS",
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          "status" : "generated",
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        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
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                {
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                {
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                },
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      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "TNMRegionalNodesVS",
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        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TNMRegionalNodesVS",
        "version" : "5.1",
        "name" : "TNMRegionalNodesVS",
        "title" : "TNM Regional Nodes ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset of the TNM stage for the N category, according to TNM staging rules",
        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose" : {
          "include" : [
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              "concept" : [
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                  "code" : "1229966003",
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                {
                  "code" : "1229967007",
                  "display" : "American Joint Committee on Cancer cN0"
                },
                {
                  "code" : "1229973008",
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                {
                  "code" : "1229978004",
                  "display" : "American Joint Committee on Cancer cN2"
                },
                {
                  "code" : "1229984001",
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                {
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                {
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                },
                {
                  "code" : "1229951001",
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                {
                  "code" : "1229957002",
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                },
                {
                  "code" : "1229962001",
                  "display" : "American Joint Committee on Cancer pN3"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "UNK",
                  "display" : "unknown"
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              ]
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          ]
        }
      },
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        "url" : "ValueSet/TNMRegionalNodesVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "TNMDistantMetastasesVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"TNMDistantMetastasesVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;TNMDistantMetastasesVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TNMDistantMetastasesVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: TNMDistantMetastasesVS</p><p><b>title</b>: TNM Distant Metastases ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the TNM stage for the M category, according to TNM staging rules</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 1229901006</p><p><b>display</b>: American Joint Committee on Cancer cM0</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1229903009</p><p><b>display</b>: American Joint Committee on Cancer cM1</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 1229916009</p><p><b>display</b>: American Joint Committee on Cancer pM1</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TNMDistantMetastasesVS",
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        "name" : "TNMDistantMetastasesVS",
        "title" : "TNM Distant Metastases ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset of the TNM stage for the M category, according to TNM staging rules",
        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
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              "concept" : [
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                },
                {
                  "code" : "1229903009",
                  "display" : "American Joint Committee on Cancer cM1"
                },
                {
                  "code" : "1229916009",
                  "display" : "American Joint Committee on Cancer pM1"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "UNK",
                  "display" : "unknown"
                }
              ]
            }
          ]
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      },
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    },
    {
      "resource" : {
        "resourceType" : "CodeSystem",
        "id" : "TreatmentTypesCodeSystem",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"TreatmentTypesCodeSystem\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CodeSystem &quot;TreatmentTypesCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: TreatmentTypesCodeSystem</p><p><b>title</b>: Treatment variables CodeSytem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Codes defining types of treatment a breast cancer patient could receive</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: adjuvant-chemotherapy</p><p><b>display</b>: Adjuvant chemotherapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: neoadjuvant-chemotherapy</p><p><b>display</b>: Neoadjuvant chemotherapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: targeted-therapy</p><p><b>display</b>: Targeted therapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: no-treatment</p><p><b>display</b>: No treatment</p></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
        "version" : "5.1",
        "name" : "TreatmentTypesCodeSystem",
        "title" : "Treatment variables CodeSytem",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Codes defining types of treatment a breast cancer patient could receive",
        "caseSensitive" : true,
        "content" : "complete",
        "count" : 4,
        "concept" : [
          {
            "code" : "adjuvant-chemotherapy",
            "display" : "Adjuvant chemotherapy"
          },
          {
            "code" : "neoadjuvant-chemotherapy",
            "display" : "Neoadjuvant chemotherapy"
          },
          {
            "code" : "targeted-therapy",
            "display" : "Targeted therapy"
          },
          {
            "code" : "no-treatment",
            "display" : "No treatment"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "CodeSystem/TreatmentTypesCodeSystem"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "TreatmentTypeVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"TreatmentTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;TreatmentTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TreatmentTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: TreatmentTypeVS</p><p><b>title</b>: Type of treatments ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the kind of treatment a patient with breastcancer underwent</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Treatment variables CodeSytem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: no-treatment</p><p><b>display</b>: No treatment</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: adjuvant-chemotherapy</p><p><b>display</b>: Adjuvant chemotherapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: neoadjuvant-chemotherapy</p><p><b>display</b>: Neoadjuvant chemotherapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: targeted-therapy</p><p><b>display</b>: Targeted therapy</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 387713003</p><p><b>display</b>: Surgical procedure</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 699455008</p><p><b>display</b>: Operative procedure on axilla</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 33496007</p><p><b>display</b>: Reconstruction of breast</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 108290001</p><p><b>display</b>: Radiation oncology AND/OR radiotherapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 169413002</p><p><b>display</b>: Hormone therapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 76334006</p><p><b>display</b>: Immunotherapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 243114000</p><p><b>display</b>: Support</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TreatmentTypeVS",
        "version" : "5.1",
        "name" : "TreatmentTypeVS",
        "title" : "Type of treatments ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset of the kind of treatment a patient with breastcancer underwent",
        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose" : {
          "include" : [
            {
              "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
              "concept" : [
                {
                  "code" : "no-treatment",
                  "display" : "No treatment"
                },
                {
                  "code" : "adjuvant-chemotherapy",
                  "display" : "Adjuvant chemotherapy"
                },
                {
                  "code" : "neoadjuvant-chemotherapy",
                  "display" : "Neoadjuvant chemotherapy"
                },
                {
                  "code" : "targeted-therapy",
                  "display" : "Targeted therapy"
                }
              ]
            },
            {
              "system" : "http://snomed.info/sct",
              "concept" : [
                {
                  "code" : "387713003",
                  "display" : "Surgical procedure"
                },
                {
                  "code" : "699455008",
                  "display" : "Operative procedure on axilla"
                },
                {
                  "code" : "33496007",
                  "display" : "Reconstruction of breast"
                },
                {
                  "code" : "108290001",
                  "display" : "Radiation oncology AND/OR radiotherapy"
                },
                {
                  "code" : "169413002",
                  "display" : "Hormone therapy"
                },
                {
                  "code" : "76334006",
                  "display" : "Immunotherapy"
                },
                {
                  "code" : "243114000",
                  "display" : "Support"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "UNK",
                  "display" : "unknown"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/TreatmentTypeVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "CodeSystem",
        "id" : "BreastSurgeryTypesCodeSystem",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"BreastSurgeryTypesCodeSystem\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CodeSystem &quot;BreastSurgeryTypesCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: BreastSurgeryTypesCodeSystem</p><p><b>title</b>: Breast surgery types CodeSystem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Codes indicating the types of breast surgery a patient underwent</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: bcs</p><p><b>display</b>: Breast conserving surgery (BCS)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: bcs-with-mammoplasty</p><p><b>display</b>: BCS with mammoplasty</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-without-immediate-reconstruction</p><p><b>display</b>: Mastectomy without immediate reconstruction</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-with-immediate-reconstruction</p><p><b>display</b>: Mastectomy with immediate reconstruction</p></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
