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 patient response during post-treatment follow-up - TTL Representation

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

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

 a fhir:Bundle;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "DebugBundlePatient-02-Follow-Up"]; # 
  fhir:Bundle.type [ fhir:value "transaction"]; # 
  fhir:Bundle.entry [
     fhir:index 0;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "AgreementResponseCodeSystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"AgreementResponseCodeSystem\"> </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;AgreementResponseCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/AgreementResponseCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: AgreementResponseCodeSystem</p><p><b>title</b>: Agreement response 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 used in a Patient Reported Outcomes Instrument to express the degree of agreement</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: no</p><p><b>display</b>: Not at all</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: little</p><p><b>display</b>: A little</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: quite</p><p><b>display</b>: Quite a bit</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: very</p><p><b>display</b>: Very much</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/AgreementResponseCodeSystem" ];
       fhir:CodeSystem.version [ fhir:value "5.1" ];
       fhir:CodeSystem.name [ fhir:value "AgreementResponseCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Agreement response CodeSystem" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:CodeSystem.publisher [ fhir:value "ICHOM" ];
       fhir:CodeSystem.description [ fhir:value "Codes used in a Patient Reported Outcomes Instrument to express the degree of agreement" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "4"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "no" ];
         fhir:CodeSystem.concept.display [ fhir:value "Not at all" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "little" ];
         fhir:CodeSystem.concept.display [ fhir:value "A little" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "quite" ];
         fhir:CodeSystem.concept.display [ fhir:value "Quite a bit" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "very" ];
         fhir:CodeSystem.concept.display [ fhir:value "Very much" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/AgreementResponseCodeSystem" ]     ]
  ], [
     fhir:index 1;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "AgreementResponseVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"AgreementResponseVS\"> </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;AgreementResponseVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: AgreementResponseVS</p><p><b>title</b>: Agreement response 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 used in a Patient Reported Outcomes Instrument to express the degree of agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundlePatient-02-Follow-Up.html\">Agreement response CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: no</p><p><b>display</b>: Not at all</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: little</p><p><b>display</b>: A little</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: quite</p><p><b>display</b>: Quite a bit</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: very</p><p><b>display</b>: Very much</p></blockquote></blockquote></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "AgreementResponseVS" ];
       fhir:ValueSet.title [ fhir:value "Agreement response ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset used in a Patient Reported Outcomes Instrument to express the degree of agreement" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/AgreementResponseCodeSystem" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "no" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Not at all" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "little" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "A little" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "quite" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Quite a bit" ]           ], [
             fhir:index 3;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "very" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Very much" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/AgreementResponseVS" ]     ]
  ], [
     fhir:index 2;
     fhir:Bundle.entry.resource [
       a fhir:CodeSystem;
       fhir:Resource.id [ fhir:value "SatisfactionResponseCodeSystem" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"SatisfactionResponseCodeSystem\"> </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;SatisfactionResponseCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/SatisfactionResponseCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: SatisfactionResponseCodeSystem</p><p><b>title</b>: Satisfaction response 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 used in a Patient Reported Outcomes Instrument to express the statisfation response</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>: very-dissatisfied</p><p><b>display</b>: Very dissatisfied</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: somewhat-dissatisfied</p><p><b>display</b>: Somewhat dissatisfied</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: somewhat-satisfied</p><p><b>display</b>: Somewhat satisfied</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: very-satisfied</p><p><b>display</b>: Very satisfied</p></blockquote></div>"       ];
       fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/SatisfactionResponseCodeSystem" ];
       fhir:CodeSystem.version [ fhir:value "5.1" ];
       fhir:CodeSystem.name [ fhir:value "SatisfactionResponseCodeSystem" ];
       fhir:CodeSystem.title [ fhir:value "Satisfaction response CodeSystem" ];
       fhir:CodeSystem.status [ fhir:value "active" ];
       fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:CodeSystem.publisher [ fhir:value "ICHOM" ];
       fhir:CodeSystem.description [ fhir:value "Codes used in a Patient Reported Outcomes Instrument to express the statisfation response" ];
       fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean ];
       fhir:CodeSystem.content [ fhir:value "complete" ];
       fhir:CodeSystem.count [ fhir:value "4"^^xsd:nonNegativeInteger ];
       fhir:CodeSystem.concept [
         fhir:index 0;
         fhir:CodeSystem.concept.code [ fhir:value "very-dissatisfied" ];
         fhir:CodeSystem.concept.display [ fhir:value "Very dissatisfied" ]       ], [
         fhir:index 1;
         fhir:CodeSystem.concept.code [ fhir:value "somewhat-dissatisfied" ];
         fhir:CodeSystem.concept.display [ fhir:value "Somewhat dissatisfied" ]       ], [
         fhir:index 2;
         fhir:CodeSystem.concept.code [ fhir:value "somewhat-satisfied" ];
         fhir:CodeSystem.concept.display [ fhir:value "Somewhat satisfied" ]       ], [
         fhir:index 3;
         fhir:CodeSystem.concept.code [ fhir:value "very-satisfied" ];
         fhir:CodeSystem.concept.display [ fhir:value "Very satisfied" ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "CodeSystem/SatisfactionResponseCodeSystem" ]     ]
  ], [
     fhir:index 3;
     fhir:Bundle.entry.resource [
       a fhir:ValueSet;
       fhir:Resource.id [ fhir:value "SatisfactionResponseVS" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"SatisfactionResponseVS\"> </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;SatisfactionResponseVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: SatisfactionResponseVS</p><p><b>title</b>: Satisfaction response 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 used in a Patient Reported Outcomes Instrument to express the statisfation response</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundlePatient-02-Follow-Up.html\">Satisfaction response CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: very-dissatisfied</p><p><b>display</b>: Very dissatisfied</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: somewhat-dissatisfied</p><p><b>display</b>: Somewhat dissatisfied</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: somewhat-satisfied</p><p><b>display</b>: Somewhat satisfied</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: very-satisfied</p><p><b>display</b>: Very satisfied</p></blockquote></blockquote></blockquote></div>"       ];
       fhir:ValueSet.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS" ];
       fhir:ValueSet.version [ fhir:value "5.1" ];
       fhir:ValueSet.name [ fhir:value "SatisfactionResponseVS" ];
       fhir:ValueSet.title [ fhir:value "Satisfaction response ValueSet" ];
       fhir:ValueSet.status [ fhir:value "active" ];
       fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean ];
       fhir:ValueSet.publisher [ fhir:value "ICHOM" ];
       fhir:ValueSet.description [ fhir:value "Valueset used in a Patient Reported Outcomes Instrument to express the statisfation response" ];
       fhir:ValueSet.compose [
         fhir:ValueSet.compose.include [
           fhir:index 0;
           fhir:ValueSet.compose.include.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/SatisfactionResponseCodeSystem" ];
           fhir:ValueSet.compose.include.concept [
             fhir:index 0;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "very-dissatisfied" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Very dissatisfied" ]           ], [
             fhir:index 1;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "somewhat-dissatisfied" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Somewhat dissatisfied" ]           ], [
             fhir:index 2;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "somewhat-satisfied" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Somewhat satisfied" ]           ], [
             fhir:index 3;
             fhir:ValueSet.compose.include.concept.code [ fhir:value "very-satisfied" ];
             fhir:ValueSet.compose.include.concept.display [ fhir:value "Very satisfied" ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "ValueSet/SatisfactionResponseVS" ]     ]
  ], [
     fhir:index 4;
     fhir:Bundle.entry.resource [
       a fhir:Questionnaire;
       fhir:Resource.id [ fhir:value "PatientReportedFollowUp" ];
       fhir:DomainResource.text [
         fhir:Narrative.status [ fhir:value "generated" ];
         fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Questionnaire</b><a name=\"PatientReportedFollowUp\"> </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;PatientReportedFollowUp&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/PatientReportedFollowUp</code></p><p><b>name</b>: PatientReportedFollowUp</p><p><b>title</b>: Patient reported response at post-treatment follow-up</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>publisher</b>: ICHOM</p><blockquote><p><b>item</b></p><p><b>linkId</b>: General-Information-Clinical</p><p><b>text</b>: General information</p><p><b>type</b>: group</p><p><b>required</b>: true</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Required</b></td></tr><tr><td>*</td><td>NA-Clinical</td><td>What is the patient's medical record number?</td><td>string</td><td>true</td></tr><tr><td>*</td><td>LastName-Clinical</td><td>What is the patient's last name?</td><td>string</td><td>true</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: Degree-of-Health-EORTC-QLQ</p><p><b>text</b>: Degree of Health - EORTC-QLQ</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: EORTCQLQ-Question01-05</p><p><b>text</b>: We are interested in some things about you and your health. Please answer all of the questions yourself by selecting the answer that best applies to you. There are no 'right' or 'wrong' answers. The information that you provide will remain strictly confidential.</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: EORTCQLQ-Question06-28</p><p><b>text</b>: During the past week:</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: EORTCQLQ-Question29-30</p><p><b>text</b>: For the following questions please select the number between 1 and 7 that best applies to you, with 1 = Very poor and 7 = Excellent.