{
  "description": "Clinical response questionnaire at annual post-treatment follow-up",
  "_filename": "Questionnaire-ClinicalResponseAnnualUpdate.json",
  "package_name": "hl7.fhir.uv.ichom-breast-cancer",
  "date": "2023-08-21T17:02:15+00:00",
  "publisher": "HL7 International - Clinical Interoperability Council Group",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "display": "World"
    } ]
  } ],
  "name": "AnnualClinicalResponse",
  "item": [ {
    "item": [ {
      "text": "What is the patient's medical record number?",
      "type": "string",
      "linkId": "NA-Clinical",
      "required": true
    }, {
      "text": "What is the patient's last name?",
      "type": "string",
      "linkId": "LastName-Clinical",
      "required": true
    } ],
    "text": "General information",
    "type": "group",
    "linkId": "General-Information-Clinical",
    "required": true
  }, {
    "item": [ {
      "text": "Indicate if the patient carries a genetic mutation predisposing breast cancer",
      "type": "choice",
      "linkId": "MUTBC",
      "repeats": true,
      "required": true,
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/GermlineMutationVS"
    } ],
    "text": "Tumor factors",
    "type": "group",
    "linkId": "Tumor-Factors",
    "required": true
  }, {
    "item": [ {
      "text": "Indicate whether the patient received one of the following treatment during the last year (select all that apply)",
      "type": "choice",
      "linkId": "TREATMENT_BREAST",
      "repeats": true,
      "required": true,
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TreatmentTypeVS"
    }, {
      "text": "Indicate whether the patient received surgery during the last year",
      "type": "choice",
      "linkId": "SURGERY_BREAST",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "387713003",
          "system": "http://snomed.info/sct"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/BreastSurgeryTypeVS"
    }, {
      "text": "Is the date of surgery known?",
      "type": "boolean",
      "linkId": "SurgeryDateKnown",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "387713003",
          "system": "http://snomed.info/sct"
        }
      } ]
    }, {
      "text": "Please provide the date of surgery",
      "type": "date",
      "linkId": "SurgeryDate",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "SurgeryDateKnown",
        "answerBoolean": true
      } ]
    }, {
      "text": "Indicate whether the patient received surgery to the axilla",
      "type": "choice",
      "linkId": "SURGERYAX",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "699455008",
          "system": "http://snomed.info/sct"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/AxillaSurgeryVS"
    }, {
      "text": "Is the date of surgery to the axilla known?",
      "type": "boolean",
      "linkId": "SURGERYAXDATE-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "699455008",
          "system": "http://snomed.info/sct"
        }
      } ]
    }, {
      "text": "Please provide the date of surgery to the axilla",
      "type": "date",
      "linkId": "SURGERYAXDATE",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "SURGERYAXDATE-Known",
        "answerBoolean": true
      } ]
    }, {
      "text": "Indicate whether the patient received axillary clearance due to lymph node involvement after sentinel lymph node biopsy during the last year",
      "type": "choice",
      "linkId": "SURGERYAX2",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "SURGERYAX",
        "answerCoding": {
          "code": "396487001",
          "system": "http://snomed.info/sct",
          "display": "Sentinel lymph node biopsy"
        }
      }, {
        "operator": "=",
        "question": "SURGERYAX",
        "answerCoding": {
          "code": "234262008",
          "system": "http://snomed.info/sct",
          "display": "Excision of axillary lymph node"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS",
      "enableBehavior": "any"
    }, {
      "text": "Is the date of axillary clearance known?",
      "type": "boolean",
      "linkId": "SURGERYAX2DATE-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "SURGERYAX2",
        "answerCoding": {
          "code": "Y",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0532"
        }
      } ]
    }, {
      "text": "Please provide the date of axillary clearance",
      "type": "date",
      "linkId": "SURGERYAX2DATE",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "SURGERYAX2DATE-Known",
        "answerBoolean": true
      } ]
    }, {
      "text": "Indicate whether the patient received a delayed reconstruction",
      "type": "choice",
      "linkId": "RECONSTRUCTION_DELAY",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "SURGERY_BREAST",
        "answerCoding": {
          "code": "mastectomy-without-immediate-reconstruction",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS"
    }, {