        "version" : "5.1",
        "name" : "BreastSurgeryTypesCodeSystem",
        "title" : "Breast surgery types CodeSystem",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Codes indicating the types of breast surgery a patient underwent",
        "caseSensitive" : true,
        "content" : "complete",
        "count" : 4,
        "concept" : [
          {
            "code" : "bcs",
            "display" : "Breast conserving surgery (BCS)"
          },
          {
            "code" : "bcs-with-mammoplasty",
            "display" : "BCS with mammoplasty"
          },
          {
            "code" : "mastectomy-without-immediate-reconstruction",
            "display" : "Mastectomy without immediate reconstruction"
          },
          {
            "code" : "mastectomy-with-immediate-reconstruction",
            "display" : "Mastectomy with immediate reconstruction"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "CodeSystem/BreastSurgeryTypesCodeSystem"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "BreastSurgeryTypeVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"BreastSurgeryTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;BreastSurgeryTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: BreastSurgeryTypeVS</p><p><b>title</b>: Types of breast surgery ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the types of breast surgery a patient underwent</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Breast surgery types CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: bcs</p><p><b>display</b>: Breast conserving surgery (BCS)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: bcs-with-mammoplasty</p><p><b>display</b>: BCS with mammoplasty</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-without-immediate-reconstruction</p><p><b>display</b>: Mastectomy without immediate reconstruction</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-with-immediate-reconstruction</p><p><b>display</b>: Mastectomy with immediate reconstruction</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS",
        "version" : "5.1",
        "name" : "BreastSurgeryTypeVS",
        "title" : "Types of breast surgery ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset of the types of breast surgery a patient underwent",
        "compose" : {
          "include" : [
            {
              "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
              "concept" : [
                {
                  "code" : "bcs",
                  "display" : "Breast conserving surgery (BCS)"
                },
                {
                  "code" : "bcs-with-mammoplasty",
                  "display" : "BCS with mammoplasty"
                },
                {
                  "code" : "mastectomy-without-immediate-reconstruction",
                  "display" : "Mastectomy without immediate reconstruction"
                },
                {
                  "code" : "mastectomy-with-immediate-reconstruction",
                  "display" : "Mastectomy with immediate reconstruction"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "UNK",
                  "display" : "unknown"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/BreastSurgeryTypeVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "AxillaSurgeryVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"AxillaSurgeryVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;AxillaSurgeryVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AxillaSurgeryVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: AxillaSurgeryVS</p><p><b>title</b>: Axilla surgery ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of surgery types of the axilla</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 396487001</p><p><b>display</b>: Sentinel lymph node biopsy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 234262008</p><p><b>display</b>: Excision of axillary lymph node</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 79544006</p><p><b>display</b>: Complete axillary lymphadenectomy</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AxillaSurgeryVS",
        "version" : "5.1",
        "name" : "AxillaSurgeryVS",
        "title" : "Axilla surgery ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset of surgery types of the axilla",
        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose" : {
          "include" : [
            {
              "system" : "http://snomed.info/sct",
              "concept" : [
                {
                  "code" : "396487001",
                  "display" : "Sentinel lymph node biopsy"
                },
                {
                  "code" : "234262008",
                  "display" : "Excision of axillary lymph node"
                },
                {
                  "code" : "79544006",
                  "display" : "Complete axillary lymphadenectomy"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "UNK",
                  "display" : "unknown"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/AxillaSurgeryVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "NoYesUnknownVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"NoYesUnknownVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;NoYesUnknownVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: NoYesUnknownVS</p><p><b>title</b>: Yes, No and Unknown Valueset</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset with yes, no and unknown answers</p><p><b>copyright</b>: Copyright HL7. Licensed under creative commons public domain</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0532.html\">expandedYes-NoIndicator</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: Y</p><p><b>display</b>: Yes</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: N</p><p><b>display</b>: No</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: UNK</p><p><b>display</b>: Unknown</p></blockquote></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS",
        "version" : "5.1",
        "name" : "NoYesUnknownVS",
        "title" : "Yes, No and Unknown Valueset",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset with yes, no and unknown answers",
        "copyright" : "Copyright HL7. Licensed under creative commons public domain",
        "compose" : {
          "include" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
              "concept" : [
                {
                  "code" : "Y",
                  "display" : "Yes"
                },
                {
                  "code" : "N",
                  "display" : "No"
                },
                {
                  "code" : "UNK",
                  "display" : "Unknown"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/NoYesUnknownVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "CodeSystem",
        "id" : "ReconstructionTypeCodeSystem",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"ReconstructionTypeCodeSystem\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CodeSystem &quot;ReconstructionTypeCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ReconstructionTypeCodeSystem</p><p><b>title</b>: Type of reconstruction surgery CodeSystem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Codes indicating the type of reconstruction surgery that is performed</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: direct-implant</p><p><b>display</b>: Direct implant</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: staged-implant</p><p><b>display</b>: Staged implant</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: autologous</p><p><b>display</b>: Autologous</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: both</p><p><b>display</b>: Both implant and autologous</p></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem",
        "version" : "5.1",
        "name" : "ReconstructionTypeCodeSystem",
        "title" : "Type of reconstruction surgery CodeSystem",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Codes indicating the type of reconstruction surgery that is performed",
        "caseSensitive" : true,
        "content" : "complete",
        "count" : 4,
        "concept" : [
          {
            "code" : "direct-implant",
            "display" : "Direct implant"
          },
          {
            "code" : "staged-implant",
            "display" : "Staged implant"
          },
          {
            "code" : "autologous",
            "display" : "Autologous"
          },
          {
            "code" : "both",
            "display" : "Both implant and autologous"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "CodeSystem/ReconstructionTypeCodeSystem"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "ReconstructionTypeVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"ReconstructionTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;ReconstructionTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ReconstructionTypeVS</p><p><b>title</b>: Type of reconstruction surgery ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the type of reconstruction surgery that is performed</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of reconstruction surgery CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: direct-implant</p><p><b>display</b>: Direct implant</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: staged-implant</p><p><b>display</b>: Staged implant</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: autologous</p><p><b>display</b>: Autologous</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: both</p><p><b>display</b>: Both implant and autologous</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS",
        "version" : "5.1",
        "name" : "ReconstructionTypeVS",
        "title" : "Type of reconstruction surgery ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset of the type of reconstruction surgery that is performed",
        "compose" : {
          "include" : [
            {
              "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem",
              "concept" : [
                {
                  "code" : "direct-implant",
                  "display" : "Direct implant"
                },
                {
                  "code" : "staged-implant",
                  "display" : "Staged implant"
                },
                {
                  "code" : "autologous",
                  "display" : "Autologous"
                },
                {
                  "code" : "both",
                  "display" : "Both implant and autologous"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "UNK",
                  "display" : "unknown"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/ReconstructionTypeVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "CodeSystem",
        "id" : "ImplantLocationCodeSystem",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"ImplantLocationCodeSystem\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CodeSystem &quot;ImplantLocationCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ImplantLocationCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ImplantLocationCodeSystem</p><p><b>title</b>: Location of the implant CodeSystem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Codes indicating the location of the implant that was placed during reconstruction surgery</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 2</p><blockquote><p><b>concept</b></p><p><b>code</b>: pre-pectoral</p><p><b>display</b>: Pre-pectoral</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: sub-pectoral</p><p><b>display</b>: Sub-pectoral</p></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ImplantLocationCodeSystem",