</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: EORTCQLQ-Question31-43</p><p><b>text</b>: Patients sometimes report that they have the following symptoms or problems. Please indicate the extent to which you have experienced these symptoms or problems during the past week. Please answer by selecting the answer that best applies to you. During the past week:</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: EORTCQLQ-Question44-46</p><p><b>text</b>: During the past four weeks:</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: EORTCQLQ-Question47-69</p><p><b>text</b>: During the past week:</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: EORTCQLQ-Question70-71</p><p><b>text</b>: During the past four weeks:</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: EORTCQLQ-Question72-73</p><p><b>text</b>: Please answer the following two questions only if you have been sexually active:</p><p><b>type</b>: group</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: EORTCQLQ-Question74-75</p><p><b>text</b>: During the past week:</p><p><b>type</b>: group</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: Degree-of-Health-BreastQ</p><p><b>text</b>: Degree of Health BreastQ</p><p><b>type</b>: group</p><blockquote><p><b>item</b></p><p><b>linkId</b>: BreastQ_Surgery</p><p><b>text</b>: Which type of surgery did you receive?</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>: MastectomyFollowUp</p><p><b>text</b>: With your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with:</p><p><b>type</b>: group</p><p><b>enableBehavior</b>: all</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: BreastConservingTherapyFollowUp</p><p><b>text</b>: The following questions are about your breasts and your breast cancer treatment (by treatment, we mean lumpectomy with or without radiation). If you have had a lumpectomy and radiation of both breasts, answer these questions thinking of the breast you are least satisfied with. With your breasts in mind, in the past week, how satisfied or dissatisfied have you been with:</p><p><b>type</b>: group</p><p><b>enableBehavior</b>: any</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ReconstructionFollowUp</p><p><b>text</b>: If you have had a mastectomy and reconstruction of both breasts, answer these questions thinking of the breast you are least satisfied with. With your breasts in mind ,in the past week, how satisfied or dissatisfied have you been with:</p><p><b>type</b>: group</p></blockquote></blockquote></div>"       ];
       fhir:Questionnaire.url [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/PatientReportedFollowUp" ];
       fhir:Questionnaire.name [ fhir:value "PatientReportedFollowUp" ];
       fhir:Questionnaire.title [ fhir:value "Patient reported response at post-treatment follow-up" ];
       fhir:Questionnaire.status [ fhir:value "draft" ];
       fhir:Questionnaire.experimental [ fhir:value "true"^^xsd:boolean ];
       fhir:Questionnaire.publisher [ fhir:value "ICHOM" ];
       fhir:Questionnaire.item [
         fhir:index 0;
         fhir:Questionnaire.item.linkId [ fhir:value "General-Information-Clinical" ];
         fhir:Questionnaire.item.text [ fhir:value "General information" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "NA-Clinical" ];
           fhir:Questionnaire.item.text [ fhir:value "What is the patient's medical record number?" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "LastName-Clinical" ];
           fhir:Questionnaire.item.text [ fhir:value "What is the patient's last name?" ];
           fhir:Questionnaire.item.type [ fhir:value "string" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ]         ]       ], [
         fhir:index 1;
         fhir:Questionnaire.item.linkId [ fhir:value "Degree-of-Health-EORTC-QLQ" ];
         fhir:Questionnaire.item.text [ fhir:value "Degree of Health - EORTC-QLQ" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQ-Question01-05" ];
           fhir:Questionnaire.item.text [ fhir:value "We are interested in some things about you and your health. Please answer all of the questions yourself by selecting the answer that best applies to you. There are no 'right' or 'wrong' answers. The information that you provide will remain strictly confidential." ];
           fhir:Questionnaire.item.type [ fhir:value "group" ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q01" ];
             fhir:Questionnaire.item.text [ fhir:value "Do you have any trouble doing strenuous activities, like carrying a heavy shopping bag or a suitcase?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q02" ];
             fhir:Questionnaire.item.text [ fhir:value "Do you have any trouble taking a long walk?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 2;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q03" ];
             fhir:Questionnaire.item.text [ fhir:value "Do you have any trouble taking a short walk outside of the house?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 3;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q04" ];
             fhir:Questionnaire.item.text [ fhir:value "Do you need to stay in bed or a chair during the day?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 4;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q05" ];
             fhir:Questionnaire.item.text [ fhir:value "Do you need help with eating, dressing, washing yourself or using the toilet?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQ-Question06-28" ];
           fhir:Questionnaire.item.text [ fhir:value "During the past week:" ];
           fhir:Questionnaire.item.type [ fhir:value "group" ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q06" ];
             fhir:Questionnaire.item.text [ fhir:value "Were you limited in doing either your work or other daily activities?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q07" ];
             fhir:Questionnaire.item.text [ fhir:value "Were you limited in pursuing your hobbies or other leisure time activities?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 2;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q08" ];
             fhir:Questionnaire.item.text [ fhir:value "Were you short of breath?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 3;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q09" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had pain?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 4;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q10" ];
