Maternal Health Record
The "Maternal Health Record" relates to the perinatal period (during and after pregnancy) of a patient's history. In Malaysia government practice, maternal health records are kept as a physical document by patient (another copy stored by the facility). This flow allows continuation of care between one facility to another to naturally occur during a patient perinatal visits.
The maternal health record in RekodPesakit and RekodSaya attempts to replicate the concept in the form of a digital record retaining as much resemblance of the physical flow while still allowing the concept of record sharing between facilities.
Below is an overview diagram to illustrate how FHIR resource are used for maternal health record,
Resource Breakdown
Every maternal health record requires List (MY Core) record as a base panel to referene every record related to the current perinatal episode.
List Example
{ "resourceType": "List", "id": "list-sample", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/List-my-core" ] }, "status": "current", "mode": "working", "title": "Maternal Health Record 12-Sep-2023", "code": { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/sub-record-type-my-core", "code": "sub-001", "display": "Maternal Health Record" } ] }, "subject": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4" }, "date": "2023-09-12T01:34:38.641Z", "source": { "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484/_history/1" }, "entry": [ { "item": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4", "display": "Patient" } } ] }
The List must conform to List (MY Core) with;
- A source declaring main source system
meta.source - MY Core profile declared
meta.profile="http://fhir.hie.moh.gov.my/StructureDefinition/List-my-core" - The status as "current"
status="current" - The mode as "working"
mode="working" - A code to define maternal record "sub-001"
code.coding.code="sub-001" - Title defined as "Maternal Health Record DD-MMM-YYYY"
- e.g.
title:"Maternal Health Record 01-Sep-2023"
- e.g.
- The patient referenced as a subject
subject.referencewith history version stored- e.g.
subject.reference:"Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4"
- e.g.
- The date when record created
date - entry referencing the patient
entry.item.reference
Referring to Maternal Health Record Questionnaire, the Maternal Health Record are generally broken down into a few categories;
- QuestionnaireResponse only
- QuestionnaireResponse + Composition
- Observation
QuestionnaireResponse Only
The main record are mostly stored as QuestionnaireResponse (MY Core) conforming to each defined Maternal Health Record Questionnaire pages.
It is advisable to send as a bundle with both QuestionnaireResponse and List referencing the QuestionnaireResponse as example below:
QuestionnaireResponse only
{ "resourceType": "Bundle", "type": "transaction", "entry": [ { "request": { "method": "PUT", "url": "List/list-sample" }, "resource": { "resourceType": "List", "id": "list-sample", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/List-my-core" ] }, "status": "current", "mode": "working", "title": "Maternal Health Record 12-Sep-2023", "code": { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/sub-record-type-my-core", "code": "sub-001", "display": "Maternal Health Record" } ] }, "subject": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4" }, "date": "2023-09-12T01:34:38.641Z", "source": { "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484/_history/1" }, "entry": [ { "item": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4", "display": "Patient" } }, { "date": "2023-09-12T09:34:41+08:00", "item": { "reference": "QuestionnaireResponse/qr-maternal-01-sample", "display": "maternal-01" } } ] } }, { "request": { "method": "PUT", "url": "QuestionnaireResponse/qr-maternal-01-sample" }, "resource": { "resourceType": "QuestionnaireResponse", "id": "qr-maternal-01-sample", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/template-section", "value": "qr-maternal-01" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-01", "status": "completed", "subject": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4" }, "authored": "2023-09-12T09:34:41+08:00", "item": [ { "linkId": "maternal-1.1", "text": "THA (LNMP)", "answer": [ { "valueDate": "2023-08-01", "item": [ { "linkId": "maternal-1.1.1", "text": "Unsure Date", "answer": [ { "valueBoolean": true } ] } ] } ] }, { "linkId": "maternal-1.2", "text": "TAL (EDD)", "answer": [ { "valueDate": "2024-05-07" } ] }, { "linkId": "maternal-1.3", "text": "RE EDD", "answer": [ { "valueDate": "2024-05-14" } ] }, { "linkId": "maternal-1.4", "text": "Gravida", "answer": [ { "valueInteger": 3 } ] }, { "linkId": "maternal-1.5", "text": "Para", "answer": [ { "valueInteger": 2, "item": [ { "linkId": "maternal-1.5.1", "text": "+", "answer": [ { "valueInteger": 1 } ] }, { "linkId": "maternal-1.5.2", "text": "Para remark", "answer": [ { "valueString": "miscarriage" } ] } ] } ] }, { "linkId": "maternal-1.6", "text": "Jururawat Y/M", "answer": [ { "valueReference": { "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484", "display": "SAIFULDAULAH BIN MOHD HAFIZ NGOO ( Medical Officer )" } }, { "valueReference": { "reference": "PractitionerRole/19c428c2-21aa-4494-b416-22bd51de90d7", "display": "ZULAIKA ( Medical Officer )" } } ] }, { "linkId": "maternal-1.8", "text": "Height", "answer": [ { "valueQuantity": { "value": 168 } } ] }, { "linkId": "maternal-1.9", "text": "Booking Weight", "answer": [ { "valueQuantity": { "value": 55 } } ] }, { "linkId": "maternal-1.10", "text": "BMI", "answer": [ { "valueQuantity": { "value": 19.49 } } ] }, { "linkId": "maternal-1.11", "text": "BMI category", "answer": [ { "valueCoding": { "code": "310252000", "display": "Kurang Berat Badan (BMI < 20)" } } ] } ] } } ] }
The List must conform to List (MY Core) as mentioned above.
The QuestionnaireResponse must conform to QuestionnaireResponse (MY Core) with;
- A source declaring main source system
meta.source - MY Core profile declared
meta.profile="http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" - An identifier of the related page "qr-maternal-[pageNo]"
- e.g.
identifier.system="qr-maternal-01"
- e.g.
- A reference to the questionnaire
- e.g.
questionnaire: "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-01"
- e.g.
- A status as "completed"
status="completed"- e.g.
title:"Maternal Health Record 01-Sep-2023"
- e.g.
- The patient referenced as a subject
subject.reference - The date when record created
authored
These are the pages that stores as a QuestionnaireResponse only;
Click MY Core postman API link to view common API used in HIE.
| No | Title | JSON |
|---|---|---|
| 1. | Rekod Kesihatan Ibu |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-01", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-01", "version": "maternal-1.0.0", "name": "QMaternal01", "title": "Rekod Kesihatan Ibu", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-1.1", "text": "THA (LNMP)", "type": "date", "item": [ { "linkId": "maternal-1.1.1", "text": "Unsure Date", "type": "boolean" } ] }, { "linkId": "maternal-1.2", "text": "TAL (EDD)", "type": "date" }, { "linkId": "maternal-1.3", "text": "RE EDD", "type": "date" }, { "linkId": "maternal-1.4", "text": "Gravida", "type": "integer" }, { "linkId": "maternal-1.5", "text": "Para", "type": "integer", "item": [ { "linkId": "maternal-1.5.1", "text": "+", "type": "integer" }, { "linkId": "maternal-1.5.2", "text": "Para remark", "type": "string", "maxLength": 20 } ] }, { "linkId": "maternal-1.6", "text": "Jururawat Y/M", "type": "reference", "repeats": true }, { "linkId": "maternal-1.7", "text": "Postnatal Address", "type": "string" }, { "linkId": "maternal-1.8", "text": "Height", "type": "quantity" }, { "linkId": "maternal-1.9", "text": "Booking Weight", "type": "quantity" }, { "linkId": "maternal-1.10", "text": "BMI", "type": "quantity" }, { "linkId": "maternal-1.11", "text": "BMI category", "type": "choice", "answerOption": [ { "valueCoding": { "code": "310252000", "display": "Kurang Berat Badan (BMI < 20)" } }, { "valueCoding": { "code": "35425004", "display": "Normal (BMI 20 -24)" } }, { "valueCoding": { "code": "162863004", "display": "Lebih Berat Badan (BMI 25 - 29)" } }, { "valueCoding": { "code": "162864005", "display": "Obese (BMI > 30)" } }, { "valueCoding": { "code": "408512008", "display": "Extreme Obese (BMI > 40)" } } ] }, { "linkId": "maternal-1.12", "text": "Post Natal Record", "type": "boolean" } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-01", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/baseR4/Questionnaire/q-maternal-01", "status": "completed", "subject": { "reference": "Patient/f92c383f-68de-46c1-8cde-970efa2d0f15/_history/1" }, "authored": "2023-01-01T04:14:25+08:00", "item": [ { "linkId": "maternal-1.1", "text": "THA (LNMP)", "answer": [ { "valueDate": "2023-08-01", "item": [ { "linkId": "maternal-1.1.1", "text": "Unsure Date", "answer": [ { "valueBoolean": true } ] } ] } ] }, { "linkId": "maternal-1.2", "text": "TAL (EDD)", "answer": [ { "valueDate": "2024-05-07" } ] }, { "linkId": "maternal-1.3", "text": "RE EDD", "answer": [ { "valueDate": "2024-05-14" } ] }, { "linkId": "maternal-1.4", "text": "Gravida", "answer": [ { "valueInteger": 3 } ] }, { "linkId": "maternal-1.5", "text": "Para", "answer": [ { "valueInteger": 2, "item": [ { "linkId": "maternal-1.5.1", "text": "+", "answer": [ { "valueInteger": 1 } ] }, { "linkId": "maternal-1.5.2", "text": "Para remark", "answer": [ { "valueString": "miscarriage" } ] } ] } ] }, { "linkId": "maternal-1.6", "text": "Jururawat Y/M", "answer": [ { "valueReference": { "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484", "display": "SAIFULDAULAH BIN MOHD HAFIZ NGOO ( Medical Officer )" } }, { "valueReference": { "reference": "PractitionerRole/19c428c2-21aa-4494-b416-22bd51de90d7", "display": "ZULAIKA ( Medical Officer )" } } ] }, { "linkId": "maternal-1.8", "text": "Height", "answer": [ { "valueQuantity": { "value": 168 } } ] }, { "linkId": "maternal-1.9", "text": "Booking Weight", "answer": [ { "valueQuantity": { "value": 55 } } ] }, { "linkId": "maternal-1.10", "text": "BMI", "answer": [ { "valueQuantity": { "value": 19.49 } } ] }, { "linkId": "maternal-1.11", "text": "BMI category", "answer": [ { "valueCoding": { "code": "310252000", "display": "Kurang Berat Badan (BMI < 20)" } } ] } ] } |
