ICHOM FHIR Implementation Guide: Breast Cancer
1.0.0-ballot - ballot
ICHOM FHIR Implementation Guide: Breast Cancer
1.0.0-ballot - ballot
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 
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<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 "AgreementResponseCodeSystem" </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>
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<name value="AgreementResponseCodeSystem"/>
<title value="Agreement response CodeSystem"/>
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<experimental value="false"/>
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<url value="CodeSystem/AgreementResponseCodeSystem"/>
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<id value="AgreementResponseVS"/>
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<status value="generated"/>
<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 "AgreementResponseVS" </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>
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<url
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<version value="5.1"/>
<name value="AgreementResponseVS"/>
<title value="Agreement response ValueSet"/>
<status value="active"/>
<experimental value="false"/>
<publisher value="ICHOM"/>
<description
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<system
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<code value="no"/>
<display value="Not at all"/>
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<concept>
<code value="little"/>
<display value="A little"/>
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<url value="ValueSet/AgreementResponseVS"/>
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<CodeSystem>
<id value="SatisfactionResponseCodeSystem"/>
<text>
<status value="generated"/>
<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 "SatisfactionResponseCodeSystem" </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>
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<url
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/SatisfactionResponseCodeSystem"/>
<version value="5.1"/>
<name value="SatisfactionResponseCodeSystem"/>
<title value="Satisfaction response CodeSystem"/>
<status value="active"/>
<experimental value="false"/>
<publisher value="ICHOM"/>
<description
value="Codes used in a Patient Reported Outcomes Instrument to express the statisfation response"/>
<caseSensitive value="true"/>
<content value="complete"/>
<count value="4"/>
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<code value="very-dissatisfied"/>
<display value="Very dissatisfied"/>
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<concept>
<code value="somewhat-dissatisfied"/>
<display value="Somewhat dissatisfied"/>
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<code value="somewhat-satisfied"/>
<display value="Somewhat satisfied"/>
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<concept>
<code value="very-satisfied"/>
<display value="Very satisfied"/>
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<request>
<method value="PUT"/>
<url value="CodeSystem/SatisfactionResponseCodeSystem"/>
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<ValueSet>
<id value="SatisfactionResponseVS"/>
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<status value="generated"/>
<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 "SatisfactionResponseVS" </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>
</text>
<url
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<version value="5.1"/>
<name value="SatisfactionResponseVS"/>
<title value="Satisfaction response ValueSet"/>
<status value="active"/>
<experimental value="false"/>
<publisher value="ICHOM"/>
<description
value="Valueset used in a Patient Reported Outcomes Instrument to express the statisfation response"/>
<compose>
<include>
<system
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<concept>
<code value="very-dissatisfied"/>
<display value="Very dissatisfied"/>
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<concept>
<code value="somewhat-dissatisfied"/>
<display value="Somewhat dissatisfied"/>
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<concept>
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<concept>
<code value="very-satisfied"/>
<display value="Very satisfied"/>
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<url value="ValueSet/SatisfactionResponseVS"/>
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<Questionnaire>
<id value="PatientReportedFollowUp"/>
<text>
<status value="generated"/>
<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 "PatientReportedFollowUp" </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>
</text>
<url
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<name value="PatientReportedFollowUp"/>
<title value="Patient reported response at post-treatment follow-up"/>
<status value="draft"/>
<experimental value="true"/>
<publisher value="ICHOM"/>
<item>
<linkId value="General-Information-Clinical"/>
<text value="General information"/>
<type value="group"/>
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<item>
<linkId value="NA-Clinical"/>
<text value="What is the patient's medical record number?"/>
<type value="string"/>
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<item>
<linkId value="EORTCQLQC30_Q01"/>
<text
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<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
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<item>
<linkId value="EORTCQLQC30_Q02"/>
<text value="Do you have any trouble taking a long walk?"/>
<type value="choice"/>
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<answerValueSet
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<linkId value="EORTCQLQC30_Q03"/>
<text
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<type value="choice"/>
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<item>
<linkId value="EORTCQLQC30_Q04"/>
<text
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<type value="choice"/>
<required value="true"/>
<answerValueSet
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<item>
<linkId value="EORTCQLQC30_Q05"/>
<text
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<type value="choice"/>
