| Package | hl7.eu.fhir.pcsp |
| Resource Type | Questionnaire |
| Id | FollowupSurPass |
| FHIR Version | R4 |
| Source | http://hl7.eu/fhir/ig/pcsp/https://build.fhir.org/ig/hl7-eu/pcsp/Questionnaire-FollowupSurPass.html |
| URL | http://hl7.eu/fhir/ig/pcsp/Questionnaire/FollowupSurPass |
| Version | 0.2.0 |
| Status | draft |
| Date | 2025-08-02T17:28:17+00:00 |
| Name | FollowupSurPass |
| Realm | eu |
| Authority | hl7 |
| Description | Follow up form. The first Followup-Surpass form must be completed at the same time as the SurPass is delivered or in any case at the first visit after the end of the treatment (OT). |
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Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire FollowupSurPass
Structure| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
![]() | Follow up form. The first Followup-Surpass form must be completed at the same time as the SurPass is delivered or in any case at the first visit after the end of the treatment (OT). | Questionnaire | http://hl7.eu/fhir/ig/pcsp/Questionnaire/FollowupSurPass#0.2.0 | ||
![]() ![]() | First visit? | 1..1 | choice | Value Set: YesNoVS | |
![]() ![]() | Informed consent to participate in the Followup-SurPass | 1..1 | choice | Enable When: first-visit = Value Set: YesNoVS | |
![]() ![]() | Consent date | 0..1 | date | Enable When: first-visit = | |
![]() ![]() | Visit date | 1..1 | date | ||
![]() ![]() | Predisposing genetic syndromes or clinical conditions associated with the tumor diagnosed after the first off-therapy | 0..1 | choice | Enable When: first-visit = Value Set: YesNoVS | |
![]() ![]() ![]() | If yes, specify | 1..1 | text | Enable When: new-cancer-after-off-therapy = | |
![]() ![]() | Other clinical pictures, not associated with the tumor at the time of diagnosis | 0..1 | choice | Enable When: first-visit = Value Set: YesNoVS | |
![]() ![]() ![]() | If yes, specify | 1..1 | text | Enable When: other-clinical = | |
![]() ![]() | After the first off therapy the patient experienced one or more pathological conditions | 1..1 | choice | Enable When: first-visit = Value Set: YesNoVS | |
![]() ![]() ![]() | Pathological conditions | 1..* | group | Enable When: new-condition-after-off-therapy = | |
![]() ![]() ![]() ![]() | Condition | 1..1 | choice | Value Set: Conditions: follow up | |
![]() ![]() ![]() ![]() | null | 0..1 | text | Initial Value: string = This space will contain guidance for the selected condition. Content is not yet available. | |
![]() ![]() ![]() ![]() | If other, specify | 1..1 | text | Enable When:
| |
![]() ![]() ![]() ![]() | Onset date | 1..1 | date | ||
![]() ![]() ![]() ![]() | Grading m-CTCAE at onset/last visit | 1..1 | choice | Value Set: Grade: follow up | |
![]() ![]() ![]() ![]() | Evolution | 1..1 | choice | Options: 2 options | |
![]() ![]() ![]() ![]() | If yes, date | 1..1 | date | Enable When: condition-evolution-1 = | |
![]() ![]() ![]() ![]() | If changed, new grading | 1..1 | choice | Enable When: condition-evolution-1 = Value Set: Grade: follow up | |
![]() ![]() ![]() ![]() | Details | 0..1 | text | ||
![]() ![]() ![]() ![]() | Next check-up planned on | 0..1 | text | ||
![]() ![]() | Have any pathological conditions that were still present (unresolved) at the previous visit resolved or changed in degree? | 1..1 | choice | Enable When: first-visit = Value Set: YesNoNAVS | |
![]() ![]() ![]() | Pathological conditions | 1..* | group | Enable When: | |
![]() ![]() ![]() ![]() | Condition | 1..1 | choice | Value Set: Conditions: follow up | |
![]() ![]() ![]() ![]() | null | 0..1 | text | Initial Value: string = This space will contain guidance for the selected condition. Content is not yet available. | |
![]() ![]() ![]() ![]() | If other, specify | 1..1 | text | Enable When:
| |
![]() ![]() ![]() ![]() | Onset date | 1..1 | date | ||
![]() ![]() ![]() ![]() | Grading m-CTCAE at onset/last visit | 1..1 | choice | Value Set: Grade: follow up | |
![]() ![]() ![]() ![]() | Evolution | 1..1 | choice | Enable When: condition-changed = Options: 3 options | |
![]() ![]() ![]() ![]() | If yes, date | 1..1 | date | Enable When: condition-evolution-2 = | |
![]() ![]() ![]() ![]() | If changed, new grading | 1..1 | choice | Enable When: condition-evolution-2 = Value Set: Grade: follow up | |
![]() ![]() ![]() ![]() | Details | 0..1 | text | ||
![]() ![]() ![]() ![]() | Next check-up planned on | 0..1 | text | ||
![]() ![]() | After the first off therapy the patient experienced one or more pathological conditions? | 0..1 | choice | Enable When: first-visit = Value Set: YesNoVS | |
![]() ![]() ![]() | Pathological conditions | 1..* | group | Enable When: new-cancer-after-last-visit = | |
![]() ![]() ![]() ![]() | Condition | 1..1 | choice | Value Set: Conditions: follow up | |
![]() ![]() ![]() ![]() | null | 0..1 | text | Initial Value: string = This space will contain guidance for the selected condition. Content is not yet available. | |
![]() ![]() ![]() ![]() | If other, specify | 1..1 | text | Enable When:
| |
![]() ![]() ![]() ![]() | Onset date | 1..1 | date | ||
![]() ![]() ![]() ![]() | Grading m-CTCAE at onset/last visit | 1..1 | choice | Value Set: Grade: follow up | |
![]() ![]() ![]() ![]() | Evolution | 1..1 | choice | Options: 2 options | |
![]() ![]() ![]() ![]() | If yes, date | 1..1 | date | Enable When: condition-evolution-3 = | |
![]() ![]() ![]() ![]() | If changed, new grading | 1..1 | choice | Enable When: condition-evolution-3 = Value Set: Grade: follow up | |
![]() ![]() ![]() ![]() | Details | 0..1 | text | ||
![]() ![]() ![]() ![]() | Next check-up planned on | 0..1 | text | ||
![]() ![]() | Notes | 0..1 | string | ||
![]() ![]() | Reports relating to significant laboratory instrumental tests | 0..* | attachment | ||
Options Sets
Answer options for condition-evolution-1
Answer options for condition-evolution-2
Answer options for condition-evolution-3
ValueSet #YesNoVS
http://loinc.org| Code | Display |
| LA32-8 | NO |
| LA33-6 | YES |
ValueSet #YesNoNAVS
http://loinc.org| Code | Display |
| LA32-8 | NO |
| LA33-6 | YES |
| LA30226-7 | Not applicable (N/A) |
{
"resourceType": "Questionnaire",
"id": "FollowupSurPass",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"contained": [
