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Packagehl7.fhir.uv.ichom-breast-cancer.r4
Resource TypeBundle
IdBundle-DebugBundleClinical-03-Annual.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "DebugBundleClinical-03-Annual",
  "type": "transaction",
  "entry": [
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "GermlineMutationVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"GermlineMutationVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;GermlineMutationVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/GermlineMutationVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: GermlineMutationVS</p><p><b>title</b>: Germline Mutation ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the genetic mutation predisposing breast cancer</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 445180002</p><p><b>display</b>: Breast cancer genetic marker of susceptibility negative (finding)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 412734009</p><p><b>display</b>: BRCA1 gene mutation positive (finding)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 412738007</p><p><b>display</b>: BRCA2 gene mutation positive (finding)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 416237000</p><p><b>display</b>: Procedure not done</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>OTH</td><td>other</td></tr></table></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/GermlineMutationVS",
        "version": "5.1",
        "name": "GermlineMutationVS",
        "title": "Germline Mutation ValueSet",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset of the genetic mutation predisposing breast cancer",
        "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "concept": [
                {
                  "code": "445180002",
                  "display": "Breast cancer genetic marker of susceptibility negative (finding)"
                },
                {
                  "code": "412734009",
                  "display": "BRCA1 gene mutation positive (finding)"
                },
                {
                  "code": "412738007",
                  "display": "BRCA2 gene mutation positive (finding)"
                },
                {
                  "code": "416237000",
                  "display": "Procedure not done"
                }
              ]
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept": [
                {
                  "code": "OTH",
                  "display": "other"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/GermlineMutationVS"
      }
    },
    {
      "resource": {
        "resourceType": "CodeSystem",
        "id": "TreatmentTypesCodeSystem",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"TreatmentTypesCodeSystem\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CodeSystem &quot;TreatmentTypesCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: TreatmentTypesCodeSystem</p><p><b>title</b>: Treatment variables CodeSytem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Codes defining types of treatment a breast cancer patient could receive</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: adjuvant-chemotherapy</p><p><b>display</b>: Adjuvant chemotherapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: neoadjuvant-chemotherapy</p><p><b>display</b>: Neoadjuvant chemotherapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: targeted-therapy</p><p><b>display</b>: Targeted therapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: no-treatment</p><p><b>display</b>: No treatment</p></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
        "version": "5.1",
        "name": "TreatmentTypesCodeSystem",
        "title": "Treatment variables CodeSytem",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Codes defining types of treatment a breast cancer patient could receive",
        "caseSensitive": true,
        "content": "complete",
        "count": 4,
        "concept": [
          {
            "code": "adjuvant-chemotherapy",
            "display": "Adjuvant chemotherapy"
          },
          {
            "code": "neoadjuvant-chemotherapy",
            "display": "Neoadjuvant chemotherapy"
          },
          {
            "code": "targeted-therapy",
            "display": "Targeted therapy"
          },
          {
            "code": "no-treatment",
            "display": "No treatment"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "CodeSystem/TreatmentTypesCodeSystem"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "TreatmentTypeVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"TreatmentTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;TreatmentTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TreatmentTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: TreatmentTypeVS</p><p><b>title</b>: Type of treatments ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the kind of treatment a patient with breastcancer underwent</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Treatment variables CodeSytem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: no-treatment</p><p><b>display</b>: No treatment</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: adjuvant-chemotherapy</p><p><b>display</b>: Adjuvant chemotherapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: neoadjuvant-chemotherapy</p><p><b>display</b>: Neoadjuvant chemotherapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: targeted-therapy</p><p><b>display</b>: Targeted therapy</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 387713003</p><p><b>display</b>: Surgical procedure</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 699455008</p><p><b>display</b>: Operative procedure on axilla</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 33496007</p><p><b>display</b>: Reconstruction of breast</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 108290001</p><p><b>display</b>: Radiation oncology AND/OR radiotherapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 169413002</p><p><b>display</b>: Hormone therapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 76334006</p><p><b>display</b>: Immunotherapy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 243114000</p><p><b>display</b>: Support</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TreatmentTypeVS",
        "version": "5.1",
        "name": "TreatmentTypeVS",
        "title": "Type of treatments ValueSet",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset of the kind of treatment a patient with breastcancer underwent",
        "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose": {
          "include": [
            {
              "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
              "concept": [
                {
                  "code": "no-treatment",
                  "display": "No treatment"
                },
                {
                  "code": "adjuvant-chemotherapy",
                  "display": "Adjuvant chemotherapy"
                },
                {
                  "code": "neoadjuvant-chemotherapy",
                  "display": "Neoadjuvant chemotherapy"
                },
                {
                  "code": "targeted-therapy",
                  "display": "Targeted therapy"
                }
              ]
            },
            {
              "system": "http://snomed.info/sct",
              "concept": [
                {
                  "code": "387713003",
                  "display": "Surgical procedure"
                },
                {
                  "code": "699455008",
                  "display": "Operative procedure on axilla"
                },
                {
                  "code": "33496007",
                  "display": "Reconstruction of breast"
                },
                {
                  "code": "108290001",
                  "display": "Radiation oncology AND/OR radiotherapy"
                },
                {
                  "code": "169413002",
                  "display": "Hormone therapy"
                },
                {
                  "code": "76334006",
                  "display": "Immunotherapy"
                },
                {
                  "code": "243114000",
                  "display": "Support"
                }
              ]
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept": [
                {
                  "code": "UNK",
                  "display": "unknown"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/TreatmentTypeVS"
      }
    },
    {
      "resource": {
        "resourceType": "CodeSystem",
        "id": "BreastSurgeryTypesCodeSystem",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"BreastSurgeryTypesCodeSystem\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CodeSystem &quot;BreastSurgeryTypesCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: BreastSurgeryTypesCodeSystem</p><p><b>title</b>: Breast surgery types CodeSystem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Codes indicating the types of breast surgery a patient underwent</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: bcs</p><p><b>display</b>: Breast conserving surgery (BCS)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: bcs-with-mammoplasty</p><p><b>display</b>: BCS with mammoplasty</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-without-immediate-reconstruction</p><p><b>display</b>: Mastectomy without immediate reconstruction</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-with-immediate-reconstruction</p><p><b>display</b>: Mastectomy with immediate reconstruction</p></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
        "version": "5.1",
        "name": "BreastSurgeryTypesCodeSystem",
        "title": "Breast surgery types CodeSystem",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Codes indicating the types of breast surgery a patient underwent",
        "caseSensitive": true,
        "content": "complete",
        "count": 4,
        "concept": [
          {
            "code": "bcs",
            "display": "Breast conserving surgery (BCS)"
