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 annual follow-up - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "DebugBundleClinical-03-Annual"]; # 
  fhir:Bundle.type [ fhir:value "transaction"]; # 
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "GermlineMutationVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"GermlineMutationVS\"> </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;GermlineMutationVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/GermlineMutationVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: GermlineMutationVS</p><p><b>title</b>: Germline Mutation 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 genetic mutation predisposing breast cancer</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>: 445180002</p><p><b>display</b>: Breast cancer genetic marker of susceptibility negative (finding)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 412734009</p><p><b>display</b>: BRCA1 gene mutation positive (finding)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 412738007</p><p><b>display</b>: BRCA2 gene mutation positive (finding)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 416237000</p><p><b>display</b>: Procedure not done</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>OTH</td><td>other</td></tr></table></blockquote></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/GermlineMutationVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "GermlineMutationVS" ];
       fhir:ValueSet.title [ fhir:value "Germline Mutation ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset of the genetic mutation predisposing breast cancer" ];
       fhir:ValueSet.copyright [ fhir:value "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" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://snomed.info/sct" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "445180002" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Breast cancer genetic marker of susceptibility negative (finding)" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "412734009" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "BRCA1 gene mutation positive (finding)" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "412738007" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "BRCA2 gene mutation positive (finding)" ]           ], [
             fhir:index 3;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "416237000" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Procedure not done" ]           ]         ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "OTH" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "other" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/GermlineMutationVS" ]     ]
  ], [
     fhir:index 1;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "TreatmentTypesCodeSystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem" ];
       fhir:CodeSystem.version [ fhir:value "5.1" ];
       fhir:CodeSystem.name [ fhir:value "TreatmentTypesCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Treatment variables CodeSytem" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:CodeSystem.publisher [ fhir:value "ICHOM" ];
       fhir:CodeSystem.description [ fhir:value "Codes defining types of treatment a breast cancer patient could receive" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "4"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "adjuvant-chemotherapy" ];
         fhir:CodeSystem.concept.display [ fhir:value "Adjuvant chemotherapy" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "neoadjuvant-chemotherapy" ];
         fhir:CodeSystem.concept.display [ fhir:value "Neoadjuvant chemotherapy" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "targeted-therapy" ];
         fhir:CodeSystem.concept.display [ fhir:value "Targeted therapy" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "no-treatment" ];
         fhir:CodeSystem.concept.display [ fhir:value "No treatment" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/TreatmentTypesCodeSystem" ]     ]
  ], [
     fhir:index 2;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "TreatmentTypeVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TreatmentTypeVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "TreatmentTypeVS" ];
       fhir:ValueSet.title [ fhir:value "Type of treatments ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset of the kind of treatment a patient with breastcancer underwent" ];
       fhir:ValueSet.copyright [ fhir:value "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" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "no-treatment" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "No treatment" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "adjuvant-chemotherapy" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Adjuvant chemotherapy" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "neoadjuvant-chemotherapy" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Neoadjuvant chemotherapy" ]           ], [
             fhir:index 3;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "targeted-therapy" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Targeted therapy" ]           ]         ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.system [ fhir:value "http://snomed.info/sct" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "387713003" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Surgical procedure" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "699455008" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Operative procedure on axilla" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "33496007" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of breast" ]           ], [
             fhir:index 3;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "108290001" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Radiation oncology AND/OR radiotherapy" ]           ], [
             fhir:index 4;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "169413002" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Hormone therapy" ]           ], [
             fhir:index 5;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "76334006" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Immunotherapy" ]           ], [
             fhir:index 6;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "243114000" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Support" ]           ]         ], [
           fhir:index 2;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "UNK" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "unknown" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/TreatmentTypeVS" ]     ]
  ], [
     fhir:index 3;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "BreastSurgeryTypesCodeSystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
       fhir:CodeSystem.version [ fhir:value "5.1" ];
       fhir:CodeSystem.name [ fhir:value "BreastSurgeryTypesCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Breast surgery types CodeSystem" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:CodeSystem.publisher [ fhir:value "ICHOM" ];
       fhir:CodeSystem.description [ fhir:value "Codes indicating the types of breast surgery a patient underwent" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "4"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "bcs" ];
         fhir:CodeSystem.concept.display [ fhir:value "Breast conserving surgery (BCS)" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "bcs-with-mammoplasty" ];
