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<Questionnaire xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <id value="194843" />
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <pre>Questionnaire for mdoverslag_diagnose_en_primaire_behandeling</pre>
    </div>
  </text>
  <url value="http://www.iknl.nl/fhir/Questionnaire/Q_mdoverslag_diagnose_en_primaire_behandeling" />
  <name value="mdoverslag_diagnose_en_primaire_behandeling" />
  <title value="MDOverslag diagnose en primaire behandeling" />
  <status value="draft" />
  <date value="2016-04-14" />
  <publisher value="IKNL" />
  <subjectType value="Patient" />
  <item>
    <linkId value="onco-generic-dataelement-81" />
    <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-81" />
    <text value="Aanvullend onderzoek" />
    <type value="group" />
    <required value="false" />
    <repeats value="false" />
    <item>
      <linkId value="onco-generic-dataelement-119" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-119" />
      <text value="Pathologie" />
      <type value="group" />
      <required value="false" />
      <repeats value="false" />
      <item>
        <linkId value="onco-generic-dataelement-125" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-125" />
        <text value="Cytologie" />
        <type value="group" />
        <required value="false" />
        <repeats value="false" />
        <item>
          <linkId value="onco-mamma-dataelement-80" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-80" />
          <text value="Cytologie borstafwijking" />
          <type value="group" />
          <required value="false" />
          <repeats value="false" />
          <item>
            <linkId value="onco-mamma-dataelement-471" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-471" />
            <text value="Nummer" />
            <type value="integer" />
            <required value="false" />
            <repeats value="false" />
          </item>
          <item>
            <linkId value="onco-mamma-dataelement-81" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-81" />
            <text value="Zijdigheid" />
            <type value="choice" />
            <required value="true" />
            <repeats value="false" />
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="7771000" />
                <display value="Links" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="24028007" />
                <display value="Rechts" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://hl7.org/fhir/v3/NullFlavor" />
                <code value="UNK" />
                <display value="Onbekend" />
              </valueCoding>
            </option>
          </item>
          <item>
            <linkId value="onco-mamma-dataelement-82" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-82" />
            <text value="Lokalisatie" />
            <type value="choice" />
            <required value="true" />
            <repeats value="false" />
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="265780004" />
                <display value="Tepel" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="205042000" />
                <display value="Centraal deel van de borst" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="77831004" />
                <display value="Binnenste bovenkwadrant van de borst" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="19100000" />
                <display value="Binnenste onderkwadrant van de borst" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="76365002" />
                <display value="Buitenste bovenkwadrant van de borst" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="33564002" />
                <display value="Buitenste onderkwadrant van de borst" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="38412008" />
                <display value="Axillaire uitloper van de borst" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.6.43.1" />
                <code value="c50.8" />
                <display value="Overlappende lokalisatie van de borst" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="181131000" />
                <display value="Borst NNO (Niet Nader Omschreven)" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://hl7.org/fhir/v3/NullFlavor" />
                <code value="UNK" />
                <display value="Onbekend" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://hl7.org/fhir/v3/NullFlavor" />
                <code value="OTH" />
                <display value="Anders" />
              </valueCoding>
            </option>
          </item>
          <item>
            <linkId value="onco-mamma-dataelement-83" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-83" />
            <text value="Uitslag cytologie borstafwijking" />
            <type value="choice" />
            <required value="false" />
            <repeats value="false" />
            <option>
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.11" />
                <code value="1" />
                <display value="Geen diagnose, onvoldoende materiaal" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.11" />
                <code value="2" />
                <display value="Normaal borstweefsel, geen afwijkingen" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.11" />
                <code value="3" />
                <display value="Eenduidig benigne" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.11" />
                <code value="4" />
                <display value="Onzeker DCIS of IDC" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.11" />
                <code value="5" />
                <display value="Maligne" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.11" />
                <code value="6" />
                <display value="Niet eenduidig benigne of verdacht voor maligniteit" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.11" />
                <code value="7" />
                <display value="Herhaald negatief of onzeker" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.11" />
                <code value="UNK" />
                <display value="Onbekend" />
              </valueCoding>
            </option>
          </item>
        </item>
      </item>
      <item>
        <linkId value="onco-generic-dataelement-126" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-126" />
        <text value="Histologie" />
        <type value="group" />
        <required value="false" />
        <repeats value="false" />
        <item>
          <linkId value="onco-mamma-dataelement-89" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-89" />
          <text value="Biopt borstafwijking" />
          <type value="group" />
          <required value="false" />
          <repeats value="false" />
          <item>
            <linkId value="onco-mamma-dataelement-90" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-90" />
            <text value="Inzending" />
            <type value="group" />
            <required value="false" />
            <repeats value="true" />
            <item>
              <linkId value="onco-mamma-dataelement-470" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-470" />
              <text value="Nummer" />
              <type value="quantity" />
              <required value="false" />
              <repeats value="false" />
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-91" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-91" />
              <text value="Zijdigheid" />
              <type value="choice" />
              <required value="true" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="7771000" />
                  <display value="Links" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="24028007" />
                  <display value="Rechts" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="UNK" />
                  <display value="Onbekend" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-92" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-92" />
              <text value="Lokalisatie" />
              <type value="choice" />
              <required value="true" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="265780004" />
                  <display value="Tepel" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="205042000" />
                  <display value="Centraal deel van de borst" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="77831004" />
                  <display value="Binnenste bovenkwadrant van de borst" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="19100000" />
                  <display value="Binnenste onderkwadrant van de borst" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="76365002" />
                  <display value="Buitenste bovenkwadrant van de borst" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="33564002" />
                  <display value="Buitenste onderkwadrant van de borst" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="38412008" />
                  <display value="Axillaire uitloper van de borst" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.6.43.1" />
                  <code value="c50.8" />
                  <display value="Overlappende lokalisatie van de borst" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="181131000" />
                  <display value="Borst NNO (Niet Nader Omschreven)" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="UNK" />
                  <display value="Onbekend" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="OTH" />
                  <display value="Anders" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-95" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-95" />
              <text value="Type afwijking" />
              <type value="choice" />
              <required value="false" />
              <repeats value="true" />
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.1" />
                  <code value="1" />
                  <display value="Invasieve tumor" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.1" />
                  <code value="2" />
                  <display value="CIS" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.1" />
                  <code value="3" />
                  <display value="CIS met micro-invasie" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.1" />
                  <code value="4" />
                  <display value="Niet eenduidig benigne laesie" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.1" />
                  <code value="5" />
                  <display value="Eenduidig benigne laesie" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.1" />
                  <code value="6" />
                  <display value="Andere bevindingen" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-94" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-94" />
              <text value="Afwijking" />
              <type value="group" />
              <required value="false" />
              <repeats value="false" />
              <item>
                <linkId value="onco-mamma-dataelement-96" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-96" />
                <text value="Morfologie" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="3898006" />
                    <display value="Benigne" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="127569003" />
                    <display value="In situ, nno" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="77284006" />
                    <display value="LCIS" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="86616005" />
                    <display value="DCIS" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="86049000" />
                    <display value="Maligne, niet nader omschreven (nno)" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="82711006" />
                    <display value="Infiltrerend ductaal carcinoom" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="89740008" />
                    <display value="Infiltrerend lobulair carcinoom" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="2985005" />
                    <display value="Paget" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="86251006" />
                    <display value="Onzeker benigne of maligne" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="OTH" />
                    <display value="Anders" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-504" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-504" />
                <text value="Carcinoma in situ" />
                <type value="group" />
                <required value="false" />
                <repeats value="true" />
                <item>
                  <linkId value="onco-mamma-dataelement-100" />
                  <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-100" />
                  <text value="Type CIS" />
                  <type value="choice" />
                  <required value="false" />
                  <repeats value="false" />
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.24" />
                      <code value="1" />
                      <display value="Ductaal carcinoma in situ" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.24" />
                      <code value="2" />
                      <display value="Lobulair carcinoma in situ" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.24" />
                      <code value="3" />
                      <display value="Intraductaal papillair carcinoom" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.24" />
                      <code value="4" />
                      <display value="Omkapseld papillair carcinoom" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.24" />
                      <code value="5" />
                      <display value="Solide papillair carcinoom in situ" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.24" />
                      <code value="6" />
                      <display value="Anders" />
                    </valueCoding>
                  </option>
                </item>
                <item>
                  <linkId value="onco-mamma-dataelement-97" />
                  <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-97" />