             fhir:Questionnaire.item.text [ fhir:value "Did you need to rest?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 5;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q11" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had trouble sleeping?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 6;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q12" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you felt weak?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 7;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q13" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you lacked appetite?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 8;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q14" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you felt nauseated?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 9;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q15" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you vomited?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 10;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q16" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you been constipated?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 11;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q17" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had diarrhea?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 12;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q18" ];
             fhir:Questionnaire.item.text [ fhir:value "Were you tired?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 13;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q19" ];
             fhir:Questionnaire.item.text [ fhir:value "Did pain interfere with your daily activities?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 14;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q20" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had difficulty in concentrating on things, like reading a newspaper or watching television?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 15;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q21" ];
             fhir:Questionnaire.item.text [ fhir:value "Did you feel tense?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 16;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q22" ];
             fhir:Questionnaire.item.text [ fhir:value "Did you worry?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 17;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q23" ];
             fhir:Questionnaire.item.text [ fhir:value "Did you feel irritable?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 18;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q24" ];
             fhir:Questionnaire.item.text [ fhir:value "Did you feel depressed?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 19;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q25" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had difficulty remembering things?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 20;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q26" ];
             fhir:Questionnaire.item.text [ fhir:value "Has your physical condition or medical treatment interfered with your family life?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 21;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q27" ];
             fhir:Questionnaire.item.text [ fhir:value "Has your physical condition or medical treatment interfered with your social activities?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 22;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q28" ];
             fhir:Questionnaire.item.text [ fhir:value "Has your physical condition or medical treatment caused you financial difficulties?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQ-Question29-30" ];
           fhir:Questionnaire.item.text [ fhir:value "For the following questions please select the number between 1 and 7 that best applies to you, with 1 = Very poor and 7 = Excellent." ];
           fhir:Questionnaire.item.type [ fhir:value "group" ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q29" ];
             fhir:Questionnaire.item.text [ fhir:value "How would you rate your overall health during the past week?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerOption [
               fhir:index 0;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "1"^^xsd:integer ]             ], [
               fhir:index 1;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "2"^^xsd:integer ]             ], [
               fhir:index 2;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "3"^^xsd:integer ]             ], [
               fhir:index 3;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "4"^^xsd:integer ]             ], [
               fhir:index 4;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "5"^^xsd:integer ]             ], [
               fhir:index 5;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "6"^^xsd:integer ]             ], [
               fhir:index 6;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "7"^^xsd:integer ]             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQC30_Q30" ];
             fhir:Questionnaire.item.text [ fhir:value "How would you rate your overall quality of life during the past week?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerOption [
               fhir:index 0;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "1"^^xsd:integer ]             ], [
               fhir:index 1;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "2"^^xsd:integer ]             ], [
               fhir:index 2;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "3"^^xsd:integer ]             ], [
               fhir:index 3;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "4"^^xsd:integer ]             ], [
               fhir:index 4;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "5"^^xsd:integer ]             ], [
               fhir:index 5;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "6"^^xsd:integer ]             ], [
               fhir:index 6;
               fhir:Questionnaire.item.answerOption.valueInteger [ fhir:value "7"^^xsd:integer ]             ]           ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQ-Question31-43" ];