        "version" : "5.1",
        "name" : "ImplantLocationCodeSystem",
        "title" : "Location of the implant CodeSystem",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Codes indicating the location of the implant that was placed during reconstruction surgery",
        "caseSensitive" : true,
        "content" : "complete",
        "count" : 2,
        "concept" : [
          {
            "code" : "pre-pectoral",
            "display" : "Pre-pectoral"
          },
          {
            "code" : "sub-pectoral",
            "display" : "Sub-pectoral"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "CodeSystem/ImplantLocationCodeSystem"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "ImplantLocationVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"ImplantLocationVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;ImplantLocationVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ImplantLocationVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ImplantLocationVS</p><p><b>title</b>: Location of the implant ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the location of the implant during reconstruction surgery</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Location of the implant CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: pre-pectoral</p><p><b>display</b>: Pre-pectoral</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: sub-pectoral</p><p><b>display</b>: Sub-pectoral</p></blockquote></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ImplantLocationVS",
        "version" : "5.1",
        "name" : "ImplantLocationVS",
        "title" : "Location of the implant ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset of the location of the implant during reconstruction surgery",
        "compose" : {
          "include" : [
            {
              "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ImplantLocationCodeSystem",
              "concept" : [
                {
                  "code" : "pre-pectoral",
                  "display" : "Pre-pectoral"
                },
                {
                  "code" : "sub-pectoral",
                  "display" : "Sub-pectoral"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/ImplantLocationVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "TherapyIntentVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"TherapyIntentVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;TherapyIntentVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: TherapyIntentVS</p><p><b>title</b>: Intent of therapy ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of intent of therapy</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 373847000</p><p><b>display</b>: Neo-adjuvant - intent</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 373846009</p><p><b>display</b>: Adjuvant - intent</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS",
        "version" : "5.1",
        "name" : "TherapyIntentVS",
        "title" : "Intent of therapy ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset of intent of therapy",
        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose" : {
          "include" : [
            {
              "system" : "http://snomed.info/sct",
              "concept" : [
                {
                  "code" : "373847000",
                  "display" : "Neo-adjuvant - intent"
                },
                {
                  "code" : "373846009",
                  "display" : "Adjuvant - intent"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "UNK",
                  "display" : "unknown"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/TherapyIntentVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "LocationRadiotherapyVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"LocationRadiotherapyVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;LocationRadiotherapyVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/LocationRadiotherapyVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: LocationRadiotherapyVS</p><p><b>title</b>: The location of radiotherapy ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the location of radiotherapy</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 76752008</p><p><b>display</b>: Breast structure</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 78904004</p><p><b>display</b>: Chest wall structure</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 68171009</p><p><b>display</b>: Axillary lymph node structure</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 76838003</p><p><b>display</b>: Structure of supraclavicular lymph node</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 245282001</p><p><b>display</b>: Internal mammary lymph node group</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 263601005</p><p><b>display</b>: Site of tumor</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 277671009</p><p><b>display</b>: Intraoperative</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: OTH</p><p><b>display</b>: other</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: UNK</p><p><b>display</b>: unknown</p></blockquote></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/LocationRadiotherapyVS",
        "version" : "5.1",
        "name" : "LocationRadiotherapyVS",
        "title" : "The location of radiotherapy ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset of the location of radiotherapy",
        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose" : {
          "include" : [
            {
              "system" : "http://snomed.info/sct",
              "concept" : [
                {
                  "code" : "76752008",
                  "display" : "Breast structure"
                },
                {
                  "code" : "78904004",
                  "display" : "Chest wall structure"
                },
                {
                  "code" : "68171009",
                  "display" : "Axillary lymph node structure"
                },
                {
                  "code" : "76838003",
                  "display" : "Structure of supraclavicular lymph node"
                },
                {
                  "code" : "245282001",
                  "display" : "Internal mammary lymph node group"
                },
                {
                  "code" : "263601005",
                  "display" : "Site of tumor"
                },
                {
                  "code" : "277671009",
                  "display" : "Intraoperative"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "OTH",
                  "display" : "other"
                },
                {
                  "code" : "UNK",
                  "display" : "unknown"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/LocationRadiotherapyVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "ChemoTherapyTypeVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"ChemoTherapyTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;ChemoTherapyTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ChemoTherapyTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ChemoTherapyTypeVS</p><p><b>title</b>: Type of chemotherapy ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the types of chemotherapy</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 108787006</p><p><b>display</b>: Medicinal product containing anthracycline and acting as antineoplastic agent</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 418965003</p><p><b>display</b>: Taxane derivative</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 768621002</p><p><b>display</b>: Product containing platinum and platinum compound</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 386906001</p><p><b>display</b>: Capecitabine</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: OTH</p><p><b>display</b>: other</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: UNK</p><p><b>display</b>: unknown</p></blockquote></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ChemoTherapyTypeVS",
        "version" : "5.1",
        "name" : "ChemoTherapyTypeVS",
        "title" : "Type of chemotherapy ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset of the types of chemotherapy",
        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose" : {
          "include" : [
            {
              "system" : "http://snomed.info/sct",
              "concept" : [
                {
                  "code" : "108787006",
                  "display" : "Medicinal product containing anthracycline and acting as antineoplastic agent"
                },
                {
                  "code" : "418965003",
                  "display" : "Taxane derivative"
                },
                {
                  "code" : "768621002",
                  "display" : "Product containing platinum and platinum compound"
                },
                {
                  "code" : "386906001",
                  "display" : "Capecitabine"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "OTH",
                  "display" : "other"
                },
                {
                  "code" : "UNK",
                  "display" : "unknown"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/ChemoTherapyTypeVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "HormonalTherapyTypeVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"HormonalTherapyTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;HormonalTherapyTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/HormonalTherapyTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: HormonalTherapyTypeVS</p><p><b>title</b>: Type of hormonal therapy ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the types of hormonal therapy</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 413575009</p><p><b>display</b>: Substance with aromatase inhibitor mechanism of action</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 373336003</p><p><b>display</b>: Substance with estrogen receptor antagonist mechanism of action</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 83152002</p><p><b>display</b>: Oophorectomy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 418974001</p><p><b>display</b>: Gonad regulating hormone agent</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: OTH</p><p><b>display</b>: other</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: UNK</p><p><b>display</b>: unknown</p></blockquote></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/HormonalTherapyTypeVS",
        "version" : "5.1",
        "name" : "HormonalTherapyTypeVS",
        "title" : "Type of hormonal therapy ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset of the types of hormonal therapy",
        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose" : {
          "include" : [
            {
              "system" : "http://snomed.info/sct",
              "concept" : [
                {
                  "code" : "413575009",
                  "display" : "Substance with aromatase inhibitor mechanism of action"
                },
                {
                  "code" : "373336003",
                  "display" : "Substance with estrogen receptor antagonist mechanism of action"
                },
                {
                  "code" : "83152002",
                  "display" : "Oophorectomy"
                },
                {
                  "code" : "418974001",