                  <text value="Graad" />
                  <type value="choice" />
                  <required value="false" />
                  <repeats value="false" />
                  <option>
                    <valueCoding>
                      <system value="http://snomed.info/sct" />
                      <code value="373375007" />
                      <display value="G1" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="http://snomed.info/sct" />
                      <code value="373377004" />
                      <display value="G2" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="http://snomed.info/sct" />
                      <code value="373373000" />
                      <display value="G3" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="http://snomed.info/sct" />
                      <code value="12619005" />
                      <display value="GX" />
                    </valueCoding>
                  </option>
                </item>
                <item>
                  <linkId value="onco-mamma-dataelement-102" />
                  <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-102" />
                  <text value="Verdenking invasieve component bij DCIS" />
                  <type value="choice" />
                  <required value="false" />
                  <repeats value="false" />
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                      <code value="2" />
                      <display value="Nee" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                      <code value="1" />
                      <display value="Ja" />
                    </valueCoding>
                  </option>
                </item>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-505" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-505" />
                <text value="Invasief carcinoom" />
                <type value="group" />
                <required value="false" />
                <repeats value="true" />
                <item>
                  <linkId value="onco-mamma-dataelement-99" />
                  <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-99" />
                  <text value="Type invasieve tumor" />
                  <type value="choice" />
                  <required value="false" />
                  <repeats value="false" />
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.18" />
                      <code value="1" />
                      <display value="Invasief carcinoom NST" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.18" />
                      <code value="2" />
                      <display value="Infiltrerend lobulair carcinoom" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.18" />
                      <code value="3" />
                      <display value="Tubulair carcinoom" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.18" />
                      <code value="4" />
                      <display value="Mucineus carcinoom" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.18" />
                      <code value="5" />
                      <display value="Metaplastisch carcinoom" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.18" />
                      <code value="6" />
                      <display value="Invasief papillair carcinoom" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.18" />
                      <code value="7" />
                      <display value="Invasief micropapillair carcinoom" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.18" />
                      <code value="8" />
                      <display value="Infiltrerend solide papillair carcinoom" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.18" />
                      <code value="9" />
                      <display value="Carcinoom met medullaire kenmerken" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.18" />
                      <code value="10" />
                      <display value="Neuro-endocriene tumor" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.18" />
                      <code value="11" />
                      <display value="Metastase" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.18" />
                      <code value="12" />
                      <display value="Overig" />
                    </valueCoding>
                  </option>
                </item>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-506" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-506" />
                <text value="Niet eenduidig benigne laesie" />
                <type value="group" />
                <required value="false" />
                <repeats value="true" />
                <item>
                  <linkId value="onco-mamma-dataelement-103" />
                  <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-103" />
                  <text value="Type niet eenduidig benigne laesie" />
                  <type value="choice" />
                  <required value="false" />
                  <repeats value="false" />
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.9" />
                      <code value="1" />
                      <display value="Atypisch ductale hyperplasie" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.9" />
                      <code value="2" />
                      <display value="Intraductaal papilloom" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.9" />
                      <code value="3" />
                      <display value="Cylindercel laesie" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.9" />
                      <code value="4" />
                      <display value="Cylindercel hyperplasie" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.9" />
                      <code value="5" />
                      <display value="Flat epithelial atypia" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.9" />
                      <code value="6" />
                      <display value="Complexe scleroserende laesie" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.9" />
                      <code value="7" />
                      <display value="Phyllodes tumor" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.9" />
                      <code value="8" />
                      <display value="DD: fibroadenoom, phyllodestumor" />
                    </valueCoding>
                  </option>
                  <option>
                    <valueCoding>
                      <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.9" />
                      <code value="9" />
                      <display value="Anders" />
                    </valueCoding>
                  </option>
                </item>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-98" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-98" />
                <text value="(Lymf-) angioinvasie" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.21" />
                    <code value="1" />
                    <display value="Niet aangetroffen" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.21" />
                    <code value="2" />
                    <display value="Aanwezig" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.21" />
                    <code value="3" />
                    <display value="Dubieus" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-101" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-101" />
                <text value="Microcalcificaties" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.15" />
                    <code value="1" />
                    <display value="Aanwezig" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.15" />
                    <code value="2" />
                    <display value="Niet aangetroffen" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.15" />
                    <code value="3" />
                    <display value="Er zijn diepere snedes aangevraagd" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-104" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-104" />
                <text value="Verdenking op phyllodestumor" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                    <code value="2" />
                    <display value="Nee" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                    <code value="1" />
                    <display value="Ja" />
                  </valueCoding>
                </option>
              </item>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-105" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-105" />
              <text value="Receptor status" />
              <type value="group" />
              <required value="false" />
              <repeats value="false" />
              <item>
                <linkId value="onco-mamma-dataelement-106" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-106" />
                <text value="ER-status" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="416053008" />
                    <display value="ER-pos" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="441117001" />
                    <display value="ER-neg" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="UNK" />
                    <display value="Onbekend" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.29" />
                    <code value="1" />
                    <display value="In uitvoering" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.29" />
                    <code value="2" />
                    <display value="Niet verricht" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-107" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-107" />
                <text value="ER-percentage" />
                <type value="decimal" />
                <required value="false" />
                <repeats value="false" />
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-108" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-108" />
                <text value="PR-status" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="416561008" />
                    <display value="PR-pos" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="441118006" />
                    <display value="PR-neg" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="UNK" />
                    <display value="Onbekend" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.16" />
                    <code value="1" />
                    <display value="In uitvoering" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.16" />
                    <code value="2" />
                    <display value="Niet verricht" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-109" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-109" />
                <text value="PR-percentage" />
                <type value="decimal" />
                <required value="false" />
                <repeats value="false" />
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-110" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-110" />
                <text value="HER2-status" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="427685000" />
                    <display value="HER2-pos" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="431396003" />
                    <display value="HER2-neg" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="UNK" />
                    <display value="Onbekend" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.28" />
                    <code value="1" />
                    <display value="Niet verricht" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.28" />
                    <code value="2" />
                    <display value="In uitvoering" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-111" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-111" />
                <text value="HER2 Immunohistochemie" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.12" />
                    <code value="0" />
                    <display value="0 (negatief)" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.12" />
                    <code value="1" />
                    <display value="1+ (negatief)" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.12" />
                    <code value="2" />
                    <display value="2+ (dubieus)" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.12" />
                    <code value="3" />
                    <display value="3+ (positief)" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.12" />
                    <code value="4" />
                    <display value="niet verricht" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.12" />
                    <code value="5" />
                    <display value="in uitvoering" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-112" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-112" />
                <text value="HER2 CISH/SISH" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="705105000" />
                    <display value="Niet geamplificeerd" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="12645001" />
                    <display value="Geamplificeerd" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="280414007" />
                    <display value="Equivocal" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.13" />
                    <code value="6" />
                    <display value="Niet verricht" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.13" />
                    <code value="7" />
                    <display value="In uitvoering" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-113" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-113" />
                <text value="HER2 FISH" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="705105000" />
                    <display value="Niet geamplificeerd" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="12645001" />
                    <display value="Geamplificeerd" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="280414007" />
                    <display value="Equivocal" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.13" />
                    <code value="6" />