           fhir:Questionnaire.item.text [ fhir:value "Patients sometimes report that they have the following symptoms or problems. Please indicate the extent to which you have experienced these symptoms or problems during the past week. Please answer by selecting the answer that best applies to you. During the past week:" ];
           fhir:Questionnaire.item.type [ fhir:value "group" ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q31" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had dry mouth?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q32" ];
             fhir:Questionnaire.item.text [ fhir:value "Have food and drink tasted different than usual?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 2;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q33" ];
             fhir:Questionnaire.item.text [ fhir:value "Have your eyes been painful, irritated or watery?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 3;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q34" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you lost any hair?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 4;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q35" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you been upset by the loss of your hair?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "EORTCQLQBR23_Q34" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "!=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/AgreementResponseCodeSystem" ];
                 fhir:Coding.code [ fhir:value "no" ];
                 fhir:Coding.display [ fhir:value "Not at all" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 5;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q36" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you felt ill or unwell?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 6;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q37" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had hot flushes?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 7;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q38" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had headaches?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 8;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q39" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you felt physically less attractive as a result of your disease or treatment?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 9;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q40" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you felt less feminine as a result of your disease or treatment?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 10;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q41" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had problems looking at yourself naked?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 11;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q42" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you been dissatisfied with your body?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 12;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q43" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you worried about your health in the future?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ]         ], [
           fhir:index 4;
           fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQ-Question44-46" ];
           fhir:Questionnaire.item.text [ fhir:value "During the past four weeks:" ];
           fhir:Questionnaire.item.type [ fhir:value "group" ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q44" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you been sexually active? (with or without intercourse)" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q45" ];
             fhir:Questionnaire.item.text [ fhir:value "To what extent were you sexually active? (with or without intercourse)" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 2;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q46" ];
             fhir:Questionnaire.item.text [ fhir:value "Has sex been enjoyable for you?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "EORTCQLQBR23_Q45" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "!=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/AgreementResponseCodeSystem" ];
                 fhir:Coding.code [ fhir:value "no" ];
                 fhir:Coding.display [ fhir:value "Not at all" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ]         ], [
           fhir:index 5;
           fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQ-Question47-69" ];
           fhir:Questionnaire.item.text [ fhir:value "During the past week:" ];
           fhir:Questionnaire.item.type [ fhir:value "group" ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q48" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had a swollen arm or hand?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q49" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had problems raising your arm or moving it sideways?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 2;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q50" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had any pain in the area of your affected breast?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 3;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q51" ];
             fhir:Questionnaire.item.text [ fhir:value "Has the area of your affected breast been swollen?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 4;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q52" ];