      "text": "Indicate what type of reconstruction the patient received",
      "type": "choice",
      "linkId": "SURGERY_RECONSTRUCTION",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "SURGERY_BREAST",
        "answerCoding": {
          "code": "mastectomy-without-immediate-reconstruction",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"
        }
      }, {
        "operator": "=",
        "question": "SURGERY_BREAST",
        "answerCoding": {
          "code": "mastectomy-with-immediate-reconstruction",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/BreastSurgeryTypesCodeSystem"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReconstructionTypeVS",
      "enableBehavior": "any"
    }, {
      "text": "Indicate the location of the implant",
      "type": "choice",
      "linkId": "ImplantReconstruction",
      "required": true,
      "enableWhen": [ {
        "operator": "!=",
        "question": "SURGERY_RECONSTRUCTION",
        "answerCoding": {
          "code": "autologous",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/ReconstructionTypeCodeSystem"
        }
      }, {
        "operator": "!=",
        "question": "SURGERY_RECONSTRUCTION",
        "answerCoding": {
          "code": "UNK",
          "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ImplantLocationVS",
      "enableBehavior": "all"
    }, {
      "text": "Is the date of the delayed reconstruction known?",
      "type": "boolean",
      "linkId": "RECONSTRUCTDATE-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "RECONSTRUCTION_DELAY",
        "answerCoding": {
          "code": "Y",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0532"
        }
      } ]
    }, {
      "text": "Please provide the date of delayed reconstruction",
      "type": "date",
      "linkId": "RECONSTRUCTDATE",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "RECONSTRUCTDATE-Known",
        "answerBoolean": true
      } ]
    }, {
      "text": "What was the intent of radiotherapy",
      "type": "choice",
      "linkId": "RADIOTX_BREAST",
      "repeats": true,
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "108290001",
          "system": "http://snomed.info/sct"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS"
    }, {
      "text": "Indicate location/type of radiotherapy",
      "type": "choice",
      "linkId": "RADIOTXTYPE_BREAST",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "108290001",
          "system": "http://snomed.info/sct"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/LocationRadiotherapyVS"
    }, {
      "text": "Is the start date of radiotherapy known?",
      "type": "boolean",
      "linkId": "RadioTxStartDate-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "108290001",
          "system": "http://snomed.info/sct"
        }
      } ]
    }, {
      "text": "Please provide the start date of radiotherapy",
      "type": "date",
      "linkId": "RadioTxStartDate",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "RadioTxStartDate-Known",
        "answerBoolean": true
      } ]
    }, {
      "text": "Is the stop date of radiotherapy known?",
      "type": "boolean",
      "linkId": "RadioTxStopDate-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "108290001",
          "system": "http://snomed.info/sct"
        }
      } ]
    }, {
      "text": "Please provide the stop date of radiotherapy",
      "type": "date",
      "linkId": "RadioTxStopDate",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "RadioTxStopDate-Known",
        "answerBoolean": true
      } ]
    }, {
      "text": "Indicate the intent of chemotherapy",
      "type": "choice",
      "linkId": "CHEMOTXINTENT",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "adjuvant-chemotherapy",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem"
        }
      }, {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "neoadjuvant-chemotherapy",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS",
      "enableBehavior": "any"
    }, {
      "text": "Indicate the type of chemotherapy (select all that apply)",
      "type": "choice",
      "linkId": "CHEMOTXTYPE_BREAST",
      "repeats": true,
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "adjuvant-chemotherapy",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem"
        }
      }, {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "neoadjuvant-chemotherapy",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ChemoTherapyTypeVS",
      "enableBehavior": "any"
    }, {
      "text": "Is the start date of chemotherapy known?",
      "type": "boolean",
      "linkId": "ChemoTxStartDate-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "adjuvant-chemotherapy",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem"
        }
      }, {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "neoadjuvant-chemotherapy",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem"
        }
      } ],
      "enableBehavior": "any"