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<answerValueSet
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</item>
<item>
<linkId value="EORTCQLQ-Question06-28"/>
<text value="During the past week:"/>
<type value="group"/>
<item>
<linkId value="EORTCQLQC30_Q06"/>
<text
value="Were you limited in doing either your work or other daily activities?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQC30_Q07"/>
<text
value="Were you limited in pursuing your hobbies or other leisure time activities?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
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</item>
<item>
<linkId value="EORTCQLQC30_Q08"/>
<text value="Were you short of breath?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
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</item>
<item>
<linkId value="EORTCQLQC30_Q09"/>
<text value="Have you had pain?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
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<item>
<linkId value="EORTCQLQC30_Q10"/>
<text value="Did you need to rest?"/>
<type value="choice"/>
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<item>
<linkId value="EORTCQLQC30_Q11"/>
<text value="Have you had trouble sleeping?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
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<item>
<linkId value="EORTCQLQC30_Q12"/>
<text value="Have you felt weak?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
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</item>
<item>
<linkId value="EORTCQLQC30_Q13"/>
<text value="Have you lacked appetite?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
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</item>
<item>
<linkId value="EORTCQLQC30_Q14"/>
<text value="Have you felt nauseated?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
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</item>
<item>
<linkId value="EORTCQLQC30_Q15"/>
<text value="Have you vomited?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
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</item>
<item>
<linkId value="EORTCQLQC30_Q16"/>
<text value="Have you been constipated?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
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</item>
<item>
<linkId value="EORTCQLQC30_Q17"/>
<text value="Have you had diarrhea?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
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</item>
<item>
<linkId value="EORTCQLQC30_Q18"/>
<text value="Were you tired?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
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</item>
<item>
<linkId value="EORTCQLQC30_Q19"/>
<text value="Did pain interfere with your daily activities?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQC30_Q20"/>
<text
value="Have you had difficulty in concentrating on things, like reading a newspaper or watching television?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQC30_Q21"/>
<text value="Did you feel tense?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
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</item>
<item>
<linkId value="EORTCQLQC30_Q22"/>
<text value="Did you worry?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQC30_Q23"/>
<text value="Did you feel irritable?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQC30_Q24"/>
<text value="Did you feel depressed?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQC30_Q25"/>
<text value="Have you had difficulty remembering things?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQC30_Q26"/>
<text
value="Has your physical condition or medical treatment interfered with your family life?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQC30_Q27"/>
<text
value="Has your physical condition or medical treatment interfered with your social activities?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQC30_Q28"/>
<text
value="Has your physical condition or medical treatment caused you financial difficulties?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
</item>
<item>
<linkId value="EORTCQLQ-Question29-30"/>
<text
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."/>
<type value="group"/>
<item>
<linkId value="EORTCQLQC30_Q29"/>
<text
value="How would you rate your overall health during the past week?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueInteger value="1"/>
</answerOption>
<answerOption>
<valueInteger value="2"/>
</answerOption>
<answerOption>
<valueInteger value="3"/>
</answerOption>
<answerOption>
<valueInteger value="4"/>
</answerOption>
<answerOption>
<valueInteger value="5"/>
</answerOption>
<answerOption>
<valueInteger value="6"/>
</answerOption>
<answerOption>
<valueInteger value="7"/>
</answerOption>
</item>
<item>
<linkId value="EORTCQLQC30_Q30"/>
<text
value="How would you rate your overall quality of life during the past week?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueInteger value="1"/>
</answerOption>
<answerOption>
<valueInteger value="2"/>
</answerOption>
<answerOption>
<valueInteger value="3"/>
</answerOption>
<answerOption>
<valueInteger value="4"/>
</answerOption>
<answerOption>
<valueInteger value="5"/>
</answerOption>
<answerOption>
<valueInteger value="6"/>
</answerOption>
<answerOption>
<valueInteger value="7"/>
</answerOption>
</item>
</item>
<item>
<linkId value="EORTCQLQ-Question31-43"/>
<text
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:"/>
<type value="group"/>
<item>
<linkId value="EORTCQLQBR23_Q31"/>
<text value="Have you had dry mouth?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q32"/>
<text value="Have food and drink tasted different than usual?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q33"/>
<text
value="Have your eyes been painful, irritated or watery?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q34"/>
<text value="Have you lost any hair?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q35"/>
<text value="Have you been upset by the loss of your hair?"/>
<type value="choice"/>
<enableWhen>
<question value="EORTCQLQBR23_Q34"/>
<operator value="!="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/AgreementResponseCodeSystem"/>
<code value="no"/>
<display value="Not at all"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q36"/>