                  "display" : "Gonad regulating hormone agent"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "OTH",
                  "display" : "other"
                },
                {
                  "code" : "UNK",
                  "display" : "unknown"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/HormonalTherapyTypeVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "TargetedTherapyVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"TargetedTherapyVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;TargetedTherapyVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TargetedTherapyVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: TargetedTherapyVS</p><p><b>title</b>: Type of targeted therapy ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the types of targeted therapy</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 784176007</p><p><b>display</b>: HER2 (Human epidermal growth factor receptor 2) inhibitor</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 426265004</p><p><b>display</b>: Substance with protein kinase inhibitor mechanism of action</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 432253008</p><p><b>display</b>: Substance with nicotinamide adenine dinucleotide adenosine diphosphate ribosyltransferase inhibitor mechanism of action</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: OTH</p><p><b>display</b>: other</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: UNK</p><p><b>display</b>: unknown</p></blockquote></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TargetedTherapyVS",
        "version" : "5.1",
        "name" : "TargetedTherapyVS",
        "title" : "Type of targeted therapy ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset of the types of targeted therapy",
        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose" : {
          "include" : [
            {
              "system" : "http://snomed.info/sct",
              "concept" : [
                {
                  "code" : "784176007",
                  "display" : "HER2 (Human epidermal growth factor receptor 2) inhibitor"
                },
                {
                  "code" : "426265004",
                  "display" : "Substance with protein kinase inhibitor mechanism of action"
                },
                {
                  "code" : "432253008",
                  "display" : "Substance with nicotinamide adenine dinucleotide adenosine diphosphate ribosyltransferase inhibitor mechanism of action"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "OTH",
                  "display" : "other"
                },
                {
                  "code" : "UNK",
                  "display" : "unknown"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/TargetedTherapyVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "ReoperationTypeVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"ReoperationTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;ReoperationTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReoperationTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ReoperationTypeVS</p><p><b>title</b>: Type of re-operation</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the types of re-operation</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 33496007</p><p><b>display</b>: Reconstruction of breast</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 69031006</p><p><b>display</b>: Excision of breast tissue</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 234254000</p><p><b>display</b>: Excision of axillary lymph nodes group</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Breast surgery types CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: bcs</p><p><b>display</b>: Breast conserving surgery (BCS)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: bcs-with-mammoplasty</p><p><b>display</b>: Breast conserving surgery with mammoplasty</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-without-immediate-reconstruction</p><p><b>display</b>: Mastectomy without immediate reconstruction</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-with-immediate-reconstruction</p><p><b>display</b>: Mastectomy with immediate reconstruction</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReoperationTypeVS",
        "version" : "5.1",
        "name" : "ReoperationTypeVS",
        "title" : "Type of re-operation",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Valueset of the types of re-operation",
        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose" : {
          "include" : [
            {
              "system" : "http://snomed.info/sct",
              "concept" : [
                {
                  "code" : "33496007",
                  "display" : "Reconstruction of breast"
                },
                {
                  "code" : "69031006",
                  "display" : "Excision of breast tissue"
                },
                {
                  "code" : "234254000",
                  "display" : "Excision of axillary lymph nodes group"
                }
              ]
            },
            {
              "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
              "concept" : [
                {
                  "code" : "bcs",
                  "display" : "Breast conserving surgery (BCS)"
                },
                {
                  "code" : "bcs-with-mammoplasty",
                  "display" : "Breast conserving surgery with mammoplasty"
                },
                {
                  "code" : "mastectomy-without-immediate-reconstruction",
                  "display" : "Mastectomy without immediate reconstruction"
                },
                {
                  "code" : "mastectomy-with-immediate-reconstruction",
                  "display" : "Mastectomy with immediate reconstruction"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "UNK",
                  "display" : "unknown"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/ReoperationTypeVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "InvolvedMarginsReoperationTypeVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"InvolvedMarginsReoperationTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;InvolvedMarginsReoperationTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/InvolvedMarginsReoperationTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: InvolvedMarginsReoperationTypeVS</p><p><b>title</b>: Re-operation due to involved margins ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Kind of re-operation due to involved margins</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>373572006</td><td>Clinical finding absent</td></tr></table></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Breast surgery types CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: bcs</p><p><b>display</b>: Breast conserving surgery (BCS)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: bcs-with-mammoplasty</p><p><b>display</b>: BCS with mammoplasty</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-without-immediate-reconstruction</p><p><b>display</b>: Mastectomy without immediate reconstruction</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-with-immediate-reconstruction</p><p><b>display</b>: Mastectomy with immediate reconstruction</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/InvolvedMarginsReoperationTypeVS",
        "version" : "5.1",
        "name" : "InvolvedMarginsReoperationTypeVS",
        "title" : "Re-operation due to involved margins ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Kind of re-operation due to involved margins",
        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose" : {
          "include" : [
            {
              "system" : "http://snomed.info/sct",
              "concept" : [
                {
                  "code" : "373572006",
                  "display" : "Clinical finding absent"
                }
              ]
            },
            {
              "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
              "concept" : [
                {
                  "code" : "bcs",
                  "display" : "Breast conserving surgery (BCS)"
                },
                {
                  "code" : "bcs-with-mammoplasty",
                  "display" : "BCS with mammoplasty"
                },
                {
                  "code" : "mastectomy-without-immediate-reconstruction",
                  "display" : "Mastectomy without immediate reconstruction"
                },
                {
                  "code" : "mastectomy-with-immediate-reconstruction",
                  "display" : "Mastectomy with immediate reconstruction"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "UNK",
                  "display" : "unknown"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/InvolvedMarginsReoperationTypeVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "CodeSystem",
        "id" : "ComplicationImpactCodeSystem",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"ComplicationImpactCodeSystem\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CodeSystem &quot;ComplicationImpactCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationImpactCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ComplicationImpactCodeSystem</p><p><b>title</b>: Impact of complication CodeSystem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Codes indicating the impact of a complication experienced by the breast cancer patient</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: no-complication</p><p><b>display</b>: No complication</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: prolonged-hospitalization</p><p><b>display</b>: Complication leading to prolonged hospitalization (&gt;14days)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: treatment-discontinuation</p><p><b>display</b>: Complication leading to discontinuing of treatment</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: no-changes</p><p><b>display</b>: Complication, but did not result in any of the abovementioned</p></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationImpactCodeSystem",
        "version" : "5.1",
        "name" : "ComplicationImpactCodeSystem",
        "title" : "Impact of complication CodeSystem",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Codes indicating the impact of a complication experienced by the breast cancer patient",
        "caseSensitive" : true,
        "content" : "complete",
        "count" : 4,
        "concept" : [
          {
            "code" : "no-complication",
            "display" : "No complication"
          },
          {
            "code" : "prolonged-hospitalization",
            "display" : "Complication leading to prolonged hospitalization (>14days)"
          },
          {
            "code" : "treatment-discontinuation",
            "display" : "Complication leading to discontinuing of treatment"
          },
          {
            "code" : "no-changes",