    }, {
      "text": "Please provide the start date of chemotherapy",
      "type": "date",
      "linkId": "ChemoTxStartDate",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "ChemoTxStartDate-Known",
        "answerBoolean": true
      } ]
    }, {
      "text": "Is the stop date of chemotherapy known?",
      "type": "boolean",
      "linkId": "ChemoTxStopdate-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "adjuvant-chemotherapy",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem"
        }
      }, {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "neoadjuvant-chemotherapy",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem"
        }
      } ],
      "enableBehavior": "any"
    }, {
      "text": "Please provide the stop date of chemotherapy",
      "type": "date",
      "linkId": "ChemoTxStopdate",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "ChemoTxStopdate-Known",
        "answerBoolean": true
      } ]
    }, {
      "text": "Indicate the intent of hormonal therapy",
      "type": "choice",
      "linkId": "HORMONTX_BREAST",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "169413002",
          "system": "http://snomed.info/sct"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TherapyIntentVS"
    }, {
      "text": "Indicate the type of hormonal therapy (select all that apply)",
      "type": "choice",
      "linkId": "HORMONTXTYPE",
      "repeats": true,
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "169413002",
          "system": "http://snomed.info/sct"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/HormonalTherapyTypeVS"
    }, {
      "text": "Is the start date of hormonal therapy known?",
      "type": "boolean",
      "linkId": "HORMONTXSTARTDATE-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "169413002",
          "system": "http://snomed.info/sct"
        }
      } ]
    }, {
      "text": "Please provide the start date of hormonal therapy",
      "type": "date",
      "linkId": "HORMONTXSTARTDATE",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "HORMONTXSTARTDATE-Known",
        "answerBoolean": true
      } ]
    }, {
      "text": "Is the stop date of hormonal therapy known?",
      "type": "boolean",
      "linkId": "HORMONTXSTOPDATE-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "169413002",
          "system": "http://snomed.info/sct"
        }
      } ]
    }, {
      "text": "Please provide the stop date of hormonal therapy, if applicable",
      "type": "date",
      "linkId": "HORMONTXSTOPDATE",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "HORMONTXSTOPDATE-Known",
        "answerBoolean": true
      } ]
    }, {
      "text": "Indicate the type of targeted therapy",
      "type": "choice",
      "linkId": "TARGETTX_BREAST",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "targeted-therapy",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/TargetedTherapyVS"
    }, {
      "text": "Is the start date of targeted therapy known?",
      "type": "boolean",
      "linkId": "TargetTxStartDate-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "targeted-therapy",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem"
        }
      } ]
    }, {
      "text": "Please provide the start date of targeted therapy",
      "type": "date",
      "linkId": "TargetTxStartDate",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TargetTxStartDate-Known",
        "answerBoolean": true
      } ]
    }, {
      "text": "Is the stop date of targeted therapy known?",
      "type": "boolean",
      "linkId": "TargetTxStopDate-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TREATMENT_BREAST",
        "answerCoding": {
          "code": "targeted-therapy",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/TreatmentTypesCodeSystem"
        }
      } ]
    }, {
      "text": "Please provide the stop date of targeted therapy",
      "type": "date",
      "linkId": "TargetTxStopDate",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "TargetTxStopDate-Known",
        "answerBoolean": true
      } ]
    }, {
      "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",
      "linkId": "SURGERYPATIENT",
      "repeats": true,
      "required": true,
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/ReoperationTypeVS"
    }, {
      "text": "Is the date of the reoperation known?",
      "type": "boolean",
      "linkId": "SURGERYDATEPATIENT-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "!=",
        "question": "SURGERYPATIENT",
        "answerCoding": {
          "code": "UNK",
          "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
          "display": "unknown"
        }
      }, {
        "operator": "!=",
        "question": "SURGERYPATIENT",
        "answerCoding": {
          "code": "373572006",
          "system": "http://snomed.info/sct",
          "display": "Clinical finding absent"
        }
      } ],
      "enableBehavior": "all"