         fhir:CodeSystem.concept.display [ fhir:value "BCS with mammoplasty" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "mastectomy-without-immediate-reconstruction" ];
         fhir:CodeSystem.concept.display [ fhir:value "Mastectomy without immediate reconstruction" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "mastectomy-with-immediate-reconstruction" ];
         fhir:CodeSystem.concept.display [ fhir:value "Mastectomy with immediate reconstruction" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/BreastSurgeryTypesCodeSystem" ]     ]
  ], [
     fhir:index 4;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "BreastSurgeryTypeVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "BreastSurgeryTypeVS" ];
       fhir:ValueSet.title [ fhir:value "Types of breast surgery ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset of the types of breast surgery a patient underwent" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "bcs" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Breast conserving surgery (BCS)" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "bcs-with-mammoplasty" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "BCS with mammoplasty" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "mastectomy-without-immediate-reconstruction" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Mastectomy without immediate reconstruction" ]           ], [
             fhir:index 3;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "mastectomy-with-immediate-reconstruction" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Mastectomy with immediate reconstruction" ]           ]         ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "UNK" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "unknown" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/BreastSurgeryTypeVS" ]     ]
  ], [
     fhir:index 5;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "AxillaSurgeryVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AxillaSurgeryVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "AxillaSurgeryVS" ];
       fhir:ValueSet.title [ fhir:value "Axilla surgery ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset of surgery types of the axilla" ];
       fhir:ValueSet.copyright [ fhir:value "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" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://snomed.info/sct" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "396487001" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Sentinel lymph node biopsy" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "234262008" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of axillary lymph node" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "79544006" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Complete axillary lymphadenectomy" ]           ]         ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "UNK" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "unknown" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/AxillaSurgeryVS" ]     ]
  ], [
     fhir:index 6;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "NoYesUnknownVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "NoYesUnknownVS" ];
       fhir:ValueSet.title [ fhir:value "Yes, No and Unknown Valueset" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset with yes, no and unknown answers" ];
       fhir:ValueSet.copyright [ fhir:value "Copyright HL7. Licensed under creative commons public domain" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0532" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "Y" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Yes" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "N" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "No" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "UNK" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Unknown" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/NoYesUnknownVS" ]     ]
  ], [
     fhir:index 7;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "ReconstructionTypeCodeSystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem" ];
       fhir:CodeSystem.version [ fhir:value "5.1" ];
       fhir:CodeSystem.name [ fhir:value "ReconstructionTypeCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Type of reconstruction surgery CodeSystem" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:CodeSystem.publisher [ fhir:value "ICHOM" ];
       fhir:CodeSystem.description [ fhir:value "Codes indicating the type of reconstruction surgery that is performed" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "4"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "direct-implant" ];
         fhir:CodeSystem.concept.display [ fhir:value "Direct implant" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "staged-implant" ];
         fhir:CodeSystem.concept.display [ fhir:value "Staged implant" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "autologous" ];
         fhir:CodeSystem.concept.display [ fhir:value "Autologous" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "both" ];
         fhir:CodeSystem.concept.display [ fhir:value "Both implant and autologous" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/ReconstructionTypeCodeSystem" ]     ]
  ], [
     fhir:index 8;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "ReconstructionTypeVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "ReconstructionTypeVS" ];
       fhir:ValueSet.title [ fhir:value "Type of reconstruction surgery ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset of the type of reconstruction surgery that is performed" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "direct-implant" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Direct implant" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "staged-implant" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Staged implant" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "autologous" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Autologous" ]           ], [
             fhir:index 3;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "both" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Both implant and autologous" ]           ]         ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "UNK" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "unknown" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/ReconstructionTypeVS" ]     ]
  ], [
     fhir:index 9;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "ImplantLocationCodeSystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ImplantLocationCodeSystem" ];
       fhir:CodeSystem.version [ fhir:value "5.1" ];
       fhir:CodeSystem.name [ fhir:value "ImplantLocationCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Location of the implant CodeSystem" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:CodeSystem.publisher [ fhir:value "ICHOM" ];
       fhir:CodeSystem.description [ fhir:value "Codes indicating the location of the implant that was placed during reconstruction surgery" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "2"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "pre-pectoral" ];
         fhir:CodeSystem.concept.display [ fhir:value "Pre-pectoral" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "sub-pectoral" ];