          },
          {
            "code": "bcs-with-mammoplasty",
            "display": "BCS with mammoplasty"
          },
          {
            "code": "mastectomy-without-immediate-reconstruction",
            "display": "Mastectomy without immediate reconstruction"
          },
          {
            "code": "mastectomy-with-immediate-reconstruction",
            "display": "Mastectomy with immediate reconstruction"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "CodeSystem/BreastSurgeryTypesCodeSystem"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "BreastSurgeryTypeVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"BreastSurgeryTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;BreastSurgeryTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: BreastSurgeryTypeVS</p><p><b>title</b>: Types of breast surgery ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the types of breast surgery a patient underwent</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Breast surgery types CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: bcs</p><p><b>display</b>: Breast conserving surgery (BCS)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: bcs-with-mammoplasty</p><p><b>display</b>: BCS with mammoplasty</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-without-immediate-reconstruction</p><p><b>display</b>: Mastectomy without immediate reconstruction</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-with-immediate-reconstruction</p><p><b>display</b>: Mastectomy with immediate reconstruction</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS",
        "version": "5.1",
        "name": "BreastSurgeryTypeVS",
        "title": "Types of breast surgery ValueSet",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset of the types of breast surgery a patient underwent",
        "compose": {
          "include": [
            {
              "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
              "concept": [
                {
                  "code": "bcs",
                  "display": "Breast conserving surgery (BCS)"
                },
                {
                  "code": "bcs-with-mammoplasty",
                  "display": "BCS with mammoplasty"
                },
                {
                  "code": "mastectomy-without-immediate-reconstruction",
                  "display": "Mastectomy without immediate reconstruction"
                },
                {
                  "code": "mastectomy-with-immediate-reconstruction",
                  "display": "Mastectomy with immediate reconstruction"
                }
              ]
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept": [
                {
                  "code": "UNK",
                  "display": "unknown"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/BreastSurgeryTypeVS"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "AxillaSurgeryVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"AxillaSurgeryVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;AxillaSurgeryVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AxillaSurgeryVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: AxillaSurgeryVS</p><p><b>title</b>: Axilla surgery ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of surgery types of the axilla</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 396487001</p><p><b>display</b>: Sentinel lymph node biopsy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 234262008</p><p><b>display</b>: Excision of axillary lymph node</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 79544006</p><p><b>display</b>: Complete axillary lymphadenectomy</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AxillaSurgeryVS",
        "version": "5.1",
        "name": "AxillaSurgeryVS",
        "title": "Axilla surgery ValueSet",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset of surgery types of the axilla",
        "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "concept": [
                {
                  "code": "396487001",
                  "display": "Sentinel lymph node biopsy"
                },
                {
                  "code": "234262008",
                  "display": "Excision of axillary lymph node"
                },
                {
                  "code": "79544006",
                  "display": "Complete axillary lymphadenectomy"
                }
              ]
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept": [
                {
                  "code": "UNK",
                  "display": "unknown"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/AxillaSurgeryVS"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "NoYesUnknownVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"NoYesUnknownVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;NoYesUnknownVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: NoYesUnknownVS</p><p><b>title</b>: Yes, No and Unknown Valueset</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset with yes, no and unknown answers</p><p><b>copyright</b>: Copyright HL7. Licensed under creative commons public domain</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0532.html\">expandedYes-NoIndicator</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: Y</p><p><b>display</b>: Yes</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: N</p><p><b>display</b>: No</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: UNK</p><p><b>display</b>: Unknown</p></blockquote></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS",
        "version": "5.1",
        "name": "NoYesUnknownVS",
        "title": "Yes, No and Unknown Valueset",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset with yes, no and unknown answers",
        "copyright": "Copyright HL7. Licensed under creative commons public domain",
        "compose": {
          "include": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
              "concept": [
                {
                  "code": "Y",
                  "display": "Yes"
                },
                {
                  "code": "N",
                  "display": "No"
                },
                {
                  "code": "UNK",
                  "display": "Unknown"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/NoYesUnknownVS"
      }
    },
    {
      "resource": {
        "resourceType": "CodeSystem",
        "id": "ReconstructionTypeCodeSystem",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"ReconstructionTypeCodeSystem\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CodeSystem &quot;ReconstructionTypeCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ReconstructionTypeCodeSystem</p><p><b>title</b>: Type of reconstruction surgery CodeSystem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Codes indicating the type of reconstruction surgery that is performed</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 4</p><blockquote><p><b>concept</b></p><p><b>code</b>: direct-implant</p><p><b>display</b>: Direct implant</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: staged-implant</p><p><b>display</b>: Staged implant</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: autologous</p><p><b>display</b>: Autologous</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: both</p><p><b>display</b>: Both implant and autologous</p></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem",
        "version": "5.1",
        "name": "ReconstructionTypeCodeSystem",
        "title": "Type of reconstruction surgery CodeSystem",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Codes indicating the type of reconstruction surgery that is performed",
        "caseSensitive": true,
        "content": "complete",
        "count": 4,
        "concept": [
          {
            "code": "direct-implant",
            "display": "Direct implant"
          },
          {
            "code": "staged-implant",
            "display": "Staged implant"
          },
          {
            "code": "autologous",
            "display": "Autologous"
          },
          {
            "code": "both",
            "display": "Both implant and autologous"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "CodeSystem/ReconstructionTypeCodeSystem"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "ReconstructionTypeVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"ReconstructionTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;ReconstructionTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ReconstructionTypeVS</p><p><b>title</b>: Type of reconstruction surgery ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the type of reconstruction surgery that is performed</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of reconstruction surgery CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: direct-implant</p><p><b>display</b>: Direct implant</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: staged-implant</p><p><b>display</b>: Staged implant</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: autologous</p><p><b>display</b>: Autologous</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: both</p><p><b>display</b>: Both implant and autologous</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS",
        "version": "5.1",
        "name": "ReconstructionTypeVS",
        "title": "Type of reconstruction surgery ValueSet",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset of the type of reconstruction surgery that is performed",
        "compose": {
          "include": [
            {
              "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem",
              "concept": [
                {
                  "code": "direct-implant",
                  "display": "Direct implant"
                },
                {
                  "code": "staged-implant",
                  "display": "Staged implant"
                },
                {
                  "code": "autologous",
                  "display": "Autologous"
                },
                {
                  "code": "both",
