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{
  "resourceType": "Questionnaire",
  "id": "q-maternal-17",
  "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-17",
  "version": "1.0.0",
  "name": "QMaternal17",
  "title": "Sistem Kod Warna dan Senarai Semak Penjagaan Antenatal",
  "status": "active",
  "date": "2023-08-30T01:19:04.1804145+00:00",
  "description": "Sistem ini menggunakan empat kod warna. Penentuan kod warna ini adalah berdasarkan kepada penilaian faktor risiko ibu semasa lawatan ke klinik/ rumah",
  "purpose": "Penjagaan ibu adalah berdasarkan kepada kod warna berkenaan:-",
  "item": [
    {
      "linkId": "maternal-17.0",
      "code": [
        {
          "code": "maternal-17.0"
        }
      ],
      "text": "Trimester of Assessment",
      "type": "choice",
      "answerOption": [
        {
          "valueCoding": {
            "code": "00",
            "display": "Trimester 1 (<12 weeks)"
          }
        },
        {
          "valueCoding": {
            "code": "01",
            "display": "Trimester 2 (13-22 weeks)"
          }
        },
        {
          "valueCoding": {
            "code": "02",
            "display": "Trimester 2 (23-27 weeks)"
          }
        },
        {
          "valueCoding": {
            "code": "03",
            "display": "Trimester 3 (28-32 weeks)"
          }
        },
        {
          "valueCoding": {
            "code": "04",
            "display": "Trimester 3 (33-36 weeks)"
          }
        },
        {
          "valueCoding": {
            "code": "05",
            "display": "Trimester 3 (37-40 weeks)"
          }
        },
        {
          "valueCoding": {
            "code": "06",
            "display": "Post-date (>40 weeks)"
          }
        }
      ]
    },
    {
      "linkId": "maternal-17.2",
      "code": [
        {
          "code": "maternal-17.2"
        }
      ],
      "text": "Rumusan",
      "type": "choice",
      "readOnly": true,
      "answerOption": [
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "386713009",
            "display": "Merah"
          }
        },
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "371244009",
            "display": "Kuning"
          }
        },
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "54662009",
            "display": "Hijau"
          }
        },
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "371251000",
            "display": "Putih"
          }
        },
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "310586008",
            "display": "Putih (ABC)"
          }
        }
      ]
    },
    {
      "linkId": "maternal-17.3",
      "code": [
        {
          "code": "maternal-17.3"
        }
      ],
      "text": "Senarai Semak Pengendalian Ibu Hamil (Kod Merah)",
      "type": "group",
      "item": [
        {
          "linkId": "maternal-17.3.1",
          "code": [
            {
              "code": "maternal-17.1"
            }
          ],
          "text": "Eclampsia",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.2",
          "code": [
            {
              "code": "maternal-17.3.2"
            }
          ],
          "text": "Pre-eclampsia (tekanan darah tinggi dengan urin protein)",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.3",
          "code": [
            {
              "code": "maternal-17.3.3"
            }
          ],
          "text": "Hypertensive crisis",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.4",
          "code": [
            {
              "code": "maternal-17.3.4"
            }
          ],
          "text": "Penyakit jantung semasa mengandung, dengan tanda dan gejala (sesak nafas, berdebar-debar)",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.5",
          "code": [
            {
              "code": "maternal-17.3.5"
            }
          ],
          "text": "Sesak nafas dan/ atau kadar pernafasan >22/min",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.6",
          "code": [
            {
              "code": "maternal-17.3.6"
            }
          ],
          "text": "Pendarahan antepartum (termasuk keguguran)",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.7",
          "code": [
            {
              "code": "maternal-17.3.7"
            }
          ],
          "text": "Denyutan jantung janin yang abnormal \n • FHR <110/min selepas 22/52 \n • FHR >160/min selepas 32/52",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.8",
          "code": [
            {
              "code": "maternal-17.3.8"
            }
          ],
          "text": "Anemia dengan simptom pada mana-mana gestasi atau Hb ≤7g/dL",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.9",
          "code": [
            {
              "code": "maternal-17.3.9"
            }
          ],
          "text": "Kontraksi rahim pramatang",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.10",
          "code": [
            {
              "code": "maternal-17.3.10"
            }
          ],
          "text": "Keluar air ketuban tanpa kontraksi",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.11",
          "code": [
            {
              "code": "maternal-17.3.11"
            }
          ],
          "text": "Sawan",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.12",
          "code": [
            {
              "code": "maternal-17.3.12"
            }
          ],
          "text": "Demam dengan tanda-tanda sepsis (lesu, dehidrasi, tachycardia)",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.13",
          "code": [
            {
              "code": "maternal-17.3.13"
            }
          ],