         fhir:CodeSystem.concept.display [ fhir:value "Sub-pectoral" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/ImplantLocationCodeSystem" ]     ]
  ], [
     fhir:index 10;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "ImplantLocationVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ImplantLocationVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "ImplantLocationVS" ];
       fhir:ValueSet.title [ fhir:value "Location of the implant ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset of the location of the implant during reconstruction surgery" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ImplantLocationCodeSystem" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "pre-pectoral" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Pre-pectoral" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "sub-pectoral" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Sub-pectoral" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/ImplantLocationVS" ]     ]
  ], [
     fhir:index 11;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "TherapyIntentVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "TherapyIntentVS" ];
       fhir:ValueSet.title [ fhir:value "Intent of therapy ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset of intent of therapy" ];
       fhir:ValueSet.copyright [ fhir:value "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" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://snomed.info/sct" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "373847000" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Neo-adjuvant - intent" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "373846009" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Adjuvant - intent" ]           ]         ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "UNK" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "unknown" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/TherapyIntentVS" ]     ]
  ], [
     fhir:index 12;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "LocationRadiotherapyVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/LocationRadiotherapyVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "LocationRadiotherapyVS" ];
       fhir:ValueSet.title [ fhir:value "The location of radiotherapy ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset of the location of radiotherapy" ];
       fhir:ValueSet.copyright [ fhir:value "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" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://snomed.info/sct" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "76752008" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Breast structure" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "78904004" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Chest wall structure" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "68171009" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Axillary lymph node structure" ]           ], [
             fhir:index 3;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "76838003" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Structure of supraclavicular lymph node" ]           ], [
             fhir:index 4;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "245282001" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Internal mammary lymph node group" ]           ], [
             fhir:index 5;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "263601005" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Site of tumor" ]           ], [
             fhir:index 6;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "277671009" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Intraoperative" ]           ]         ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "OTH" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "other" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "UNK" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "unknown" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/LocationRadiotherapyVS" ]     ]
  ], [
     fhir:index 13;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "ChemoTherapyTypeVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ChemoTherapyTypeVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "ChemoTherapyTypeVS" ];
       fhir:ValueSet.title [ fhir:value "Type of chemotherapy ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset of the types of chemotherapy" ];
       fhir:ValueSet.copyright [ fhir:value "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" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://snomed.info/sct" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "108787006" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Medicinal product containing anthracycline and acting as antineoplastic agent" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "418965003" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Taxane derivative" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "768621002" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Product containing platinum and platinum compound" ]           ], [
             fhir:index 3;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "386906001" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Capecitabine" ]           ]         ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "OTH" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "other" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "UNK" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "unknown" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/ChemoTherapyTypeVS" ]     ]
  ], [
     fhir:index 14;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "HormonalTherapyTypeVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/HormonalTherapyTypeVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "HormonalTherapyTypeVS" ];
       fhir:ValueSet.title [ fhir:value "Type of hormonal therapy ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset of the types of hormonal therapy" ];
       fhir:ValueSet.copyright [ fhir:value "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" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://snomed.info/sct" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "413575009" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Substance with aromatase inhibitor mechanism of action" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "373336003" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Substance with estrogen receptor antagonist mechanism of action" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "83152002" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Oophorectomy" ]           ], [
             fhir:index 3;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "418974001" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Gonad regulating hormone agent" ]           ]         ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "OTH" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "other" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "UNK" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "unknown" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/HormonalTherapyTypeVS" ]     ]
  ], [
     fhir:index 15;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "TargetedTherapyVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TargetedTherapyVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "TargetedTherapyVS" ];