                  "display": "Both implant and autologous"
                }
              ]
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept": [
                {
                  "code": "UNK",
                  "display": "unknown"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/ReconstructionTypeVS"
      }
    },
    {
      "resource": {
        "resourceType": "CodeSystem",
        "id": "ImplantLocationCodeSystem",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"ImplantLocationCodeSystem\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CodeSystem &quot;ImplantLocationCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ImplantLocationCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ImplantLocationCodeSystem</p><p><b>title</b>: Location of the implant CodeSystem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Codes indicating the location of the implant that was placed during reconstruction surgery</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 2</p><blockquote><p><b>concept</b></p><p><b>code</b>: pre-pectoral</p><p><b>display</b>: Pre-pectoral</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: sub-pectoral</p><p><b>display</b>: Sub-pectoral</p></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ImplantLocationCodeSystem",
        "version": "5.1",
        "name": "ImplantLocationCodeSystem",
        "title": "Location of the implant CodeSystem",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Codes indicating the location of the implant that was placed during reconstruction surgery",
        "caseSensitive": true,
        "content": "complete",
        "count": 2,
        "concept": [
          {
            "code": "pre-pectoral",
            "display": "Pre-pectoral"
          },
          {
            "code": "sub-pectoral",
            "display": "Sub-pectoral"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "CodeSystem/ImplantLocationCodeSystem"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "ImplantLocationVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"ImplantLocationVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;ImplantLocationVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ImplantLocationVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ImplantLocationVS</p><p><b>title</b>: Location of the implant ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the location of the implant during reconstruction surgery</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Location of the implant CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: pre-pectoral</p><p><b>display</b>: Pre-pectoral</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: sub-pectoral</p><p><b>display</b>: Sub-pectoral</p></blockquote></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ImplantLocationVS",
        "version": "5.1",
        "name": "ImplantLocationVS",
        "title": "Location of the implant ValueSet",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset of the location of the implant during reconstruction surgery",
        "compose": {
          "include": [
            {
              "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ImplantLocationCodeSystem",
              "concept": [
                {
                  "code": "pre-pectoral",
                  "display": "Pre-pectoral"
                },
                {
                  "code": "sub-pectoral",
                  "display": "Sub-pectoral"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/ImplantLocationVS"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "TherapyIntentVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"TherapyIntentVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;TherapyIntentVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: TherapyIntentVS</p><p><b>title</b>: Intent of therapy ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of intent of therapy</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 373847000</p><p><b>display</b>: Neo-adjuvant - intent</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 373846009</p><p><b>display</b>: Adjuvant - intent</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS",
        "version": "5.1",
        "name": "TherapyIntentVS",
        "title": "Intent of therapy ValueSet",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset of intent of therapy",
        "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "concept": [
                {
                  "code": "373847000",
                  "display": "Neo-adjuvant - intent"
                },
                {
                  "code": "373846009",
                  "display": "Adjuvant - intent"
                }
              ]
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept": [
                {
                  "code": "UNK",
                  "display": "unknown"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/TherapyIntentVS"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "LocationRadiotherapyVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"LocationRadiotherapyVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;LocationRadiotherapyVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/LocationRadiotherapyVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: LocationRadiotherapyVS</p><p><b>title</b>: The location of radiotherapy ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the location of radiotherapy</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 76752008</p><p><b>display</b>: Breast structure</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 78904004</p><p><b>display</b>: Chest wall structure</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 68171009</p><p><b>display</b>: Axillary lymph node structure</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 76838003</p><p><b>display</b>: Structure of supraclavicular lymph node</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 245282001</p><p><b>display</b>: Internal mammary lymph node group</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 263601005</p><p><b>display</b>: Site of tumor</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 277671009</p><p><b>display</b>: Intraoperative</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: OTH</p><p><b>display</b>: other</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: UNK</p><p><b>display</b>: unknown</p></blockquote></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/LocationRadiotherapyVS",
        "version": "5.1",
        "name": "LocationRadiotherapyVS",
        "title": "The location of radiotherapy ValueSet",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset of the location of radiotherapy",
        "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "concept": [
                {
                  "code": "76752008",
                  "display": "Breast structure"
                },
                {
                  "code": "78904004",
                  "display": "Chest wall structure"
                },
                {
                  "code": "68171009",
                  "display": "Axillary lymph node structure"
                },
                {
                  "code": "76838003",
                  "display": "Structure of supraclavicular lymph node"
                },
                {
                  "code": "245282001",
                  "display": "Internal mammary lymph node group"
                },
                {
                  "code": "263601005",
                  "display": "Site of tumor"
                },
                {
                  "code": "277671009",
                  "display": "Intraoperative"
                }
              ]
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept": [
                {
                  "code": "OTH",
                  "display": "other"
                },
                {
                  "code": "UNK",
                  "display": "unknown"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/LocationRadiotherapyVS"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "ChemoTherapyTypeVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"ChemoTherapyTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;ChemoTherapyTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ChemoTherapyTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ChemoTherapyTypeVS</p><p><b>title</b>: Type of chemotherapy ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the types of chemotherapy</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 108787006</p><p><b>display</b>: Medicinal product containing anthracycline and acting as antineoplastic agent</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 418965003</p><p><b>display</b>: Taxane derivative</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 768621002</p><p><b>display</b>: Product containing platinum and platinum compound</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 386906001</p><p><b>display</b>: Capecitabine</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: OTH</p><p><b>display</b>: other</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: UNK</p><p><b>display</b>: unknown</p></blockquote></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ChemoTherapyTypeVS",
        "version": "5.1",
        "name": "ChemoTherapyTypeVS",
        "title": "Type of chemotherapy ValueSet",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset of the types of chemotherapy",
        "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "concept": [
                {
                  "code": "108787006",
                  "display": "Medicinal product containing anthracycline and acting as antineoplastic agent"
                },
                {
                  "code": "418965003",
                  "display": "Taxane derivative"
                },
                {
                  "code": "768621002",
                  "display": "Product containing platinum and platinum compound"
                },
                {
                  "code": "386906001",
                  "display": "Capecitabine"