             fhir:Questionnaire.item.text [ fhir:value "Has the area of your affected breast been oversensitive?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 5;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR23_Q53" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had skin problems on or in the area of your affected breast (e.g., itchy, dry, flaky)?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 6;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q54" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you sweated excessively?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 7;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q55" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had mood swings?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 8;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q56" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you been dizzy?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 9;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q57" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had soreness in your mouth?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 10;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q58" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had any reddening in your mouth?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 11;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q59" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had pain in your hands or feet?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 12;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q60" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had any redenning on your hands or feet?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 13;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q61" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had tingling in your fingers or toes?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 14;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q62" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had numbness in your fingers or toes?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 15;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q63" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had problems with your joints?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 16;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q64" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had stiffness in your joints?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 17;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q65" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had pain in your joints?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 18;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q66" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had aches or pains in your bones?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 19;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q67" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had aches or pains in your muscles?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 20;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q68" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you gained weight?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 21;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q69" ];
             fhir:Questionnaire.item.text [ fhir:value "Has weight gain been a problem for you?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ]         ], [
           fhir:index 6;
           fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQ-Question70-71" ];
           fhir:Questionnaire.item.text [ fhir:value "During the past four weeks:" ];
           fhir:Questionnaire.item.type [ fhir:value "group" ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q70" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had a dry vagina?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q71" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had discomfort in your vagina?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ]         ], [
           fhir:index 7;
           fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQ-Question72-73" ];
           fhir:Questionnaire.item.text [ fhir:value "Please answer the following two questions only if you have been sexually active:" ];
           fhir:Questionnaire.item.type [ fhir:value "group" ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q72" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you had pain in your vagina during sexual activity?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q73" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you experienced a dry vagina during sexual activity?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ]         ], [
           fhir:index 8;
           fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQ-Question74-75" ];
           fhir:Questionnaire.item.text [ fhir:value "During the past week:" ];
           fhir:Questionnaire.item.type [ fhir:value "group" ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q74" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you been satisfied with the cosmetic result of the surgery?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.linkId [ fhir:value "EORTCQLQBR45_Q75" ];
             fhir:Questionnaire.item.text [ fhir:value "Have you been satisfied with the appearance of the skin of your affected breast (thoracic area)?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS>             ]           ]         ]       ], [
         fhir:index 2;
         fhir:Questionnaire.item.linkId [ fhir:value "Degree-of-Health-BreastQ" ];
         fhir:Questionnaire.item.text [ fhir:value "Degree of Health BreastQ" ];
         fhir:Questionnaire.item.type [ fhir:value "group" ];
         fhir:Questionnaire.item.item [
           fhir:index 0;
           fhir:Questionnaire.item.linkId [ fhir:value "BreastQ_Surgery" ];
           fhir:Questionnaire.item.text [ fhir:value "Which type of surgery did you receive?" ];
           fhir:Questionnaire.item.type [ fhir:value "choice" ];
           fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ];
           fhir:Questionnaire.item.answerValueSet [
             fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS";
             fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS>           ]         ], [
           fhir:index 1;
           fhir:Questionnaire.item.linkId [ fhir:value "MastectomyFollowUp" ];
           fhir:Questionnaire.item.text [ fhir:value "With your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with:" ];
           fhir:Questionnaire.item.type [ fhir:value "group" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "mastectomy-without-immediate-reconstruction" ]             ]           ];
           fhir:Questionnaire.item.enableBehavior [ fhir:value "all" ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQMASTP_Q01" ];