       fhir:ValueSet.title [ fhir:value "Type of targeted therapy ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset of the types of targeted therapy" ];
       fhir:ValueSet.copyright [ fhir:value "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" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://snomed.info/sct" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "784176007" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "HER2 (Human epidermal growth factor receptor 2) inhibitor" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "426265004" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Substance with protein kinase inhibitor mechanism of action" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "432253008" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Substance with nicotinamide adenine dinucleotide adenosine diphosphate ribosyltransferase inhibitor mechanism of action" ]           ]         ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "OTH" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "other" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "UNK" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "unknown" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/TargetedTherapyVS" ]     ]
  ], [
     fhir:index 16;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "ReoperationTypeVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReoperationTypeVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "ReoperationTypeVS" ];
       fhir:ValueSet.title [ fhir:value "Type of re-operation" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset of the types of re-operation" ];
       fhir:ValueSet.copyright [ fhir:value "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" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://snomed.info/sct" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "33496007" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Reconstruction of breast" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "69031006" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of breast tissue" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "234254000" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Excision of axillary lymph nodes group" ]           ]         ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "bcs" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Breast conserving surgery (BCS)" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "bcs-with-mammoplasty" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Breast conserving surgery with mammoplasty" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "mastectomy-without-immediate-reconstruction" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Mastectomy without immediate reconstruction" ]           ], [
             fhir:index 3;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "mastectomy-with-immediate-reconstruction" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Mastectomy with immediate reconstruction" ]           ]         ], [
           fhir:index 2;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "UNK" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "unknown" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/ReoperationTypeVS" ]     ]
  ], [
     fhir:index 17;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "RecurrenceCodeSystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"RecurrenceCodeSystem\"> </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;RecurrenceCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: RecurrenceCodeSystem</p><p><b>title</b>: Recurrence of neoplasm CodeSystem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Additional code covering whether there is evidence of local, regional or distant recurrence of neoplasm</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 3</p><blockquote><p><b>concept</b></p><p><b>code</b>: local-recurrence</p><p><b>display</b>: Yes, local recurrence</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: regional-recurrence</p><p><b>display</b>: Yes, regional recurrence</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: distant-recurrence</p><p><b>display</b>: Yes, distant recurrence</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem" ];
       fhir:CodeSystem.version [ fhir:value "5.1" ];
       fhir:CodeSystem.name [ fhir:value "RecurrenceCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Recurrence of neoplasm CodeSystem" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:CodeSystem.publisher [ fhir:value "ICHOM" ];
       fhir:CodeSystem.description [ fhir:value "Additional code covering whether there is evidence of local, regional or distant recurrence of neoplasm" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "3"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "local-recurrence" ];
         fhir:CodeSystem.concept.display [ fhir:value "Yes, local recurrence" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "regional-recurrence" ];
         fhir:CodeSystem.concept.display [ fhir:value "Yes, regional recurrence" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "distant-recurrence" ];
         fhir:CodeSystem.concept.display [ fhir:value "Yes, distant recurrence" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/RecurrenceCodeSystem" ]     ]
  ], [
     fhir:index 18;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "RecurrenceVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"RecurrenceVS\"> </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;RecurrenceVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: RecurrenceVS</p><p><b>title</b>: Recurrence of neoplasm 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 about whether there is evidence of local, regional or distant recurrence of neoplasm</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><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>N</td><td>No</td></tr></table></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Recurrence of neoplasm CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: local-recurrence</p><p><b>display</b>: Yes, local recurrence</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: regional-recurrence</p><p><b>display</b>: Yes, regional recurrence</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: distant-recurrence</p><p><b>display</b>: Yes, distant recurrence</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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "RecurrenceVS" ];
       fhir:ValueSet.title [ fhir:value "Recurrence of neoplasm ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset about whether there is evidence of local, regional or distant recurrence of neoplasm" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0532" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "N" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "No" ]           ]         ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "local-recurrence" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Yes, local recurrence" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "regional-recurrence" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Yes, regional recurrence" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "distant-recurrence" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Yes, distant recurrence" ]           ]         ], [
           fhir:index 2;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "UNK" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "unknown" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/RecurrenceVS" ]     ]
