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]
 <status value="draft"/> <experimental value="true"/> <subjectType value="Patient"/> <date value="2026-05-22"/> <publisher value="eHealth Platform Belgium"/> <contact> <name value="eHealth Platform Belgium"/> <telecom> <system value="url"/> <value value="https://www.ehealth.fgov.be"/> </telecom> <telecom> <system value="email"/> <value value="info@ehealth.fgov.be"/> </telecom> </contact> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166"/> <code value="BE"/> <display value="Belgium"/> </coding> </jurisdiction> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://fhir.tiro.health/CodeSystem/tiro-item-control"/> <code value="tab"/> </coding> <coding> <system value="http://fhir.tiro.health/CodeSystem/tiro-item-control"/> <code value="block"/> </coding> </valueCodeableConcept> </extension> <linkId value="patient"/> <text value="Patient identification"/> <type value="group"/> <item> <linkId value="patient.name"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.patientName"/> <text value="Patient name"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="patient.birthDate"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.birthDate"/> <text value="Date of birth"/> <type value="date"/> <required value="true"/> </item> <item> <linkId value="patient.ssin"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.nationalOrInsuranceNumber"/> <text value="INSZ / Ziekenfondsnummer"/> <type value="string"/> <required value="true"/> </item> <item> <linkId value="patient.sex"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.sex"/> <text value="Sex"/> <type value="choice"/> <required value="true"/> <answerValueSet value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-sex-at-birth-vs"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://fhir.tiro.health/CodeSystem/tiro-item-control"/> <code value="tab"/> </coding> <coding> <system value="http://fhir.tiro.health/CodeSystem/tiro-item-control"/> <code value="block"/> </coding> </valueCodeableConcept> </extension> <linkId value="tumour"/> <text value="Tumour identification & staging"/> <type value="group"/> <item> <linkId value="tumour.incidenceDate"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.incidenceDate"/> <text value="Incidence date"/> <type value="date"/> <required value="true"/> </item> <item> <linkId value="tumour.basisOfDiagnosis"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.basisOfDiagnosis"/> <text value="Basis of diagnosis"/> <type value="choice"/> <required value="true"/> <answerValueSet value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-basis-of-diagnosis-vs"/> </item> <item> <linkId value="tumour.whoPerformanceScore"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.whoPerformanceScore"/> <text value="WHO performance score at diagnosis"/> <type value="choice"/> <answerValueSet value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-who-performance-score-vs"/> </item> <item> <linkId value="tumour.primaryTumourLocation"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.primaryTumourLocation"/> <text value="Primary tumour localisation (ICD-O-3 topography)"/> <type value="choice"/> <required value="true"/> <answerValueSet value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-topography-vs"/> </item> <item> <linkId value="tumour.laterality"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.laterality"/> <text value="Laterality"/> <type value="choice"/> <answerValueSet value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-laterality-vs"/> </item> <item> <linkId value="tumour.histologyMorphology"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.histologyMorphology"/> <text value="Histology — morphology (ICD-O-3)"/> <type value="choice"/> <required value="true"/> <answerValueSet value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-morphology-vs"/> </item> <item> <linkId value="tumour.histologyBehaviour"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.histologyBehaviour"/> <text value="Histology — behaviour"/> <type value="choice"/> <required value="true"/> <answerValueSet value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-behaviour-vs"/> </item> <item> <linkId value="tumour.differentiationGrade"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.differentiationGrade"/> <text value="Differentiation grade"/> <type value="choice"/> <answerValueSet value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-differentiation-grade-vs"/> </item> <item> <linkId value="tumour.cTNM"/> <text value="Clinical TNM (cTNM)"/> <type value="group"/> <item> <linkId value="tumour.clinicalT"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.clinicalT"/> <text value="cT"/> <type value="string"/> </item> <item> <linkId value="tumour.clinicalN"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.clinicalN"/> <text value="cN"/> <type value="string"/> </item> <item> <linkId