            "display" : "Complication, but did not result in any of the abovementioned"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "CodeSystem/ComplicationImpactCodeSystem"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "ComplicationImpactVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"ComplicationImpactVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;ComplicationImpactVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ComplicationImpactVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ComplicationImpactVS</p><p><b>title</b>: Impact of complication ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: ValueSet of the impact of a complication experienced by the breast cancer patient</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-02-SixMonths.html\">Impact of complication CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: no-complication</p><p><b>display</b>: No complication</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: prolonged-hospitalization</p><p><b>display</b>: Complication leading to prolonged hospitalization (&gt;14days)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: treatment-discontinuation</p><p><b>display</b>: Complication leading to discontinuing of treatment</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: no-changes</p><p><b>display</b>: Complication, but did not result in any of the abovementioned</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 240917005</p><p><b>display</b>: Interventional radiology</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 303577009</p><p><b>display</b>: Interventional debulking surgery</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 417005</p><p><b>display</b>: Hospital re-admission</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 397945004</p><p><b>display</b>: Unexpected admission to intensive care unit</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 182879007</p><p><b>display</b>: Medication decreased</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 419620001</p><p><b>display</b>: Death</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ComplicationImpactVS",
        "version" : "5.1",
        "name" : "ComplicationImpactVS",
        "title" : "Impact of complication ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "ValueSet of the impact of a complication experienced by the breast cancer patient",
        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose" : {
          "include" : [
            {
              "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationImpactCodeSystem",
              "concept" : [
                {
                  "code" : "no-complication",
                  "display" : "No complication"
                },
                {
                  "code" : "prolonged-hospitalization",
                  "display" : "Complication leading to prolonged hospitalization (>14days)"
                },
                {
                  "code" : "treatment-discontinuation",
                  "display" : "Complication leading to discontinuing of treatment"
                },
                {
                  "code" : "no-changes",
                  "display" : "Complication, but did not result in any of the abovementioned"
                }
              ]
            },
            {
              "system" : "http://snomed.info/sct",
              "concept" : [
                {
                  "code" : "240917005",
                  "display" : "Interventional radiology"
                },
                {
                  "code" : "303577009",
                  "display" : "Interventional debulking surgery"
                },
                {
                  "code" : "417005",
                  "display" : "Hospital re-admission"
                },
                {
                  "code" : "397945004",
                  "display" : "Unexpected admission to intensive care unit"
                },
                {
                  "code" : "182879007",
                  "display" : "Medication decreased"
                },
                {
                  "code" : "419620001",
                  "display" : "Death"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "UNK",
                  "display" : "unknown"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/ComplicationImpactVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "CodeSystem",
        "id" : "ComplicationTypeCodeSystem",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"ComplicationTypeCodeSystem\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CodeSystem &quot;ComplicationTypeCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationTypeCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ComplicationTypeCodeSystem</p><p><b>title</b>: Type of complication CodeSystem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Codes indicating the type of a complication experienced by the breast cancer patient</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: partial-loss</p><p><b>display</b>: Partial autologous graft loss</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: total-loss</p><p><b>display</b>: Total autologous graft loss</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: delay-wound</p><p><b>display</b>: Delay wound healing/dehiscence</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: immune-toxicity</p><p><b>display</b>: Immune related toxicity</p></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationTypeCodeSystem",
        "version" : "5.1",
        "name" : "ComplicationTypeCodeSystem",
        "title" : "Type of complication CodeSystem",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "Codes indicating the type of a complication experienced by the breast cancer patient",
        "caseSensitive" : true,
        "content" : "complete",
        "count" : 4,
        "concept" : [
          {
            "code" : "partial-loss",
            "display" : "Partial autologous graft loss"
          },
          {
            "code" : "total-loss",
            "display" : "Total autologous graft loss"
          },
          {
            "code" : "delay-wound",
            "display" : "Delay wound healing/dehiscence"
          },
          {
            "code" : "immune-toxicity",
            "display" : "Immune related toxicity"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "CodeSystem/ComplicationTypeCodeSystem"
      }
    },
    {
      "resource" : {
        "resourceType" : "ValueSet",
        "id" : "ComplicationTypeVS",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"ComplicationTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;ComplicationTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ComplicationTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ComplicationTypeVS</p><p><b>title</b>: Type of complication ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: ValueSet of the type of complication experienced by the breast cancer patient</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 76844004</p><p><b>display</b>: Local infection of wound</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 715068009</p><p><b>display</b>: Seroma</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 385494008</p><p><b>display</b>: Hematoma</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 131148009</p><p><b>display</b>: Bleeding</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 403678005</p><p><b>display</b>: Skin flap necrosis</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 27315000</p><p><b>display</b>: Removal of breast implant</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 371039008</p><p><b>display</b>: Thromboembolic disorder</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 57182000</p><p><b>display</b>: Nerve injury</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 403675008</p><p><b>display</b>: Drug-induced dermatosis</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 233604007</p><p><b>display</b>: Pneumonia</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 443980004</p><p><b>display</b>: Neutropenic sepsis</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-02-SixMonths.html\">Type of complication CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: partial-loss</p><p><b>display</b>: Partial autologous graft loss</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: total-loss</p><p><b>display</b>: Total autologous graft loss</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: delay-wound</p><p><b>display</b>: Delay wound healing/dehiscence</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: immune-toxicity</p><p><b>display</b>: Immune related toxicity</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: UNK</p><p><b>display</b>: unknown</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: OTH</p><p><b>display</b>: other</p></blockquote></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ComplicationTypeVS",
        "version" : "5.1",
        "name" : "ComplicationTypeVS",
        "title" : "Type of complication ValueSet",
        "status" : "active",
        "experimental" : false,
        "publisher" : "ICHOM",
        "description" : "ValueSet of the type of complication experienced by the breast cancer patient",
        "copyright" : "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose" : {
          "include" : [
            {
              "system" : "http://snomed.info/sct",
              "concept" : [
                {
                  "code" : "76844004",
                  "display" : "Local infection of wound"
                },
                {
                  "code" : "715068009",
                  "display" : "Seroma"
                },
                {
                  "code" : "385494008",
                  "display" : "Hematoma"
                },
                {
                  "code" : "131148009",
                  "display" : "Bleeding"
                },
                {
                  "code" : "403678005",
                  "display" : "Skin flap necrosis"
                },
                {
                  "code" : "27315000",
                  "display" : "Removal of breast implant"
                },
                {
                  "code" : "371039008",
                  "display" : "Thromboembolic disorder"
                },
                {
                  "code" : "57182000",
                  "display" : "Nerve injury"
                },
                {
                  "code" : "403675008",
                  "display" : "Drug-induced dermatosis"
                },
                {
                  "code" : "233604007",
                  "display" : "Pneumonia"
                },
                {
                  "code" : "443980004",
                  "display" : "Neutropenic sepsis"
                }
              ]
            },
            {
              "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationTypeCodeSystem",
              "concept" : [
                {
                  "code" : "partial-loss",
                  "display" : "Partial autologous graft loss"
                },
                {
                  "code" : "total-loss",
                  "display" : "Total autologous graft loss"
                },
                {
                  "code" : "delay-wound",
                  "display" : "Delay wound healing/dehiscence"
                },
                {
                  "code" : "immune-toxicity",
                  "display" : "Immune related toxicity"
                }
              ]
            },
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept" : [
                {
                  "code" : "UNK",
                  "display" : "unknown"
                },
                {
                  "code" : "OTH",
                  "display" : "other"
                }
              ]
            }
          ]
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "ValueSet/ComplicationTypeVS"
      }
    },
    {
      "resource" : {
        "resourceType" : "Questionnaire",