| 2. | Perihal Kandungan Lalu |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-02", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-02", "version": "1.0.0", "name": "QMaternal02", "title": "Perihal Kandungan Lalu", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-2.0", "text": "Perihal kandungan lalu", "type": "group", "repeats": true, "item": [ { "linkId": "maternal-2.1", "text": "Perihal kandungan lalu", "type": "group", "repeats": true, "item": [ { "linkId": "maternal-2.1.1", "text": "Tahun", "type": "date" }, { "linkId": "maternal-2.1.2", "text": "Hasil Kandungan", "type": "string" }, { "linkId": "maternal-2.1.3", "text": "Jenis Kelahiran", "type": "string" }, { "linkId": "maternal-2.1.4", "text": "Tempat", "type": "string" }, { "linkId": "maternal-2.1.5", "text": "Disambut Oleh", "type": "string" }, { "linkId": "maternal-2.1.6", "text": "Jantina", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "male", "display": "Lelaki" } }, { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "female", "display": "Perempuan" } } ] }, { "linkId": "maternal-2.1.7", "text": "Berat Lahir", "type": "quantity" }, { "linkId": "maternal-2.1.8", "text": "Komplikasi Ibu", "type": "string" }, { "linkId": "maternal-2.1.9", "text": "Komplikasi Anak", "type": "string" }, { "linkId": "maternal-2.1.10", "text": "Penyusuan susu ibu/tempoh", "type": "string" }, { "linkId": "maternal-2.1.11", "text": "Keadaan anak sekarang", "type": "string" } ] } ] }, { "linkId": "maternal-2.2", "text": "Tarikh Perkahwinan", "type": "date", "repeats": true } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-02", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/template-section", "value": "qr-maternal-02" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-02", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "item": [ { "linkId": "maternal-2.0", "text": "Perihal kandungan lalu", "item": [ { "linkId": "maternal-2.1", "text": "Perihal kandungan lalu", "item": [ { "linkId": "maternal-2.1.1", "text": "Tahun", "answer": [ { "valueDate": "2020-08-05" } ] }, { "linkId": "maternal-2.1.2", "text": "Hasil Kandungan", "answer": [ { "valueString": "1" } ] }, { "linkId": "maternal-2.1.3", "text": "Jenis Kelahiran", "answer": [ { "valueString": "kembar 1" } ] }, { "linkId": "maternal-2.1.4", "text": "Tempat", "answer": [ { "valueString": "tempat entry 1" } ] }, { "linkId": "maternal-2.1.5", "text": "Disambut Oleh", "answer": [ { "valueString": "disambut entry 1" } ] }, { "linkId": "maternal-2.1.6", "text": "Jantina", "answer": [ { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "male", "display": "Lelaki" } } ] }, { "linkId": "maternal-2.1.7", "text": "Berat Lahir", "answer": [ { "valueQuantity": { "value": 2 } } ] }, { "linkId": "maternal-2.1.8", "text": "Komplikasi Ibu", "answer": [ { "valueString": "komplikasi ibu entry 1" } ] }, { "linkId": "maternal-2.1.9", "text": "Komplikasi Anak", "answer": [ { "valueString": "komplikasi anak entry 1" } ] }, { "linkId": "maternal-2.1.10", "text": "Penyusuan susu ibu/tempoh", "answer": [ { "valueString": "1" } ] }, { "linkId": "maternal-2.1.11", "text": "Keadaan anak sekarang", "answer": [ { "valueString": "keadaan entry 1" } ] } ] }, { "linkId": "maternal-2.1", "text": "Perihal kandungan lalu", "item": [ { "linkId": "maternal-2.1.1", "text": "Tahun", "answer": [ { "valueDate": "2020-08-05" } ] }, { "linkId": "maternal-2.1.2", "text": "Hasil Kandungan", "answer": [ { "valueString": "1" } ] }, { "linkId": "maternal-2.1.3", "text": "Jenis Kelahiran", "answer": [ { "valueString": "kembar 2" } ] }, { "linkId": "maternal-2.1.4", "text": "Tempat", "answer": [ { "valueString": "tempat entry 2" } ] }, { "linkId": "maternal-2.1.5", "text": "Disambut Oleh", "answer": [ { "valueString": "disambut entry 2" } ] }, { "linkId": "maternal-2.1.6", "text": "Jantina", "answer": [ { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "female", "display": "Perempuan" } } ] }, { "linkId": "maternal-2.1.7", "text": "Berat Lahir", "answer": [ { "valueQuantity": { "value": 2 } } ] }, { "linkId": "maternal-2.1.8", "text": "Komplikasi Ibu", "answer": [ { "valueString": "komplikasi ibu entry 2" } ] }, { "linkId": "maternal-2.1.9", "text": "Komplikasi Anak", "answer": [ { "valueString": "komplikasi anak entry 2" } ] }, { "linkId": "maternal-2.1.10", "text": "Penyusuan susu ibu/tempoh", "answer": [ { "valueString": "2" } ] }, { "linkId": "maternal-2.1.11", "text": "Keadaan anak sekarang", "answer": [ { "valueString": "keadaan entry 2" } ] } ] } ] }, { "linkId": "maternal-2.0", "text": "Perihal kandungan lalu", "item": [ { "linkId": "maternal-2.1", "text": "Perihal kandungan lalu", "item": [ { "linkId": "maternal-2.1.1", "text": "Tahun", "answer": [ { "valueDate": "2023-08-05" } ] }, { "linkId": "maternal-2.1.2", "text": "Hasil Kandungan", "answer": [ { "valueString": "1" } ] }, { "linkId": "maternal-2.1.3", "text": "Jenis Kelahiran", "answer": [ { "valueString": "bukan kembar" } ] }, { "linkId": "maternal-2.1.4", "text": "Tempat", "answer": [ { "valueString": "tempat entry 3" } ] }, { "linkId": "maternal-2.1.5", "text": "Disambut Oleh", "answer": [ { "valueString": "disambut entry 3" } ] }, { "linkId": "maternal-2.1.6", "text": "Jantina", "answer": [ { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "male", "display": "Lelaki" } } ] }, { "linkId": "maternal-2.1.7", "text": "Berat Lahir", "answer": [ { "valueQuantity": { "value": 2 } } ] }, { "linkId": "maternal-2.1.8", "text": "Komplikasi Ibu", "answer": [ { "valueString": "komplikasi ibu entry 3" } ] }, { "linkId": "maternal-2.1.9", "text": "Komplikasi Anak", "answer": [ { "valueString": "komplikasi anak entry 3" } ] }, { "linkId": "maternal-2.1.10", "text": "Penyusuan susu ibu/tempoh", "answer": [ { "valueString": "1" } ] }, { "linkId": "maternal-2.1.11", "text": "Keadaan anak sekarang", "answer": [ { "valueString": "keadaan entry 3" } ] } ] } ] }, { "linkId": "maternal-2.2", "text": "Tarikh Perkahwinan", "answer": [ { "valueDate": "2003-08-06" }, { "valueDate": "2019-07-31" } ] } ] } |
| 3. | Riwayat Kesihatan Ibu Dan Keluarga |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-03", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-03", "version": "1.0.0", "name": "QMaternal03", "title": "Riwayat Kesihatan Ibu Dan Keluarga", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-3.1", "text": "Haid", "type": "group", "item": [ { "linkId": "maternal-3.1.1", "text": "Jumlah Hari", "type": "quantity" }, { "linkId": "maternal-3.1.2", "text": "Pusingan", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "78456001", "display": "Teratur" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "80182007", "display": "Tidak teratur" } } ] } ] }, { "linkId": "maternal-3.2", "text": "Amalan Perancang Keluarga", "type": "group", "required": true, "item": [ { "linkId": "maternal-3.2.1", "text": "Mengamal perancang keluarga", "type": "boolean" }, { "linkId": "maternal-3.2.2", "text": "Kaedah", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "225370004", "display": "Barrier Method" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "89639000", "display": "Cervical cap and diaphragm" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "268463003", "display": "Coitus Interruptus" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "102954005", "display": "Emergency Contraception" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "137531000119108", "display": "Hormonal patch" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "449038007", "display": "Implant" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "268464009", "display": "Injectables" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "449038007", "display": "Intrauterine Contraception (Hormonal)" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "312079003", "display": "Intrauterine Contraception (Non-Hormonal)" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "237122005", "display": "Lactation Amenorrhoea Methods" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "5935008", "display": "Oral Contraceptives" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "225371000", "display": "Other natural methods" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "268466006", "display": "Spermicidal Contraception" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "137521000119105", "display": "Vaginal Ring" } } ] }, { "linkId": "maternal-3.2.3", "text": "Berapa lama", "type": "quantity" } ] }, { "linkId": "maternal-3.3", "text": "Status Merokok", "type": "group", "item": [ { "linkId": "maternal-3.3.1", "text": "Ibu", "type": "boolean" }, { "linkId": "maternal-3.3.2", "text": "Suami", "type": "boolean" }, { "linkId": "maternal-3.3.3", "text": "Remark Status Merokok", "type": "text" } ] }, { "linkId": "maternal-3.4", "text": "Masalah Perubatan Ibu", "type": "group", "item": [ { "linkId": "maternal-3.4.1", "text": "Masalah Perubatan Ibu", "type": "choice", "repeats": true, "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "73211009", "display": "Diabetes" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "195967001", "display": "Asma" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "40108008", "display": "Thalasemia" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "19442009", "display": "Thalasemia Carrier" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "38341003", "display": "Hipertensi" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "49601007", "display": "Sakit Jantung" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "14304000", "display": "Tiroid" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "609328004", "display": "Alergi" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "56717001", "display": "Tibi" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "363346000", "display": "Kanser" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "74732009", "display": "Psikiatri" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "271737000", "display": "Anemia" } } ] }, { "linkId": "maternal-3.4.2", "text": "Lain-lain Masalah Perubatan Ibu", "type": "string" } ] }, { "linkId": "maternal-3.5", "text": "Saringan Tibi", "type": "group", "item": [ { "linkId": "maternal-3.5.1", "text": "Adakah anda mengalami batuk lebih 2 minggu", "type": "boolean" } ] }, { "linkId": "maternal-3.6", "text": "Masalah Perubatan Keluarga", "type": "group", "item": [ { "linkId": "maternal-3.6.1", "text": "Masalah Perubatan Keluarga", "type": "choice", "repeats": true, "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "73211009", "display": "Diabetes" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "195967001", "display": "Asma" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "271737000", "display": "Anemia" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "38341003", "display": "Hipertensi" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "49601007", "display": "Sakit Jantung" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "40108008", "display": "Thalasemia" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "19442009", "display": "Thalasemia Carrier" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "609328004", "display": "Alergi" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "56717001", "display": "Tibi" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "74732009", "display": "Psikiatri" } } ] }, { "linkId": "maternal-3.6.2", "text": "Lain-lain Masalah Perubatan Keluarga", "type": "string" } ] }, { "linkId": "maternal-3.7", "text": "Status Imunisasi Ibu", "type": "group", "repeats": true, "item": [ { "linkId": "maternal-3.7.1", "text": "Jenis/Dos vaksin", "type": "string" }, { "linkId": "maternal-3.7.2", "text": "Tarikh suntikan", "type": "dateTime" }, { "linkId": "maternal-3.7.3", "text": "Batch No", "type": "string" }, { "linkId": "maternal-3.7.4", "text": "Tarikh