{
"resourceType": "ValueSet",
"id": "YesNoVS",
"status": "draft",
"experimental": false,
"compose": {
"include": [
{
"system": "http://loinc.org",
"concept": [
{
"code": "LA32-8",
"display": "NO"
},
{
"code": "LA33-6",
"display": "YES"
}
]
}
]
}
},
{
"resourceType": "ValueSet",
"id": "YesNoNAVS",
"status": "draft",
"experimental": false,
"compose": {
"include": [
{
"system": "http://loinc.org",
"concept": [
{
"code": "LA32-8",
"display": "NO"
},
{
"code": "LA33-6",
"display": "YES"
},
{
"code": "LA30226-7",
"display": "Not applicable (N/A)"
}
]
}
]
}
}
],
"url": "http://hl7.eu/fhir/ig/pcsp/Questionnaire/FollowupSurPass",
"version": "0.2.0",
"name": "FollowupSurPass",
"status": "draft",
"subjectType": [
"Patient"
],
"date": "2025-08-02T17:28:17+00:00",
"publisher": "PanCareSurPass Project",
"contact": [
{
"name": "PanCareSurPass Project",
"telecom": [
{
"system": "url",
"value": "https://www.pancaresurpass.eu/"
}
]
},
{
"name": "PanCareSurPass Project",
"telecom": [
{
"system": "url",
"value": "https://www.pancaresurpass.eu/"
}
]
}
],
"description": "Follow up form.\nThe first Followup-Surpass form must be completed at the same time as the SurPass is delivered or in any case at the first visit after the end of the treatment (OT).",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "150",
"display": "Europe"
}
]
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "first-visit",
"text": "First visit?",
"type": "choice",
"required": true,
"answerValueSet": "#YesNoVS"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "consent",
"text": "Informed consent to participate in the Followup-SurPass",
"type": "choice",
"enableWhen": [
{
"question": "first-visit",
"operator": "=",
"answerCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "YES"
}
}
],
"required": true,
"answerValueSet": "#YesNoVS"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean": true
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "%resource.item.where(linkId='source-question').answer.first().value"
}
}
],
"linkId": "consent-date",
"text": "Consent date",
"type": "date",
"enableWhen": [
{
"question": "first-visit",
"operator": "=",
"answerCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "YES"
}
}
]
},
{
"linkId": "visit-date",
"text": "Visit date",
"type": "date",
"required": true
},
{
"linkId": "new-cancer-after-off-therapy",
"text": "Predisposing genetic syndromes or clinical conditions associated with the tumor diagnosed after the first off-therapy",
"type": "choice",
"enableWhen": [
{
"question": "first-visit",
"operator": "=",
"answerCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "YES"
}
}
],
"answerValueSet": "#YesNoVS",
"item": [
{
"linkId": "sepcify-new-cancer-txt-1",
"text": "If yes, specify",
"type": "text",
"enableWhen": [
{
"question": "new-cancer-after-off-therapy",
"operator": "=",
"answerCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "YES"
}
}
],
"required": true
}
]
},
{
"linkId": "other-clinical",
"text": "Other clinical pictures, not associated with the tumor at the time of diagnosis",
"type": "choice",
"enableWhen": [
{
"question": "first-visit",
"operator": "=",
"answerCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "YES"
}
}
],
"answerValueSet": "#YesNoVS",
"item": [
{
"linkId": "sepcify-other-clinical-txt-1",
"text": "If yes, specify",
"type": "text",
"enableWhen": [
{
"question": "other-clinical",
"operator": "=",
"answerCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "YES"
}
}
],
"required": true
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "new-condition-after-off-therapy",
"text": "After the first off therapy the patient experienced one or more pathological conditions",
"type": "choice",
"enableWhen": [
{
"question": "first-visit",
"operator": "=",
"answerCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "YES"
}
}
],
"required": true,
"answerValueSet": "#YesNoVS",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
"valueInteger": 15
}
],
"linkId": "group-condition-1",
"text": "Pathological conditions",
"type": "group",
"enableWhen": [
{
"question": "new-condition-after-off-therapy",
"operator": "=",
"answerCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "YES"
}
}
],
"required": true,
"repeats": true,
"item": [
{
"linkId": "condition-1",
"text": "Condition",
"type": "choice",
"required": true,
"answerValueSet": "http://hl7.eu/fhir/ig/pcsp/ValueSet/cond-test-vs"
},
{
"linkId": "condition-note-1",
"type": "text",
"readOnly": true,
"initial": [
{
"valueString": "This space will contain guidance for the selected condition. Content is not yet available."
}
]
},
{
"linkId": "condition-other-1",
"text": "If other, specify",
"type": "text",
"enableWhen": [
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "1001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "2001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "2002,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "2003,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "3001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "4001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "4002,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "4003,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "5001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "5002,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "5003,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "6001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "6002,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "6003,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "6004,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "6005,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "6006,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "7001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "7002,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "7003,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "8001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "8002,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "8003,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "8004,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "8005,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "9001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "9002,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "10001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "10002,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "11001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "11002,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "12001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "13001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "13002,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "14001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "15001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "15002,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "15003,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "15004,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "16001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "16002,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "16003,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "16004,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "17001,99"
}
},
{
"question": "condition-1",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "17002,99"
}
}
],
"enableBehavior": "any",
"required": true,
"readOnly": false
},
{
"linkId": "appearance-date-1",
"text": "Onset date",
"type": "date",
"required": true
},
{
"linkId": "condition-grading-1",
"text": "Grading m-CTCAE at onset/last visit",
"type": "choice",
"required": true,
"answerValueSet": "http://hl7.eu/fhir/ig/pcsp/ValueSet/grade-test-vs"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "condition-evolution-1",
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"answerOption": [
{
"valueString": "Yes, resolved"
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{
"valueString": "No, not resolved"
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},
{
"linkId": "resolution-date-1",
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},
{
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{
"linkId": "details-1",
"text": "Details",
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{
"linkId": "next-check-1",
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]
}
]
},
{
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{
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{
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},
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},
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},
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},
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},
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},
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},
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},
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},
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}
},
{
"question": "condition-2",
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"code": "10001,99"
}
},
{
"question": "condition-2",
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"code": "10002,99"
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},
{
"question": "condition-2",
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},
{
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}
},
{
"question": "condition-2",
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"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
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}
},
{
"question": "condition-2",
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"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
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}
},
{
"question": "condition-2",
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"code": "13002,99"
}
},
{
"question": "condition-2",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "14001,99"
}
},
{
"question": "condition-2",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "15001,99"
}
},
{
"question": "condition-2",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "15002,99"
}
},
{
"question": "condition-2",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "15003,99"
}
},
{
"question": "condition-2",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "15004,99"
}
},
{
"question": "condition-2",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "16001,99"
}
},
{
"question": "condition-2",
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"code": "16002,99"
}
},
{
"question": "condition-2",
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"code": "16003,99"
}
},
{
"question": "condition-2",
"operator": "=",
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"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "16004,99"
}
},
{
"question": "condition-2",
"operator": "=",
"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
"code": "17001,99"
}
},
{
"question": "condition-2",
"operator": "=",
"answerCoding": {
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"code": "17002,99"
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}
],
"enableBehavior": "any",
"required": true,
"readOnly": false
},
{
"linkId": "appearance-date-2",
"text": "Onset date",
"type": "date",
"required": true
},
{
"linkId": "condition-grading-2",
"text": "Grading m-CTCAE at onset/last visit",
"type": "choice",
"required": true,
"answerValueSet": "http://hl7.eu/fhir/ig/pcsp/ValueSet/grade-test-vs"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
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}
}
],
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"text": "Evolution",
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{
"question": "condition-changed",
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"answerCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "YES"
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}
],
"required": true,
"answerOption": [
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"valueString": "No, unchanged"
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{
"valueString": "Yes, changed"
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{
"valueString": "Yes, solved"
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]
},
{