    }, {
      "text": "Please provide the date of the reoperation",
      "type": "date",
      "linkId": "SURGERYDATEPATIENT",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "SURGERYDATEPATIENT-Known",
        "answerBoolean": true
      } ]
    } ],
    "text": "Treatment Variables",
    "type": "group",
    "linkId": "Treatment-Variables",
    "required": true
  }, {
    "item": [ {
      "text": "Was the intent of the treatment curative?",
      "type": "boolean",
      "linkId": "Survival-Q0",
      "required": true
    }, {
      "text": "Is there evidence of local, regional or distant recurrence of neoplasm?",
      "type": "choice",
      "linkId": "MalignancyRecur",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "Survival-Q0",
        "answerBoolean": true
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceVS"
    }, {
      "text": "What was the method of confirming recurrence of neoplasm?",
      "type": "choice",
      "linkId": "RecurMethod",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "MalignancyRecur",
        "answerCoding": {
          "code": "local-recurrence",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem"
        }
      }, {
        "operator": "=",
        "question": "MalignancyRecur",
        "answerCoding": {
          "code": "regional-recurrence",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem"
        }
      }, {
        "operator": "=",
        "question": "MalignancyRecur",
        "answerCoding": {
          "code": "distant-recurrence",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/RecurrenceMethodVS",
      "enableBehavior": "any"
    }, {
      "text": "Is the date of cancer recurrence known?",
      "type": "boolean",
      "linkId": "RecurDateCancer-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "MalignancyRecur",
        "answerCoding": {
          "code": "local-recurrence",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem"
        }
      }, {
        "operator": "=",
        "question": "MalignancyRecur",
        "answerCoding": {
          "code": "regional-recurrence",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem"
        }
      }, {
        "operator": "=",
        "question": "MalignancyRecur",
        "answerCoding": {
          "code": "distant-recurrence",
          "system": "http://hl7.org/fhir/uv/ichom-breast-cancer/CodeSystem/RecurrenceCodeSystem"
        }
      } ],
      "enableBehavior": "any"
    }, {
      "text": "What is the date of cancer recurrence?",
      "type": "date",
      "linkId": "RecurDateCancer",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "RecurDateCancer-Known",
        "answerBoolean": true
      } ]
    }, {
      "text": "Indicate if the person has deceased, regardless of cause",
      "type": "choice",
      "linkId": "VitalStatus",
      "required": true,
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS"
    }, {
      "text": "Is the date of death of the patient known?",
      "type": "boolean",
      "linkId": "DeceasedDate-Known",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "VitalStatus",
        "answerCoding": {
          "code": "Y",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
          "display": "Yes"
        }
      } ]
    }, {
      "text": "Please provide the date of death of the patient",
      "type": "date",
      "linkId": "DeceasedDate",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "DeceasedDate-Known",
        "answerBoolean": true
      } ]
    }, {
      "text": "Is the death attributable to breast cancer?",
      "type": "choice",
      "linkId": "DEATHBC",
      "required": true,
      "enableWhen": [ {
        "operator": "=",
        "question": "VitalStatus",
        "answerCoding": {
          "code": "Y",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0532",
          "display": "Yes"
        }
      } ],
      "answerValueSet": "http://hl7.org/fhir/uv/ichom-breast-cancer/ValueSet/NoYesUnknownVS"
    } ],
    "text": "Survival and disease control",
    "type": "group",
    "linkId": "Survival-and-Disease-control",
    "required": true
  } ],
  "type": null,
  "experimental": "true",
  "resourceType": "Questionnaire",
  "title": "Annual follow-up of clinical questionnaire response",
  "package_version": "1.0.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "informative",
    "_valueCode": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical": "http://hl7.org/fhir/uv/ichom-breast-cancer/ImplementationGuide/hl7.fhir.uv.ichom-breast-cancer"
      } ]
    }
  } ],
  "status": "draft",
  "id": "642320aa-67ea-47a2-974f-ab702a42874a",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/ichom-breast-cancer/Questionnaire/ClinicalResponseAnnualUpdate",
  "version": "1.0.0",
  "contact": [ {
    "name": "HL7 International - Clinical Interoperability Council Group",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/cic",
      "system": "url"
    } ]
  } ]
}