Luput", "type": "dateTime" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-03", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/qr-maternal-03", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "item": [ { "linkId": "maternal-3.1", "text": "Haid", "item": [ { "linkId": "maternal-3.1.1", "text": "Jumlah Hari", "answer": [ { "valueQuantity": { "value": 1, "unit": "month" } } ] }, { "linkId": "maternal-3.1.2", "text": "Pusingan", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "78456001", "display": "Teratur" } } ] } ] }, { "linkId": "maternal-3.2", "text": "Amalan Perancang Keluarga", "item": [ { "linkId": "maternal-3.2.1", "text": "Mengamal perancang keluarga", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-3.2.2", "text": "Kaedah", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "225370004", "display": "Barrier Method" } } ] }, { "linkId": "maternal-3.2.3", "text": "Berapa lama", "answer": [ { "valueQuantity": { "value": 1, "unit": "month" } } ] } ] }, { "linkId": "maternal-3.3", "text": "Status Merokok", "item": [ { "linkId": "maternal-3.3.1", "text": "Ibu", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-3.3.2", "text": "Suami", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-3.3.3", "text": "Remark Status Merokok", "answer": [ { "valueString": "Remark status merokok goes here" } ] } ] }, { "linkId": "maternal-3.4", "text": "Masalah Perubatan Ibu", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "73211009", "display": "Diabetes" }, "item": [ { "linkId": "5876813438457", "text": "Lain-lain", "answer": [ { "valueString": "Right Kidney Failure" } ] } ] }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "195967001", "display": "Asma" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "40108008", "display": "Thalasemia" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "56717001", "display": "Tibi" } } ] }, { "linkId": "maternal-3.5", "text": "Saringan Tibi", "item": [ { "linkId": "maternal-3.5.1", "text": "Adakah anda mengalami batuk lebih 2 minggu", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "maternal-3.6", "text": "Masalah Perubatan Keluarga", "item": [ { "linkId": "maternal-3.6.1", "text": "Masalah Perubatan Keluarga", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "195967001", "display": "Asma" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "74732009", "display": "Psikiatri" } } ] }, { "linkId": "maternal-3.6.2", "text": "Lain-lain", "answer": [ { "valueString": "Buta Warna" } ] } ] }, { "linkId": "maternal-3.7", "text": "Status Imunisasi Ibu", "item": [ { "linkId": "maternal-3.7.1", "text": "Jenis/Dos vaksin", "answer": [ { "valueString": "Tetanus/Toxoid" } ] }, { "linkId": "maternal-3.7.2", "text": "Tarikh suntikan", "answer": [ { "valueDateTime": "2022-11-16T09:29:51.092Z" } ] }, { "linkId": "maternal-3.7.3", "text": "Batch No", "answer": [ { "valueString": "1" } ] }, { "linkId": "maternal-3.7.4", "text": "Tarikh Luput", "answer": [ { "valueDateTime": "2022-11-16T09:30:07.668Z" } ] } ] }, { "linkId": "maternal-3.7", "text": "Status Imunisasi Ibu", "item": [ { "linkId": "maternal-3.7.1", "text": "Jenis/Dos vaksin", "answer": [ { "valueString": "Covid-19" } ] }, { "linkId": "maternal-3.7.2", "text": "Tarikh suntikan", "answer": [ { "valueDateTime": "2022-11-16T09:30:40.231Z" } ] }, { "linkId": "maternal-3.7.3", "text": "Batch No", "answer": [ { "valueString": "2" } ] }, { "linkId": "maternal-3.7.4", "text": "Tarikh Luput", "answer": [ { "valueDateTime": "2022-11-16T09:30:46.725Z" } ] } ] } ] } |
| 4. | Akuan Pengambilan Darah bagi Ujian Saringan Antenatal | Consent not stored in HIE |
| 5. | Penyakit/status yang disaring |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-05", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-05", "version": "1.0.0", "name": "QMaternal05", "title": "Penyakit/status yang disaring", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-5.1", "text": "Kumpulan darah & Rhesus", "type": "group", "item": [ { "linkId": "maternal-5.1.1", "text": "Tarikh diambil", "type": "dateTime" }, { "linkId": "maternal-5.1.2", "text": "Keputusan", "type": "string" } ] }, { "linkId": "maternal-5.2", "text": "Syphilis", "type": "group", "repeats": true, "item": [ { "linkId": "maternal-5.2.1", "text": "Tarikh diambil", "type": "dateTime" }, { "linkId": "maternal-5.2.2", "text": "Keputusan", "type": "choice", "answerOption": [ { "valueCoding": { "code": "a1", "display": "Positive" } }, { "valueCoding": { "code": "a2", "display": "Negative" } }, { "valueCoding": { "code": "a3", "display": "Pending" } } ] } ] }, { "linkId": "maternal-5.3", "text": "HIV", "type": "group", "repeats": true, "item": [ { "linkId": "maternal-5.3.1", "text": "Tarikh diambil", "type": "dateTime" }, { "linkId": "maternal-5.3.2", "text": "Keputusan", "type": "choice", "answerOption": [ { "valueCoding": { "code": "a1", "display": "Positive" } }, { "valueCoding": { "code": "a2", "display": "Negative" } }, { "valueCoding": { "code": "a3", "display": "Pending" } } ] } ] }, { "linkId": "maternal-5.4", "text": "Hepatitis B", "type": "group", "repeats": true, "item": [ { "linkId": "maternal-5.4.1", "text": "Tarikh diambil", "type": "dateTime" }, { "linkId": "maternal-5.4.2", "text": "Keputusan", "type": "choice", "answerOption": [ { "valueCoding": { "code": "a1", "display": "Positive" } }, { "valueCoding": { "code": "a2", "display": "Negative" } }, { "valueCoding": { "code": "a3", "display": "Pending" } } ] } ] }, { "linkId": "maternal-5.5", "text": "Malaria (BFMP)", "type": "group", "item": [ { "linkId": "maternal-5.5.1", "text": "Tarikh diambil", "type": "dateTime" }, { "linkId": "maternal-5.5.2", "text": "Keputusan", "type": "string" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-05", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-05", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "item": [ { "linkId": "maternal-5.1", "text": "Kumpulan darah & Rhesus", "item": [ { "linkId": "maternal-5.1.1", "text": "Tarikh diambil", "answer": [ { "valueDateTime": "2022-11-06T06:21:30.609Z" } ] }, { "linkId": "maternal-5.1.2", "text": "Keputusan", "answer": [ { "valueString": "Negatif" } ] } ] }, { "linkId": "maternal-5.2", "text": "Syphilis", "item": [ { "linkId": "maternal-5.2.1", "text": "Tarikh diambil", "answer": [ { "valueDateTime": "2022-11-06T06:21:52.150Z" } ] }, { "linkId": "maternal-5.2.2", "text": "Keputusan", "answer": [ { "valueString": "Negatif" } ] } ] }, { "linkId": "maternal-5.3", "text": "HIV", "item": [ { "linkId": "maternal-5.3.1", "text": "Tarikh diambil", "answer": [ { "valueDateTime": "2022-11-06T06:22:19.917Z" } ] }, { "linkId": "maternal-5.3.2", "text": "Keputusan", "answer": [ { "valueString": "Negatif" } ] } ] }, { "linkId": "maternal-5.4", "text": "Hepatitis B", "item": [ { "linkId": "maternal-5.4.1", "text": "Tarikh diambil", "answer": [ { "valueDateTime": "2022-11-06T06:22:33.169Z" } ] }, { "linkId": "maternal-5.4.2", "text": "Keputusan", "answer": [ { "valueString": "Negatif" } ] } ] }, { "linkId": "maternal-5.5", "text": "Malaria (BFMP)", "item": [ { "linkId": "maternal-5.5.1", "text": "Tarikh diambil", "answer": [ { "valueDateTime": "2022-11-06T06:22:42.997Z" } ] }, { "linkId": "maternal-5.5.2", "text": "Keputusan", "answer": [ { "valueString": "Negatif" } ] } ] } ] } |
| 7. | Pemeriksaan Oleh Pegawai Perubatan dan Pegawai Pergigian |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-07", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-07", "version": "1.0.0", "name": "QMaternal07", "title": "Pemeriksaan Oleh Pegawai Perubatan dan Pegawai Pergigian", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-7.1", "code": [ { "code": "maternal-7.1" } ], "text": "Jenis Pemeriksaan", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core", "code": "maternal-rme-1", "display": "Routine Medical Exam 1 (RME 1)" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core", "code": "maternal-rme-2", "display": "Routine Medical Exam 2 (RME 2)" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core", "code": "maternal-rme-add", "display": "Additional Medical Exam" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core", "code": "maternal-rme-dental", "display": "Dental Routine Medical Exam" } } ] }, { "linkId": "maternal-7.2", "text": "General", "type": "group", "item": [ { "linkId": "maternal-7.2.1", "text": "Pink/Pallor", "type": "string" }, { "linkId": "maternal-7.2.2", "text": "Jaundice", "type": "string" }, { "linkId": "maternal-7.2.3", "text": "BP", "type": "group", "item": [ { "linkId": "maternal-7.2.3.1", "text": "Systolic", "type": "quantity" }, { "linkId": "maternal-7.2.3.2", "text": "Diastolic", "type": "quantity" } ] }, { "linkId": "maternal-7.2.4", "text": "Pulse Rate", "type": "quantity" }, { "linkId": "maternal-7.2.5", "text": "Pulse Rhythm", "type": "string" } ] }, { "linkId": "maternal-7.3", "text": "Neck", "type": "group", "item": [ { "linkId": "maternal-7.3.1", "text": "Swelling", "type": "string" } ] }, { "linkId": "maternal-7.4", "text": "CVS", "type": "group", "item": [ { "linkId": "maternal-7.4.1", "text": "Clubbing", "type": "boolean" }, { "linkId": "maternal-7.4.2", "text": "JVP", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "260399008", "display": "Raised" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } } ] }, { "linkId": "maternal-7.4.3", "text": "Apex Beat", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263739008", "display": "Displaced" } } ] }, { "linkId": "maternal-7.4.4", "text": "Heart Sounds", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "301132007", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "123824001", "display": "Abnormal" } } ] } ] }, { "linkId": "maternal-7.5", "text": "Breast", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ] }, { "linkId": "maternal-7.6", "text": "Lungs", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ] }, { "linkId": "maternal-7.7", "text": "Abdomen", "type": "group", "item": [ { "linkId": "maternal-7.7.1", "text": "SFH", "type": "string" }, { "linkId": "maternal-7.7.2", "text": "FHR", "type": "quantity" } ] }, { "linkId": "maternal-7.8", "text": "Lower limbs", "type": "group", "item": [ { "linkId": "maternal-7.8.1", "text": "Oedema", "type": "boolean" }, { "linkId": "maternal-7.8.2", "text": "Calf tenderness", "type": "boolean" } ] }, { "linkId": "maternal-7.9", "text": "Catatan", "type": "text" } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-07", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-07", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-23T00:42:29.983Z", "item": [ { "linkId": "maternal-7.1", "text": "Jenis Pemeriksaan", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core", "code": "maternal-rme-1", "display": "Routine Medical Exam 1 (RME 1)" } } ] }, { "linkId": "maternal-7.2", "text": "General", "item": [ { "linkId": "maternal-7.2.1", "text": "Pink/Pallor", "answer": [ { "valueString": "pink" } ] }, { "linkId": "maternal-7.2.2", "text": "Jaundice", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-7.2.3", "text": "BP", "item": [ { "linkId": "maternal-7.2.3.1", "text": "Systolic", "answer": [ { "valueQuantity": { "value": 120 } } ] }, { "linkId": "maternal-7.2.3.2", "text": "Diastolic", "answer": [ { "valueQuantity": { "value": 90 } } ] } ] }, { "linkId": "maternal-7.2.4", "text": "Pulse Rate", "answer": [ { "valueQuantity": { "value": 90 } } ] }, { "linkId": "maternal-7.2.5", "text": "Pulse Rhythm", "answer": [ { "valueString": "regularly regular" } ] } ] }, { "linkId": "maternal-7.3", "text": "Neck", "item": [ { "linkId": "maternal-7.3.1", "text": "Swelling", "answer": [ { "valueString": "swelling over less left lower zone, not tethered to skin" } ] } ] }, { "linkId": "maternal-7.4", "text": "CVS", "item": [ { "linkId": "maternal-7.4.1", "text": "Clubbing", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-7.4.2", "text": "JVP", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "260399008", "display": "Raised" } } ] }, { "linkId": "maternal-7.4.3", "text": "Apex Beat", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263739008", "display": "Displaced" } } ] }, { "linkId": "maternal-7.4.4", "text": "Heart Sounds", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "123824001", "display": "Abnormal" } } ] } ] }, { "linkId": "maternal-7.5", "text": "Breast", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } } ] }, { "linkId": "maternal-7.6", "text": "Lungs", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ] }, { "linkId": "maternal-7.7", "text": "Abdomen", "item": [ { "linkId": "maternal-7.7.1", "text": "SFH", "answer": [ { "valueQuantity": { "value": 35 } } ] }, { "linkId": "maternal-7.7.2", "text": "FHR", "answer": [ { "valueQuantity": { "value": 200 } } ] } ] }, { "linkId": "maternal-7.8", "text": "Lower limbs", "item": [ { "linkId": "maternal-7.8.1", "text": "Oedema", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-7.8.2", "text": "Calf tenderness", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "maternal-7.9", "text": "Catatan", "answer": [ { "valueString": "Patient has multiple issues, need to be referral to hospital" } ] } ] } |
| 8. | Senarai Semak Kriteria Untuk Ujian Saringan OGTT |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-08", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-08", "version": "1.0.0", "name": "QMaternal08", "title": "Senarai Semak Kriteria Untuk Ujian Saringan OGTT", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-8.1", "text": "BMI >27 kg/m2", "type": "boolean" }, { "linkId": "maternal-8.2", "text": "Sejarah Gestational Diabetes Mellitus (GDM)", "type": "boolean" }, { "linkId": "maternal-8.3", "text": "Sejarah keluarga terdekat dengan diabetes", "type": "boolean" }, { "linkId": "maternal-8.4", "text": "Sejarah melahirkan bayi macrosomia (berat bayi ≥4 kg)", "type": "boolean" }, { "linkId": "maternal-8.5", "text": "Bad Obstetric History: Sejarah kelahiran IUD/ Stillbirth, kecacatan kongenital (contoh : neural tube defects, cardiac defects), shoulder dystocia", "type": "boolean" }, { "linkId": "maternal-8.6", "text": "Glycosuria ≥ 2 kali", "type": "boolean" }, { "linkId": "maternal-8.7", "text": "Masalah obstetrik sekarang (Hypertensive disease in pregnancy, Polyhdramnios, menerima rawatan Corticosteriods)", "type": "boolean" }, { "linkId": "maternal-8.8", "text": "Umur ≥25 tahun (walaupun tanpa faktor risiko GDM yang lain)", "type": "boolean" } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-08", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-08", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-23T00:42:29.983Z", "item": [ { "linkId": "maternal-8.1", "text": " BMI >27 kg/m2", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-8.2", "text": " Sejarah Gestational Diabetes Mellitus (GDM)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-8.3", "text": "Sejarah keluarga terdekat dengan diabetes", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-8.4", "text": " Sejarah melahirkan bayi macrosomia (berat bayi ≥4 kg)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-8.5", "text": "Bad Obstetric History: Sejarah kelahiran IUD/ Stillbirth, kecacatan kongenital (contoh : neural tube defects, cardiac defects), shoulder dystocia", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-8.6", "text": "Glycosuria ≥ 2 kali", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-8.7", "text": "Masalah obstetrik sekarang (Hypertensive disease in pregnancy, Polyhdramnios, menerima rawatan Corticosteriods)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-8.maternal-8", "text": "Umur ≥25 tahun (walaupun tanpa faktor risiko GDM yang lain)", "answer": [ { "valueBoolean": true } ] } ] } |
| 9. | Keputusan Ujian OGTT |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-09", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-09", "version": "1.0.0", "name": "QMaternal09", "title": "Keputusan Ujian OGTT", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-9.1", "text": "Keputusan Ujian OGTT", "type": "group", "repeats": true, "item": [ { "linkId": "maternal-9.1.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "maternal-9.1.2", "text": "POG", "type": "quantity" }, { "linkId": "maternal-9.1.3", "text": "Fasting Blood Sugar", "type": "quantity" }, { "linkId": "maternal-9.1.4", "text": "2H Postprandial", "type": "quantity" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-09", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-09", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "item": [ { "linkId": "maternal-9.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2022-11-16T00:54:04.078Z" } ] }, { "linkId": "maternal-9.2", "text": "POG", "answer": [ { "valueQuantity": { "value": 12 } } ] }, { "linkId": "maternal-9.3", "text": "Fasting Blood Sugar", "answer": [ { "valueQuantity": { "value": 12 } } ] }, { "linkId": "maternal-9.4", "text": "2H Postprandial", "answer": [ { "valueQuantity": { "value": 12 } } ] } ] } |
| 10. | Pemantauan Paras Gula Dalam Darah |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-10", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-10", "version": "1.0.0", "name": "QMaternal10", "title": "Pemantauan Paras Gula Dalam Darah", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-10.1", "text": "Pemantauan Paras Gula Dalam Darah", "type": "group", "item": [ { "linkId": "maternal-10.1.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "maternal-10.1.2", "text": "Pre Breakfast", "type": "quantity" }, { "linkId": "maternal-10.1.3", "text": "2 Hours Post Breakfast", "type": "quantity" }, { "linkId": "maternal-10.1.4", "text": "Pre Lunch", "type": "quantity" }, { "linkId": "maternal-10.1.5", "text": "2 Hours Post Lunch", "type": "quantity" }, { "linkId": "maternal-10.1.6", "text": "Pre Dinner", "type": "quantity" }, { "linkId": "maternal-10.1.7", "text": "2 Hours Post Dinner", "type": "quantity" }, { "linkId": "maternal-10.1.8", "text": "Pre Bed", "type": "quantity" }, { "linkId": "maternal-10.1.9", "text": "Catatan", "type": "string" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-10", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/template-section", "value": "qr-maternal-10" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-10", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "author": { "reference": "PractitionerRole/08a661a4-2855-47e9-8e2e-cbb43f785ecf/_history/3" }, "item": [ { "linkId": "maternal-10.1", "text": "Pemantauan Paras Gula Dalam Darah", "item": [ { "linkId": "maternal-10.1.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-06-07T05:12:37.828Z" } ] }, { "linkId": "maternal-10.1.2", "text": "Pre Breakfast", "answer": [ { "valueQuantity": { "value": 7.2 } } ] }, { "linkId": "maternal-10.1.3", "text": "2 Hours Post Breakfast", "answer": [ { "valueQuantity": { "value": 6.1 } } ] }, { "linkId": "maternal-10.1.4", "text": "Pre Lunch", "answer": [ { "valueQuantity": { "value": 6.2 } } ] }, { "linkId": "maternal-10.1.5", "text": "2 Hours Post Lunch", "answer": [ { "valueQuantity": { "value": 5 } } ] }, { "linkId": "maternal- 10.1.6", "text": "Pre Dinner", "answer": [ { "valueQuantity": { "value": 4.9 } } ] }, { "linkId": "maternal- 10.1.7", "text": "2 Hours Post Dinner", "answer": [ { "valueQuantity": { "value": 3.2 } } ] }, { "linkId": "maternal-10.1.8", "text": "Pre Bed", "answer": [ { "valueQuantity": { "value": 2 } } ] }, { "linkId": "maternal-10.1.6", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] } |
| 11. | Pemantauan Tekanan Darah |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-11", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-11", "version": "1.0", "name": "QMaternal11", "title": "Pemantauan Tekanan Darah", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-11.1", "text": "Pemantauan Tekanan Darah", "type": "group", "repeats": true, "item": [ { "linkId": "maternal-11.1.1", "text": "Tarikh", "type": "date" }, { "linkId": "maternal-11.1.2", "text": "Masa", "type": "time" }, { "linkId": "maternal-11.1.3", "text": "Simptom", "type": "text" }, { "linkId": "maternal-11.1.4", "text": "Tekanan Darah", "type": "group", "item": [ { "linkId": "maternal-11.1.4.1", "text": "Sistolik", "type": "quantity" }, { "linkId": "maternal-11.1.4.2", "text": "Diastolik", "type": "quantity" } ] }, { "linkId": "maternal-11.1.5", "text": "Denyutan Jantung Janin", "type": "quantity" }, { "linkId": "maternal-11.1.6", "text": "Urin Protein", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "167273002", "display": "Not Detected" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167274008", "display": "Trace" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167275009", "display": "1+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167276005", "display": "2+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167277001", "display": "3+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167278006", "display": "4+" } } ] } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-11", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-11", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "item": [ { "linkId": "maternal-11.1", "text": "Pemantauan Tekanan Darah", "item": [ { "linkId": "maternal-11.1.1", "text": "Tarikh", "answer": [ { "valueDate": "2022-11-15" } ] }, { "linkId": "maternal-11.1.2", "text": "Masa", "answer": [ { "valueTime": "14:00:50" } ] }, { "linkId": "maternal-11.1.3", "text": "Simptom", "answer": [ { "valueString": "Pitam" } ] }, { "linkId": "maternal-11.1.4", "text": "Tekanan Darah", "item": [ { "linkId": "maternal-11.1.4.1", "text": "Sistolik", "answer": [ { "valueQuantity": { "value": 130 } } ] }, { "linkId": "maternal-11.1.4.2", "text": "Diastolik", "answer": [ { "valueQuantity": { "value": 80 } } ] } ] }, { "linkId": "maternal-11.1.5", "text": "Denyutan Jantung Janin", "answer": [ { "valueQuantity": { "value": 110 } } ] }, { "linkId": "maternal-11.1.6", "text": "Urin Protein", "answer": [ { "valueQuantity": { "value": 3 } } ] } ] } ] } |