  ], [
     fhir:index 19;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "RecurrenceMethodCodeSystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"RecurrenceMethodCodeSystem\"> </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;RecurrenceMethodCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceMethodCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: RecurrenceMethodCodeSystem</p><p><b>title</b>: Recurrence method CodeSystem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Additional code covering combination of radiological and histological diagnosis method</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 1</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>radiological-histological</td><td>Radiological and histological diagnosis</td></tr></table></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceMethodCodeSystem" ];
       fhir:CodeSystem.version [ fhir:value "5.1" ];
       fhir:CodeSystem.name [ fhir:value "RecurrenceMethodCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Recurrence method CodeSystem" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:CodeSystem.publisher [ fhir:value "ICHOM" ];
       fhir:CodeSystem.description [ fhir:value "Additional code covering combination of radiological and histological diagnosis method" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "1"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "radiological-histological" ];
         fhir:CodeSystem.concept.display [ fhir:value "Radiological and histological diagnosis" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/RecurrenceMethodCodeSystem" ]     ]
  ], [
     fhir:index 20;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "RecurrenceMethodVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"RecurrenceMethodVS\"> </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;RecurrenceMethodVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceMethodVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: RecurrenceMethodVS</p><p><b>title</b>: Recurrence method 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 methods used to confirm recurrence of breast cancer</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>: 394914008</p><p><b>display</b>: Radiology</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 67151002</p><p><b>display</b>: Histologic</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Recurrence method CodeSystem</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>radiological-histological</td><td>Radiological and histological diagnosis</td></tr></table></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>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceMethodVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "RecurrenceMethodVS" ];
       fhir:ValueSet.title [ fhir:value "Recurrence method ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset of the methods used to confirm recurrence of breast cancer" ];
       fhir:ValueSet.copyright [ fhir:value "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" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://snomed.info/sct" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "394914008" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Radiology" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "67151002" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Histologic" ]           ]         ], [
           fhir:index 1;
           fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceMethodCodeSystem" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "radiological-histological" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Radiological and histological diagnosis" ]           ]         ], [
           fhir:index 2;
           fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "UNK" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "unknown" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/RecurrenceMethodVS" ]     ]
  ], [
     fhir:index 21;
     fhir:Bundle.entry.resource [
       a fhir:Questionnaire;
       fhir:Resource.id [ fhir:value "ClinicalResponseAnnualUpdate" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Questionnaire</b><a name=\"ClinicalResponseAnnualUpdate\"> </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;ClinicalResponseAnnualUpdate&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/ClinicalResponseAnnualUpdate</code></p><p><b>name</b>: AnnualClinicalResponse</p><p><b>title</b>: Annual follow-up of clinical questionnaire response</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><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><td><b>Repeats</b></td><td><b>AnswerValueSet</b></td></tr><tr><td>*</td><td>MUTBC</td><td>Indicate if the patient carries a genetic mutation predisposing breast cancer</td><td>choice</td><td>true</td><td>true</td><td><a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Germline Mutation ValueSet</a></td></tr></table></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>: Survival-and-Disease-control</p><p><b>text</b>: Survival and disease control</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Survival-Q0</p><p><b>text</b>: Was the intent of the treatment curative?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: MalignancyRecur</p><p><b>text</b>: Is there evidence of local, regional or distant recurrence of neoplasm?</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Recurrence of neoplasm ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RecurMethod</p><p><b>text</b>: What was the method of confirming recurrence of neoplasm?</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\">Recurrence method ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RecurDateCancer-Known</p><p><b>text</b>: Is the date of cancer recurrence 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>: RecurDateCancer</p><p><b>text</b>: What is the date of cancer recurrence?</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: VitalStatus</p><p><b>text</b>: Indicate if the person has deceased, regardless of cause</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>: DeceasedDate-Known</p><p><b>text</b>: Is the date of death of the patient 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>: DeceasedDate</p><p><b>text</b>: Please provide the date of death of the patient</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: DEATHBC</p><p><b>text</b>: Is the death attributable to breast cancer?</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></div>"       ];
       fhir:Questionnaire.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/ClinicalResponseAnnualUpdate" ];
       fhir:Questionnaire.name [ fhir:value "AnnualClinicalResponse" ];
       fhir:Questionnaire.title [ fhir:value "Annual follow-up of clinical questionnaire response" ];
       fhir:Questionnaire.status [ fhir:value "draft" ];
       fhir:Questionnaire.experimental [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.publisher [ fhir:value "ICHOM" ];
       fhir:Questionnaire.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "General-Information-Clinical" ];
         fhir:Questionnaire.item.text [ fhir:value "General information" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "NA-Clinical" ];
           fhir:Questionnaire.item.text [ fhir:value "What is the patient's medical record number?" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "LastName-Clinical" ];