<text value="Have you felt ill or unwell?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q37"/>
<text value="Have you had hot flushes?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q38"/>
<text value="Have you had headaches?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q39"/>
<text
value="Have you felt physically less attractive as a result of your disease or treatment?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q40"/>
<text
value="Have you felt less feminine as a result of your disease or treatment?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q41"/>
<text value="Have you had problems looking at yourself naked?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q42"/>
<text value="Have you been dissatisfied with your body?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q43"/>
<text
value="Have you worried about your health in the future?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
</item>
<item>
<linkId value="EORTCQLQ-Question44-46"/>
<text value="During the past four weeks:"/>
<type value="group"/>
<item>
<linkId value="EORTCQLQBR23_Q44"/>
<text
value="Have you been sexually active? (with or without intercourse)"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q45"/>
<text
value="To what extent were you sexually active? (with or without intercourse)"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q46"/>
<text value="Has sex been enjoyable for you?"/>
<type value="choice"/>
<enableWhen>
<question value="EORTCQLQBR23_Q45"/>
<operator value="!="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/AgreementResponseCodeSystem"/>
<code value="no"/>
<display value="Not at all"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
</item>
<item>
<linkId value="EORTCQLQ-Question47-69"/>
<text value="During the past week:"/>
<type value="group"/>
<item>
<linkId value="EORTCQLQBR23_Q48"/>
<text value="Have you had a swollen arm or hand?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q49"/>
<text
value="Have you had problems raising your arm or moving it sideways?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q50"/>
<text
value="Have you had any pain in the area of your affected breast?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q51"/>
<text
value="Has the area of your affected breast been swollen?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q52"/>
<text
value="Has the area of your affected breast been oversensitive?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR23_Q53"/>
<text
value="Have you had skin problems on or in the area of your affected breast (e.g., itchy, dry, flaky)?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q54"/>
<text value="Have you sweated excessively?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q55"/>
<text value="Have you had mood swings?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q56"/>
<text value="Have you been dizzy?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q57"/>
<text value="Have you had soreness in your mouth?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q58"/>
<text value="Have you had any reddening in your mouth?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q59"/>
<text value="Have you had pain in your hands or feet?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q60"/>
<text
value="Have you had any redenning on your hands or feet?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q61"/>
<text value="Have you had tingling in your fingers or toes?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q62"/>
<text value="Have you had numbness in your fingers or toes?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q63"/>
<text value="Have you had problems with your joints?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q64"/>
<text value="Have you had stiffness in your joints?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q65"/>
<text value="Have you had pain in your joints?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q66"/>
<text value="Have you had aches or pains in your bones?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q67"/>
<text value="Have you had aches or pains in your muscles?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q68"/>
<text value="Have you gained weight?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q69"/>
<text value="Has weight gain been a problem for you?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
</item>
<item>
<linkId value="EORTCQLQ-Question70-71"/>
<text value="During the past four weeks:"/>
<type value="group"/>
<item>
<linkId value="EORTCQLQBR45_Q70"/>
<text value="Have you had a dry vagina?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q71"/>
<text value="Have you had discomfort in your vagina?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
</item>
<item>
<linkId value="EORTCQLQ-Question72-73"/>
<text
value="Please answer the following two questions only if you have been sexually active:"/>
<type value="group"/>
<item>
<linkId value="EORTCQLQBR45_Q72"/>
<text
value="Have you had pain in your vagina during sexual activity?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q73"/>
<text
value="Have you experienced a dry vagina during sexual activity?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
</item>
<item>
<linkId value="EORTCQLQ-Question74-75"/>
<text value="During the past week:"/>
<type value="group"/>
<item>
<linkId value="EORTCQLQBR45_Q74"/>
<text
value="Have you been satisfied with the cosmetic result of the surgery?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
<item>
<linkId value="EORTCQLQBR45_Q75"/>
<text
value="Have you been satisfied with the appearance of the skin of your affected breast (thoracic area)?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AgreementResponseVS"/>
</item>
</item>
</item>
<item>
<linkId value="Degree-of-Health-BreastQ"/>
<text value="Degree of Health BreastQ"/>
<type value="group"/>
<item>
<linkId value="BreastQ_Surgery"/>
<text value="Which type of surgery did you receive?"/>
<type value="choice"/>
<required value="true"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS"/>
</item>
<item>
<linkId value="MastectomyFollowUp"/>
<text
value="With your breast area in mind, in the past 2 weeks, how satisfied or dissatisfied have you been with:"/>
<type value="group"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-without-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<enableBehavior value="all"/>