          "text": "Kes disyaki denggi (demam berserta sakit kepala, sakit sendi, sakit perut, muntah, cirit birit dan sebagainya)",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.14",
          "code": [
            {
              "code": "maternal-17.3.14"
            }
          ],
          "text": "Gejala Deep Vein Thrombosis (DVT) dan/ atau Pulmonary Embolism",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.3.15",
          "code": [
            {
              "code": "maternal-17.3.15"
            }
          ],
          "text": "Keinginan mencederakan / bunuh diri",
          "type": "boolean"
        }
      ]
    },
    {
      "linkId": "maternal-17.4",
      "code": [
        {
          "code": "maternal-17.4"
        }
      ],
      "text": "Senarai Semak Pengendalian Ibu Hamil (Kod Kuning)",
      "type": "group",
      "item": [
        {
          "linkId": "maternal-17.4.1",
          "code": [
            {
              "code": "maternal-17.4.1"
            }
          ],
          "text": "Ibu HIV positif",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.2",
          "code": [
            {
              "code": "maternal-17.4.2"
            }
          ],
          "text": "Ibu Hepatitis B positif",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.3",
          "code": [
            {
              "code": "maternal-17.4.3"
            }
          ],
          "text": "Ibu Tuberkulosis/ Malaria/ Syphilis",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.4",
          "code": [
            {
              "code": "maternal-17.4.4"
            }
          ],
          "text": "Tekanan darah >140/90 - <160/100mmHg tanpa/dengan urin protein",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.5",
          "code": [
            {
              "code": "maternal-17.4.5"
            }
          ],
          "text": "Tekanan darah tinggi (140/90mmHg) dengan urin protein",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.6",
          "code": [
            {
              "code": "maternal-17.4.6"
            }
          ],
          "text": "Ibu diabetes dengan rawatan dan/ atau komplikasi",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.7",
          "code": [
            {
              "code": "maternal-17.4.7"
            }
          ],
          "text": "**Pergerakan janin kurang semasa kandungan ≥32 minggu dengan faktor risiko",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.8",
          "code": [
            {
              "code": "maternal-17.4.8"
            }
          ],
          "text": "Kandungan melebihi 7 hari dari EDD",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.9",
          "code": [
            {
              "code": "maternal-17.4.9"
            }
          ],
          "text": "Ibu dengan masalah perubatan yang memerlukan rawatan bersama di hospital",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.10",
          "code": [
            {
              "code": "maternal-17.4.10"
            }
          ],
          "text": "Ibu tunggal atau ibu remaja (<20 tahun)",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.11",
          "code": [
            {
              "code": "maternal-17.4.11"
            }
          ],
          "text": "Ibu berumur ≥40 tahun",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.12",
          "code": [
            {
              "code": "maternal-17.4.12"
            }
          ],
          "text": "Hemoglobin 7 - <9g/dL dan asymptomatic",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.13",
          "code": [
            {
              "code": "maternal-17.4.13"
            }
          ],
          "text": "Placenta previa tanpa pendarahan",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.14",
          "code": [
            {
              "code": "maternal-17.4.14"
            }
          ],
          "text": "Maternal pyrexia ≥38˚C atau >3 hari",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.15",
          "code": [
            {
              "code": "maternal-17.4.15"
            }
          ],
          "text": "Penyakit jantung tanpa gejala",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.16",
          "code": [
            {
              "code": "maternal-17.4.16"
            }
          ],
          "text": "*Ketagihan dadah/ rokok/ alkohol",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.17",
          "code": [
            {
              "code": "maternal-17.4.17"
            }
          ],
          "text": "Skor risiko antenatal Venous Thromboembolism (VTE) ≥3",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.18",
          "code": [
            {
              "code": "maternal-17.4.18"
            }
          ],
          "text": "Kandungan kembar",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.19",
          "code": [
            {
              "code": "maternal-17.4.19"
            }
          ],
          "text": "Masalah kesihatan mental",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.4.20",
          "code": [
            {
              "code": "maternal-17.4.20"
            }
          ],
          "text": "BMI >40kgm/2",
          "type": "boolean"
        }
      ]
    },
    {
      "linkId": "maternal-17.5",
      "code": [
        {
          "code": "maternal-17.5"
        }
      ],
      "text": "Senarai Semak Pengendalian Ibu Hamil (Kod Hijau)",
      "type": "group",
      "item": [
        {
          "linkId": "maternal-17.5.1",
          "code": [
            {
              "code": "maternal-17.5.1"
            }
          ],
          "text": "Rh negatif",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.2",