| 12. | Pemantauan Profil Pre-Eclampsia |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-12", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-12", "name": "QMaternal12", "title": "Pemantauan Profil Pre-Eclampsia", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-12.1", "text": "Pemantauan Profil Pre-Eclampsia", "type": "group", "repeats": true, "item": [ { "linkId": "maternal-12.1.1", "text": "Tarikh", "type": "date" }, { "linkId": "maternal-12.1.2", "text": "POA/POG", "type": "quantity" }, { "linkId": "maternal-12.1.3", "text": "Tekanan Darah (BP)", "type": "group", "item": [ { "linkId": "maternal-12.1.3.1", "text": "Sistolik", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "maternal-12.1.3.2", "text": "Diastolik", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] } ] }, { "linkId": "maternal-12.1.4", "text": "Proteinuria", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "167273002", "display": "Not Detected" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167274008", "display": "Trace" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167275009", "display": "1+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167276005", "display": "2+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167277001", "display": "3+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167278006", "display": "4+" } } ] }, { "linkId": "maternal-12.1.5", "text": "Urea", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "mmol/L", "system": "http://unitsofmeasure.org", "code": "mmol/L" } } ] }, { "linkId": "maternal-12.1.6", "text": "Creatinine", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "umol/L", "system": "http://unitsofmeasure.org", "code": "umol/L" } } ] }, { "linkId": "maternal-12.1.7", "text": "Uric Acid", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "mmol/L", "system": "http://unitsofmeasure.org", "code": "mmol/L" } } ] }, { "linkId": "maternal-12.1.8", "text": "Hemoglobin", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "g/dL", "system": "http://unitsofmeasure.org", "code": "g/dL" } } ] }, { "linkId": "maternal-12.1.9", "text": "Platelet", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "10*3/uL", "system": "http://unitsofmeasure.org", "code": "10*3/uL" } } ] }, { "linkId": "maternal-12.1.10", "text": "AST", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "IU/L", "system": "http://unitsofmeasure.org", "code": "[IU]/L" } } ] }, { "linkId": "maternal-12.1.11", "text": "ALT", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "IU/L", "system": "http://unitsofmeasure.org", "code": "[IU]/L" } } ] }, { "linkId": "maternal-12.1.12", "text": "Nama Pemeriksa", "type": "string" }, { "linkId": "maternal-12.1.13", "text": "Masa", "type": "dateTime" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-12", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-12", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "item": [ { "linkId": "maternal-12.1", "text": "Pemantauan Profil Pre-Eclampsia", "item": [ { "linkId": "maternal-12.1.1", "text": "Tarikh", "answer": [ { "valueDate": "2023-02-22" } ] }, { "linkId": "maternal-12.1.2", "text": "POA/POG", "answer": [ { "valueQuantity": { "value": 2, "unit": "week", "system": "http://unitsofmeasure.org", "code": "wk" } } ] }, { "linkId": "maternal-12.1.3", "text": "Tekanan Darah (BP)", "item": [ { "linkId": "maternal-12.1.3.1", "text": "Sistolik", "answer": [ { "valueQuantity": { "value": 120, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "maternal-12.1.3.2", "text": "Diastolik", "answer": [ { "valueQuantity": { "value": 80, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] } ] }, { "linkId": "maternal-12.1.4", "text": "Proteinuria", "answer": [ { "valueQuantity": { "value": 150, "unit": "g/day", "system": "http://unitsofmeasure.org", "code": "g/d" } } ] }, { "linkId": "maternal-12.1.5", "text": "Urea", "answer": [ { "valueQuantity": { "value": 40, "unit": "g/mmol", "system": "http://unitsofmeasure.org", "code": "g/mmol" } } ] }, { "linkId": "maternal-12.1.6", "text": "Creatinine", "answer": [ { "valueQuantity": { "value": 4, "unit": "umol/L", "system": "http://unitsofmeasure.org", "code": "umol/L" } } ] }, { "linkId": "maternal-12.1.7", "text": "Uric Acid", "answer": [ { "valueQuantity": { "value": 3, "unit": "mg/dL", "system": "http://unitsofmeasure.org", "code": "mg/dL" } } ] }, { "linkId": "maternal-12.1.8", "text": "Hemoglobin", "answer": [ { "valueQuantity": { "value": 12, "unit": "g/dL", "system": "http://unitsofmeasure.org", "code": "g/dL" } } ] }, { "linkId": "maternal-12.1.9", "text": "Platelet", "answer": [ { "valueQuantity": { "value": 260, "unit": "10*3/uL", "system": "http://unitsofmeasure.org", "code": "10*3/uL" } } ] }, { "linkId": "maternal-12.1.10", "text": "AST", "answer": [ { "valueQuantity": { "value": 23, "unit": "U/L", "system": "http://unitsofmeasure.org", "code": "U/L" } } ] }, { "linkId": "maternal-12.1.11", "text": "ALT", "answer": [ { "valueQuantity": { "value": 23, "unit": "U/L", "system": "http://unitsofmeasure.org", "code": "U/L" } } ] }, { "linkId": "maternal-12.1.12", "text": "Nama Pemeriksa", "answer": [ { "valueString": "Jannah" } ] } ] } ] } |
| 13. | Pemantauan Peningkatan Berat Badan Ibu Antenatal |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-13", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-13", "version": "1.0.0", "name": "QMaternal13", "title": "Pemantauan Peningkatan Berat Badan Ibu Antenatal", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-13.1", "text": "Tinggi", "type": "quantity" }, { "linkId": "maternal-13.2", "text": "Berat Ibu Sebelum Hamil", "type": "quantity" }, { "linkId": "maternal-13.3", "text": "Nilai BMI Sebelum Hamil", "type": "quantity" }, { "linkId": "maternal-13.4", "text": "Status BMI Sebelum Hamil", "type": "choice", "answerOption": [ { "valueCoding": { "code": "310252000", "display": "Kurang Berat Badan (BMI < 20)" } }, { "valueCoding": { "code": "35425004", "display": "Normal (BMI 20 -24)" } }, { "valueCoding": { "code": "162863004", "display": "Lebih Berat Badan (BMI 25 - 29)" } }, { "valueCoding": { "code": "162864005", "display": "Obese (BMI > 30)" } }, { "valueCoding": { "code": "408512008", "display": "Extreme Obese (BMI > 40)" } } ] }, { "linkId": "maternal-13.5", "text": "Jadual Berat Badan Sepanjang Kehamilan", "type": "group", "repeats": true, "item": [ { "linkId": "maternal-13.5.1", "text": "Tarikh Lawatan", "type": "dateTime" }, { "linkId": "maternal-13.5.2", "text": "Minggu Gestasi", "type": "quantity" }, { "linkId": "maternal-13.5.3", "text": "Berat Badan (kg)", "type": "quantity" }, { "linkId": "maternal-13.5.4", "text": "Peningkatan Berat Badan (kg)", "type": "quantity" }, { "linkId": "maternal-13.5.5", "text": "Kadar Peningkatan Berat Badan (kg)/ minggu", "type": "quantity" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-13", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-13", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "item": [ { "linkId": "maternal-13.1", "text": "Tinggi", "answer": [ { "valueQuantity": { "value": 165, "unit": "meter", "system": "http://unitsofmeasure.org", "code": "m" } } ] }, { "linkId": "maternal-13.2", "text": "Berat Ibu Sebelum Hamil", "answer": [ { "valueQuantity": { "value": 50, "unit": "kilogram", "system": "http://unitsofmeasure.org", "code": "kg" } } ] }, { "linkId": "maternal-13.3", "text": "Nilai BMI Sebelum Hamil", "answer": [ { "valueQuantity": { "value": 20, "unit": "kilogram per square meter", "system": "http://unitsofmeasure.org", "code": "kg/m2" } } ] }, { "linkId": "maternal-13.4", "text": "Status BMI Sebelum Hamil", "answer": [ { "valueCoding": { "code": "35425004", "display": "Normal (BMI 20 -24)" } } ] }, { "linkId": "maternal-13.5", "text": "Jadual Berat Badan Sepanjang Kehamilan", "item": [ { "linkId": "maternal-13.5.1", "text": "Tarikh Lawatan", "answer": [ { "valueDateTime": "2022-11-30T07:58:42.817Z" } ] }, { "linkId": "maternal-13.5.2", "text": "Minggu Gestasi", "answer": [ { "valueQuantity": { "value": 3 } } ] }, { "linkId": "maternal-13.5.3", "text": "Berat Badan (kg)", "answer": [ { "valueQuantity": { "value": 52, "unit": "kilogram", "system": "http://unitsofmeasure.org", "code": "kg" } } ] }, { "linkId": "maternal-13.5.4", "text": "Peningkatan Berat Badan (kg)", "answer": [ { "valueQuantity": { "value": 2, "unit": "kilogram", "system": "http://unitsofmeasure.org", "code": "kg" } } ] }, { "linkId": "maternal-13.5.5", "text": "Kadar Peningkatan Berat Badan (kg)/ minggu", "answer": [ { "valueQuantity": { "value": 2 } } ] } ] } ] } |
| 14. | Hb monitoring |
Store and displayed from Obstetric Hb (MY Core) record |
| 15. | Keputusan Pemeriksaan Ultrasound |
Store and displayed from Obstetric Us (MY Core) record |
| 16. | Fetal Growth Chart |
Store and displayed from Foetal Kick (MY Core) record |
| 17. | Sistem Kod Warna dan Senarai Semak Penjagaan Antenatal |
Questionnaire
{ "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": "2024-02-12T04:04:09.5621857+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 ≥38ËšC 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" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-17", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-17", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-23T00:42:29.983Z", "item": [ { "linkId": "maternal-17.0", "text": "Trimester of Assessment", "answer": [ { "valueCoding": { "code": "00", "display": "Trimester 1 (<12 month)" } } ] }, { "linkId": "maternal-17.1", "text": "Jangkamasa tidak datang haid", "answer": [ { "valueString": "12/52" } ] }, { "linkId": "maternal-17.3", "text": "Senarai Semak Pengendalian Ibu Hamil (Kod Merah)", "item": [ { "linkId": "maternal-17.3.1", "text": "Eclampsia", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.2", "text": "Pre-eclampsia (tekanan darah tinggi dengan urin protein)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.3", "text": "Hypertensive crisis", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.4", "text": "Penyakit jantung semasa mengandung, dengan tanda dan gejala (sesak nafas, berdebar-debar)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.5", "text": "Sesak nafas dan/ atau kadar pernafasan >22/min", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.6", "text": "Pendarahan antepartum (termasuk keguguran)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.7", "text": "Denyutan jantung janin yang abnormal • FHR <110/min selepas 22/52 • FHR >160/min selepas 32/52", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.8", "text": "Anemia dengan simptom pada mana-mana gestasi atau Hb ≤7g/dL", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.9", "text": " Kontraksi rahim pramatang", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.10", "text": "Keluar air ketuban tanpa kontraksi", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.11", "text": " Sawan", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.12", "text": "Demam dengan tanda-tanda sepsis (lesu, dehidrasi, tachycardia)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.13", "text": "Kes disyaki denggi (demam berserta sakit kepala, sakit sendi, sakit perut, muntah, cirit birit dan sebagainya)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.14", "text": "Gejala Deep Vein Thrombosis (DVT) dan/ atau Pulmonary Embolism", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.3.15", "text": "Keinginan mencederakan / bunuh diri", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "maternal-17.4", "text": "Senarai Semak Pengendalian Ibu Hamil (Kod