                }
              ]
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept": [
                {
                  "code": "OTH",
                  "display": "other"
                },
                {
                  "code": "UNK",
                  "display": "unknown"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/ChemoTherapyTypeVS"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "HormonalTherapyTypeVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"HormonalTherapyTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;HormonalTherapyTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/HormonalTherapyTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: HormonalTherapyTypeVS</p><p><b>title</b>: Type of hormonal therapy ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the types of hormonal therapy</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 413575009</p><p><b>display</b>: Substance with aromatase inhibitor mechanism of action</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 373336003</p><p><b>display</b>: Substance with estrogen receptor antagonist mechanism of action</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 83152002</p><p><b>display</b>: Oophorectomy</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 418974001</p><p><b>display</b>: Gonad regulating hormone agent</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: OTH</p><p><b>display</b>: other</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: UNK</p><p><b>display</b>: unknown</p></blockquote></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/HormonalTherapyTypeVS",
        "version": "5.1",
        "name": "HormonalTherapyTypeVS",
        "title": "Type of hormonal therapy ValueSet",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset of the types of hormonal therapy",
        "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "concept": [
                {
                  "code": "413575009",
                  "display": "Substance with aromatase inhibitor mechanism of action"
                },
                {
                  "code": "373336003",
                  "display": "Substance with estrogen receptor antagonist mechanism of action"
                },
                {
                  "code": "83152002",
                  "display": "Oophorectomy"
                },
                {
                  "code": "418974001",
                  "display": "Gonad regulating hormone agent"
                }
              ]
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept": [
                {
                  "code": "OTH",
                  "display": "other"
                },
                {
                  "code": "UNK",
                  "display": "unknown"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/HormonalTherapyTypeVS"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "TargetedTherapyVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"TargetedTherapyVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;TargetedTherapyVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TargetedTherapyVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: TargetedTherapyVS</p><p><b>title</b>: Type of targeted therapy ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the types of targeted therapy</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 784176007</p><p><b>display</b>: HER2 (Human epidermal growth factor receptor 2) inhibitor</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 426265004</p><p><b>display</b>: Substance with protein kinase inhibitor mechanism of action</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 432253008</p><p><b>display</b>: Substance with nicotinamide adenine dinucleotide adenosine diphosphate ribosyltransferase inhibitor mechanism of action</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: OTH</p><p><b>display</b>: other</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: UNK</p><p><b>display</b>: unknown</p></blockquote></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TargetedTherapyVS",
        "version": "5.1",
        "name": "TargetedTherapyVS",
        "title": "Type of targeted therapy ValueSet",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset of the types of targeted therapy",
        "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "concept": [
                {
                  "code": "784176007",
                  "display": "HER2 (Human epidermal growth factor receptor 2) inhibitor"
                },
                {
                  "code": "426265004",
                  "display": "Substance with protein kinase inhibitor mechanism of action"
                },
                {
                  "code": "432253008",
                  "display": "Substance with nicotinamide adenine dinucleotide adenosine diphosphate ribosyltransferase inhibitor mechanism of action"
                }
              ]
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept": [
                {
                  "code": "OTH",
                  "display": "other"
                },
                {
                  "code": "UNK",
                  "display": "unknown"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/TargetedTherapyVS"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "ReoperationTypeVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"ReoperationTypeVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;ReoperationTypeVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReoperationTypeVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: ReoperationTypeVS</p><p><b>title</b>: Type of re-operation</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the types of re-operation</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 33496007</p><p><b>display</b>: Reconstruction of breast</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 69031006</p><p><b>display</b>: Excision of breast tissue</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 234254000</p><p><b>display</b>: Excision of axillary lymph nodes group</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Breast surgery types CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: bcs</p><p><b>display</b>: Breast conserving surgery (BCS)</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: bcs-with-mammoplasty</p><p><b>display</b>: Breast conserving surgery with mammoplasty</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-without-immediate-reconstruction</p><p><b>display</b>: Mastectomy without immediate reconstruction</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: mastectomy-with-immediate-reconstruction</p><p><b>display</b>: Mastectomy with immediate reconstruction</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReoperationTypeVS",
        "version": "5.1",
        "name": "ReoperationTypeVS",
        "title": "Type of re-operation",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset of the types of re-operation",
        "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "concept": [
                {
                  "code": "33496007",
                  "display": "Reconstruction of breast"
                },
                {
                  "code": "69031006",
                  "display": "Excision of breast tissue"
                },
                {
                  "code": "234254000",
                  "display": "Excision of axillary lymph nodes group"
                }
              ]
            },
            {
              "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
              "concept": [
                {
                  "code": "bcs",
                  "display": "Breast conserving surgery (BCS)"
                },
                {
                  "code": "bcs-with-mammoplasty",
                  "display": "Breast conserving surgery with mammoplasty"
                },
                {
                  "code": "mastectomy-without-immediate-reconstruction",
                  "display": "Mastectomy without immediate reconstruction"
                },
                {
                  "code": "mastectomy-with-immediate-reconstruction",
                  "display": "Mastectomy with immediate reconstruction"
                }
              ]
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept": [
                {
                  "code": "UNK",
                  "display": "unknown"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/ReoperationTypeVS"
      }
    },
    {
      "resource": {
        "resourceType": "CodeSystem",
        "id": "RecurrenceCodeSystem",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"RecurrenceCodeSystem\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CodeSystem &quot;RecurrenceCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: RecurrenceCodeSystem</p><p><b>title</b>: Recurrence of neoplasm CodeSystem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Additional code covering whether there is evidence of local, regional or distant recurrence of neoplasm</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 3</p><blockquote><p><b>concept</b></p><p><b>code</b>: local-recurrence</p><p><b>display</b>: Yes, local recurrence</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: regional-recurrence</p><p><b>display</b>: Yes, regional recurrence</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: distant-recurrence</p><p><b>display</b>: Yes, distant recurrence</p></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem",
        "version": "5.1",
        "name": "RecurrenceCodeSystem",
        "title": "Recurrence of neoplasm CodeSystem",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Additional code covering whether there is evidence of local, regional or distant recurrence of neoplasm",
        "caseSensitive": true,
        "content": "complete",
        "count": 3,
        "concept": [
          {
            "code": "local-recurrence",
            "display": "Yes, local recurrence"
          },
          {
            "code": "regional-recurrence",
