{
  "resourceType" : "Questionnaire",
  "id" : "ExampleBCRDummyQuestionnaire",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n  <h3>BCR Cancer Registration Form Questionnaire</h3>\n  <p/>\n\n  <p>\n    <strong>Status:</strong> Draft ·\n    <strong>Version:</strong> 0.1.0 ·\n    <strong>URL:</strong> <code><a href=\"Questionnaire-ExampleBCRDummyQuestionnaire.html\">BCR Cancer Registration Form Questionnaire</a></code>\n  </p>\n\n  <h4>Items (walked from Liquid)</h4>\n  <ul>\n  \n    <li>\n      <strong>patient</strong>\n      <em>(Group)</em>\n      — <div><p>Patient identification</p>\n</div>\n      \n      <ul>\n      \n        <li>\n          <code>patient.name</code>\n          <em>(String)</em>\n          — <div><p>Patient name</p>\n</div>\n           <span style=\"color:#a00\">[required]</span>\n          \n        </li>\n      \n        <li>\n          <code>patient.birthDate</code>\n          <em>(Date)</em>\n          — <div><p>Date of birth</p>\n</div>\n           <span style=\"color:#a00\">[required]</span>\n          \n        </li>\n      \n        <li>\n          <code>patient.ssin</code>\n          <em>(String)</em>\n          — <div><p>INSZ / Ziekenfondsnummer</p>\n</div>\n           <span style=\"color:#a00\">[required]</span>\n          \n        </li>\n      \n        <li>\n          <code>patient.sex</code>\n          <em>(coding)</em>\n          — <div><p>Sex</p>\n</div>\n           <span style=\"color:#a00\">[required]</span>\n           → answers from <code><a href=\"ValueSet-bcr-sex-at-birth-vs.html\">BCR Sex at Birth</a></code>\n        </li>\n      \n      </ul>\n      \n    </li>\n  \n    <li>\n      <strong>tumour</strong>\n      <em>(Group)</em>\n      — <div><p>Tumour identification &amp; staging</p>\n</div>\n      \n      <ul>\n      \n        <li>\n          <code>tumour.incidenceDate</code>\n          <em>(Date)</em>\n          — <div><p>Incidence date</p>\n</div>\n           <span style=\"color:#a00\">[required]</span>\n          \n        </li>\n      \n        <li>\n          <code>tumour.basisOfDiagnosis</code>\n          <em>(coding)</em>\n          — <div><p>Basis of diagnosis</p>\n</div>\n           <span style=\"color:#a00\">[required]</span>\n           → answers from <code><a href=\"ValueSet-bcr-basis-of-diagnosis-vs.html\">BCR Basis of Diagnosis</a></code>\n        </li>\n      \n        <li>\n          <code>tumour.whoPerformanceScore</code>\n          <em>(coding)</em>\n          — <div><p>WHO performance score at diagnosis</p>\n</div>\n          \n           → answers from <code><a href=\"ValueSet-bcr-who-performance-score-vs.html\">BCR WHO Performance Score</a></code>\n        </li>\n      \n        <li>\n          <code>tumour.primaryTumourLocation</code>\n          <em>(coding)</em>\n          — <div><p>Primary tumour localisation (ICD-O-3 topography)</p>\n</div>\n           <span style=\"color:#a00\">[required]</span>\n           → answers from <code><a href=\"ValueSet-bcr-topography-vs.html\">BCR ICD-O-3 Topography</a></code>\n        </li>\n      \n        <li>\n          <code>tumour.laterality</code>\n          <em>(coding)</em>\n          — <div><p>Laterality</p>\n</div>\n          \n           → answers from <code><a href=\"ValueSet-bcr-laterality-vs.html\">BCR Laterality</a></code>\n        </li>\n      \n        <li>\n          <code>tumour.histologyMorphology</code>\n          <em>(coding)</em>\n          — <div><p>Histology — morphology (ICD-O-3)</p>\n</div>\n           <span style=\"color:#a00\">[required]</span>\n           → answers from <code><a href=\"ValueSet-bcr-morphology-vs.html\">BCR ICD-O-3 Morphology</a></code>\n        </li>\n      \n        <li>\n          <code>tumour.histologyBehaviour</code>\n          <em>(coding)</em>\n          — <div><p>Histology — behaviour</p>\n</div>\n           <span style=\"color:#a00\">[required]</span>\n           → answers from <code><a href=\"ValueSet-bcr-behaviour-vs.html\">BCR ICD-O-3 Behaviour (digit only)</a></code>\n        </li>\n      \n        <li>\n          <code>tumour.differentiationGrade</code>\n          <em>(coding)</em>\n          — <div><p>Differentiation grade</p>\n</div>\n          \n           → answers from <code><a href=\"ValueSet-bcr-differentiation-grade-vs.html\">BCR Differentiation Grade</a></code>\n        </li>\n      \n        <li>\n          <code>tumour.cTNM</code>\n          <em>(Group)</em>\n          — <div><p>Clinical TNM (cTNM)</p>\n</div>\n          \n          \n        </li>\n      \n        <li>\n          <code>tumour.pTNM</code>\n          <em>(Group)</em>\n          — <div><p>Pathological TNM (pTNM)</p>\n</div>\n          \n          \n        </li>\n      \n        <li>\n          <code>tumour.ypTNM</code>\n          <em>(Group)</em>\n          — <div><p>Post-neoadjuvant pathological TNM (ypTNM)</p>\n</div>\n          \n          \n        </li>\n      \n        <li>\n          <code>tumour.otherClassification</code>\n          <em>(coding)</em>\n          — <div><p>Other classification</p>\n</div>\n          \n           → answers from <code><a href=\"ValueSet-bcr-other-classification-vs.html\">BCR Other Stage Classification</a></code>\n        </li>\n      \n        <li>\n          <code>tumour.otherStageGroup</code>\n          <em>(String)</em>\n          — <div><p>Other classification — stage value</p>\n</div>\n          \n          \n        </li>\n      \n      </ul>\n      \n    </li>\n  \n    <li>\n      <strong>treatment</strong>\n      <em>(Group)</em>\n      — <div><p>Diagnosis &amp; treatments</p>\n</div>\n      \n      <ul>\n      \n        <li>\n          <code>treatment.clinicalTrial</code>\n          <em>(coding)</em>\n          — <div><p>Clinical trial participation</p>\n</div>\n          \n           → answers from <code><a href=\"ValueSet-bcr-clinical-trial-indicator-vs.html\">BCR Clinical Trial Indicator</a></code>\n        </li>\n      \n        <li>\n          <code>treatment.eudraCt</code>\n          <em>(String)</em>\n          — <div><p>EudraCT number</p>\n</div>\n          \n          \n        </li>\n      \n        <li>\n          <code>treatment.episode</code>\n          <em>(Group)</em>\n          — <div><p>Treatment chronology</p>\n</div>\n          \n          \n        </li>\n      \n      </ul>\n      \n    </li>\n  \n    <li>\n      <strong>attachments</strong>\n      <em>(Group)</em>\n      — <div><p>Attachments</p>\n</div>\n      \n      <ul>\n      \n        <li>\n          <code>attachments.mocReport</code>\n          <em>(Attachment)</em>\n          — <div><p>MOC report</p>\n</div>\n          \n          \n        </li>\n      \n      </ul>\n      \n    </li>\n  \n  </ul>\n\n  <h4>Raw JSON (custom rendering test)</h4>\n  <pre>Questionnaire[https://www.ehealth.fgov.be/standards/fhir/registries/bcr/Questionnaire/ExampleBCRDummyQuestionnaire|0.1.0]</pre>\n</div>"
  },
  "url" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/Questionnaire/ExampleBCRDummyQuestionnaire",
  "version" : "0.1.0",
  "name" : "ExampleBCRDummyQuestionnaire",
  "title" : "BCR Cancer Registration Form Questionnaire",
  "status" : "draft",
  "experimental" : true,
  "subjectType" : ["Patient"],
  "date" : "2026-05-22",
  "publisher" : "eHealth Platform Belgium",
  "contact" : [{
    "name" : "eHealth Platform Belgium",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.ehealth.fgov.be"
    },
    {
      "system" : "email",
      "value" : "info@ehealth.fgov.be"
    }]
  }],
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "BE",
      "display" : "Belgium"
    }]
  }],
  "item" : [{
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://fhir.tiro.health/CodeSystem/tiro-item-control",
          "code" : "tab"
        },
        {
          "system" : "http://fhir.tiro.health/CodeSystem/tiro-item-control",
          "code" : "block"
        }]
      }
    }],
    "linkId" : "patient",
    "text" : "Patient identification",
    "type" : "group",
    "item" : [{
      "linkId" : "patient.name",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.patientName",
      "text" : "Patient name",
      "type" : "string",
      "required" : true
    },
    {
      "linkId" : "patient.birthDate",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.birthDate",
      "text" : "Date of birth",
      "type" : "date",
      "required" : true
    },
    {
      "linkId" : "patient.ssin",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.nationalOrInsuranceNumber",