<item>
<linkId value="BREASTQMASTP_Q01"/>
<text value="How you look in the mirror clothed?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-without-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQMASTP_Q02"/>
<text value="How comfortably your bras fit?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-without-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQMASTP_Q03"/>
<text value="Being able to wear clothing that is more fitted?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-without-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQMASTP_Q04"/>
<text value="How you look in the mirror unclothed?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-without-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
</item>
<item>
<linkId value="BreastConservingTherapyFollowUp"/>
<text
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:"/>
<type value="group"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs-with-mammoplasty"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<item>
<linkId value="BREASTQBCTP_Q01"/>
<text value="How you look in the mirror clothed?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs-with-mammoplasty"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQBCTP_Q02"/>
<text
value="The shape of your lumpectomy breast when you are wearing a bra?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs-with-mammoplasty"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQBCTP_Q03"/>
<text value="How normal you feel in your clothes?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs-with-mammoplasty"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQBCTP_Q04"/>
<text value="Being able to wear clothing that is more fitted?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs-with-mammoplasty"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQBCTP_Q05"/>
<text value="How your lumpectomy breast sits/hangs?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs-with-mammoplasty"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQBCTP_Q06"/>
<text
value="How smoothly shaped your lumpectomy breast looks?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs-with-mammoplasty"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQBCTP_Q07"/>
<text value="The contour (outline) of your lumpectomy breast?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs-with-mammoplasty"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQBCTP_Q08"/>
<text
value="How equal in size your breasts are to each other?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs-with-mammoplasty"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQBCTP_Q09"/>
<text value="How normal your lumpectomy breast looks?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs-with-mammoplasty"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQBCTP_Q10"/>
<text value="How much your breast look the same?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs-with-mammoplasty"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQBCTP_Q11"/>
<text value="How you look in the mirror unclothed?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs"/>
</answerCoding>
</enableWhen>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="bcs-with-mammoplasty"/>
</answerCoding>
</enableWhen>
<enableBehavior value="any"/>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
</item>
<item>
<linkId value="ReconstructionFollowUp"/>
<text
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:"/>
<type value="group"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<item>
<linkId value="BREASTQRECP_Q01"/>
<text value="How you look in the mirror clothed?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q02"/>
<text
value="The shape of your reconstructed breast(s) when you are wearing a bra?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q03"/>
<text value="How normal you feel in your clothes?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q04"/>
<text value="The size of your reconstructed breast(s)?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q05"/>
<text value="Being able to wear clothing that is more fitted?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q06"/>
<text
value="How your breasts are lined up in relation to each other?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q07"/>
<text value="How comfortably your bras fit?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q08"/>
<text value="The softness of your reconstructed breast(s)?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q09"/>
<text
value="How equal in size your breasts are to each other?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q10"/>
<text value="How natural your reconstructed breast(s) looks?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q11"/>
<text
value="How naturally your reconstructed breast(s) sits/hangs?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q12"/>
<text value="How your reconstructed breast(s) feel to touch?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q13"/>
<text
value="How much your reconstructed breast(s) feels like a natural part of your body?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q14"/>
<text
value="How closely matched (similar) your breasts are to each other?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q15"/>
<text
value="How your reconstructed breast(s) look now compared to before you had any breast surgery?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
<item>
<linkId value="BREASTQRECP_Q16"/>
<text value="How you look in the mirror unclothed?"/>
<type value="choice"/>
<enableWhen>
<question value="BreastQ_Surgery"/>
<operator value="="/>
<answerCoding>
<system
value="http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"/>
<code value="mastectomy-with-immediate-reconstruction"/>
</answerCoding>
</enableWhen>
<answerValueSet
value="http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/SatisfactionResponseVS"/>
</item>
</item>
</item>
</Questionnaire>
</resource>
<request>
<method value="PUT"/>
<url value="Questionnaire/PatientReportedFollowUp"/>
</request>
</entry>
</Bundle>
IG © 2021+ HL7 International - Clinical Interoperability Council Group. Package hl7.fhir.uv.ichom-breast-cancer#1.0.0-ballot based on FHIR 4.0.1. Generated 2022-12-07
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