value="tumour.clinicalM"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.clinicalM"/> <text value="cM"/> <type value="string"/> </item> </item> <item> <linkId value="tumour.pTNM"/> <text value="Pathological TNM (pTNM)"/> <type value="group"/> <item> <linkId value="tumour.pathologicalT"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.pathologicalT"/> <text value="pT"/> <type value="string"/> </item> <item> <linkId value="tumour.pathologicalN"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.pathologicalN"/> <text value="pN"/> <type value="string"/> </item> <item> <linkId value="tumour.pathologicalM"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.pathologicalM"/> <text value="pM"/> <type value="string"/> </item> </item> <item> <linkId value="tumour.ypTNM"/> <text value="Post-neoadjuvant pathological TNM (ypTNM)"/> <type value="group"/> <item> <linkId value="tumour.postNeoadjuvantT"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.postNeoadjuvantT"/> <text value="ypT"/> <type value="string"/> </item> <item> <linkId value="tumour.postNeoadjuvantN"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.postNeoadjuvantN"/> <text value="ypN"/> <type value="string"/> </item> <item> <linkId value="tumour.postNeoadjuvantM"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.postNeoadjuvantM"/> <text value="ypM"/> <type value="string"/> </item> </item> <item> <linkId value="tumour.otherClassification"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.otherClassification"/> <text value="Other classification"/> <type value="choice"/> <answerValueSet value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-other-classification-vs"/> </item> <item> <linkId value="tumour.otherStageGroup"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.otherStageGroup"/> <text value="Other classification — stage value"/> <type value="string"/> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://fhir.tiro.health/CodeSystem/tiro-item-control"/> <code value="tab"/> </coding> <coding> <system value="http://fhir.tiro.health/CodeSystem/tiro-item-control"/> <code value="block"/> </coding> </valueCodeableConcept> </extension> <linkId value="treatment"/> <text value="Diagnosis & treatments"/> <type value="group"/> <item> <linkId value="treatment.clinicalTrial"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.clinicalTrialParticipation"/> <text value="Clinical trial participation"/> <type value="choice"/> <answerValueSet value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-clinical-trial-indicator-vs"/> </item> <item> <linkId value="treatment.eudraCt"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.eudraCtNumber"/> <text value="EudraCT number"/> <type value="string"/> <enableWhen> <question value="treatment.clinicalTrial"/> <operator value="="/> <answerCoding> <code value="ja"/> </answerCoding> </enableWhen> </item> <item> <linkId value="treatment.episode"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.treatmentEpisode"/> <text value="Treatment chronology"/> <type value="group"/> <repeats value="true"/> <item> <linkId value="treatment.episode.code"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.treatmentEpisode.code"/> <text value="Diagnosis / treatment code"/> <type value="choice"/> <required value="true"/> <answerValueSet value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/ValueSet/bcr-treatment-chronology-vs"/> </item> <item> <linkId value="treatment.episode.campusId"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.treatmentEpisode.campusId"/> <text value="Campus / vestigingsnummer"/> <type value="string"/> </item> <item> <linkId value="treatment.episode.startDate"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.treatmentEpisode.startDate"/> <text value="Start date"/> <type value="date"/> <required value="true"/> </item> <item> <linkId value="treatment.episode.endDate"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.treatmentEpisode.endDate"/> <text value="End date"/> <type value="date"/> </item> <item> <linkId value="treatment.episode.comment"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.treatmentEpisode.comment"/> <text value="Comment"/> <type value="string"/> </item> </item> </item> <item> <extension url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl"> <valueCodeableConcept> <coding> <system value="http://fhir.tiro.health/CodeSystem/tiro-item-control"/> <code value="tab"/> </coding> <coding> <system value="http://fhir.tiro.health/CodeSystem/tiro-item-control"/> <code value="block"/> </coding> </valueCodeableConcept> </extension> <linkId value="attachments"/> <text value="Attachments"/> <type value="group"/> <item> <linkId value="attachments.mocReport"/> <definition value="https://www.ehealth.fgov.be/standards/fhir/registries/bcr/StructureDefinition/bcr-cancer-registration-form#bcr-cancer-registration-form.mocReport"/> <text value="MOC report"/> <type value="attachment"/> <repeats value="true"/> </item> </item> </Questionnaire>