                    <display value="Niet verricht" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.13" />
                    <code value="7" />
                    <display value="In uitvoering" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-114" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-114" />
                <text value="HER2 PCR" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="705105000" />
                    <display value="NIet geamplificeerd" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="12645001" />
                    <display value="Geamplificeerd" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.5" />
                    <code value="8" />
                    <display value="Niet verricht" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.5" />
                    <code value="9" />
                    <display value="In uitvoering" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-115" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-115" />
                <text value="Mammaprint" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.4" />
                    <code value="1" />
                    <display value="Niet bepaald" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.4" />
                    <code value="2" />
                    <display value="In uitvoering" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.4" />
                    <code value="3" />
                    <display value="Hoog risico" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.4" />
                    <code value="4" />
                    <display value="Laag risico" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.4" />
                    <code value="5" />
                    <display value="On hold" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.4" />
                    <code value="6" />
                    <display value="Niet mogelijk" />
                  </valueCoding>
                </option>
              </item>
            </item>
          </item>
        </item>
      </item>
    </item>
    <item>
      <linkId value="onco-generic-dataelement-127" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-127" />
      <text value="Radiologie" />
      <type value="group" />
      <required value="false" />
      <repeats value="false" />
      <item>
        <linkId value="onco-generic-dataelement-139" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-139" />
        <text value="Echo" />
        <type value="group" />
        <required value="false" />
        <repeats value="false" />
        <item>
          <linkId value="onco-mamma-dataelement-176" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-176" />
          <text value="Echo borst" />
          <type value="group" />
          <required value="false" />
          <repeats value="false" />
          <item>
            <linkId value="onco-mamma-dataelement-177" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-177" />
            <text value="BI-RADS" />
            <type value="choice" />
            <required value="false" />
            <repeats value="false" />
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397138000" />
                <display value="BI-RADS 0" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397140005" />
                <display value="BI-RADS I" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397141009" />
                <display value="BI-RADS II" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397143007" />
                <display value="BI-RADS III" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397144001" />
                <display value="BI-RADS IV" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36031" />
                <display value="BI-RADS IVa" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36032" />
                <display value="BI-RADS IVb" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36033" />
                <display value="BI-RADS IVc" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397145000" />
                <display value="BI-RADS V" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36035" />
                <display value="BI-RADS VI" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36037" />
                <display value="BI-RADS N/A" />
              </valueCoding>
            </option>
          </item>
          <item>
            <linkId value="onco-mamma-dataelement-441" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-441" />
            <text value="Zijde" />
            <type value="group" />
            <required value="false" />
            <repeats value="true" />
            <item>
              <linkId value="onco-mamma-dataelement-184" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-184" />
              <text value="Zijdigheid" />
              <type value="choice" />
              <required value="true" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="7771000" />
                  <display value="Links" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="24028007" />
                  <display value="Rechts" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="UNK" />
                  <display value="Onbekend" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-178" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-178" />
              <text value="Tumordistributie" />
              <type value="choice" />
              <required value="false" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="255206009" />
                  <display value="Multicentrisch" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="524008" />
                  <display value="Multifocaal" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="261034003" />
                  <display value="Unifocaal" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="OTH" />
                  <display value="Anders" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="UNK" />
                  <display value="Onbekend" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-180" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-180" />
              <text value="Laesie" />
              <type value="group" />
              <required value="false" />
              <repeats value="true" />
              <item>
                <linkId value="onco-mamma-dataelement-445" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-445" />
                <text value="Nummer" />
                <type value="integer" />
                <required value="true" />
                <repeats value="false" />
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-181" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-181" />
                <text value="Vorm" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129734009" />
                    <display value="Ovaal" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129733003" />
                    <display value="Rond" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129736006" />
                    <display value="Irregulair" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="UNK" />
                    <display value="Onbekend" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-182" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-182" />
                <text value="BI-RADS" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397138000" />
                    <display value="BI-RADS 0" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397140005" />
                    <display value="BI-RADS I" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397141009" />
                    <display value="BI-RADS II" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397143007" />
                    <display value="BI-RADS III" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397144001" />
                    <display value="BI-RADS IV" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36031" />
                    <display value="BI-RADS IVa" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36032" />
                    <display value="BI-RADS IVb" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36033" />
                    <display value="BI-RADS IVc" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397145000" />
                    <display value="BI-RADS V" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36035" />
                    <display value="BI-RADS VI" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36037" />
                    <display value="BI-RADS N/A" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-183" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-183" />
                <text value="Diameter" />
                <type value="quantity" />
                <required value="false" />
                <repeats value="false" />
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-185" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-185" />
                <text value="Lokalisatie" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="265780004" />
                    <display value="Tepel" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="205042000" />
                    <display value="Centraal deel van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="77831004" />
                    <display value="Binnenste bovenkwadrant van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="19100000" />
                    <display value="Binnenste onderkwadrant van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="76365002" />
                    <display value="Buitenste bovenkwadrant van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="33564002" />
                    <display value="Buitenste onderkwadrant van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="38412008" />
                    <display value="Axillaire uitloper van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.6.43.1" />
                    <code value="c50.8" />
                    <display value="Overlappende lokalisatie van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="181131000" />
                    <display value="Borst NNO (Niet Nader Omschreven)" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="UNK" />
                    <display value="Onbekend" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="OTH" />
                    <display value="Anders" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-179" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-179" />
                <text value="Klinische verdenking phyllodestumor" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                    <code value="2" />
                    <display value="Nee" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                    <code value="1" />
                    <display value="Ja" />
                  </valueCoding>
                </option>
              </item>
            </item>
          </item>
        </item>
      </item>
      <item>
        <linkId value="onco-generic-dataelement-145" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-145" />
        <text value="MRI" />
        <type value="group" />
        <required value="false" />
        <repeats value="false" />
        <item>
          <linkId value="onco-mamma-dataelement-192" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-192" />
          <text value="MRI borst" />
          <type value="group" />
          <required value="false" />
          <repeats value="false" />
          <item>
            <linkId value="onco-mamma-dataelement-193" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-193" />
            <text value="BI-RADS" />
            <type value="choice" />
            <required value="false" />
            <repeats value="false" />
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397138000" />
                <display value="BI-RADS 0" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397140005" />
                <display value="BI-RADS I" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397141009" />
                <display value="BI-RADS II" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397143007" />
                <display value="BI-RADS III" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397144001" />
                <display value="BI-RADS IV" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36031" />
                <display value="BI-RADS IVa" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36032" />
                <display value="BI-RADS IVb" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36033" />
                <display value="BI-RADS IVc" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397145000" />
                <display value="BI-RADS V" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36035" />
                <display value="BI-RADS VI" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36037" />
                <display value="BI-RADS N/A" />
              </valueCoding>
            </option>
          </item>
          <item>
            <linkId value="onco-mamma-dataelement-194" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-194" />
            <text value="Verslag" />
            <type value="string" />
            <required value="false" />
            <repeats value="false" />
          </item>
          <item>
            <linkId value="onco-mamma-dataelement-442" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-442" />
            <text value="Zijde" />
            <type value="group" />
            <required value="false" />
            <repeats value="true" />
            <item>
              <linkId value="onco-mamma-dataelement-201" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-201" />
              <text value="Zijdigheid" />
              <type value="choice" />
              <required value="true" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="7771000" />
                  <display value="Links" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="24028007" />
                  <display value="Rechts" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="UNK" />
                  <display value="Onbekend" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-195" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-195" />