            "display": "Yes, regional recurrence"
          },
          {
            "code": "distant-recurrence",
            "display": "Yes, distant recurrence"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "CodeSystem/RecurrenceCodeSystem"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "RecurrenceVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"RecurrenceVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;RecurrenceVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: RecurrenceVS</p><p><b>title</b>: Recurrence of neoplasm ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset about whether there is evidence of local, regional or distant recurrence of neoplasm</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0532.html\">expandedYes-NoIndicator</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>N</td><td>No</td></tr></table></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Recurrence of neoplasm CodeSystem</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: local-recurrence</p><p><b>display</b>: Yes, local recurrence</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: regional-recurrence</p><p><b>display</b>: Yes, regional recurrence</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: distant-recurrence</p><p><b>display</b>: Yes, distant recurrence</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceVS",
        "version": "5.1",
        "name": "RecurrenceVS",
        "title": "Recurrence of neoplasm ValueSet",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset about whether there is evidence of local, regional or distant recurrence of neoplasm",
        "compose": {
          "include": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
              "concept": [
                {
                  "code": "N",
                  "display": "No"
                }
              ]
            },
            {
              "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem",
              "concept": [
                {
                  "code": "local-recurrence",
                  "display": "Yes, local recurrence"
                },
                {
                  "code": "regional-recurrence",
                  "display": "Yes, regional recurrence"
                },
                {
                  "code": "distant-recurrence",
                  "display": "Yes, distant recurrence"
                }
              ]
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept": [
                {
                  "code": "UNK",
                  "display": "unknown"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/RecurrenceVS"
      }
    },
    {
      "resource": {
        "resourceType": "CodeSystem",
        "id": "RecurrenceMethodCodeSystem",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: CodeSystem</b><a name=\"RecurrenceMethodCodeSystem\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource CodeSystem &quot;RecurrenceMethodCodeSystem&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceMethodCodeSystem</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: RecurrenceMethodCodeSystem</p><p><b>title</b>: Recurrence method CodeSystem</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Additional code covering combination of radiological and histological diagnosis method</p><p><b>caseSensitive</b>: true</p><p><b>content</b>: complete</p><p><b>count</b>: 1</p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>radiological-histological</td><td>Radiological and histological diagnosis</td></tr></table></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceMethodCodeSystem",
        "version": "5.1",
        "name": "RecurrenceMethodCodeSystem",
        "title": "Recurrence method CodeSystem",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Additional code covering combination of radiological and histological diagnosis method",
        "caseSensitive": true,
        "content": "complete",
        "count": 1,
        "concept": [
          {
            "code": "radiological-histological",
            "display": "Radiological and histological diagnosis"
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "CodeSystem/RecurrenceMethodCodeSystem"
      }
    },
    {
      "resource": {
        "resourceType": "ValueSet",
        "id": "RecurrenceMethodVS",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: ValueSet</b><a name=\"RecurrenceMethodVS\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource ValueSet &quot;RecurrenceMethodVS&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceMethodVS</code></p><p><b>version</b>: 5.1</p><p><b>name</b>: RecurrenceMethodVS</p><p><b>title</b>: Recurrence method ValueSet</p><p><b>status</b>: active</p><p><b>experimental</b>: false</p><p><b>publisher</b>: ICHOM</p><p><b>description</b>: Valueset of the methods used to confirm recurrence of breast cancer</p><p><b>copyright</b>: This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement</p><blockquote><p><b>compose</b></p><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><blockquote><p><b>concept</b></p><p><b>code</b>: 394914008</p><p><b>display</b>: Radiology</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: 67151002</p><p><b>display</b>: Histologic</p></blockquote></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Recurrence method CodeSystem</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>radiological-histological</td><td>Radiological and histological diagnosis</td></tr></table></blockquote><blockquote><p><b>include</b></p><p><b>system</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><h3>Concepts</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Display</b></td></tr><tr><td>*</td><td>UNK</td><td>unknown</td></tr></table></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceMethodVS",
        "version": "5.1",
        "name": "RecurrenceMethodVS",
        "title": "Recurrence method ValueSet",
        "status": "active",
        "experimental": false,
        "publisher": "ICHOM",
        "description": "Valueset of the methods used to confirm recurrence of breast cancer",
        "copyright": "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement",
        "compose": {
          "include": [
            {
              "system": "http://snomed.info/sct",
              "concept": [
                {
                  "code": "394914008",
                  "display": "Radiology"
                },
                {
                  "code": "67151002",
                  "display": "Histologic"
                }
              ]
            },
            {
              "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceMethodCodeSystem",
              "concept": [
                {
                  "code": "radiological-histological",
                  "display": "Radiological and histological diagnosis"
                }
              ]
            },
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
              "concept": [
                {
                  "code": "UNK",
                  "display": "unknown"
                }
              ]
            }
          ]
        }
      },
      "request": {
        "method": "PUT",
        "url": "ValueSet/RecurrenceMethodVS"
      }
    },
    {
      "resource": {
        "resourceType": "Questionnaire",
        "id": "ClinicalResponseAnnualUpdate",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Questionnaire</b><a name=\"ClinicalResponseAnnualUpdate\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Questionnaire &quot;ClinicalResponseAnnualUpdate&quot; </p></div><p><b>url</b>: <code>http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/ClinicalResponseAnnualUpdate</code></p><p><b>name</b>: AnnualClinicalResponse</p><p><b>title</b>: Annual follow-up of clinical questionnaire response</p><p><b>status</b>: draft</p><p><b>experimental</b>: true</p><p><b>publisher</b>: ICHOM</p><blockquote><p><b>item</b></p><p><b>linkId</b>: General-Information-Clinical</p><p><b>text</b>: General information</p><p><b>type</b>: group</p><p><b>required</b>: true</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Required</b></td></tr><tr><td>*</td><td>NA-Clinical</td><td>What is the patient's medical record number?</td><td>string</td><td>true</td></tr><tr><td>*</td><td>LastName-Clinical</td><td>What is the patient's last name?</td><td>string</td><td>true</td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: Tumor-Factors</p><p><b>text</b>: Tumor factors</p><p><b>type</b>: group</p><p><b>required</b>: true</p><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>LinkId</b></td><td><b>Text</b></td><td><b>Type</b></td><td><b>Required</b></td><td><b>Repeats</b></td><td><b>AnswerValueSet</b></td></tr><tr><td>*</td><td>MUTBC</td><td>Indicate if the patient carries a genetic mutation predisposing breast cancer</td><td>choice</td><td>true</td><td>true</td><td><a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Germline Mutation ValueSet</a></td></tr></table></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: Treatment-Variables</p><p><b>text</b>: Treatment Variables</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: TREATMENT_BREAST</p><p><b>text</b>: Indicate whether the patient received one of the following treatment during the last year (select all that apply)</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>repeats</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of treatments ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERY_BREAST</p><p><b>text</b>: Indicate whether the patient received surgery during the last year</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Types of breast surgery ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SurgeryDateKnown</p><p><b>text</b>: Is the date of surgery known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SurgeryDate</p><p><b>text</b>: Please provide the date of surgery</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYAX</p><p><b>text</b>: Indicate whether the patient received surgery to the axilla</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Axilla