"linkId": "resolution-date-2",
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"question": "condition-evolution-2",
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"answerString": "Yes, solved"
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],
"enableBehavior": "any",
"required": true
},
{
"linkId": "new-condition-grading-2",
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"answerValueSet": "http://hl7.eu/fhir/ig/pcsp/ValueSet/grade-test-vs"
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{
"linkId": "details-2",
"text": "Details",
"type": "text"
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{
"linkId": "next-check-2",
"text": "Next check-up planned on",
"type": "text"
}
]
}
]
},
{
"linkId": "new-cancer-after-last-visit",
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"enableWhen": [
{
"question": "first-visit",
"operator": "=",
"answerCoding": {
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}
],
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"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-maxOccurs",
"valueInteger": 15
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],
"linkId": "group-condition-3",
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{
"question": "new-cancer-after-last-visit",
"operator": "=",
"answerCoding": {
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"code": "LA33-6",
"display": "YES"
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}
],
"required": true,
"repeats": true,
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"linkId": "condition-3",
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"type": "text",
"readOnly": true,
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"valueString": "This space will contain guidance for the selected condition. Content is not yet available."
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]
},
{
"linkId": "condition-other-3",
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"question": "condition-3",
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},
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},
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},
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},
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},
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},
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},
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},
{
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},
{
"question": "condition-3",
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},
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},
{
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},
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},
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},
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},
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},
{
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},
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},
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},
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},
{
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},
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},
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},
{
"question": "condition-3",
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},
{
"question": "condition-3",
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},
{
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},
{
"question": "condition-3",
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},
{
"question": "condition-3",
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},
{
"question": "condition-3",
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"answerCoding": {
"system": "http://hl7.eu/fhir/ig/pcsp/CodeSystem/ConditionsCS",
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},
{
"question": "condition-3",
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},
{
"question": "condition-3",
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},
{
"question": "condition-3",
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},
{
"question": "condition-3",
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},
{
"question": "condition-3",
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},
{
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},
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}
],
"enableBehavior": "any",
"required": true,
"readOnly": false
},
{
"linkId": "appearance-date-3",
"text": "Onset date",
"type": "date",
"required": true
},
{
"linkId": "condition-grading-3",
"text": "Grading m-CTCAE at onset/last visit",
"type": "choice",
"required": true,
"answerValueSet": "http://hl7.eu/fhir/ig/pcsp/ValueSet/grade-test-vs"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
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{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "radio-button"
}
]
}
}
],
"linkId": "condition-evolution-3",
"text": "Evolution",
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"required": true,
"answerOption": [
{
"valueString": "Yes, resolved"
},
{
"valueString": "No, not resolved"
}
]
},
{
"linkId": "resolution-date-3",
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{
"question": "condition-evolution-3",
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],
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},
{
"linkId": "new-condition-grading-3",
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{
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],
"required": true,
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},
{
"linkId": "details-3",
"text": "Details",
"type": "text"
},
{
"linkId": "next-check-3",
"text": "Next check-up planned on",
"type": "text"
}
]
}
]
},
{
"linkId": "notes",
"text": "Notes",
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"required": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/maxSize",
"valueDecimal": 5
}
],
"linkId": "notes-attachments",
"text": "Reports relating to significant laboratory instrumental tests",
"type": "attachment",
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"repeats": true
}
]
}