        "id" : "ClinicalResponseSixMonths",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Questionnaire</b><a name=\"ClinicalResponseSixMonths\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Questionnaire &quot;ClinicalResponseSixMonths&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/ClinicalResponseSixMonths</code></p><p><b>name</b>: ClinicalResponseSixMonths</p><p><b>title</b>: Clinical response at 6 months post-treatment follow-up</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>publisher</b>: ICHOM</p><blockquote><p><b>item</b></p><p><b>linkId</b>: General-Information-Clinical</p><p><b>text</b>: General information</p><p><b>type</b>: group</p><p><b>required</b>: true</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Required</b></td></tr><tr><td>*</td><td>NA-Clinical</td><td>What is the patient's medical record number?</td><td>string</td><td>true</td></tr><tr><td>*</td><td>LastName-Clinical</td><td>What is the patient's last name?</td><td>string</td><td>true</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: Tumor-Factors</p><p><b>text</b>: Tumor factors</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: received_surgery</p><p><b>text</b>: Has the patient received surgery?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TNMPT_BREAST</p><p><b>text</b>: Indicate the pathological tumor stage (per AJCC 8th Ed.)</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-02-SixMonths.html\">TNM Primary Tumor ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TNMPN_BREAST</p><p><b>text</b>: Indicate the pathological nodal stage (per AJCC 8th Ed.)</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-02-SixMonths.html\">TNM Regional Nodes ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TNMPM_BREAST</p><p><b>text</b>: Indicate the pathological distant metastasis (per AJCC 8th Ed.)</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-02-SixMonths.html\">TNM Distant Metastases ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SIZEINV</p><p><b>text</b>: Indicate size of invasive component of tumor (in mm)</p><p><b>type</b>: integer</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: NumLymphNodesResect</p><p><b>text</b>: Indicate the number of lymph nodes resected</p><p><b>type</b>: integer</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: LYMPHINV_BREAST</p><p><b>text</b>: Indicate the number of lymph nodes involved according to the TNM stage AJCC 8th Ed.</p><p><b>type</b>: integer</p><p><b>required</b>: true</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: Treatment-Variables</p><p><b>text</b>: Treatment Variables</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: TREATMENT_BREAST</p><p><b>text</b>: Indicate whether the patient received one of the following treatment during the last year (select all that apply)</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>repeats</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of treatments ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERY_BREAST</p><p><b>text</b>: Indicate whether the patient received surgery during the last year</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Types of breast surgery ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SurgeryDateKnown</p><p><b>text</b>: Is the date of surgery known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SurgeryDate</p><p><b>text</b>: Please provide the date of surgery</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYAX</p><p><b>text</b>: Indicate whether the patient received surgery to the axilla</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Axilla surgery ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYAXDATE-Known</p><p><b>text</b>: Is the date of surgery to the axilla known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYAXDATE</p><p><b>text</b>: Please provide the date of surgery to the axilla</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYAX2</p><p><b>text</b>: Indicate whether the patient received axillary clearance due to lymph node involvement after sentinel lymph node biopsy during the last year</p><p><b>type</b>: choice</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Yes, No and Unknown Valueset</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYAX2DATE-Known</p><p><b>text</b>: Is the date of axillary clearance known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYAX2DATE</p><p><b>text</b>: Please provide the date of axillary clearance</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RECONSTRUCTION_DELAY</p><p><b>text</b>: Indicate whether the patient received a delayed reconstruction</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Yes, No and Unknown Valueset</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERY_RECONSTRUCTION</p><p><b>text</b>: Indicate what type of reconstruction the patient received</p><p><b>type</b>: choice</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of reconstruction surgery ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ImplantReconstruction</p><p><b>text</b>: Indicate the location of the implant</p><p><b>type</b>: choice</p><p><b>enableBehavior</b>: all</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Location of the implant ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RECONSTRUCTDATE-Known</p><p><b>text</b>: Is the date of the delayed reconstruction known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RECONSTRUCTDATE</p><p><b>text</b>: Please provide the date of delayed reconstruction</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RADIOTX_BREAST</p><p><b>text</b>: What was the intent of radiotherapy</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>repeats</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Intent of therapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RADIOTXTYPE_BREAST</p><p><b>text</b>: Indicate location/type of radiotherapy</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">The location of radiotherapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RadioTxStartDate-Known</p><p><b>text</b>: Is the start date of radiotherapy known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RadioTxStartDate</p><p><b>text</b>: Please provide the start date of radiotherapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RadioTxStopDate-Known</p><p><b>text</b>: Is the stop date of radiotherapy known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RadioTxStopDate</p><p><b>text</b>: Please provide the stop date of radiotherapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: CHEMOTXINTENT</p><p><b>text</b>: Indicate the intent of chemotherapy</p><p><b>type</b>: choice</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Intent of therapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: CHEMOTXTYPE_BREAST</p><p><b>text</b>: Indicate the type of chemotherapy (select all that apply)</p><p><b>type</b>: choice</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p><p><b>repeats</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of chemotherapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ChemoTxStartDate-Known</p><p><b>text</b>: Is the start date of chemotherapy known?</p><p><b>type</b>: boolean</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ChemoTxStartDate</p><p><b>text</b>: Please provide the start date of chemotherapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ChemoTxStopdate-Known</p><p><b>text</b>: Is the stop date of chemotherapy known?</p><p><b>type</b>: boolean</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ChemoTxStopdate</p><p><b>text</b>: Please provide the stop date of chemotherapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HORMONTX_BREAST</p><p><b>text</b>: Indicate the intent of hormonal therapy</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Intent of therapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HORMONTXTYPE</p><p><b>text</b>: Indicate the type of hormonal therapy (select all that apply)</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>repeats</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of hormonal therapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HORMONTXSTARTDATE-Known</p><p><b>text</b>: Is the start date of hormonal therapy known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HORMONTXSTARTDATE</p><p><b>text</b>: Please provide the start date of hormonal therapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HORMONTXSTOPDATE-Known</p><p><b>text</b>: Is the stop date of hormonal therapy known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HORMONTXSTOPDATE</p><p><b>text</b>: Please provide the stop date of hormonal therapy, if applicable</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TARGETTX_BREAST</p><p><b>text</b>: Indicate the type of targeted therapy</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of targeted therapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TargetTxStartDate-Known</p><p><b>text</b>: Is the start date of targeted therapy known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TargetTxStartDate</p><p><b>text</b>: Please provide the start date of targeted therapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TargetTxStopDate-Known</p><p><b>text</b>: Is the stop date of targeted therapy known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TargetTxStopDate</p><p><b>text</b>: Please provide the stop date of targeted therapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYPATIENT</p><p><b>text</b>: Indicate if the patient has had one of the following re-operations since their surgery for breast cancer (select all that apply)</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>repeats</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of re-operation</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYDATEPATIENT-Known</p><p><b>text</b>: Is the date of the reoperation known?</p><p><b>type</b>: boolean</p><p><b>enableBehavior</b>: all</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYDATEPATIENT</p><p><b>text</b>: Please provide the date of the reoperation</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: DisutilityofCare</p><p><b>text</b>: Disutility of care</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: REOP_BREAST</p><p><b>text</b>: Indicate if the patient has undergone a reoperation due to involved margins after primary surgery</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-02-SixMonths.html\">Re-operation due to involved margins ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: REOP_RECONSTRUCTION</p><p><b>text</b>: What type of reconstruction did the patient receive during reoperation?</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of reconstruction surgery ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: REOPDATE_BREAST-Known</p><p><b>text</b>: Is the date of the reoperation due to positive margins known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: REOPDATE_BREAST</p><p><b>text</b>: Provide the date of the reoperation due to positive margins</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ComplicationImpact</p><p><b>text</b>: What was the impact of the complication experienced by the patient</p><p><b>type</b>: choice</p><p><b>enableBehavior</b>: all</p><p><b>required</b>: true</p><p><b>repeats</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-02-SixMonths.html\">Impact of complication ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ComplicationAttrTreatment</p><p><b>text</b>: Indicate whether the complication is attributable to treatment</p><p><b>type</b>: choice</p><p><b>enableBehavior</b>: all</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Yes, No and Unknown Valueset</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: COMPL_BREAST</p><p><b>text</b>: Indicate the type of complication</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-02-SixMonths.html\">Type of complication ValueSet</a></p></blockquote></blockquote></div>"