              <text value="Tumordistributie" />
              <type value="choice" />
              <required value="false" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="255206009" />
                  <display value="Multicentrisch" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="524008" />
                  <display value="Multifocaal" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="261034003" />
                  <display value="Unifocaal" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="OTH" />
                  <display value="Anders" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="UNK" />
                  <display value="Onbekend" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-196" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-196" />
              <text value="T4 kenmerken aanwezig" />
              <type value="choice" />
              <required value="false" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                  <code value="2" />
                  <display value="Nee" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                  <code value="1" />
                  <display value="Ja" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-203" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-203" />
              <text value="Respons" />
              <type value="choice" />
              <required value="false" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.31" />
                  <code value="CR" />
                  <display value="Complete response" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.31" />
                  <code value="PR" />
                  <display value="Partiele response" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.31" />
                  <code value="SD" />
                  <display value="Stabiele ziekte" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.31" />
                  <code value="PD" />
                  <display value="Progressieve ziekte" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="UNK" />
                  <display value="Onbekend" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-197" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-197" />
              <text value="Laesie" />
              <type value="group" />
              <required value="false" />
              <repeats value="true" />
              <item>
                <linkId value="onco-mamma-dataelement-444" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-444" />
                <text value="Nummer" />
                <type value="integer" />
                <required value="true" />
                <repeats value="false" />
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-198" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-198" />
                <text value="Vorm" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129734009" />
                    <display value="Ovaal" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129733003" />
                    <display value="Rond" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129736006" />
                    <display value="Irregulair" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="UNK" />
                    <display value="Onbekend" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-199" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-199" />
                <text value="BI-RADS" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397138000" />
                    <display value="BI-RADS 0" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397140005" />
                    <display value="BI-RADS I" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397141009" />
                    <display value="BI-RADS II" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397143007" />
                    <display value="BI-RADS III" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397144001" />
                    <display value="BI-RADS IV" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36031" />
                    <display value="BI-RADS IVa" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36032" />
                    <display value="BI-RADS IVb" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36033" />
                    <display value="BI-RADS IVc" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397145000" />
                    <display value="BI-RADS V" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36035" />
                    <display value="BI-RADS VI" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36037" />
                    <display value="BI-RADS N/A" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-200" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-200" />
                <text value="Diameter" />
                <type value="quantity" />
                <required value="false" />
                <repeats value="false" />
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-202" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-202" />
                <text value="Lokalisatie" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="265780004" />
                    <display value="Tepel" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="205042000" />
                    <display value="Centraal deel van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="77831004" />
                    <display value="Binnenste bovenkwadrant van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="19100000" />
                    <display value="Binnenste onderkwadrant van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="76365002" />
                    <display value="Buitenste bovenkwadrant van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="33564002" />
                    <display value="Buitenste onderkwadrant van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="38412008" />
                    <display value="Axillaire uitloper van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.6.43.1" />
                    <code value="c50.8" />
                    <display value="Overlappende lokalisatie van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="181131000" />
                    <display value="Borst NNO (Niet Nader Omschreven)" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="UNK" />
                    <display value="Onbekend" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="OTH" />
                    <display value="Anders" />
                  </valueCoding>
                </option>
              </item>
            </item>
          </item>
        </item>
      </item>
      <item>
        <linkId value="onco-generic-dataelement-146" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-146" />
        <text value="Röntgen" />
        <type value="group" />
        <required value="false" />
        <repeats value="false" />
        <item>
          <linkId value="onco-mamma-dataelement-205" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-205" />
          <text value="Mammografie" />
          <type value="group" />
          <required value="false" />
          <repeats value="false" />
          <item>
            <linkId value="onco-mamma-dataelement-206" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-206" />
            <text value="BI-RADS" />
            <type value="choice" />
            <required value="false" />
            <repeats value="false" />
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397138000" />
                <display value="BI-RADS 0" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397140005" />
                <display value="BI-RADS I" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397141009" />
                <display value="BI-RADS II" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397143007" />
                <display value="BI-RADS III" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397144001" />
                <display value="BI-RADS IV" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36031" />
                <display value="BI-RADS IVa" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36032" />
                <display value="BI-RADS IVb" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36033" />
                <display value="BI-RADS IVc" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="397145000" />
                <display value="BI-RADS V" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36035" />
                <display value="BI-RADS VI" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://www.radlex.org" />
                <code value="RID36037" />
                <display value="BI-RADS N/A" />
              </valueCoding>
            </option>
          </item>
          <item>
            <linkId value="onco-mamma-dataelement-443" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-443" />
            <text value="Zijde" />
            <type value="group" />
            <required value="false" />
            <repeats value="true" />
            <item>
              <linkId value="onco-mamma-dataelement-221" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-221" />
              <text value="Zijdigheid" />
              <type value="choice" />
              <required value="true" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="7771000" />
                  <display value="Links" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="24028007" />
                  <display value="Rechts" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="UNK" />
                  <display value="Onbekend" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-208" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-208" />
              <text value="Tumordistributie" />
              <type value="choice" />
              <required value="false" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="255206009" />
                  <display value="Multicentrisch" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="524008" />
                  <display value="Multifocaal" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="261034003" />
                  <display value="Unifocaal" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="OTH" />
                  <display value="Anders" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="UNK" />
                  <display value="Onbekend" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-209" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-209" />
              <text value="Solide component" />
              <type value="choice" />
              <required value="false" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                  <code value="2" />
                  <display value="Nee" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                  <code value="1" />
                  <display value="Ja" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-210" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-210" />
              <text value="Solide massa" />
              <type value="choice" />
              <required value="false" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                  <code value="2" />
                  <display value="Nee" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                  <code value="1" />
                  <display value="Ja" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-211" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-211" />
              <text value="Occulte massa" />
              <type value="choice" />
              <required value="false" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                  <code value="2" />
                  <display value="Nee" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                  <code value="1" />
                  <display value="Ja" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-212" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-212" />
              <text value="Calcificaties" />
              <type value="choice" />
              <required value="false" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                  <code value="2" />
                  <display value="Nee" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                  <code value="1" />
                  <display value="Ja" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-213" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-213" />
              <text value="Distributie calcificaties" />
              <type value="choice" />
              <required value="false" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="129764001" />
                  <display value="Diffuus" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="129767008" />
                  <display value="Regionaal" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="129766004" />
                  <display value="Gegroepeerd" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="129765000" />
                  <display value="Lineair" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="129768003" />
                  <display value="Segmentaal" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://hl7.org/fhir/v3/NullFlavor" />
                  <code value="UNK" />
                  <display value="Onbekend" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-214" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-214" />
              <text value="Compositie" />
              <type value="choice" />
              <required value="false" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="129716005" />
                  <display value="Vrijwel volledig vetweefsel" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="129717001" />
                  <display value="Verspreid velden met fibroglandulair weefsel" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="129718006" />
                  <display value="Heterogeen verspreide velden met klierweefsel" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="http://snomed.info/sct" />
                  <code value="129719003" />
                  <display value="Zeer dens" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-215" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-215" />