           fhir:Questionnaire.item.text [ fhir:value "What is the patient's last name?" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "Tumor-Factors" ];
         fhir:Questionnaire.item.text [ fhir:value "Tumor factors" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "MUTBC" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate if the patient carries a genetic mutation predisposing breast cancer" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/GermlineMutationVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/GermlineMutationVS>           ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "Treatment-Variables" ];
         fhir:Questionnaire.item.text [ fhir:value "Treatment Variables" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "TREATMENT_BREAST" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate whether the patient received one of the following treatment during the last year (select all that apply)" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TreatmentTypeVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TreatmentTypeVS>           ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "SURGERY_BREAST" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate whether the patient received surgery during the last year" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:387713003;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "387713003" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS>           ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "SurgeryDateKnown" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the date of surgery known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:387713003;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "387713003" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "SurgeryDate" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the date of surgery" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SurgeryDateKnown" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "SURGERYAX" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate whether the patient received surgery to the axilla" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:699455008;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "699455008" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AxillaSurgeryVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AxillaSurgeryVS>           ]         ], [
           fhir:index 5;
           fhir:Questionnaire.item.linkId [ fhir:value "SURGERYAXDATE-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the date of surgery to the axilla known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:699455008;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "699455008" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 6;
           fhir:Questionnaire.item.linkId [ fhir:value "SURGERYAXDATE" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the date of surgery to the axilla" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SURGERYAXDATE-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 7;
           fhir:Questionnaire.item.linkId [ fhir:value "SURGERYAX2" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate whether the patient received axillary clearance due to lymph node involvement after sentinel lymph node biopsy during the last year" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SURGERYAX" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:396487001;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "396487001" ];
               fhir:Coding.display [ fhir:value "Sentinel lymph node biopsy" ]             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SURGERYAX" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:234262008;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "234262008" ];
               fhir:Coding.display [ fhir:value "Excision of axillary lymph node" ]             ]           ];
           fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS>           ]         ], [
           fhir:index 8;
           fhir:Questionnaire.item.linkId [ fhir:value "SURGERYAX2DATE-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the date of axillary clearance known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SURGERYAX2" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0532" ];
               fhir:Coding.code [ fhir:value "Y" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 9;
           fhir:Questionnaire.item.linkId [ fhir:value "SURGERYAX2DATE" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the date of axillary clearance" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SURGERYAX2DATE-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 10;
           fhir:Questionnaire.item.linkId [ fhir:value "RECONSTRUCTION_DELAY" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate whether the patient received a delayed reconstruction" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SURGERY_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "mastectomy-without-immediate-reconstruction" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS>           ]         ], [
           fhir:index 11;
           fhir:Questionnaire.item.linkId [ fhir:value "SURGERY_RECONSTRUCTION" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate what type of reconstruction the patient received" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SURGERY_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "mastectomy-without-immediate-reconstruction" ]             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SURGERY_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]             ]           ];
           fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS>           ]         ], [
           fhir:index 12;
           fhir:Questionnaire.item.linkId [ fhir:value "ImplantReconstruction" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate the location of the implant" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SURGERY_RECONSTRUCTION" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "!=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem" ];
               fhir:Coding.code [ fhir:value "autologous" ]             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SURGERY_RECONSTRUCTION" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "!=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
               fhir:Coding.code [ fhir:value "UNK" ]             ]           ];
           fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ImplantLocationVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ImplantLocationVS>           ]         ], [
           fhir:index 13;
           fhir:Questionnaire.item.linkId [ fhir:value "RECONSTRUCTDATE-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the date of the delayed reconstruction known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "RECONSTRUCTION_DELAY" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0532" ];
               fhir:Coding.code [ fhir:value "Y" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 14;
           fhir:Questionnaire.item.linkId [ fhir:value "RECONSTRUCTDATE" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the date of delayed reconstruction" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "RECONSTRUCTDATE-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 15;
           fhir:Questionnaire.item.linkId [ fhir:value "RADIOTX_BREAST" ];
