BCR Cancer Registration Form Questionnaire

Status: Draft · Version: 0.1.0 · URL: BCR Cancer Registration Form Questionnaire

Items (walked from Liquid)

• patient (Group) —

  Patient identification

  • patient.name (String) —

    Patient name

    [required]
  • patient.birthDate (Date) —

    Date of birth

    [required]
  • patient.ssin (String) —

    INSZ / Ziekenfondsnummer

    [required]
  • patient.sex (coding) —

    Sex

    [required] → answers from BCR Sex at Birth
• tumour (Group) —

  Tumour identification & staging

  • tumour.incidenceDate (Date) —

    Incidence date

    [required]
  • tumour.basisOfDiagnosis (coding) —

    Basis of diagnosis

    [required] → answers from BCR Basis of Diagnosis
  • tumour.whoPerformanceScore (coding) —

    WHO performance score at diagnosis

    → answers from BCR WHO Performance Score
  • tumour.primaryTumourLocation (coding) —

    Primary tumour localisation (ICD-O-3 topography)

    [required] → answers from BCR ICD-O-3 Topography
  • tumour.laterality (coding) —

    Laterality

    → answers from BCR Laterality
  • tumour.histologyMorphology (coding) —

    Histology — morphology (ICD-O-3)

    [required] → answers from BCR ICD-O-3 Morphology
  • tumour.histologyBehaviour (coding) —

    Histology — behaviour

    [required] → answers from BCR ICD-O-3 Behaviour (digit only)
  • tumour.differentiationGrade (coding) —

    Differentiation grade

    → answers from BCR Differentiation Grade
  • tumour.cTNM (Group) —

    Clinical TNM (cTNM)

  • tumour.pTNM (Group) —

    Pathological TNM (pTNM)

  • tumour.ypTNM (Group) —

    Post-neoadjuvant pathological TNM (ypTNM)

  • tumour.otherClassification (coding) —

    Other classification

    → answers from BCR Other Stage Classification
  • tumour.otherStageGroup (String) —

    Other classification — stage value

• treatment (Group) —

  Diagnosis & treatments

  • treatment.clinicalTrial (coding) —

    Clinical trial participation

    → answers from BCR Clinical Trial Indicator
  • treatment.eudraCt (String) —

    EudraCT number

  • treatment.episode (Group) —

    Treatment chronology

• attachments (Group) —

  Attachments

  • attachments.mocReport (Attachment) —

    MOC report

Raw JSON (custom rendering test)

Questionnaire[https://www.ehealth.fgov.be/standards/fhir/registries/bcr/Questionnaire/ExampleBCRDummyQuestionnaire|0.1.0]