        },
        "url" : "http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/ClinicalResponseSixMonths",
        "name" : "ClinicalResponseSixMonths",
        "title" : "Clinical response at 6 months post-treatment follow-up",
        "status" : "draft",
        "experimental" : true,
        "publisher" : "ICHOM",
        "item" : [
          {
            "linkId" : "General-Information-Clinical",
            "text" : "General information",
            "type" : "group",
            "required" : true,
            "item" : [
              {
                "linkId" : "NA-Clinical",
                "text" : "What is the patient's medical record number?",
                "type" : "string",
                "required" : true
              },
              {
                "linkId" : "LastName-Clinical",
                "text" : "What is the patient's last name?",
                "type" : "string",
                "required" : true
              }
            ]
          },
          {
            "linkId" : "Tumor-Factors",
            "text" : "Tumor factors",
            "type" : "group",
            "required" : true,
            "item" : [
              {
                "linkId" : "received_surgery",
                "text" : "Has the patient received surgery?",
                "type" : "boolean",
                "required" : true
              },
              {
                "linkId" : "TNMPT_BREAST",
                "text" : "Indicate the pathological tumor stage (per AJCC 8th Ed.)",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "received_surgery",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TNMPrimaryTumorVS"
              },
              {
                "linkId" : "TNMPN_BREAST",
                "text" : "Indicate the pathological nodal stage (per AJCC 8th Ed.)",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "received_surgery",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TNMRegionalNodesVS"
              },
              {
                "linkId" : "TNMPM_BREAST",
                "text" : "Indicate the pathological distant metastasis (per AJCC 8th Ed.)",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "received_surgery",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TNMDistantMetastasesVS"
              },
              {
                "linkId" : "SIZEINV",
                "text" : "Indicate size of invasive component of tumor (in mm)",
                "type" : "integer",
                "enableWhen" : [
                  {
                    "question" : "received_surgery",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "NumLymphNodesResect",
                "text" : "Indicate the number of lymph nodes resected",
                "type" : "integer",
                "enableWhen" : [
                  {
                    "question" : "received_surgery",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "LYMPHINV_BREAST",
                "text" : "Indicate the number of lymph nodes involved according to the TNM stage AJCC 8th Ed.",
                "type" : "integer",
                "enableWhen" : [
                  {
                    "question" : "received_surgery",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              }
            ]
          },
          {
            "linkId" : "Treatment-Variables",
            "text" : "Treatment Variables",
            "type" : "group",
            "required" : true,
            "item" : [
              {
                "linkId" : "TREATMENT_BREAST",
                "text" : "Indicate whether the patient received one of the following treatment during the last year (select all that apply)",
                "type" : "choice",
                "required" : true,
                "repeats" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TreatmentTypeVS"
              },
              {
                "linkId" : "SURGERY_BREAST",
                "text" : "Indicate whether the patient received surgery during the last year",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "387713003"
                    }
                  }
                ],
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS"
              },
              {
                "linkId" : "SurgeryDateKnown",
                "text" : "Is the date of surgery known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "387713003"
                    }
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "SurgeryDate",
                "text" : "Please provide the date of surgery",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "SurgeryDateKnown",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "SURGERYAX",
                "text" : "Indicate whether the patient received surgery to the axilla",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "699455008"
                    }
                  }
                ],
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AxillaSurgeryVS"
              },
              {
                "linkId" : "SURGERYAXDATE-Known",
                "text" : "Is the date of surgery to the axilla known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "699455008"
                    }
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "SURGERYAXDATE",
                "text" : "Please provide the date of surgery to the axilla",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "SURGERYAXDATE-Known",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "SURGERYAX2",
                "text" : "Indicate whether the patient received axillary clearance due to lymph node involvement after sentinel lymph node biopsy during the last year",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "SURGERYAX",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "396487001",
                      "display" : "Sentinel lymph node biopsy"
                    }
                  },
                  {
                    "question" : "SURGERYAX",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "234262008",
                      "display" : "Excision of axillary lymph node"
                    }
                  }
                ],
                "enableBehavior" : "any",
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS"
              },
              {
                "linkId" : "SURGERYAX2DATE-Known",
                "text" : "Is the date of axillary clearance known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "SURGERYAX2",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code" : "Y"
                    }
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "SURGERYAX2DATE",
                "text" : "Please provide the date of axillary clearance",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "SURGERYAX2DATE-Known",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "RECONSTRUCTION_DELAY",
                "text" : "Indicate whether the patient received a delayed reconstruction",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "SURGERY_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
                      "code" : "mastectomy-without-immediate-reconstruction"
                    }
                  }
                ],
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS"
              },
              {
                "linkId" : "SURGERY_RECONSTRUCTION",
                "text" : "Indicate what type of reconstruction the patient received",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "SURGERY_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
                      "code" : "mastectomy-without-immediate-reconstruction"
                    }
                  },
                  {
                    "question" : "SURGERY_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
                      "code" : "mastectomy-with-immediate-reconstruction"
                    }
                  }
                ],
                "enableBehavior" : "any",
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS"
              },
              {
                "linkId" : "ImplantReconstruction",
                "text" : "Indicate the location of the implant",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "SURGERY_RECONSTRUCTION",
                    "operator" : "!=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem",
                      "code" : "autologous"
                    }
                  },
                  {
                    "question" : "SURGERY_RECONSTRUCTION",
                    "operator" : "!=",
                    "answerCoding" : {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                      "code" : "UNK"
                    }
                  }
                ],
                "enableBehavior" : "all",
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ImplantLocationVS"
              },
              {
                "linkId" : "RECONSTRUCTDATE-Known",
                "text" : "Is the date of the delayed reconstruction known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "RECONSTRUCTION_DELAY",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code" : "Y"
                    }
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "RECONSTRUCTDATE",
                "text" : "Please provide the date of delayed reconstruction",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "RECONSTRUCTDATE-Known",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "RADIOTX_BREAST",
                "text" : "What was the intent of radiotherapy",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "108290001"
                    }
                  }
                ],
                "required" : true,
                "repeats" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS"
              },
              {
                "linkId" : "RADIOTXTYPE_BREAST",
                "text" : "Indicate location/type of radiotherapy",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "108290001"
                    }
                  }
                ],
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/LocationRadiotherapyVS"
              },
              {
                "linkId" : "RadioTxStartDate-Known",
                "text" : "Is the start date of radiotherapy known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "108290001"
                    }
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "RadioTxStartDate",
                "text" : "Please provide the start date of radiotherapy",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "RadioTxStartDate-Known",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "RadioTxStopDate-Known",
                "text" : "Is the stop date of radiotherapy known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "108290001"
                    }
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "RadioTxStopDate",
                "text" : "Please provide the stop date of radiotherapy",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "RadioTxStopDate-Known",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "CHEMOTXINTENT",
                "text" : "Indicate the intent of chemotherapy",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code" : "adjuvant-chemotherapy"
                    }
                  },
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code" : "neoadjuvant-chemotherapy"