      "text" : "INSZ / Ziekenfondsnummer",
      "type" : "string",
      "required" : true
    },
    {
      "linkId" : "patient.sex",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.sex",
      "text" : "Sex",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-sex-at-birth-vs"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://fhir.tiro.health/CodeSystem/tiro-item-control",
          "code" : "tab"
        },
        {
          "system" : "http://fhir.tiro.health/CodeSystem/tiro-item-control",
          "code" : "block"
        }]
      }
    }],
    "linkId" : "tumour",
    "text" : "Tumour identification & staging",
    "type" : "group",
    "item" : [{
      "linkId" : "tumour.incidenceDate",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.incidenceDate",
      "text" : "Incidence date",
      "type" : "date",
      "required" : true
    },
    {
      "linkId" : "tumour.basisOfDiagnosis",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.basisOfDiagnosis",
      "text" : "Basis of diagnosis",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-basis-of-diagnosis-vs"
    },
    {
      "linkId" : "tumour.whoPerformanceScore",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.whoPerformanceScore",
      "text" : "WHO performance score at diagnosis",
      "type" : "choice",
      "answerValueSet" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-who-performance-score-vs"
    },
    {
      "linkId" : "tumour.primaryTumourLocation",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.primaryTumourLocation",
      "text" : "Primary tumour localisation (ICD-O-3 topography)",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-topography-vs"
    },
    {
      "linkId" : "tumour.laterality",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.laterality",
      "text" : "Laterality",
      "type" : "choice",
      "answerValueSet" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-laterality-vs"
    },
    {
      "linkId" : "tumour.histologyMorphology",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.histologyMorphology",
      "text" : "Histology — morphology (ICD-O-3)",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-morphology-vs"
    },
    {
      "linkId" : "tumour.histologyBehaviour",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.histologyBehaviour",
      "text" : "Histology — behaviour",
      "type" : "choice",
      "required" : true,
      "answerValueSet" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-behaviour-vs"
    },
    {
      "linkId" : "tumour.differentiationGrade",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.differentiationGrade",
      "text" : "Differentiation grade",
      "type" : "choice",
      "answerValueSet" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-differentiation-grade-vs"
    },
    {
      "linkId" : "tumour.cTNM",
      "text" : "Clinical TNM (cTNM)",
      "type" : "group",
      "item" : [{
        "linkId" : "tumour.clinicalT",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.clinicalT",
        "text" : "cT",
        "type" : "string"
      },
      {
        "linkId" : "tumour.clinicalN",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.clinicalN",
        "text" : "cN",
        "type" : "string"
      },
      {
        "linkId" : "tumour.clinicalM",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.clinicalM",
        "text" : "cM",
        "type" : "string"
      }]
    },
    {
      "linkId" : "tumour.pTNM",
      "text" : "Pathological TNM (pTNM)",
      "type" : "group",
      "item" : [{
        "linkId" : "tumour.pathologicalT",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.pathologicalT",
        "text" : "pT",
        "type" : "string"
      },
      {
        "linkId" : "tumour.pathologicalN",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.pathologicalN",
        "text" : "pN",
        "type" : "string"
      },
      {
        "linkId" : "tumour.pathologicalM",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.pathologicalM",
        "text" : "pM",
        "type" : "string"
      }]
    },
    {
      "linkId" : "tumour.ypTNM",