Kuning)", "item": [ { "linkId": "maternal-17.4.1", "text": "Ibu HIV positif", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.2", "text": "Ibu Hepatitis B positif", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.3", "text": "Ibu Tuberkulosis/ Malaria/ Syphilis", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.4", "text": "Tekanan darah >140/90 - <160/100mmHg tanpa/dengan urin protein", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.5", "text": "Tekanan darah tinggi (140/90mmHg) dengan urin protein", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.6", "text": "Ibu diabetes dengan rawatan dan/ atau komplikasi", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.7", "text": "**Pergerakan janin kurang semasa kandungan ≥32 minggu dengan faktor risiko", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.8", "text": "Kandungan melebihi 7 hari dari EDD", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.9", "text": "Ibu dengan masalah perubatan yang memerlukan rawatan bersama di hospital", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.10", "text": "Ibu tunggal atau ibu remaja (<20 tahun)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.11", "text": "Ibu berumur ≥40 tahun", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.12", "text": "Hemoglobin 7 - <9g/dL dan asymptomatic", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.13", "text": "Placenta previa tanpa pendarahan", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.14", "text": "Maternal pyrexia ≥38ËšC atau >3 hari", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.15", "text": "Penyakit jantung tanpa gejala", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.16", "text": "*Ketagihan dadah/ rokok/ alkohol", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.17", "text": "Skor risiko antenatal Venous Thromboembolism (VTE) ≥3", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.18", "text": "Kandungan kembar", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.19", "text": "Masalah kesihatan mental", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.4.20", "text": "BMI >40kgm/2", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "maternal-17.5", "text": "Senarai Semak Pengendalian Ibu Hamil (Kod Hijau)", "item": [ { "linkId": "maternal-17.5.1", "text": "Rh negatif", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.5.2", "text": "Berat badan ibu sebelum mengandung atau ketika booking <45kg", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.5.3", "text": "Obes (≥30.0kg/m²)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.5.4", "text": "Pertambahan berat badan yang mendadak (>2 kg dalam seminggu)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.5.5", "text": "Berat badan statik atau menurun (dalam tempoh sebulan)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.5.6", "text": "Masalah perubatan semasa", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.5.7", "text": "Masalah ginekologi yang lalu (fibroid, cyst, pembedahan)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.5.8", "text": "LNMP yang tidak pasti", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-17.5.9", "text": "3 kali keguguran yang berturutan", "answer": [ { "valueBoolean": true } ] } ] } ] } |
| 18. | Senarai Semak Risiko VTE Semasa Hamil dan Puerperium |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-18", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-18", "version": "1.0.0", "name": "QMaternal18", "title": "Senarai Semak Risiko VTE Semasa Hamil dan Puerperium", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "description": "Reference: Prevention & Treatment of Thromboembolism in Pregnancy and Puerperium, 2018", "purpose": "*Note: Thromboprophylaxis is recommended during the transient period. Consider stopping once the transient risks are deemed no longer significant.", "code": [ { "code": "q-maternal-18" } ], "item": [ { "linkId": "maternal-18.1", "code": [ { "code": "maternal-18.1" } ], "prefix": "1", "text": "VTE risk factor", "type": "choice", "answerOption": [ { "valueCoding": { "code": "00", "display": "Pre pregnancy/Booking" } }, { "valueCoding": { "code": "01", "display": "Admission New Illness" } }, { "valueCoding": { "code": "02", "display": "Post Delivery" } } ] }, { "linkId": "maternal-18.2", "code": [ { "code": "maternal-18.2" } ], "prefix": "2", "text": "Pre-existing risk factors", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "linkId": "maternal-18.2.1", "code": [ { "code": "maternal-18.2.1" } ], "prefix": "2.1", "text": "Previous VTE (VTE Score - 4)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "linkId": "maternal-18.2.2", "code": [ { "code": "maternal-18.2.2" } ], "prefix": "2.2", "text": "High risk thrombophilia (VTE Score - 3)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "linkId": "maternal-18.2.3", "code": [ { "code": "maternal-18.2.3" } ], "prefix": "2.3", "text": "Medical comorbidities (VTE Score - 3)", "type": "boolean" }, { "linkId": "maternal-18.2.4", "code": [ { "code": "maternal-18.2.4" } ], "prefix": "2.4", "text": "Obesity", "type": "choice", "answerOption": [ { "valueCoding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "00", "display": "BMI ≥40kg/m2 (VTE Score - 2)" } }, { "valueCoding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "01", "display": "BMI 30-39kg/m2 (VTE Score - 1)" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "linkId": "maternal-18.2.5", "code": [ { "code": "maternal-18.2.5" } ], "prefix": "2.5", "text": "Family history of VTE (VTE Score - 1)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "linkId": "maternal-18.2.6", "code": [ { "code": "maternal-18.2.6" } ], "prefix": "2.6", "text": "Low risk thrombophilia (VTE Score - 1)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "linkId": "maternal-18.2.7", "code": [ { "code": "maternal-18.2.7" } ], "prefix": "2.7", "text": "Current smoker >10 per day (VTE Score - 1)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "linkId": "maternal-18.2.8", "code": [ { "code": "maternal-18.2.8" } ], "prefix": "2.8", "text": "Gross varicose veins(VTE Score - 1)", "type": "boolean" } ] }, { "linkId": "maternal-18.3", "code": [ { "code": "maternal-18.3" } ], "prefix": "4", "text": "Obstetric risk factors", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "linkId": "maternal-18.3.1", "code": [ { "code": "maternal-18.3.1" } ], "prefix": "3.1", "text": "Caesaren section (emergency & elective) (VTE Score - 2)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "linkId": "maternal-18.3.2", "code": [ { "code": "maternal-18.3.2" } ], "prefix": "3.2", "text": "Pre eclampsia (VTE Score - 1)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "linkId": "maternal-18.3.3", "code": [ { "code": "maternal-18.3.3" } ], "prefix": "3.3", "text": "IVF (1st trimester risk only) (VTE Score - 1)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "linkId": "maternal-18.3.4", "code": [ { "code": "maternal-18.3.4" } ], "prefix": "3.4", "text": "Rotational instrumental delivery (VTE Score - 1)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "linkId": "maternal-18.3.5", "code": [ { "code": "maternal-18.3.5" } ], "prefix": "3.5", "text": "PPH (>100mls) or requires blood transfusion (VTE Score - 1)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "linkId": "maternal-18.3.6", "code": [ { "code": "maternal-18.3.6" } ], "prefix": "3.6", "text": "Stillbirth (current) (VTE Score - 1)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "linkId": "maternal-18.3.7", "code": [ { "code": "maternal-18.3.7" } ], "prefix": "3.7", "text": "Prolonged labour (>24 hours) (VTE Score - 1)", "type": "boolean" } ] }, { "linkId": "maternal-18.4", "code": [ { "code": "maternal-18.4" } ], "prefix": "4", "text": "Transient risk factors", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "linkId": "maternal-18.4.1", "code": [ { "code": "maternal-18.4.1" } ], "prefix": "4.1", "text": "Surgical procedures (excluding episiotomy, 1st & 2nd degree perineal repair, evacuation of products of conception) (VTE Score - 4)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "linkId": "maternal-18.4.2", "code": [ { "code": "maternal-18.4.2" } ], "prefix": "4.2", "text": "Hyperemesis gravidarum / OHSS (VTE Score - 4)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "linkId": "maternal-18.4.3", "code": [ { "code": "maternal-18.4.3" } ], "prefix": "4.3", "text": "Systemic/ Postpartum infection (VTE Score - 1)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "linkId": "maternal-18.4.4", "code": [ { "code": "maternal-18.4.4" } ], "prefix": "4.4", "text": "Immobility Dehydration/ Admission beyond 3 days (VTE Score - 1)", "type": "boolean" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "linkId": "maternal-18.4.5", "code": [ { "code": "maternal-18.4.5" } ], "prefix": "4.5", "text": "Long distance travel (> 4hours) (VTE Score - 1)", "type": "boolean" } ] }, { "linkId": "maternal-18.5", "code": [ { "code": "maternal-18.5" } ], "prefix": "5", "text": "Total score", "type": "quantity" } ] } QuestionnaireResponse
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| 19. | Carta Pergerakan Janin |
Store and displayed from Foetal Kick (MY Core) record |
| 20. | Pemeriksaan Kandungan Semasa |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-20", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-20", "version": "1.0.0", "name": "QMaternal20", "title": "Pemeriksaan Kandungan Semasa", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "description": "Description of routine examiniation", "purpose": "Purpose of routine examination", "item": [ { "linkId": "maternal-20.1", "code": [ { "code": "maternal-20.1" } ], "text": "Jenis Lawatan", "type": "choice", "answerOption": [ { "valueCoding": { "code": "maternal-lk", "display": "Lawatan Klinik" } }, { "valueCoding": { "code": "maternal-lr", "display": "Lawatan Rumah" } } ] }, { "linkId": "maternal-20.2", "code": [ { "code": "maternal-20.2" } ], "text": "Ujian Makmal", "type": "group", "item": [ { "linkId": "maternal-20.2.1", "code": [ { "code": "maternal-20.2.1" } ], "text": "Urin Protein", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "167273002", "display": "Not Detected" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167274008", "display": "Trace" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167275009", "display": "1+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167276005", "display": "2+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167277001", "display": "3+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167278006", "display": "4+" } } ], "item": [ { "linkId": "maternal-20.2.1.1", "code": [ { "code": "maternal-20.2.1.1" } ], "text": "Urin Protein Remark", "type": "string" } ] }, { "linkId": "maternal-20.2.2", "code": [ { "code": "maternal-20.2.2" } ], "text": "Urin Sugar", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "167273002", "display": "Not Detected" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167262009", "display": "Trace" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167264005", "display": "1+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167265006", "display": "2+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167266007", "display": "3+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167267003", "display": "4+" } } ], "item": [ { "linkId": "maternal-20.2.2.1", "code": [ { "code": "maternal-20.2.2.1" } ], "text": "Urin Sugar Remark", "type": "string" } ] }, { "linkId": "maternal-20.2.3", "code": [ { "code": "maternal-20.2.3" } ], "text": "Hb", "type": "quantity" } ] }, { "linkId": "maternal-20.3", "code": [ { "code": "maternal-20.3" } ], "text": "Pemeriksaan", "type": "group", "item": [ { "linkId": "maternal-20.3.1", "code": [ { "system": "http://loinc.org", "code": "29463-7", "display": "Weight" } ], "text": "Berat", "type": "quantity" }, { "linkId": "maternal-20.3.2", "code": [ { "system": "http://loinc.org", "code": "35094-2", "display": "Blood pressure panel" } ], "text": "Blood Pressure", "type": "group", "item": [ { "linkId": "maternal-20.3.2.1", "code": [ { "system": "http://loinc.org", "code": "8480-6", "display": "Systolic Blood Pressure" } ], "text": "Systolic", "type": "quantity" }, { "linkId": "maternal-20.3.2.2", "code": [ { "system": "http://loinc.org", "code": "8462-4", "display": "Diastolic Blood Pressure" } ], "text": "Diastolic", "type": "quantity" } ] }, { "linkId": "maternal-20.3.3", "code": [ { "system": "http://loinc.org", "code": "59408-5", "display": "Heart Rate" } ], "text": "Nadi", "type": "quantity" }, { "linkId": "maternal-20.3.4", "code": [ { "system": "http://snomed.info/sct", "code": "267038008", "display": "Edema" } ], "text": "Edema", "type": "string" } ] }, { "linkId": "maternal-20.4", "code": [ { "code": "maternal-20.4" } ], "text": "Kandungan", "type": "group", "item": [ { "linkId": "maternal-20.4.1", "code": [ { "code": "maternal-20.4.1" } ], "text": "Tempoh hamil", "type": "quantity" }, { "linkId": "maternal-20.4.2", "code": [ { "system": "http://snomed.info/sct", "code": "364253002", "display": "Fundal height of uterus" } ], "text": "Tinggi Rahim", "type": "string" } ] }, { "linkId": "maternal-20.5", "code": [ { "code": "maternal-20.5" } ], "text": "Janin", "type": "group", "item": [ { "linkId": "maternal-20.5.1", "code": [ { "code": "maternal-20.5.1" } ], "text": "Presentasi", "type": "string" }, { "linkId": "maternal-20.5.2", "code": [ { "system": "http://snomed.info/sct", "code": "249043002", "display": "Fetal heart rate" } ], "text": "Jantung", "type": "string" }, { "linkId": "maternal-20.5.3", "code": [ { "code": "maternal-20.5.3" } ], "text": "Gerak", "type": "string" } ] }, { "linkId": "maternal-20.6", "code": [ { "code": "maternal-20.6" } ], "text": "Masalah", "type": "text" }, { "linkId": "maternal-20.7", "code": [ { "code": "maternal-20.7" } ], "text": "Pengendalian dan Rawatan", "type": "text" }, { "linkId": "maternal-20.8", "code": [ { "code": "maternal-20.8" } ], "text": "Tarikh Temujanji", "type": "dateTime", "repeats": true } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-20", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-20", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2023-02-06T03:56:06+08:00", "author": { "reference": "PractitionerRole/cd16e0cb-3e0f-43bb-9197-901f5daff3ba/_history/23" }, "item": [ { "linkId": "maternal-20.1", "text": "Jenis Lawatan", "answer": [ { "valueCoding": { "code": "maternal-lk", "display": "Lawatan Klinik" } } ] }, { "linkId": "maternal-20.2", "text": "Ujian Makmal", "item": [ { "linkId": "maternal-20.2.1", "text": "Urin Protein", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "167275009", "display": "1+" }, "item": [ { "linkId": "maternal-20.2.1.1", "text": "Urin Protein Remark", "answer": [ { "valueString": "Urin Protein remark" } ] } ] } ] }, { "linkId": "maternal-20.2.2", "text": "Urin Sugar", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "167265006", "display": "2+" }, "item": [ { "linkId": "maternal-20.2.2.1", "text": "Urin Sugar Remark", "answer": [ { "valueString": "Urin Sugar Remark" } ] } ] } ] }, { "linkId": "maternal-20.2.3", "text": "Hb", "answer": [ { "valueQuantity": { "value": 12 } } ] } ] }, { "linkId": "maternal-20.3", "text": "Pemeriksaan", "item": [ { "linkId": "maternal-20.3.1", "text": "Berat", "answer": [ { "valueQuantity": { "value": 55 } } ] }, { "linkId": "maternal-20.3.2", "text": "Blood Pressure", "item": [ { "linkId": "maternal-20.3.2.1", "text": "Systolic", "answer": [ { "valueQuantity": { "value": 120 } } ] }, { "linkId": "maternal-20.3.2.2", "text": "Diastolic ", "answer": [ { "valueQuantity": { "value": 90 } } ] } ] }, { "linkId": "maternal-20.3.3", "text": "Nadi", "answer": [ { "valueQuantity": { "value": 90 } } ] }, { "linkId": "maternal-20.3.4", "text": "Edema", "answer": [ { "valueString": "0" } ] } ] }, { "linkId": "maternal-20.4", "text": "Kandungan", "item": [ { "linkId": "maternal-20.4.1", "text": "Tempoh hamil", "answer": [ { "valueQuantity": { "value": 38 } } ] }, { "linkId": "maternal-20.4.2", "text": "Tinggi Rahim", "answer": [ { "valueString": "12" } ] } ] }, { "linkId": "maternal-20.5", "text": "Janin", "item": [ { "linkId": "maternal-20.5.1", "text": "Presentasi", "answer": [ { "valueString": "cephalic" } ] }, { "linkId": "maternal-20.5.2", "text": "Jantung", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-20.5.3", "text": "Gerak", "answer": [ { "valueString": "normal" } ] } ] }, { "linkId": "maternal-20.6", "text": "Masalah", "answer": [ { "valueString": "tiada pape\n1\n2\n3" } ] }, { "linkId": "maternal-20.7", "text": "Pengendalian dan Rawatan", "answer": [ { "valueString": "tiada pape\n1\n2\n3" } ] }, { "linkId": "maternal-20.8", "text": "Tarikh Temujanji", "answer": [ { "valueDateTime": "2023-08-02T01:48:08.524Z" }, { "valueDateTime": "2023-08-18T01:48:13.826Z" } ] } ] } |
| 21. | Kemasukan Hospital |
Questionnaire
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| 22. | Nota Discaj | Refer Composition (MY Core) for Discharge Summary |
| 23. | Perihal Kelahiran (Diisi oleh Penyambut Kelahiran) |
Questionnaire
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"Syntocinon", "type": "boolean" } ] }, { "linkId": "maternal-23.1.5", "text": "Placenta", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "00", "display": "Lengkap" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "01", "display": "Tidak Lengkap" } } ] }, { "linkId": "maternal-23.1.6", "text": "Berat Placenta", "type": "quantity" }, { "linkId": "maternal-23.1.7", "text": "Cara Kelahiran", "type": "group", "item": [ { "linkId": "maternal-23.1.7.1", "text": "Spontaneous Vagina Delivery", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "00", "display": "Cephalic" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "01", "display": "Breech" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "02", "display": "Assisted Breech" } } ] }, { "linkId": "maternal-23.1.7.2", "text": "Instrumental Delivery", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "00", "display": "Forcep" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "01", "display": "Vacuum" } } ] }, { "linkId": "maternal-23.1.7.3", "text": "Indication", "type": "string" }, { "linkId": "maternal-23.1.7.4", "text": "Caesarean", "type": "group", "item": [ { "linkId": "maternal-23.1.7.4.1", "text": "Urgency", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "00", "display": "Elective" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "01", "display": "Emergency" } } ] }, { "linkId": "maternal-23.1.7.4.2", "text": "Method", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "03", "display": "LSCS" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "04", "display": "Classical" } } ] }, { "linkId": "maternal-23.1.7.4.3", "text": "Indications", "type": "string" } ] } ] }, { "linkId": "maternal-23.1.8", "text": "Komplikasi Semasa Bersalin", "type": "group", "item": [ { "linkId": "maternal-23.1.8.1", "text": "Post Partum Hemorhrhage (PPH)", "type": "boolean" }, { "linkId": "maternal-23.1.8.2", "text": "Retained Placenta", "type": "boolean" }, { "linkId": "maternal-23.1.8.3", "text": "Parineal Tear", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "00", "display": "1st Degree" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "01", "display": "2nd Degree" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "02", "display": "3rd Degree" } } ] }, { "linkId": "maternal-23.1.8.4", "text": "Lain-lain", "type": "string" } ] }, { "linkId": "maternal-23.1.9", "text": "Permulaan Penyusuan Susu Ibu dan Sentuhan Kulit ke Kulit (Diisi oleh Hospital)", "type": "group", "item": [ { "linkId": "maternal-23.1.9.1", "text": "Bayi diberikan kepada ibu sejurus selepas bersalin", "type": "boolean" }, { "linkId": "maternal-23.1.9.2", "text": "Sekiranya bayi tidak diberikan kepada ibu sejurus selepas bersalin, nyatakan sebab", "type": "string" }, { "linkId": "maternal-23.1.9.3", "text": "Ibu dan bayi menerima sentuhan kulit ke kulit selama 1 jam", "type": "boolean" }, { "linkId": "maternal-23.1.9.4", "text": "Sekiranya ibu dan bayi tidak menerima sentuhan kulit ke kulit selama 1 jam, nyatakan sebab", "type": "string" } ] } ] }, { "linkId": "maternal-23.2", "text": "Perihal Bayi", "type": "group", "item": [ { "linkId": "maternal-23.2.1", "text": "Berat Lahir", "type": "quantity" }, { "linkId": "maternal-23.2.2", "text": "Jantina", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "male", "display": "Male" } }, { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "female", "display": "Female" } }, { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "other", "display": "Undertermined" } }, { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "unknown", "display": "Unknown" } } ] }, { "linkId": "maternal-23.2.3", "text": "Ukuran Panjang", "type": "quantity" }, { "linkId": "maternal-23.2.4", "text": "Lilitan Kepala", "type": "quantity" }, { "linkId": "maternal-23.2.5", "text": "Lilitan Dada", "type": "quantity" }, { "linkId": "maternal-23.2.6", "text": "Keadaan Bayi", "type": "group", "item": [ { "linkId": "maternal-23.2.6.1", "text": "Keadaan", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "18", "display": "Lahir hidup" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "19", "display": "Lahir mati" } } ] }, { "linkId": "maternal-23.2.6.2", "text": "Skor Apgar 1 minit", "type": "integer" }, { "linkId": "maternal-23.2.6.3", "text": "Skor Apgar 5 minit", "type": "integer" }, { "linkId": "maternal-23.2.6.4", "text": "Abnormaliti Kongenital", "type": "boolean" }, { "linkId": "maternal-23.2.6.5", "text": "Jika ada abnormaliti, nyatakan", "type": "string" }, { "linkId": "maternal-23.2.6.6", "text": "Suntikan Vit K diberi", "type": "boolean", "item": [ { "linkId": "maternal-23.2.6.6.1", "text": "Tarikh", "type": "date" }, { "linkId": "maternal-23.2.6.6.2", "text": "Masa", "type": "time" }, { "linkId": "maternal-23.2.6.6.3", "text": "Diberi oleh", "type": "string" } ] }, { "linkId": "maternal-23.2.6.7", "text": "Suntikan Hepatitis B dos 1 diberi", "type": "boolean", "item": [ { "linkId": "maternal-23.2.6.7.1", "text": "Tarikh", "type": "date" }, { "linkId": "maternal-23.2.6.7.2", "text": "Masa", "type": "time" }, { "linkId": "maternal-23.2.6.7.3", "text": "Diberikan