              <text value="Klinische verdenking phyllodestumor" />
              <type value="choice" />
              <required value="false" />
              <repeats value="false" />
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                  <code value="2" />
                  <display value="Nee" />
                </valueCoding>
              </option>
              <option>
                <valueCoding>
                  <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
                  <code value="1" />
                  <display value="Ja" />
                </valueCoding>
              </option>
            </item>
            <item>
              <linkId value="onco-mamma-dataelement-216" />
              <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-216" />
              <text value="Laesie" />
              <type value="group" />
              <required value="false" />
              <repeats value="true" />
              <item>
                <linkId value="onco-mamma-dataelement-446" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-446" />
                <text value="Nummer" />
                <type value="integer" />
                <required value="true" />
                <repeats value="false" />
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-217" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-217" />
                <text value="Begrenzing" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129738007" />
                    <display value="Circumscribed" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129740002" />
                    <display value="Obscured" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129739004" />
                    <display value="Microlobulated" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129741003" />
                    <display value="Indistinct" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129742005" />
                    <display value="Spiculated" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="UNK" />
                    <display value="Onbekend" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-218" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-218" />
                <text value="Vorm" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129734009" />
                    <display value="Ovaal" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129733003" />
                    <display value="Rond" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="129736006" />
                    <display value="Irregulair" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="UNK" />
                    <display value="Onbekend" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-219" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-219" />
                <text value="BI-RADS" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397138000" />
                    <display value="BI-RADS 0" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397140005" />
                    <display value="BI-RADS I" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397141009" />
                    <display value="BI-RADS II" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397143007" />
                    <display value="BI-RADS III" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397144001" />
                    <display value="BI-RADS IV" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36031" />
                    <display value="BI-RADS IVa" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36032" />
                    <display value="BI-RADS IVb" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36033" />
                    <display value="BI-RADS IVc" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="397145000" />
                    <display value="BI-RADS V" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36035" />
                    <display value="BI-RADS VI" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://www.radlex.org" />
                    <code value="RID36037" />
                    <display value="BI-RADS N/A" />
                  </valueCoding>
                </option>
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-220" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-220" />
                <text value="Diameter" />
                <type value="quantity" />
                <required value="false" />
                <repeats value="false" />
              </item>
              <item>
                <linkId value="onco-mamma-dataelement-222" />
                <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-222" />
                <text value="Lokalisatie" />
                <type value="choice" />
                <required value="false" />
                <repeats value="false" />
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="265780004" />
                    <display value="Tepel" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="205042000" />
                    <display value="Centraal deel van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="77831004" />
                    <display value="Binnenste bovenkwadrant van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="19100000" />
                    <display value="Binnenste onderkwadrant van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="76365002" />
                    <display value="Buitenste bovenkwadrant van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="33564002" />
                    <display value="Buitenste onderkwadrant van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="38412008" />
                    <display value="Axillaire uitloper van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="urn:oid:2.16.840.1.113883.6.43.1" />
                    <code value="c50.8" />
                    <display value="Overlappende lokalisatie van de borst" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://snomed.info/sct" />
                    <code value="181131000" />
                    <display value="Borst NNO (Niet Nader Omschreven)" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="UNK" />
                    <display value="Onbekend" />
                  </valueCoding>
                </option>
                <option>
                  <valueCoding>
                    <system value="http://hl7.org/fhir/v3/NullFlavor" />
                    <code value="OTH" />
                    <display value="Anders" />
                  </valueCoding>
                </option>
              </item>
            </item>
          </item>
        </item>
      </item>
    </item>
  </item>
  <item>
    <linkId value="onco-generic-dataelement-154" />
    <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-154" />
    <text value="Multidisciplinair overleg" />
    <type value="group" />
    <required value="false" />
    <repeats value="false" />
    <item>
      <linkId value="onco-generic-dataelement-155" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-155" />
      <text value="Datum MDO-verslag akkoord" />
      <type value="date" />
      <required value="false" />
      <repeats value="false" />
    </item>
    <item>
      <linkId value="onco-generic-dataelement-156" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-156" />
      <text value="Vraagstelling" />
      <type value="string" />
      <required value="false" />
      <repeats value="false" />
    </item>
    <item>
      <linkId value="onco-generic-dataelement-157" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-157" />
      <text value="Aanwezigheid: specialismen" />
      <type value="choice" />
      <required value="false" />
      <repeats value="true" />
      <option>
        <valueCoding>
          <system value="http://snomed.info/sct" />
          <code value="304292004" />
          <display value="Chirurg" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="http://snomed.info/sct" />
          <code value="8724009" />
          <display value="Plastisch chirurg" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="http://snomed.info/sct" />
          <code value="80933006" />
          <display value="Nucleair geneeskundige" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="http://snomed.info/sct" />
          <code value="310512001" />
          <display value="Medisch oncoloog (internist)" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="http://snomed.info/sct" />
          <code value="61207006" />
          <display value="Patholoog" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="http://snomed.info/sct" />
          <code value="66862007" />
          <display value="Radioloog" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="http://snomed.info/sct" />
          <code value="3430008" />
          <display value="Radiotherapeut" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="http://snomed.info/sct" />
          <code value="106292003" />
          <display value="Verpleegkundige" />
        </valueCoding>
      </option>
    </item>
    <item>
      <linkId value="onco-generic-dataelement-160" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-160" />
      <text value="Datum" />
      <type value="date" />
      <required value="false" />
      <repeats value="false" />
    </item>
  </item>
  <item>
    <linkId value="onco-generic-dataelement-161" />
    <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-161" />
    <text value="Diagnose en stadiëring" />
    <type value="group" />
    <required value="false" />
    <repeats value="false" />
    <item>
      <linkId value="onco-mamma-dataelement-232" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-232" />
      <text value="Initiele diagnostiek" />
      <type value="group" />
      <required value="false" />
      <repeats value="false" />
      <item>
        <linkId value="onco-mamma-dataelement-234" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-234" />
        <text value="Zwanger" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
            <code value="2" />
            <display value="Nee" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
            <code value="1" />
            <display value="Ja" />
          </valueCoding>
        </option>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-239" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-239" />
        <text value="Borst" />
        <type value="group" />
        <required value="false" />
        <repeats value="true" />
        <item>
          <linkId value="onco-mamma-dataelement-240" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-240" />
          <text value="Zijdigheid" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="7771000" />
              <display value="Links" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="24028007" />
              <display value="Rechts" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://hl7.org/fhir/v3/NullFlavor" />
              <code value="UNK" />
              <display value="Onbekend" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-241" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-241" />
          <text value="BI-RADS" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="397138000" />
              <display value="BI-RADS 0" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="397140005" />
              <display value="BI-RADS I" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="397141009" />
              <display value="BI-RADS II" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="397143007" />
              <display value="BI-RADS III" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="397144001" />
              <display value="BI-RADS IV" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://www.radlex.org" />
              <code value="RID36031" />
              <display value="BI-RADS IVa" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://www.radlex.org" />
              <code value="RID36032" />
              <display value="BI-RADS IVb" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://www.radlex.org" />
              <code value="RID36033" />
              <display value="BI-RADS IVc" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="397145000" />
              <display value="BI-RADS V" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://www.radlex.org" />
              <code value="RID36035" />
              <display value="BI-RADS VI" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://www.radlex.org" />
              <code value="RID36037" />
              <display value="BI-RADS N/A" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-242" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-242" />
          <text value="Calcificaties in borst" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="2" />
              <display value="Nee" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="1" />
              <display value="Ja" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-244" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-244" />
          <text value="Solide massa in borst" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="2" />
              <display value="Nee" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="1" />
              <display value="Ja" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-245" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-245" />
          <text value="Solide component op mammografie" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="2" />
              <display value="Nee" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="1" />
              <display value="Ja" />
            </valueCoding>
          </option>
        </item>
      </item>
    </item>
    <item>
      <linkId value="onco-mamma-dataelement-246" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-246" />
      <text value="Klinisch (cTNM)" />
      <type value="group" />
      <required value="false" />
      <repeats value="true" />
      <item>
        <linkId value="onco-mamma-dataelement-248" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-248" />
        <text value="Zijdigheid" />
        <type value="choice" />
        <required value="true" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="7771000" />