surgery ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYAXDATE-Known</p><p><b>text</b>: Is the date of surgery to the axilla known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYAXDATE</p><p><b>text</b>: Please provide the date of surgery to the axilla</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYAX2</p><p><b>text</b>: Indicate whether the patient received axillary clearance due to lymph node involvement after sentinel lymph node biopsy during the last year</p><p><b>type</b>: choice</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Yes, No and Unknown Valueset</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYAX2DATE-Known</p><p><b>text</b>: Is the date of axillary clearance known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYAX2DATE</p><p><b>text</b>: Please provide the date of axillary clearance</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RECONSTRUCTION_DELAY</p><p><b>text</b>: Indicate whether the patient received a delayed reconstruction</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Yes, No and Unknown Valueset</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERY_RECONSTRUCTION</p><p><b>text</b>: Indicate what type of reconstruction the patient received</p><p><b>type</b>: choice</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of reconstruction surgery ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ImplantReconstruction</p><p><b>text</b>: Indicate the location of the implant</p><p><b>type</b>: choice</p><p><b>enableBehavior</b>: all</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Location of the implant ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RECONSTRUCTDATE-Known</p><p><b>text</b>: Is the date of the delayed reconstruction known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RECONSTRUCTDATE</p><p><b>text</b>: Please provide the date of delayed reconstruction</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RADIOTX_BREAST</p><p><b>text</b>: What was the intent of radiotherapy</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>repeats</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Intent of therapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RADIOTXTYPE_BREAST</p><p><b>text</b>: Indicate location/type of radiotherapy</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">The location of radiotherapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RadioTxStartDate-Known</p><p><b>text</b>: Is the start date of radiotherapy known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RadioTxStartDate</p><p><b>text</b>: Please provide the start date of radiotherapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RadioTxStopDate-Known</p><p><b>text</b>: Is the stop date of radiotherapy known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RadioTxStopDate</p><p><b>text</b>: Please provide the stop date of radiotherapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: CHEMOTXINTENT</p><p><b>text</b>: Indicate the intent of chemotherapy</p><p><b>type</b>: choice</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Intent of therapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: CHEMOTXTYPE_BREAST</p><p><b>text</b>: Indicate the type of chemotherapy (select all that apply)</p><p><b>type</b>: choice</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p><p><b>repeats</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of chemotherapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ChemoTxStartDate-Known</p><p><b>text</b>: Is the start date of chemotherapy known?</p><p><b>type</b>: boolean</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ChemoTxStartDate</p><p><b>text</b>: Please provide the start date of chemotherapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ChemoTxStopdate-Known</p><p><b>text</b>: Is the stop date of chemotherapy known?</p><p><b>type</b>: boolean</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: ChemoTxStopdate</p><p><b>text</b>: Please provide the stop date of chemotherapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HORMONTX_BREAST</p><p><b>text</b>: Indicate the intent of hormonal therapy</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Intent of therapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HORMONTXTYPE</p><p><b>text</b>: Indicate the type of hormonal therapy (select all that apply)</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>repeats</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of hormonal therapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HORMONTXSTARTDATE-Known</p><p><b>text</b>: Is the start date of hormonal therapy known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HORMONTXSTARTDATE</p><p><b>text</b>: Please provide the start date of hormonal therapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HORMONTXSTOPDATE-Known</p><p><b>text</b>: Is the stop date of hormonal therapy known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: HORMONTXSTOPDATE</p><p><b>text</b>: Please provide the stop date of hormonal therapy, if applicable</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TARGETTX_BREAST</p><p><b>text</b>: Indicate the type of targeted therapy</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of targeted therapy ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TargetTxStartDate-Known</p><p><b>text</b>: Is the start date of targeted therapy known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TargetTxStartDate</p><p><b>text</b>: Please provide the start date of targeted therapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TargetTxStopDate-Known</p><p><b>text</b>: Is the stop date of targeted therapy known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: TargetTxStopDate</p><p><b>text</b>: Please provide the stop date of targeted therapy</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYPATIENT</p><p><b>text</b>: Indicate if the patient has had one of the following re-operations since their surgery for breast cancer (select all that apply)</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>repeats</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Type of re-operation</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYDATEPATIENT-Known</p><p><b>text</b>: Is the date of the reoperation known?</p><p><b>type</b>: boolean</p><p><b>enableBehavior</b>: all</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: SURGERYDATEPATIENT</p><p><b>text</b>: Please provide the date of the reoperation</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: Survival-and-Disease-control</p><p><b>text</b>: Survival and disease control</p><p><b>type</b>: group</p><p><b>required</b>: true</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Survival-Q0</p><p><b>text</b>: Was the intent of the treatment curative?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: MalignancyRecur</p><p><b>text</b>: Is there evidence of local, regional or distant recurrence of neoplasm?</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Recurrence of neoplasm ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RecurMethod</p><p><b>text</b>: What was the method of confirming recurrence of neoplasm?</p><p><b>type</b>: choice</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Recurrence method ValueSet</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RecurDateCancer-Known</p><p><b>text</b>: Is the date of cancer recurrence known?</p><p><b>type</b>: boolean</p><p><b>enableBehavior</b>: any</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: RecurDateCancer</p><p><b>text</b>: What is the date of cancer recurrence?</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: VitalStatus</p><p><b>text</b>: Indicate if the person has deceased, regardless of cause</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Yes, No and Unknown Valueset</a></p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: DeceasedDate-Known</p><p><b>text</b>: Is the date of death of the patient known?</p><p><b>type</b>: boolean</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: DeceasedDate</p><p><b>text</b>: Please provide the date of death of the patient</p><p><b>type</b>: date</p><p><b>required</b>: true</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: DEATHBC</p><p><b>text</b>: Is the death attributable to breast cancer?</p><p><b>type</b>: choice</p><p><b>required</b>: true</p><p><b>answerValueSet</b>: <a href=\"Bundle-DebugBundleClinical-03-Annual.html\">Yes, No and Unknown Valueset</a></p></blockquote></blockquote></div>"
        },
        "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/ClinicalResponseAnnualUpdate",
        "name": "AnnualClinicalResponse",
        "title": "Annual follow-up of clinical questionnaire response",
        "status": "draft",
        "experimental": true,
        "publisher": "ICHOM",
        "item": [
          {
            "linkId": "General-Information-Clinical",
            "text": "General information",
            "type": "group",
            "required": true,
            "item": [
              {
                "linkId": "NA-Clinical",
                "text": "What is the patient's medical record number?",
                "type": "string",
                "required": true
              },
              {
                "linkId": "LastName-Clinical",
                "text": "What is the patient's last name?",
                "type": "string",
                "required": true
              }
            ]
          },
          {
            "linkId": "Tumor-Factors",
            "text": "Tumor factors",
            "type": "group",
            "required": true,
            "item": [
              {
                "linkId": "MUTBC",
                "text": "Indicate if the patient carries a genetic mutation predisposing breast cancer",
                "type": "choice",
                "required": true,
                "repeats": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/GermlineMutationVS"
              }
            ]
          },
          {
            "linkId": "Treatment-Variables",
            "text": "Treatment Variables",