      "text" : "Post-neoadjuvant pathological TNM (ypTNM)",
      "type" : "group",
      "item" : [{
        "linkId" : "tumour.postNeoadjuvantT",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.postNeoadjuvantT",
        "text" : "ypT",
        "type" : "string"
      },
      {
        "linkId" : "tumour.postNeoadjuvantN",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.postNeoadjuvantN",
        "text" : "ypN",
        "type" : "string"
      },
      {
        "linkId" : "tumour.postNeoadjuvantM",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.postNeoadjuvantM",
        "text" : "ypM",
        "type" : "string"
      }]
    },
    {
      "linkId" : "tumour.otherClassification",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.otherClassification",
      "text" : "Other classification",
      "type" : "choice",
      "answerValueSet" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-other-classification-vs"
    },
    {
      "linkId" : "tumour.otherStageGroup",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.otherStageGroup",
      "text" : "Other classification — stage value",
      "type" : "string"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://fhir.tiro.health/CodeSystem/tiro-item-control",
          "code" : "tab"
        },
        {
          "system" : "http://fhir.tiro.health/CodeSystem/tiro-item-control",
          "code" : "block"
        }]
      }
    }],
    "linkId" : "treatment",
    "text" : "Diagnosis & treatments",
    "type" : "group",
    "item" : [{
      "linkId" : "treatment.clinicalTrial",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.clinicalTrialParticipation",
      "text" : "Clinical trial participation",
      "type" : "choice",
      "answerValueSet" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-clinical-trial-indicator-vs"
    },
    {
      "linkId" : "treatment.eudraCt",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.eudraCtNumber",
      "text" : "EudraCT number",
      "type" : "string",
      "enableWhen" : [{
        "question" : "treatment.clinicalTrial",
        "operator" : "=",
        "answerCoding" : {
          "code" : "ja"
        }
      }]
    },
    {
      "linkId" : "treatment.episode",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.treatmentEpisode",
      "text" : "Treatment chronology",
      "type" : "group",
      "repeats" : true,
      "item" : [{
        "linkId" : "treatment.episode.code",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.treatmentEpisode.code",
        "text" : "Diagnosis / treatment code",
        "type" : "choice",
        "required" : true,
        "answerValueSet" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-treatment-chronology-vs"
      },
      {
        "linkId" : "treatment.episode.campusId",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.treatmentEpisode.campusId",
        "text" : "Campus / vestigingsnummer",
        "type" : "string"
      },
      {
        "linkId" : "treatment.episode.startDate",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.treatmentEpisode.startDate",
        "text" : "Start date",
        "type" : "date",
        "required" : true
      },
      {
        "linkId" : "treatment.episode.endDate",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.treatmentEpisode.endDate",
        "text" : "End date",
        "type" : "date"
      },
      {
        "linkId" : "treatment.episode.comment",
        "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.treatmentEpisode.comment",
        "text" : "Comment",
        "type" : "string"
      }]
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://fhir.tiro.health/CodeSystem/tiro-item-control",
          "code" : "tab"
        },
        {
          "system" : "http://fhir.tiro.health/CodeSystem/tiro-item-control",
          "code" : "block"
        }]
      }
    }],
    "linkId" : "attachments",
    "text" : "Attachments",
    "type" : "group",
    "item" : [{
      "linkId" : "attachments.mocReport",
      "definition" : "https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.mocReport",
      "text" : "MOC report",
      "type" : "attachment",
      "repeats" : true
    }]
  }]
}