             fhir:Questionnaire.item.text [ fhir:value "How you look in the mirror clothed?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-without-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQMASTP_Q02" ];
             fhir:Questionnaire.item.text [ fhir:value "How comfortably your bras fit?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-without-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 2;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQMASTP_Q03" ];
             fhir:Questionnaire.item.text [ fhir:value "Being able to wear clothing that is more fitted?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-without-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 3;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQMASTP_Q04" ];
             fhir:Questionnaire.item.text [ fhir:value "How you look in the mirror unclothed?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-without-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ]         ], [
           fhir:index 2;
           fhir:Questionnaire.item.linkId [ fhir:value "BreastConservingTherapyFollowUp" ];
           fhir:Questionnaire.item.text [ fhir:value "The following questions are about your breasts and your breast cancer treatment (by treatment, we mean lumpectomy with or without radiation). If you have had a lumpectomy and radiation of both breasts, answer these questions thinking of the breast you are least satisfied with. With your breasts in mind, in the past week, how satisfied or dissatisfied have you been with:" ];
           fhir:Questionnaire.item.type [ fhir:value "group" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "bcs" ]             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "bcs-with-mammoplasty" ]             ]           ];
           fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQBCTP_Q01" ];
             fhir:Questionnaire.item.text [ fhir:value "How you look in the mirror clothed?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs" ]               ]             ], [
               fhir:index 1;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs-with-mammoplasty" ]               ]             ];
             fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQBCTP_Q02" ];
             fhir:Questionnaire.item.text [ fhir:value "The shape of your lumpectomy breast when you are wearing a bra?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs" ]               ]             ], [
               fhir:index 1;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs-with-mammoplasty" ]               ]             ];
             fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 2;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQBCTP_Q03" ];
             fhir:Questionnaire.item.text [ fhir:value "How normal you feel in your clothes?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs" ]               ]             ], [
               fhir:index 1;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs-with-mammoplasty" ]               ]             ];
             fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 3;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQBCTP_Q04" ];
             fhir:Questionnaire.item.text [ fhir:value "Being able to wear clothing that is more fitted?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs" ]               ]             ], [
               fhir:index 1;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs-with-mammoplasty" ]               ]             ];
             fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 4;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQBCTP_Q05" ];
             fhir:Questionnaire.item.text [ fhir:value "How your lumpectomy breast sits/hangs?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs" ]               ]             ], [
               fhir:index 1;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs-with-mammoplasty" ]               ]             ];
             fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 5;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQBCTP_Q06" ];
             fhir:Questionnaire.item.text [ fhir:value "How smoothly shaped your lumpectomy breast looks?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs" ]               ]             ], [
               fhir:index 1;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs-with-mammoplasty" ]               ]             ];
             fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 6;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQBCTP_Q07" ];
             fhir:Questionnaire.item.text [ fhir:value "The contour (outline) of your lumpectomy breast?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs" ]               ]             ], [
               fhir:index 1;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs-with-mammoplasty" ]               ]             ];
             fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 7;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQBCTP_Q08" ];
             fhir:Questionnaire.item.text [ fhir:value "How equal in size your breasts are to each other?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs" ]               ]             ], [
               fhir:index 1;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs-with-mammoplasty" ]               ]             ];
             fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 8;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQBCTP_Q09" ];
             fhir:Questionnaire.item.text [ fhir:value "How normal your lumpectomy breast looks?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs" ]               ]             ], [
               fhir:index 1;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs-with-mammoplasty" ]               ]             ];
             fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 9;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQBCTP_Q10" ];
             fhir:Questionnaire.item.text [ fhir:value "How much your breast look the same?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs" ]               ]             ], [
               fhir:index 1;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs-with-mammoplasty" ]               ]             ];
             fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 10;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQBCTP_Q11" ];
             fhir:Questionnaire.item.text [ fhir:value "How you look in the mirror unclothed?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs" ]               ]             ], [
               fhir:index 1;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "bcs-with-mammoplasty" ]               ]             ];
             fhir:Questionnaire.item.enableBehavior [ fhir:value "any" ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ]         ], [
           fhir:index 3;
           fhir:Questionnaire.item.linkId [ fhir:value "ReconstructionFollowUp" ];
           fhir:Questionnaire.item.text [ fhir:value "If you have had a mastectomy and reconstruction of both breasts, answer these questions thinking of the breast you are least satisfied with. With your breasts in mind ,in the past week, how satisfied or dissatisfied have you been with:" ];
           fhir:Questionnaire.item.type [ fhir:value "group" ];
           fhir:Questionnaire.item.enableWhen [
             fhir:index 0;
             fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
             fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
             fhir:Questionnaire.item.enableWhen.answerCoding [
               fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
               fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]             ]           ];
           fhir:Questionnaire.item.item [
             fhir:index 0;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q01" ];
             fhir:Questionnaire.item.text [ fhir:value "How you look in the mirror clothed?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 1;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q02" ];
             fhir:Questionnaire.item.text [ fhir:value "The shape of your reconstructed breast(s) when you are wearing a bra?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 2;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q03" ];
             fhir:Questionnaire.item.text [ fhir:value "How normal you feel in your clothes?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 3;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q04" ];
             fhir:Questionnaire.item.text [ fhir:value "The size of your reconstructed breast(s)?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 4;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q05" ];
             fhir:Questionnaire.item.text [ fhir:value "Being able to wear clothing that is more fitted?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 5;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q06" ];
             fhir:Questionnaire.item.text [ fhir:value "How your breasts are lined up in relation to each other?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 6;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q07" ];
             fhir:Questionnaire.item.text [ fhir:value "How comfortably your bras fit?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 7;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q08" ];
             fhir:Questionnaire.item.text [ fhir:value "The softness of your reconstructed breast(s)?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 8;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q09" ];
             fhir:Questionnaire.item.text [ fhir:value "How equal in size your breasts are to each other?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 9;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q10" ];
             fhir:Questionnaire.item.text [ fhir:value "How natural your reconstructed breast(s) looks?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 10;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q11" ];
             fhir:Questionnaire.item.text [ fhir:value "How naturally your reconstructed breast(s) sits/hangs?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 11;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q12" ];
             fhir:Questionnaire.item.text [ fhir:value "How your reconstructed breast(s) feel to touch?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 12;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q13" ];
             fhir:Questionnaire.item.text [ fhir:value "How much your reconstructed breast(s) feels like a natural part of your body?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 13;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q14" ];
             fhir:Questionnaire.item.text [ fhir:value "How closely matched (similar) your breasts are to each other?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 14;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q15" ];
             fhir:Questionnaire.item.text [ fhir:value "How your reconstructed breast(s) look now compared to before you had any breast surgery?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ], [
             fhir:index 15;
             fhir:Questionnaire.item.linkId [ fhir:value "BREASTQRECP_Q16" ];
             fhir:Questionnaire.item.text [ fhir:value "How you look in the mirror unclothed?" ];
             fhir:Questionnaire.item.type [ fhir:value "choice" ];
             fhir:Questionnaire.item.enableWhen [
               fhir:index 0;
               fhir:Questionnaire.item.enableWhen.question [ fhir:value "BreastQ_Surgery" ];
               fhir:Questionnaire.item.enableWhen.operator [ fhir:value "=" ];
               fhir:Questionnaire.item.enableWhen.answerCoding [
                 fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem" ];
                 fhir:Coding.code [ fhir:value "mastectomy-with-immediate-reconstruction" ]               ]             ];
             fhir:Questionnaire.item.answerValueSet [
               fhir:value "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS";
               fhir:link <http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS>             ]           ]         ]       ]     ];
     fhir:Bundle.entry.request [
       fhir:Bundle.entry.request.method [ fhir:value "PUT" ];
       fhir:Bundle.entry.request.url [ fhir:value "Questionnaire/PatientReportedFollowUp" ]     ]
  ]. # 

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

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