                    }
                  }
                ],
                "enableBehavior" : "any",
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS"
              },
              {
                "linkId" : "CHEMOTXTYPE_BREAST",
                "text" : "Indicate the type of chemotherapy (select all that apply)",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code" : "adjuvant-chemotherapy"
                    }
                  },
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code" : "neoadjuvant-chemotherapy"
                    }
                  }
                ],
                "enableBehavior" : "any",
                "required" : true,
                "repeats" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ChemoTherapyTypeVS"
              },
              {
                "linkId" : "ChemoTxStartDate-Known",
                "text" : "Is the start date of chemotherapy known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code" : "adjuvant-chemotherapy"
                    }
                  },
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code" : "neoadjuvant-chemotherapy"
                    }
                  }
                ],
                "enableBehavior" : "any",
                "required" : true
              },
              {
                "linkId" : "ChemoTxStartDate",
                "text" : "Please provide the start date of chemotherapy",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "ChemoTxStartDate-Known",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "ChemoTxStopdate-Known",
                "text" : "Is the stop date of chemotherapy known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code" : "adjuvant-chemotherapy"
                    }
                  },
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code" : "neoadjuvant-chemotherapy"
                    }
                  }
                ],
                "enableBehavior" : "any",
                "required" : true
              },
              {
                "linkId" : "ChemoTxStopdate",
                "text" : "Please provide the stop date of chemotherapy",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "ChemoTxStopdate-Known",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "HORMONTX_BREAST",
                "text" : "Indicate the intent of hormonal therapy",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "169413002"
                    }
                  }
                ],
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS"
              },
              {
                "linkId" : "HORMONTXTYPE",
                "text" : "Indicate the type of hormonal therapy (select all that apply)",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "169413002"
                    }
                  }
                ],
                "required" : true,
                "repeats" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/HormonalTherapyTypeVS"
              },
              {
                "linkId" : "HORMONTXSTARTDATE-Known",
                "text" : "Is the start date of hormonal therapy known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "169413002"
                    }
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "HORMONTXSTARTDATE",
                "text" : "Please provide the start date of hormonal therapy",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "HORMONTXSTARTDATE-Known",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "HORMONTXSTOPDATE-Known",
                "text" : "Is the stop date of hormonal therapy known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "169413002"
                    }
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "HORMONTXSTOPDATE",
                "text" : "Please provide the stop date of hormonal therapy, if applicable",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "HORMONTXSTOPDATE-Known",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "TARGETTX_BREAST",
                "text" : "Indicate the type of targeted therapy",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code" : "targeted-therapy"
                    }
                  }
                ],
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TargetedTherapyVS"
              },
              {
                "linkId" : "TargetTxStartDate-Known",
                "text" : "Is the start date of targeted therapy known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code" : "targeted-therapy"
                    }
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "TargetTxStartDate",
                "text" : "Please provide the start date of targeted therapy",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "TargetTxStartDate-Known",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "TargetTxStopDate-Known",
                "text" : "Is the stop date of targeted therapy known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code" : "targeted-therapy"
                    }
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "TargetTxStopDate",
                "text" : "Please provide the stop date of targeted therapy",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "TargetTxStopDate-Known",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "SURGERYPATIENT",
                "text" : "Indicate if the patient has had one of the following re-operations since their surgery for breast cancer (select all that apply)",
                "type" : "choice",
                "required" : true,
                "repeats" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReoperationTypeVS"
              },
              {
                "linkId" : "SURGERYDATEPATIENT-Known",
                "text" : "Is the date of the reoperation known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "SURGERYPATIENT",
                    "operator" : "!=",
                    "answerCoding" : {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                      "code" : "UNK",
                      "display" : "unknown"
                    }
                  },
                  {
                    "question" : "SURGERYPATIENT",
                    "operator" : "!=",
                    "answerCoding" : {
                      "system" : "http://snomed.info/sct",
                      "code" : "373572006",
                      "display" : "Clinical finding absent"
                    }
                  }
                ],
                "enableBehavior" : "all",
                "required" : true
              },
              {
                "linkId" : "SURGERYDATEPATIENT",
                "text" : "Please provide the date of the reoperation",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "SURGERYDATEPATIENT-Known",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              }
            ]
          },
          {
            "linkId" : "DisutilityofCare",
            "text" : "Disutility of care",
            "type" : "group",
            "required" : true,
            "item" : [
              {
                "linkId" : "REOP_BREAST",
                "text" : "Indicate if the patient has undergone a reoperation due to involved margins after primary surgery",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "SURGERY_BREAST",
                    "operator" : "!=",
                    "answerCoding" : {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                      "code" : "UNK"
                    }
                  }
                ],
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/InvolvedMarginsReoperationTypeVS"
              },
              {
                "linkId" : "REOP_RECONSTRUCTION",
                "text" : "What type of reconstruction did the patient receive during reoperation?",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "REOP_BREAST",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
                      "code" : "mastectomy-with-immediate-reconstruction"
                    }
                  }
                ],
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS"
              },
              {
                "linkId" : "REOPDATE_BREAST-Known",
                "text" : "Is the date of the reoperation due to positive margins known?",
                "type" : "boolean",
                "enableWhen" : [
                  {
                    "question" : "REOP_BREAST",
                    "operator" : "!=",
                    "answerCoding" : {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                      "code" : "UNK"
                    }
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "REOPDATE_BREAST",
                "text" : "Provide the date of the reoperation due to positive margins",
                "type" : "date",
                "enableWhen" : [
                  {
                    "question" : "REOPDATE_BREAST-Known",
                    "operator" : "=",
                    "answerBoolean" : true
                  }
                ],
                "required" : true
              },
              {
                "linkId" : "ComplicationImpact",
                "text" : "What was the impact of the complication experienced by the patient",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "!=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code" : "no-treatment"
                    }
                  },
                  {
                    "question" : "TREATMENT_BREAST",
                    "operator" : "!=",
                    "answerCoding" : {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                      "code" : "UNK"
                    }
                  }
                ],
                "enableBehavior" : "all",
                "required" : true,
                "repeats" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ComplicationImpactVS"
              },
              {
                "linkId" : "ComplicationAttrTreatment",
                "text" : "Indicate whether the complication is attributable to treatment",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "ComplicationImpact",
                    "operator" : "!=",
                    "answerCoding" : {
                      "system" : "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ComplicationImpactCodeSystem",
                      "code" : "no-complication"
                    }
                  },
                  {
                    "question" : "ComplicationImpact",
                    "operator" : "!=",
                    "answerCoding" : {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                      "code" : "UNK"
                    }
                  }
                ],
                "enableBehavior" : "all",
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS"
              },
              {
                "linkId" : "COMPL_BREAST",
                "text" : "Indicate the type of complication",
                "type" : "choice",
                "enableWhen" : [
                  {
                    "question" : "ComplicationAttrTreatment",
                    "operator" : "=",
                    "answerCoding" : {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code" : "Y"
                    }
                  }
                ],
                "required" : true,
                "answerValueSet" : "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ComplicationTypeVS"
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Questionnaire/ClinicalResponseSixMonths"
      }
    }
  ]
}