           fhir:Questionnaire.item.text [ fhir:value "What was the intent of radiotherapy" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:108290001;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "108290001" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS>           ]         ], [
           fhir:index 16;
           fhir:Questionnaire.item.linkId [ fhir:value "RADIOTXTYPE_BREAST" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate location/type of radiotherapy" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:108290001;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "108290001" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/LocationRadiotherapyVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/LocationRadiotherapyVS>           ]         ], [
           fhir:index 17;
           fhir:Questionnaire.item.linkId [ fhir:value "RadioTxStartDate-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the start date of radiotherapy known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:108290001;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "108290001" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 18;
           fhir:Questionnaire.item.linkId [ fhir:value "RadioTxStartDate" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the start date of radiotherapy" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "RadioTxStartDate-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 19;
           fhir:Questionnaire.item.linkId [ fhir:value "RadioTxStopDate-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the stop date of radiotherapy known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:108290001;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "108290001" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 20;
           fhir:Questionnaire.item.linkId [ fhir:value "RadioTxStopDate" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the stop date of radiotherapy" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "RadioTxStopDate-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 21;
           fhir:Questionnaire.item.linkId [ fhir:value "CHEMOTXINTENT" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate the intent of chemotherapy" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "adjuvant-chemotherapy" ]             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "neoadjuvant-chemotherapy" ]             ]           ];
           fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS>           ]         ], [
           fhir:index 22;
           fhir:Questionnaire.item.linkId [ fhir:value "CHEMOTXTYPE_BREAST" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate the type of chemotherapy (select all that apply)" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "adjuvant-chemotherapy" ]             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "neoadjuvant-chemotherapy" ]             ]           ];
           fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ChemoTherapyTypeVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ChemoTherapyTypeVS>           ]         ], [
           fhir:index 23;
           fhir:Questionnaire.item.linkId [ fhir:value "ChemoTxStartDate-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the start date of chemotherapy known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "adjuvant-chemotherapy" ]             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "neoadjuvant-chemotherapy" ]             ]           ];
           fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 24;
           fhir:Questionnaire.item.linkId [ fhir:value "ChemoTxStartDate" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the start date of chemotherapy" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "ChemoTxStartDate-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 25;
           fhir:Questionnaire.item.linkId [ fhir:value "ChemoTxStopdate-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the stop date of chemotherapy known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "adjuvant-chemotherapy" ]             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "neoadjuvant-chemotherapy" ]             ]           ];
           fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 26;
           fhir:Questionnaire.item.linkId [ fhir:value "ChemoTxStopdate" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the stop date of chemotherapy" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "ChemoTxStopdate-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 27;
           fhir:Questionnaire.item.linkId [ fhir:value "HORMONTX_BREAST" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate the intent of hormonal therapy" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:169413002;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "169413002" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS>           ]         ], [
           fhir:index 28;
           fhir:Questionnaire.item.linkId [ fhir:value "HORMONTXTYPE" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate the type of hormonal therapy (select all that apply)" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:169413002;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "169413002" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/HormonalTherapyTypeVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/HormonalTherapyTypeVS>           ]         ], [
           fhir:index 29;
           fhir:Questionnaire.item.linkId [ fhir:value "HORMONTXSTARTDATE-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the start date of hormonal therapy known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:169413002;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "169413002" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 30;
           fhir:Questionnaire.item.linkId [ fhir:value "HORMONTXSTARTDATE" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the start date of hormonal therapy" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "HORMONTXSTARTDATE-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 31;
           fhir:Questionnaire.item.linkId [ fhir:value "HORMONTXSTOPDATE-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the stop date of hormonal therapy known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:169413002;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "169413002" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 32;
           fhir:Questionnaire.item.linkId [ fhir:value "HORMONTXSTOPDATE" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the stop date of hormonal therapy, if applicable" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "HORMONTXSTOPDATE-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 33;
           fhir:Questionnaire.item.linkId [ fhir:value "TARGETTX_BREAST" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate the type of targeted therapy" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "targeted-therapy" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TargetedTherapyVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TargetedTherapyVS>           ]         ], [
           fhir:index 34;
           fhir:Questionnaire.item.linkId [ fhir:value "TargetTxStartDate-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the start date of targeted therapy known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "targeted-therapy" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 35;