            "type": "group",
            "required": true,
            "item": [
              {
                "linkId": "TREATMENT_BREAST",
                "text": "Indicate whether the patient received one of the following treatment during the last year (select all that apply)",
                "type": "choice",
                "required": true,
                "repeats": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TreatmentTypeVS"
              },
              {
                "linkId": "SURGERY_BREAST",
                "text": "Indicate whether the patient received surgery during the last year",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "387713003"
                    }
                  }
                ],
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS"
              },
              {
                "linkId": "SurgeryDateKnown",
                "text": "Is the date of surgery known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "387713003"
                    }
                  }
                ],
                "required": true
              },
              {
                "linkId": "SurgeryDate",
                "text": "Please provide the date of surgery",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "SurgeryDateKnown",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "SURGERYAX",
                "text": "Indicate whether the patient received surgery to the axilla",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "699455008"
                    }
                  }
                ],
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AxillaSurgeryVS"
              },
              {
                "linkId": "SURGERYAXDATE-Known",
                "text": "Is the date of surgery to the axilla known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "699455008"
                    }
                  }
                ],
                "required": true
              },
              {
                "linkId": "SURGERYAXDATE",
                "text": "Please provide the date of surgery to the axilla",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "SURGERYAXDATE-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "SURGERYAX2",
                "text": "Indicate whether the patient received axillary clearance due to lymph node involvement after sentinel lymph node biopsy during the last year",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "SURGERYAX",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "396487001",
                      "display": "Sentinel lymph node biopsy"
                    }
                  },
                  {
                    "question": "SURGERYAX",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "234262008",
                      "display": "Excision of axillary lymph node"
                    }
                  }
                ],
                "enableBehavior": "any",
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS"
              },
              {
                "linkId": "SURGERYAX2DATE-Known",
                "text": "Is the date of axillary clearance known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "SURGERYAX2",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "Y"
                    }
                  }
                ],
                "required": true
              },
              {
                "linkId": "SURGERYAX2DATE",
                "text": "Please provide the date of axillary clearance",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "SURGERYAX2DATE-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "RECONSTRUCTION_DELAY",
                "text": "Indicate whether the patient received a delayed reconstruction",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "SURGERY_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
                      "code": "mastectomy-without-immediate-reconstruction"
                    }
                  }
                ],
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS"
              },
              {
                "linkId": "SURGERY_RECONSTRUCTION",
                "text": "Indicate what type of reconstruction the patient received",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "SURGERY_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
                      "code": "mastectomy-without-immediate-reconstruction"
                    }
                  },
                  {
                    "question": "SURGERY_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem",
                      "code": "mastectomy-with-immediate-reconstruction"
                    }
                  }
                ],
                "enableBehavior": "any",
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS"
              },
              {
                "linkId": "ImplantReconstruction",
                "text": "Indicate the location of the implant",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "SURGERY_RECONSTRUCTION",
                    "operator": "!=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem",
                      "code": "autologous"
                    }
                  },
                  {
                    "question": "SURGERY_RECONSTRUCTION",
                    "operator": "!=",
                    "answerCoding": {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                      "code": "UNK"
                    }
                  }
                ],
                "enableBehavior": "all",
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ImplantLocationVS"
              },
              {
                "linkId": "RECONSTRUCTDATE-Known",
                "text": "Is the date of the delayed reconstruction known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "RECONSTRUCTION_DELAY",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "Y"
                    }
                  }
                ],
                "required": true
              },
              {
                "linkId": "RECONSTRUCTDATE",
                "text": "Please provide the date of delayed reconstruction",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "RECONSTRUCTDATE-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "RADIOTX_BREAST",
                "text": "What was the intent of radiotherapy",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "108290001"
                    }
                  }
                ],
                "required": true,
                "repeats": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS"
              },
              {
                "linkId": "RADIOTXTYPE_BREAST",
                "text": "Indicate location/type of radiotherapy",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "108290001"
                    }
                  }
                ],
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/LocationRadiotherapyVS"
              },
              {
                "linkId": "RadioTxStartDate-Known",
                "text": "Is the start date of radiotherapy known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "108290001"
                    }
                  }
                ],
                "required": true
              },
              {
                "linkId": "RadioTxStartDate",
                "text": "Please provide the start date of radiotherapy",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "RadioTxStartDate-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "RadioTxStopDate-Known",
                "text": "Is the stop date of radiotherapy known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "108290001"
                    }
                  }
                ],
                "required": true
              },
              {
                "linkId": "RadioTxStopDate",
                "text": "Please provide the stop date of radiotherapy",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "RadioTxStopDate-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "CHEMOTXINTENT",
                "text": "Indicate the intent of chemotherapy",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code": "adjuvant-chemotherapy"
                    }
                  },
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code": "neoadjuvant-chemotherapy"
                    }
                  }
                ],
                "enableBehavior": "any",
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS"
              },
              {
                "linkId": "CHEMOTXTYPE_BREAST",
                "text": "Indicate the type of chemotherapy (select all that apply)",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code": "adjuvant-chemotherapy"
                    }
                  },
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code": "neoadjuvant-chemotherapy"
                    }
                  }
                ],
                "enableBehavior": "any",
                "required": true,
                "repeats": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ChemoTherapyTypeVS"
              },
              {
                "linkId": "ChemoTxStartDate-Known",
                "text": "Is the start date of chemotherapy known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code": "adjuvant-chemotherapy"
                    }
                  },
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code": "neoadjuvant-chemotherapy"
                    }
                  }
                ],
                "enableBehavior": "any",
                "required": true
              },
              {
                "linkId": "ChemoTxStartDate",
                "text": "Please provide the start date of chemotherapy",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "ChemoTxStartDate-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "ChemoTxStopdate-Known",
                "text": "Is the stop date of chemotherapy known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code": "adjuvant-chemotherapy"
                    }
                  },