            <display value="Links" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="24028007" />
            <display value="Rechts" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://hl7.org/fhir/v3/NullFlavor" />
            <code value="UNK" />
            <display value="Onbekend" />
          </valueCoding>
        </option>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-247" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-247" />
        <text value="Tumor" />
        <type value="group" />
        <required value="false" />
        <repeats value="false" />
        <item>
          <linkId value="onco-mamma-dataelement-249" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-249" />
          <text value="Tumordistributie" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="255206009" />
              <display value="Multicentrisch" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="524008" />
              <display value="Multifocaal" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="261034003" />
              <display value="Unifocaal" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://hl7.org/fhir/v3/NullFlavor" />
              <code value="OTH" />
              <display value="Anders" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://hl7.org/fhir/v3/NullFlavor" />
              <code value="UNK" />
              <display value="Onbekend" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-250" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-250" />
          <text value="Lokalisatie" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="265780004" />
              <display value="Tepel" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="205042000" />
              <display value="Centraal deel van de borst" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="77831004" />
              <display value="Binnenste bovenkwadrant van de borst" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="19100000" />
              <display value="Binnenste onderkwadrant van de borst" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="76365002" />
              <display value="Buitenste bovenkwadrant van de borst" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="33564002" />
              <display value="Buitenste onderkwadrant van de borst" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="38412008" />
              <display value="Axillaire uitloper van de borst" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.43.1" />
              <code value="c50.8" />
              <display value="Overlappende lokalisatie van de borst" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="181131000" />
              <display value="Borst NNO (Niet Nader Omschreven)" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://hl7.org/fhir/v3/NullFlavor" />
              <code value="UNK" />
              <display value="Onbekend" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://hl7.org/fhir/v3/NullFlavor" />
              <code value="OTH" />
              <display value="Anders" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-251" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-251" />
          <text value="cT-diameter" />
          <type value="quantity" />
          <required value="false" />
          <repeats value="false" />
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-252" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-252" />
          <text value="cT4-kenmerken" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="2" />
              <display value="Nee" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="1" />
              <display value="Ja" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-253" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-253" />
          <text value="Morfologie" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="3898006" />
              <display value="Benigne" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="127569003" />
              <display value="In situ, nno" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="77284006" />
              <display value="LCIS" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="86616005" />
              <display value="DCIS" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="86049000" />
              <display value="Maligne, niet nader omschreven (nno)" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="82711006" />
              <display value="Infiltrerend ductaal carcinoom" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="89740008" />
              <display value="Infiltrerend lobulair carcinoom" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="2985005" />
              <display value="Paget" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="86251006" />
              <display value="Onzeker benigne of maligne" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://hl7.org/fhir/v3/NullFlavor" />
              <code value="OTH" />
              <display value="Anders" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-254" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-254" />
          <text value="Graad" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="373375007" />
              <display value="G1" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="373377004" />
              <display value="G2" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="373373000" />
              <display value="G3" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="12619005" />
              <display value="GX" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-255" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-255" />
          <text value="cT" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cTXbreast" />
              <display value="cTX" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cT0breast" />
              <display value="cT0" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cTisbreast" />
              <display value="cTis" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cTisDCISbreast" />
              <display value="cTis(DCIS)" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cTisLCISbreast" />
              <display value="cTis(LCIS)" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cTisPagetbreast" />
              <display value="cTis(Paget)" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cT1breast" />
              <display value="cT1" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cT1mibreast" />
              <display value="cT1mi" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cT1abreast" />
              <display value="cT1a" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cT1bbreast" />
              <display value="cT1b" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cT1cbreast" />
              <display value="cT1c" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cT2breast" />
              <display value="cT2" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cT3breast" />
              <display value="cT3" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cT4breast" />
              <display value="cT4" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cT4abreast" />
              <display value="cT4a" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cT4bbreast" />
              <display value="cT4b" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cT4cbreast" />
              <display value="cT4c" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cT4dbreast" />
              <display value="cT4d" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-256" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-256" />
          <text value="Receptorstatus" />
          <type value="group" />
          <required value="false" />
          <repeats value="false" />
          <item>
            <linkId value="onco-mamma-dataelement-257" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-257" />
            <text value="ER-percentage" />
            <type value="decimal" />
            <required value="false" />
            <repeats value="false" />
          </item>
          <item>
            <linkId value="onco-mamma-dataelement-258" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-258" />
            <text value="PR-percentage" />
            <type value="decimal" />
            <required value="false" />
            <repeats value="false" />
          </item>
          <item>
            <linkId value="onco-mamma-dataelement-259" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-259" />
            <text value="HER2 status" />
            <type value="choice" />
            <required value="false" />
            <repeats value="false" />
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="427685000" />
                <display value="HER2-pos" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="431396003" />
                <display value="HER2-neg" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://hl7.org/fhir/v3/NullFlavor" />
                <code value="UNK" />
                <display value="Onbekend" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.28" />
                <code value="1" />
                <display value="Niet verricht" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.28" />
                <code value="2" />
                <display value="In uitvoering" />
              </valueCoding>
            </option>
          </item>
        </item>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-260" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-260" />
        <text value="Lymfeklieren" />
        <type value="group" />
        <required value="false" />
        <repeats value="false" />
        <item>
          <linkId value="onco-mamma-dataelement-262" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-262" />
          <text value="Gefixeerde axillaire klieren" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="2" />
              <display value="Nee" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="1" />
              <display value="Ja" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-263" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-263" />
          <text value="Klinisch positieve axillaire klieren" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="2" />
              <display value="Nee" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="1" />
              <display value="Ja" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-264" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-264" />
          <text value="Klinisch positieve parasternale klieren" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="2" />
              <display value="Nee" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="1" />
              <display value="Ja" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-265" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-265" />
          <text value="Klinisch positieve infraclaviculaire klieren" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="2" />
              <display value="Nee" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="1" />
              <display value="Ja" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-266" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-266" />
          <text value="Klinisch positieve supraclaviculaire klieren" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="2" />
              <display value="Nee" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
              <code value="1" />
              <display value="Ja" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-267" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-267" />
          <text value="cN" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cNXbreast" />
              <display value="cNX" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cN0breast" />
              <display value="cN0" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cN1breast" />
              <display value="cN1" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cN2breast" />
              <display value="cN2" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cN2abreast" />
              <display value="cN2a" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cN2bbreast" />
              <display value="cN2b" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cN3breast" />
              <display value="cN3" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cN3abreast" />
              <display value="cN3a" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cN3bbreast" />
              <display value="cN3b" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cN3cbreast" />
              <display value="cN3c" />
            </valueCoding>
          </option>
        </item>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-268" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-268" />
        <text value="Metastasen" />
        <type value="group" />
        <required value="false" />
        <repeats value="false" />
        <item>
          <linkId value="onco-mamma-dataelement-269" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-269" />
          <text value="Lokalisatie metastase" />
          <type value="choice" />
          <required value="false" />
          <repeats value="true" />
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="258332000" />
              <display value="Longen" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="258339009" />
              <display value="Bijnieren" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="258343008" />
              <display value="Abdomen" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="258338001" />
              <display value="Peritoneum" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="279729006" />
              <display value="Beenmerg" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="258336002" />
              <display value="Lymfeklieren" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="258337006" />
              <display value="Pleura" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="313367003" />
              <display value="Hersenen" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="258340006" />