           fhir:Questionnaire.item.linkId [ fhir:value "TargetTxStartDate" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the start date of targeted therapy" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TargetTxStartDate-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 36;
           fhir:Questionnaire.item.linkId [ fhir:value "TargetTxStopDate-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the stop date of targeted therapy known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TREATMENT_BREAST" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "targeted-therapy" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 37;
           fhir:Questionnaire.item.linkId [ fhir:value "TargetTxStopDate" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the stop date of targeted therapy" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "TargetTxStopDate-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 38;
           fhir:Questionnaire.item.linkId [ fhir:value "SURGERYPATIENT" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate if the patient has had one of the following re-operations since their surgery for breast cancer (select all that apply)" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReoperationTypeVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReoperationTypeVS>           ]         ], [
           fhir:index 39;
           fhir:Questionnaire.item.linkId [ fhir:value "SURGERYDATEPATIENT-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the date of the reoperation known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SURGERYPATIENT" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "!=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-NullFlavor" ];
               fhir:Coding.code [ fhir:value "UNK" ];
               fhir:Coding.display [ fhir:value "unknown" ]             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SURGERYPATIENT" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "!=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               a sct:373572006;
               fhir:Coding.system [ fhir:value "http://snomed.info/sct" ];
               fhir:Coding.code [ fhir:value "373572006" ];
               fhir:Coding.display [ fhir:value "Clinical finding absent" ]             ]           ];
           fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 40;
           fhir:Questionnaire.item.linkId [ fhir:value "SURGERYDATEPATIENT" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the date of the reoperation" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "SURGERYDATEPATIENT-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ]       ], [
         fhir:index 3;
         fhir:Questionnaire.item.linkId [ fhir:value "Survival-and-Disease-control" ];
         fhir:Questionnaire.item.text [ fhir:value "Survival and disease control" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "Survival-Q0" ];
           fhir:Questionnaire.item.text [ fhir:value "Was the intent of the treatment curative?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "MalignancyRecur" ];
           fhir:Questionnaire.item.text [ fhir:value "Is there evidence of local, regional or distant recurrence of neoplasm?" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "Survival-Q0" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceVS>           ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "RecurMethod" ];
           fhir:Questionnaire.item.text [ fhir:value "What was the method of confirming recurrence of neoplasm?" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "MalignancyRecur" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem" ];
               fhir:Coding.code [ fhir:value "local-recurrence" ]             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "MalignancyRecur" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem" ];
               fhir:Coding.code [ fhir:value "regional-recurrence" ]             ]           ], [
             fhir:index 2;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "MalignancyRecur" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem" ];
               fhir:Coding.code [ fhir:value "distant-recurrence" ]             ]           ];
           fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceMethodVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceMethodVS>           ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "RecurDateCancer-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the date of cancer recurrence known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "MalignancyRecur" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem" ];
               fhir:Coding.code [ fhir:value "local-recurrence" ]             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "MalignancyRecur" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem" ];
               fhir:Coding.code [ fhir:value "regional-recurrence" ]             ]           ], [
             fhir:index 2;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "MalignancyRecur" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem" ];
               fhir:Coding.code [ fhir:value "distant-recurrence" ]             ]           ];
           fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "RecurDateCancer" ];
           fhir:Questionnaire.item.text [ fhir:value "What is the date of cancer recurrence?" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "RecurDateCancer-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 5;
           fhir:Questionnaire.item.linkId [ fhir:value "VitalStatus" ];
           fhir:Questionnaire.item.text [ fhir:value "Indicate if the person has deceased, regardless of cause" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS>           ]         ], [
           fhir:index 6;
           fhir:Questionnaire.item.linkId [ fhir:value "DeceasedDate-Known" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the date of death of the patient known?" ];
           fhir:Questionnaire.item.type [ fhir:value "boolean" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "VitalStatus" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0532" ];
               fhir:Coding.code [ fhir:value "Y" ];
               fhir:Coding.display [ fhir:value "Yes" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 7;
           fhir:Questionnaire.item.linkId [ fhir:value "DeceasedDate" ];
           fhir:Questionnaire.item.text [ fhir:value "Please provide the date of death of the patient" ];
           fhir:Questionnaire.item.type [ fhir:value "date" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "DeceasedDate-Known" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerBoolean [ fhir:value "true"^^xsd:boolean ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 8;
           fhir:Questionnaire.item.linkId [ fhir:value "DEATHBC" ];
           fhir:Questionnaire.item.text [ fhir:value "Is the death attributable to breast cancer?" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "VitalStatus" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0532" ];
               fhir:Coding.code [ fhir:value "Y" ];
               fhir:Coding.display [ fhir:value "Yes" ]             ]           ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS>           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "Questionnaire/ClinicalResponseAnnualUpdate" ]     ]
  ]. # 

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.