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code": "neoadjuvant-chemotherapy"
                    }
                  }
                ],
                "enableBehavior": "any",
                "required": true
              },
              {
                "linkId": "ChemoTxStopdate",
                "text": "Please provide the stop date of chemotherapy",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "ChemoTxStopdate-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "HORMONTX_BREAST",
                "text": "Indicate the intent of hormonal therapy",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "169413002"
                    }
                  }
                ],
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS"
              },
              {
                "linkId": "HORMONTXTYPE",
                "text": "Indicate the type of hormonal therapy (select all that apply)",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "169413002"
                    }
                  }
                ],
                "required": true,
                "repeats": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/HormonalTherapyTypeVS"
              },
              {
                "linkId": "HORMONTXSTARTDATE-Known",
                "text": "Is the start date of hormonal therapy known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "169413002"
                    }
                  }
                ],
                "required": true
              },
              {
                "linkId": "HORMONTXSTARTDATE",
                "text": "Please provide the start date of hormonal therapy",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "HORMONTXSTARTDATE-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "HORMONTXSTOPDATE-Known",
                "text": "Is the stop date of hormonal therapy known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "169413002"
                    }
                  }
                ],
                "required": true
              },
              {
                "linkId": "HORMONTXSTOPDATE",
                "text": "Please provide the stop date of hormonal therapy, if applicable",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "HORMONTXSTOPDATE-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "TARGETTX_BREAST",
                "text": "Indicate the type of targeted therapy",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code": "targeted-therapy"
                    }
                  }
                ],
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TargetedTherapyVS"
              },
              {
                "linkId": "TargetTxStartDate-Known",
                "text": "Is the start date of targeted therapy known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code": "targeted-therapy"
                    }
                  }
                ],
                "required": true
              },
              {
                "linkId": "TargetTxStartDate",
                "text": "Please provide the start date of targeted therapy",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "TargetTxStartDate-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "TargetTxStopDate-Known",
                "text": "Is the stop date of targeted therapy known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "TREATMENT_BREAST",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem",
                      "code": "targeted-therapy"
                    }
                  }
                ],
                "required": true
              },
              {
                "linkId": "TargetTxStopDate",
                "text": "Please provide the stop date of targeted therapy",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "TargetTxStopDate-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "SURGERYPATIENT",
                "text": "Indicate if the patient has had one of the following re-operations since their surgery for breast cancer (select all that apply)",
                "type": "choice",
                "required": true,
                "repeats": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReoperationTypeVS"
              },
              {
                "linkId": "SURGERYDATEPATIENT-Known",
                "text": "Is the date of the reoperation known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "SURGERYPATIENT",
                    "operator": "!=",
                    "answerCoding": {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
                      "code": "UNK",
                      "display": "unknown"
                    }
                  },
                  {
                    "question": "SURGERYPATIENT",
                    "operator": "!=",
                    "answerCoding": {
                      "system": "http://snomed.info/sct",
                      "code": "373572006",
                      "display": "Clinical finding absent"
                    }
                  }
                ],
                "enableBehavior": "all",
                "required": true
              },
              {
                "linkId": "SURGERYDATEPATIENT",
                "text": "Please provide the date of the reoperation",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "SURGERYDATEPATIENT-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              }
            ]
          },
          {
            "linkId": "Survival-and-Disease-control",
            "text": "Survival and disease control",
            "type": "group",
            "required": true,
            "item": [
              {
                "linkId": "Survival-Q0",
                "text": "Was the intent of the treatment curative?",
                "type": "boolean",
                "required": true
              },
              {
                "linkId": "MalignancyRecur",
                "text": "Is there evidence of local, regional or distant recurrence of neoplasm?",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "Survival-Q0",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceVS"
              },
              {
                "linkId": "RecurMethod",
                "text": "What was the method of confirming recurrence of neoplasm?",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "MalignancyRecur",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem",
                      "code": "local-recurrence"
                    }
                  },
                  {
                    "question": "MalignancyRecur",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem",
                      "code": "regional-recurrence"
                    }
                  },
                  {
                    "question": "MalignancyRecur",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem",
                      "code": "distant-recurrence"
                    }
                  }
                ],
                "enableBehavior": "any",
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceMethodVS"
              },
              {
                "linkId": "RecurDateCancer-Known",
                "text": "Is the date of cancer recurrence known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "MalignancyRecur",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem",
                      "code": "local-recurrence"
                    }
                  },
                  {
                    "question": "MalignancyRecur",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem",
                      "code": "regional-recurrence"
                    }
                  },
                  {
                    "question": "MalignancyRecur",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem",
                      "code": "distant-recurrence"
                    }
                  }
                ],
                "enableBehavior": "any",
                "required": true
              },
              {
                "linkId": "RecurDateCancer",
                "text": "What is the date of cancer recurrence?",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "RecurDateCancer-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "VitalStatus",
                "text": "Indicate if the person has deceased, regardless of cause",
                "type": "choice",
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS"
              },
              {
                "linkId": "DeceasedDate-Known",
                "text": "Is the date of death of the patient known?",
                "type": "boolean",
                "enableWhen": [
                  {
                    "question": "VitalStatus",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "Y",
                      "display": "Yes"
                    }
                  }
                ],
                "required": true
              },
              {
                "linkId": "DeceasedDate",
                "text": "Please provide the date of death of the patient",
                "type": "date",
                "enableWhen": [
                  {
                    "question": "DeceasedDate-Known",
                    "operator": "=",
                    "answerBoolean": true
                  }
                ],
                "required": true
              },
              {
                "linkId": "DEATHBC",
                "text": "Is the death attributable to breast cancer?",
                "type": "choice",
                "enableWhen": [
                  {
                    "question": "VitalStatus",
                    "operator": "=",
                    "answerCoding": {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
                      "code": "Y",
                      "display": "Yes"
                    }
                  }
                ],
                "required": true,
                "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS"
              }
            ]
          }
        ]
      },
      "request": {
        "method": "PUT",
        "url": "Questionnaire/ClinicalResponseAnnualUpdate"
      }
    }
  ]
}