              <display value="Huid" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="258334004" />
              <display value="Lever" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="258333005" />
              <display value="Botten" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="258348004" />
              <display value="Anders" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-270" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-270" />
          <text value="cM" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cM0breast" />
              <display value="cM0" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="cM1breast" />
              <display value="cM1" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.15.6" />
              <code value="pM1breast" />
              <display value="pM1" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-271" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-271" />
          <text value="Receptorstatus metastasen" />
          <type value="group" />
          <required value="false" />
          <repeats value="false" />
          <item>
            <linkId value="onco-mamma-dataelement-272" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-272" />
            <text value="ER-percentage metastase" />
            <type value="decimal" />
            <required value="false" />
            <repeats value="false" />
          </item>
          <item>
            <linkId value="onco-mamma-dataelement-273" />
            <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-273" />
            <text value="HER2 status metastase" />
            <type value="choice" />
            <required value="false" />
            <repeats value="false" />
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="427685000" />
                <display value="HER2-pos" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://snomed.info/sct" />
                <code value="431396003" />
                <display value="HER2-neg" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="http://hl7.org/fhir/v3/NullFlavor" />
                <code value="UNK" />
                <display value="Onbekend" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.28" />
                <code value="1" />
                <display value="Niet verricht" />
              </valueCoding>
            </option>
            <option>
              <valueCoding>
                <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.28" />
                <code value="2" />
                <display value="In uitvoering" />
              </valueCoding>
            </option>
          </item>
        </item>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-274" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-274" />
        <text value="cTNM" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.15.6" />
            <code value="0_breast" />
            <display value="0" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.15.6" />
            <code value="IA_breast" />
            <display value="IA" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.15.6" />
            <code value="IB_breast" />
            <display value="IB" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.15.6" />
            <code value="IIA_breast" />
            <display value="IIA" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.15.6" />
            <code value="IIB_breast" />
            <display value="IIB" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.15.6" />
            <code value="IIIA_breast" />
            <display value="IIIA" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.15.6" />
            <code value="IIIB_breast" />
            <display value="IIIB" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.15.6" />
            <code value="IIIC_breast" />
            <display value="IIIC" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.15.6" />
            <code value="IV_breast" />
            <display value="IV" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://hl7.org/fhir/v3/NullFlavor" />
            <code value="UNK" />
            <display value="unknown" />
          </valueCoding>
        </option>
      </item>
    </item>
  </item>
  <item>
    <linkId value="onco-generic-dataelement-163" />
    <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-163" />
    <text value="Beleid" />
    <type value="group" />
    <required value="false" />
    <repeats value="false" />
    <item>
      <linkId value="onco-generic-dataelement-164" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-164" />
      <text value="Advies klinische studie" />
      <type value="choice" />
      <required value="false" />
      <repeats value="true" />
      <option>
        <valueCoding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
          <code value="2" />
          <display value="Nee" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
          <code value="1" />
          <display value="Ja" />
        </valueCoding>
      </option>
    </item>
    <item>
      <linkId value="onco-generic-dataelement-165" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-165" />
      <text value="Klinische studie" />
      <type value="string" />
      <required value="false" />
      <repeats value="true" />
    </item>
    <item>
      <linkId value="onco-generic-dataelement-166" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-166" />
      <text value="Beleid" />
      <type value="string" />
      <required value="false" />
      <repeats value="false" />
    </item>
    <item>
      <linkId value="onco-generic-dataelement-168" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-168" />
      <text value="Motivatie afwijken richtlijn" />
      <type value="choice" />
      <required value="false" />
      <repeats value="true" />
      <option>
        <valueCoding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.2" />
          <code value="1" />
          <display value="Leeftijd" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.2" />
          <code value="3" />
          <display value="Co-morbiditeiten" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.2" />
          <code value="6" />
          <display value="Wens patient" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.2" />
          <code value="7" />
          <display value="Leefstijlfactoren" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.2" />
          <code value="14" />
          <display value="Deelname klinische studie" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="http://hl7.org/fhir/v3/NullFlavor" />
          <code value="OTH" />
          <display value="Anders" />
        </valueCoding>
      </option>
    </item>
    <item>
      <linkId value="onco-generic-dataelement-169" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-generic-dataelement-169" />
      <text value="Motivatie afwijken richtlijn anders" />
      <type value="string" />
      <required value="false" />
      <repeats value="false" />
    </item>
    <item>
      <linkId value="onco-mamma-dataelement-384" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-384" />
      <text value="Behandelingsmodaliteit" />
      <type value="choice" />
      <required value="false" />
      <repeats value="false" />
      <option>
        <valueCoding>
          <system value="http://snomed.info/sct" />
          <code value="387713003" />
          <display value="Operatie" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="http://snomed.info/sct" />
          <code value="108290001" />
          <display value="Radiotherapie" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="http://snomed.info/sct" />
          <code value="18629005" />
          <display value="Systemische therapie" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="http://snomed.info/sct" />
          <code value="703423002" />
          <display value="Chemoradiotherapie" />
        </valueCoding>
      </option>
      <option>
        <valueCoding>
          <system value="http://snomed.info/sct" />
          <code value="78080008" />
          <display value="HIPEC" />
        </valueCoding>
      </option>
    </item>
    <item>
      <linkId value="onco-mamma-dataelement-385" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-385" />
      <text value="Pathologie" />
      <type value="group" />
      <required value="false" />
      <repeats value="false" />
      <item>
        <linkId value="onco-mamma-dataelement-386" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-386" />
        <text value="Cytologisch en histopathologisch onderzoek" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="387736007" />
            <display value="Cytologie borstafwijking" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="44578009" />
            <display value="Histologie borstafwijking" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="234279002" />
            <display value="Cytologie lymfeklier" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="21911005" />
            <display value="Histologie lymfeklier" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="42125001" />
            <display value="Diagnostische excisiebiopsie borst" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://hl7.org/fhir/v3/NullFlavor" />
            <code value="OTH" />
            <display value="Anders" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="86273004:408730004=410534003" />
            <display value="Niet geindiceerd" />
          </valueCoding>
        </option>
      </item>
    </item>
    <item>
      <linkId value="onco-mamma-dataelement-387" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-387" />
      <text value="Beeldvormend onderzoek" />
      <type value="group" />
      <required value="false" />
      <repeats value="false" />
      <item>
        <linkId value="onco-mamma-dataelement-388" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-388" />
        <text value="Beeldvormend onderzoek" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="71651007" />
            <display value="Mammografie" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="241058008" />
            <display value="Vergrotingsopname" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="47079000" />
            <display value="Echo borst" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="432635009" />
            <display value="Echo oksel" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="241615005" />
            <display value="MRI borst" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="399208008" />
            <display value="X-ray thorax" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="68796002" />
            <display value="Skeletscintigrafie" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="105377009" />
            <display value="Echo lever" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="77477000" />
            <display value="CT" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="443271005" />
            <display value="FDG-PET-CT" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="252983000" />
            <display value="Fotografie uitbreiding huid T4 tumor" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="40701008" />
            <display value="Echocardiografie" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="67595003" />
            <display value="Nucleaire ejectiefractie bepaling" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://hl7.org/fhir/v3/NullFlavor" />
            <code value="OTH" />
            <display value="Anders" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="363679005:408730004=410534003" />
            <display value="Niet geindiceerd" />
          </valueCoding>
        </option>
      </item>
    </item>
    <item>
      <linkId value="onco-mamma-dataelement-389" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-389" />
      <text value="Chirurgie" />
      <type value="group" />
      <required value="false" />
      <repeats value="false" />
      <item>
        <linkId value="onco-mamma-dataelement-390" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-390" />
        <text value="Operatie tumor" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="392021009" />
            <display value="Borstsparend" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="69031006" />
            <display value="Mastectomie" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://hl7.org/fhir/v3/NullFlavor" />
            <code value="OTH" />
            <display value="Anders" />
          </valueCoding>
        </option>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-391" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-391" />
        <text value="Reconstructie" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.7" />
            <code value="1" />
            <display value="Directe reconstructie" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.7" />
            <code value="2" />
            <display value="Secundaire reconstructie" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.7" />
            <code value="3" />
            <display value="Niet nader omschreven" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://hl7.org/fhir/v3/NullFlavor" />
            <code value="UNK" />
            <display value="Onbekend" />
          </valueCoding>
        </option>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-392" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-392" />
        <text value="Operatie lymfeklieren" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="443497002" />
            <display value="SWK" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="234254000" />
            <display value="OKD" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="58347006:408730004=410534003" />
            <display value="Niet geindiceerd" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="58347006:408730004=262008008" />
            <display value="Niet uitgevoerd" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="58347006:408730004=385671000" />
            <display value="Mislukt" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://hl7.org/fhir/v3/NullFlavor" />