          "code": [
            {
              "code": "maternal-17.5.2"
            }
          ],
          "text": "Berat badan ibu sebelum mengandung atau ketika booking <45kg",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.3",
          "code": [
            {
              "code": "maternal-17.5.3"
            }
          ],
          "text": "Obes (≥30.0kg/m²)",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.4",
          "code": [
            {
              "code": "maternal-17.5.4"
            }
          ],
          "text": "Pertambahan berat badan yang mendadak (>2 kg dalam seminggu)",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.5",
          "code": [
            {
              "code": "maternal-17.5.5"
            }
          ],
          "text": "Berat badan statik atau menurun (dalam tempoh sebulan)",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.6",
          "code": [
            {
              "code": "maternal-17.5.6"
            }
          ],
          "text": "Masalah perubatan semasa",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.7",
          "code": [
            {
              "code": "maternal-17.5.7"
            }
          ],
          "text": "Masalah ginekologi yang lalu (fibroid, cyst, pembedahan)",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.8",
          "code": [
            {
              "code": "maternal-17.5.8"
            }
          ],
          "text": "LNMP yang tidak pasti",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.9",
          "code": [
            {
              "code": "maternal-17.5.9"
            }
          ],
          "text": "3 kali keguguran yang berturutan",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.10",
          "code": [
            {
              "code": "maternal-17.5.10"
            }
          ],
          "text": "Sejarah obstetrik yang lalu",
          "type": "group",
          "item": [
            {
              "linkId": "maternal-17.5.10.1",
              "code": [
                {
                  "code": "maternal-17.5.10.1"
                }
              ],
              "text": "Pembedahan caesarean",
              "type": "boolean"
            },
            {
              "linkId": "maternal-17.5.10.2",
              "code": [
                {
                  "code": "maternal-17.5.10.2"
                }
              ],
              "text": "PIH/ eclampsia/ diabetes",
              "type": "boolean"
            },
            {
              "linkId": "maternal-17.5.10.3",
              "code": [
                {
                  "code": "maternal-17.5.10.3"
                }
              ],
              "text": "Kematian perinatal",
              "type": "boolean"
            },
            {
              "linkId": "maternal-17.5.10.4",
              "code": [
                {
                  "code": "maternal-17.5.10.4"
                }
              ],
              "text": "Bayi dengan berat lahir <2.5kg atau >4kg",
              "type": "boolean"
            },
            {
              "linkId": "maternal-17.5.10.5",
              "code": [
                {
                  "code": "maternal-17.5.10.5"
                }
              ],
              "text": "Luka perineum 3rd degree dan 4th degree",
              "type": "boolean"
            },
            {
              "linkId": "maternal-17.5.10.6",
              "code": [
                {
                  "code": "maternal-17.5.10.6"
                }
              ],
              "text": "Retained placenta",
              "type": "boolean"
            },
            {
              "linkId": "maternal-17.5.10.7",
              "code": [
                {
                  "code": "maternal-17.5.10.7"
                }
              ],
              "text": "Post partum haemorrhage",
              "type": "boolean"
            },
            {
              "linkId": "maternal-17.5.10.8",
              "code": [
                {
                  "code": "maternal-17.5.10.8"
                }
              ],
              "text": "Kelahiran instrumental",
              "type": "boolean"
            }
          ]
        },
        {
          "linkId": "maternal-17.5.11",
          "code": [
            {
              "code": "maternal-17.5.11"
            }
          ],
          "text": "Pergerakan janin kurang semasa kandungan ≥32 minggu",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.12",
          "code": [
            {
              "code": "maternal-17.5.12"
            }
          ],
          "text": "Tekanan darah 140/90 mmHg tanpa urin protein",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.13",
          "code": [
            {
              "code": "maternal-17.5.13"
            }
          ],
          "text": "Hemoglobin 9 - <11g/dL",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.14",
          "code": [
            {
              "code": "maternal-17.5.14"
            }
          ],
          "text": "Glukosuria 2 kali",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.15",
          "code": [
            {
              "code": "maternal-17.5.15"
            }
          ],
          "text": "Air kencing mempunyai protein ≥1+",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.16",
          "code": [
            {
              "code": "maternal-17.5.16"
            }
          ],
          "text": "Tinggi rahim (SFH) tidak sejajar dengan jangkamasa kandungan +/- 3cm",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.17",
          "code": [
            {
              "code": "maternal-17.5.17"
            }
