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 - XML Representation

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