            <code value="OTH" />
            <display value="Anders" />
          </valueCoding>
        </option>
      </item>
    </item>
    <item>
      <linkId value="onco-mamma-dataelement-393" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-393" />
      <text value="Systemische therapie" />
      <type value="group" />
      <required value="false" />
      <repeats value="false" />
      <item>
        <linkId value="onco-mamma-dataelement-394" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-394" />
        <text value="Targeted therapie" />
        <type value="group" />
        <required value="false" />
        <repeats value="false" />
        <item>
          <linkId value="onco-mamma-dataelement-395" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-395" />
          <text value="Targeted therapie" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="387003001" />
              <display value="Trastuzumab" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="409406007" />
              <display value="Bevacizumab" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="425820005" />
              <display value="Lapatinib" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://hl7.org/fhir/v3/NullFlavor" />
              <code value="OTH" />
              <display value="Anders" />
            </valueCoding>
          </option>
        </item>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-396" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-396" />
        <text value="Endocriene therapie" />
        <type value="group" />
        <required value="false" />
        <repeats value="false" />
        <item>
          <linkId value="onco-mamma-dataelement-397" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-397" />
          <text value="Endocriene therapie" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="373336003" />
              <display value="Anti-oestrogenen" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="373345002" />
              <display value="Tamoxifen" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="385519002" />
              <display value="Fulvestrant" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="413575009" />
              <display value="Aromataseremmer" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.19" />
              <code value="1" />
              <display value="Niet-steroïdale aromataseremmers" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.19" />
              <code value="2" />
              <display value="Steroïdale aromataseremmers" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="49869009" />
              <display value="LHRH" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="419430000" />
              <display value="Progestagenen" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://hl7.org/fhir/v3/NullFlavor" />
              <code value="OTH" />
              <display value="Anders" />
            </valueCoding>
          </option>
        </item>
        <item>
          <linkId value="onco-mamma-dataelement-398" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-398" />
          <text value="Lijn endocriene therapie" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="708255002" />
              <display value="1ste" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="708256001" />
              <display value="2de" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="708257005" />
              <display value="3de" />
            </valueCoding>
          </option>
        </item>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-399" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-399" />
        <text value="Chemotherapie" />
        <type value="group" />
        <required value="false" />
        <repeats value="false" />
        <item>
          <linkId value="onco-mamma-dataelement-400" />
          <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-400" />
          <text value="Chemotherapie" />
          <type value="choice" />
          <required value="false" />
          <repeats value="false" />
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.20" />
              <code value="1" />
              <display value="TAC (6x) + G-CSF" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.20" />
              <code value="2" />
              <display value="FE100C (3x) gevolgd door docetaxel (3x)" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.20" />
              <code value="3" />
              <display value="AC (4x) gevolgd door docetaxel (4x q3wk)" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.20" />
              <code value="4" />
              <display value="AC (4x) gevolgd door paclitaxel (12x q1wk)" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.20" />
              <code value="5" />
              <display value="T(docetaxel)C (4x)" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.20" />
              <code value="6" />
              <display value="AC (4x)" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.20" />
              <code value="7" />
              <display value="CMF" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://hl7.org/fhir/v3/NullFlavor" />
              <code value="OTH" />
              <display value="Anders" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.17" />
              <code value="1" />
              <display value="FAC" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.17" />
              <code value="2" />
              <display value="FEC" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.17" />
              <code value="3" />
              <display value="AC" />
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          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.17" />
              <code value="4" />
              <display value="EC" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.17" />
              <code value="5" />
              <display value="Paclitaxel (q1wk)" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.17" />
              <code value="6" />
              <display value="Docetaxel (q3wk)" />
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          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.17" />
              <code value="7" />
              <display value="Vinorelbine" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.17" />
              <code value="8" />
              <display value="Paclitaxel" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.17" />
              <code value="9" />
              <display value="Docetaxel" />
            </valueCoding>
          </option>
          <option>
            <valueCoding>
              <system value="http://hl7.org/fhir/v3/NullFlavor" />
              <code value="OTH" />
              <display value="Anders" />
            </valueCoding>
          </option>
        </item>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-401" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-401" />
        <text value="Systemische behandeling" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="367336001" />
            <display value="Chemotherapie" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="169413002" />
            <display value="Endocriene therapie" />
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        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.2.5.26" />
            <code value="1" />
            <display value="Targeted therapie" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="64644003" />
            <display value="Immunotherapie" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://hl7.org/fhir/v3/NullFlavor" />
            <code value="OTH" />
            <display value="Anders" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://hl7.org/fhir/v3/NullFlavor" />
            <code value="UNK" />
            <display value="Onbekend" />
          </valueCoding>
        </option>
      </item>
    </item>
    <item>
      <linkId value="onco-mamma-dataelement-402" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-402" />
      <text value="Radiotherapie" />
      <type value="group" />
      <required value="false" />
      <repeats value="false" />
      <item>
        <linkId value="onco-mamma-dataelement-403" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-403" />
        <text value="Aantal fracties" />
        <type value="integer" />
        <required value="false" />
        <repeats value="false" />
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-404" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-404" />
        <text value="Locatie" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="181131000" />
            <display value="Borst" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="181608004" />
            <display value="Thoraxwand" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="91470000" />
            <display value="Oksel" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="12928009" />
            <display value="Periclaviculair" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="91691001" />
            <display value="Parasternaal" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://hl7.org/fhir/v3/NullFlavor" />
            <code value="OTH" />
            <display value="Anders" />
          </valueCoding>
        </option>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-405" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-405" />
        <text value="Modaliteit" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="33195004" />
            <display value="Teletherapie" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="395096001" />
            <display value="Stereotactische radiotherapie" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="384692006" />
            <display value="Brachytherapie" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="168524008" />
            <display value="IORT" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="384691004" />
            <display value="Intraluminale radiotherapie" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://hl7.org/fhir/v3/NullFlavor" />
            <code value="OTH" />
            <display value="Anders" />
          </valueCoding>
        </option>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-406" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-406" />
        <text value="Totale dosis" />
        <type value="quantity" />
        <required value="false" />
        <repeats value="false" />
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-407" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-407" />
        <text value="Hypofractionering" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
            <code value="2" />
            <display value="Nee" />
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        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
            <code value="1" />
            <display value="Ja" />
          </valueCoding>
        </option>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-408" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-408" />
        <text value="Hyperthermie" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
            <code value="2" />
            <display value="Nee" />
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        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
            <code value="1" />
            <display value="Ja" />
          </valueCoding>
        </option>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-409" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-409" />
        <text value="Boost" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
            <code value="2" />
            <display value="Nee" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.2.4.3.11.31.1.77.1.5.4" />
            <code value="1" />
            <display value="Ja" />
          </valueCoding>
        </option>
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-410" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-410" />
        <text value="Duur" />
        <type value="quantity" />
        <required value="false" />
        <repeats value="false" />
      </item>
      <item>
        <linkId value="onco-mamma-dataelement-411" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-411" />
        <text value="Opzet behandeling" />
        <type value="choice" />
        <required value="false" />
        <repeats value="false" />
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="373808002" />
            <display value="Curatief" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="373847000" />
            <display value="Neoadjuvant" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="373846009" />
            <display value="Adjuvant" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="363676003" />
            <display value="Palliatief" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://snomed.info/sct" />
            <code value="360271000" />
            <display value="Profylactisch" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://hl7.org/fhir/v3/NullFlavor" />
            <code value="OTH" />
            <display value="Anders" />
          </valueCoding>
        </option>
        <option>
          <valueCoding>
            <system value="http://hl7.org/fhir/v3/NullFlavor" />
            <code value="UNK" />
            <display value="Onbekend" />
          </valueCoding>
        </option>
      </item>
    </item>
    <item>
      <linkId value="onco-mamma-dataelement-412" />
      <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-412" />
      <text value="Surveillance" />
      <type value="group" />
      <required value="false" />
      <repeats value="false" />
      <item>
        <linkId value="onco-mamma-dataelement-413" />
        <definition value="http://www.iknl.nl/fhir/DataElement/onco-mamma-dataelement-413" />
        <text value="Tijd verstreken sinds incidentiedatum" />
        <type value="quantity" />
        <required value="false" />
        <repeats value="false" />
      </item>
    </item>
  </item>
</Questionnaire>

name : mdoverslag_diagnose_en_primaire_behandeling

{

}