          ],
          "text": "Breech/ Oblique/ Tranverse dengan tiada tanda sakit bersalin pada 36 minggu kehamilan",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.18",
          "code": [
            {
              "code": "maternal-17.5.18"
            }
          ],
          "text": "Kepala bayi tinggi (Head not engaged) semasa kandungan 37 minggu bagi primigravida",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.19",
          "code": [
            {
              "code": "maternal-17.5.19"
            }
          ],
          "text": "Ibu GDM dengan kawalan diet tanpa komplikasi",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.20",
          "code": [
            {
              "code": "maternal-17.5.20"
            }
          ],
          "text": "Ibu berumur 36 - 39 tahun",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.21",
          "code": [
            {
              "code": "maternal-17.5.21"
            }
          ],
          "text": "Primigravida/pseudoprimigravida",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.22",
          "code": [
            {
              "code": "maternal-17.5.22"
            }
          ],
          "text": "Grandmultipara ≥5",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.23",
          "code": [
            {
              "code": "maternal-17.5.23"
            }
          ],
          "text": "Jarak kelahiran <2 tahun atau melebihi 5 tahun",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.5.24",
          "code": [
            {
              "code": "maternal-17.5.24"
            }
          ],
          "text": "Ketinggian ibu <145cm",
          "type": "boolean"
        }
      ]
    },
    {
      "linkId": "maternal-17.6",
      "code": [
        {
          "code": "maternal-17.6"
        }
      ],
      "text": "Senarai Semak Pengendalian Ibu Hamil (Kod Putih)",
      "type": "group",
      "enableWhen": [
        {
          "question": "maternal-17.3",
          "operator": "exists",
          "answerBoolean": false
        },
        {
          "question": "maternal-17.4",
          "operator": "exists",
          "answerBoolean": false
        },
        {
          "question": "maternal-17.5",
          "operator": "exists",
          "answerBoolean": false
        }
      ],
      "enableBehavior": "all",
      "item": [
        {
          "linkId": "maternal-17.6.1",
          "code": [
            {
              "code": "maternal-17.6.1"
            }
          ],
          "text": "Gravida 2 – 5 (tidak termasuk pseudoprimigravida)",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.6.2",
          "code": [
            {
              "code": "maternal-17.6.2"
            }
          ],
          "text": "Tiada masalah obstetrik lalu dan semasa",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.6.3",
          "code": [
            {
              "code": "maternal-17.6.3"
            }
          ],
          "text": "Tiada masalah perubatan yang lalu dan semasa",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.6.4",
          "code": [
            {
              "code": "maternal-17.6.4"
            }
          ],
          "text": "Ibu berumur 20 - 35 tahun",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.6.5",
          "code": [
            {
              "code": "maternal-17.6.5"
            }
          ],
          "text": "Ibu berkahwin dan mempunyai sokongan keluarga",
          "type": "boolean"
        }
      ]
    },
    {
      "linkId": "maternal-17.7",
      "code": [
        {
          "code": "maternal-17.7"
        }
      ],
      "text": "Kriteria Untuk Bersalin Di ABC/ Rumah",
      "type": "group",
      "enableWhen": [
        {
          "question": "maternal-17.6",
          "operator": "exists",
          "answerBoolean": true
        }
      ],
      "item": [
        {
          "linkId": "maternal-17.7.1",
          "code": [
            {
              "code": "maternal-17.7.1"
            }
          ],
          "text": "Gravida 2 – 5 (tidak termasuk pseudoprimigravida)",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.7.2",
          "code": [
            {
              "code": "maternal-17.7.2"
            }
          ],
          "text": "Tiada masalah obstetrik lalu dan semasa",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.7.3",
          "code": [
            {
              "code": "maternal-17.7.3"
            }
          ],
          "text": "Tiada masalah perubatan yang lalu dan semasa",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.7.4",
          "code": [
            {
              "code": "maternal-17.7.4"
            }
          ],
          "text": "Ibu berumur 20 - 35 tahun",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.7.5",
          "code": [
            {
              "code": "maternal-17.7.5"
            }
          ],
          "text": "Ibu berkahwin dan mempunyai sokongan keluarga",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.7.6",
          "code": [
            {
              "code": "maternal-17.7.6"
            }
          ],
          "text": "POA 37-40 minggu",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.7.7",
          "code": [
            {
              "code": "maternal-17.7.7"
            }
          ],
          "text": "Anggaran berat bayi 2.5-3.5kg",
          "type": "boolean"
        },
        {
          "linkId": "maternal-17.7.8",
          "code": [
            {
              "code": "maternal-17.7.8"
            }
          ],
          "text": "Persekitaran rumah ibu sesuai",
          "type": "boolean"
        }
      ]
    }
  ]
}

name : QMaternal17

{

}