oleh", "type": "string" }, { "linkId": "maternal-23.2.6.7.4", "text": "No Batch", "type": "string" }, { "linkId": "maternal-23.2.6.7.5", "text": "Tarikh Luput", "type": "dateTime" } ] }, { "linkId": "maternal-23.2.6.8", "text": "Tarikh diambil G6PD", "type": "dateTime" }, { "linkId": "maternal-23.2.6.9", "text": "Tarikh diambil saringan conginetal hypothyodism (T4/TSH)", "type": "dateTime" } ] } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-23", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/qr-maternal-23", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "item": [ { "linkId": "maternal-23.1", "text": "Perihal Ibu", "item": [ { "linkId": "maternal-23.1.1", "text": "Tempat Kelahiran", "answer": [ { "valueString": "Hospital Kuala Lumpur" } ] }, { "linkId": "maternal-23.1.2", "text": "Disambut oleh", "answer": [ { "valueString": "Dr. Azizah Md Noor" } ] }, { "linkId": "maternal-23.1.3", "text": "Tarikh lahir dan masa", "answer": [ { "valueDateTime": "2022-11-20T08:52:55.571Z" } ] }, { "linkId": "maternal-23.1.4", "text": "Suntikan", "item": [ { "linkId": "maternal-23.1.4.1", "text": "Syntometrin", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "maternal-23.1.5", "text": "Placenta", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "00", "display": "Lengkap" }, "item": [ { "linkId": "maternal-23.1.5.1", "text": "Berat", "answer": [ { "valueQuantity": { "value": 470 } } ] } ] } ] }, { "linkId": "maternal-23.1.6", "text": "Cara Kelahiran", "item": [ { "linkId": "maternal-23.1.6.1", "text": "Spontaneous Vagina Delivery", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "01", "display": "Breech" } } ] }, { "linkId": "maternal-23.1.6.2", "text": "Instrumental Delivery", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "00", "display": "Forcep" }, "item": [ { "linkId": "maternal-23.1.6.2.1", "text": "Indication", "answer": [ { "valueString": "No" } ] } ] } ] }, { "linkId": "maternal-23.1.6.3", "text": "Caesarean", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "00", "display": "Elective" }, "item": [ { "linkId": "maternal-23.1.6.3.1", "text": "Types", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "01", "display": "Classical" } } ] }, { "linkId": "maternal-23.1.6.3.2", "text": "Indications", "answer": [ { "valueString": "No" } ] } ] } ] } ] }, { "linkId": "maternal-23.1.7", "text": "Komplikasi Semasa Bersalin", "item": [ { "linkId": "maternal-23.1.7.1", "text": "Post Partum Hemorhrhage (PPH)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-23.1.7.2", "text": "Retained Placenta", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-23.1.7.3", "text": "Parineal Tear", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "00", "display": "1st Degree" } } ] }, { "linkId": "maternal-23.1.7.4", "text": "Lain-lain", "answer": [ { "valueString": "No" } ] } ] }, { "linkId": "maternal-23.1.8", "text": "Permulaan Penyusuan Susu Ibu dan Sentuhan Kulit ke Kulit (Diisi oleh Hospital)", "item": [ { "linkId": "maternal-23.1.8.1", "text": "Bayi diberikan kepada ibu sejurus selepas bersalin", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "maternal-23.1.8.1.1", "text": "Sekiranya tidak, nyatakan sebab", "answer": [ { "valueString": "No" } ] } ] } ] }, { "linkId": "23.1.8.2", "text": "Ibu dan bayi menerima sentuhan kulit ke kulit selama 1 jam", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "maternal-23.1.8.2.1", "text": "Sekiranya tidak, nyatakan sebab", "answer": [ { "valueString": "No" } ] } ] } ] } ] } ] }, { "linkId": "maternal-23.2", "text": "Perihal Bayi", "item": [ { "linkId": "maternal-23.2.1", "text": "Berat Lahir", "answer": [ { "valueQuantity": { "value": 2.6 } } ] }, { "linkId": "maternal-23.2.2", "text": "Jantina", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "01", "display": "Perempuan" } } ] }, { "linkId": "maternal-23.2.3", "text": "Lilitan Kepala", "answer": [ { "valueQuantity": { "value": 32 } } ] }, { "linkId": "maternal-23.2.4", "text": "Lilitan Dada", "answer": [ { "valueQuantity": { "value": 15.5 } } ] }, { "linkId": "maternal-23.2.5", "text": "Keadaan Bayi", "item": [ { "linkId": "maternal-23.2.5.1", "text": "Keadaan", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "18", "display": "Lahir hidup" } } ] }, { "linkId": "maternal-23.2.5.2", "text": "Skop Apgar", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "00", "display": "1 minit" } } ] }, { "linkId": "maternal-23.2.5.3", "text": "Abnormaliti Kongenital", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "23.2.5.3.1", "text": "Jika ada, nyatakan", "answer": [ { "valueString": "ear" } ] } ] } ] }, { "linkId": "maternal-23.2.5.4", "text": "Suntikan Vit K diberi", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "maternal-23.2.5.4.1", "text": "Tarikh", "answer": [ { "valueDate": "2022-11-22" } ] }, { "linkId": "maternal-23.2.5.4.2", "text": "Masa", "answer": [ { "valueTime": "09:40:17" } ] }, { "linkId": "maternal-23.2.5.4.3", "text": "Diberi oleh", "answer": [ { "valueString": "Jururawat Aminah" } ] } ] } ] }, { "linkId": "maternal-23.2.5.5", "text": "Suntikan Hepatitis B dos 1 diberi", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "maternal-23.2.5.5.1", "text": "Tarikh", "answer": [ { "valueDate": "2022-11-23" } ] }, { "linkId": "maternal-23.2.5.5.2", "text": "Masa", "answer": [ { "valueTime": "09:36:02" } ] }, { "linkId": "maternal-23.2.5.5.3", "text": "Diberikan oleh", "answer": [ { "valueString": "Jururawat Aminah" } ] } ] } ] }, { "linkId": "maternal-23.2.5.6", "text": "G6PD", "item": [ { "linkId": "maternal-23.2.5.6.1", "text": "Tarikh diambil", "answer": [ { "valueDate": "2022-11-23" } ] } ] }, { "linkId": "maternal-23.2.5.7", "text": "Saringan Conginetal Hypothyodism", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "00", "display": "T4" }, "item": [ { "linkId": "maternal-23.2.5.7.1", "text": "Tarikh diambil", "answer": [ { "valueDate": "2023-02-22" } ] } ] } ] } ] } ] } ] } |
| 24. | Perawatan Postnatal Dirumah |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-24", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-24", "version": "1.0.0", "name": "QMaternal24", "title": "Perawatan Postnatal Dirumah", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-24.1", "text": "Suhu badan", "type": "quantity" }, { "linkId": "maternal-24.2", "text": "Tekanan darah", "type": "group", "item": [ { "linkId": "maternal-24.2.1", "text": "Sistolik", "type": "quantity" }, { "linkId": "maternal-24.2.2", "text": "Diastolik", "type": "quantity" } ] }, { "linkId": "maternal-24.3", "text": "Nadi", "type": "quantity" }, { "linkId": "maternal-24.4", "text": "Penafasan", "type": "quantity" }, { "linkId": "maternal-24.5", "text": "Payudara", "type": "string" }, { "linkId": "maternal-24.6", "text": "Tinggi rahim", "type": "string" }, { "linkId": "maternal-24.7", "text": "Lokia", "type": "group", "item": [ { "linkId": "maternal-24.7.1", "text": "Bau", "type": "string" }, { "linkId": "maternal-24.7.2", "text": "Jenis", "type": "choice", "answerOption": [ { "valueCoding": { "code": "a1", "display": "Rubra" } }, { "valueCoding": { "code": "a2", "display": "Serosa" } }, { "valueCoding": { "code": "a3", "display": "Alba" } } ] }, { "linkId": "maternal-24.7.3", "text": "Pad chart", "type": "string" } ] }, { "linkId": "maternal-24.8", "text": "Perineum/luka episiotomi", "type": "string" }, { "linkId": "maternal-24.9", "text": "Luka pembedahan", "type": "string" }, { "linkId": "maternal-24.10", "text": "PU", "type": "string" }, { "linkId": "maternal-24.11", "text": "BO", "type": "string" }, { "linkId": "maternal-24.12", "text": "Ibu bergerak/berjalan (ambulasi)", "type": "string" }, { "linkId": "maternal-24.13", "text": "Menilai simptom kemurungan /psikosis ibu", "type": "string" }, { "linkId": "maternal-24.14", "text": "Tanda & simptom DVT/Pulmonary Thromboembolism", "type": "group", "item": [ { "linkId": "maternal-24.14.1", "text": "Sakit dada", "type": "boolean" }, { "linkId": "maternal-24.14.2", "text": "Susah bernafas", "type": "boolean" }, { "linkId": "maternal-24.14.3", "text": "Sakit/bengkak kaki", "type": "boolean" }, { "linkId": "maternal-24.14.4", "text": "Redness/inflammation of lower limb", "type": "boolean" }, { "linkId": "maternal-24.14.5", "text": "Calf tenderness", "type": "boolean" } ] }, { "linkId": "maternal-24.15", "text": "Catatan", "type": "text" } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-24", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-24", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "author": { "reference": "PractitionerRole/cd16e0cb-3e0f-43bb-9197-901f5daff3ba/_history/27" }, "item": [ { "linkId": "maternal-24.1", "text": "Suhu badan", "answer": [ { "valueQuantity": { "value": 37 } } ] }, { "linkId": "maternal-24.2", "text": "Tekanan darah", "item": [ { "linkId": "maternal-24.2.1", "text": "Sistolik", "answer": [ { "valueQuantity": { "value": 120 } } ] }, { "linkId": "maternal-24.2.2", "text": "Diastolik", "answer": [ { "valueQuantity": { "value": 90 } } ] } ] }, { "linkId": "maternal-24.3", "text": "Nadi", "answer": [ { "valueQuantity": { "value": 90 } } ] }, { "linkId": "maternal-24.4", "text": "Penafasan", "answer": [ { "valueQuantity": { "value": 20 } } ] }, { "linkId": "maternal-24.5", "text": "Payudara", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-24.6", "text": "Tinggi rahim", "answer": [ { "valueQuantity": { "value": 8 } } ] }, { "linkId": "maternal-24.7", "text": "Lokia", "item": [ { "linkId": "maternal-24.7.1", "text": "Bau", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-24.7.2", "text": "Rubra", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-24.7.3", "text": "Serosa", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-24.7.4", "text": "Alba", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-24.7.5", "text": "Pad chart", "answer": [ { "valueString": "normal" } ] } ] }, { "linkId": "maternal-24.8", "text": "Perineum/luka episiotomi", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-24.9", "text": "Luka pembedahan", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-24.10", "text": "PU", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-24.11", "text": "BO", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-24.12", "text": "Ibu bergerak/berjalan (ambulasi)", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-24.13", "text": "Menilai simptom kemurungan /psikosis ibu", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-24.14", "text": "Tanda & simptom DVT/Pulmonary Thromboembolism", "item": [ { "linkId": "maternal-24.14.1", "text": "Sakit dada", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-24.14.2", "text": "Susah bernafas", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-24.14.3", "text": "Sakit/bengkak kaki", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-24.14.4", "text": "Redness/inflammation of lower limb", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-24.14.5", "text": "Calf tenderness", "answer": [ { "valueBoolean": true } ] } ] } ] } |
| 25. | Masalah Dikesan Semasa Postnatal, Pengendalian dan Rawatan |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-25", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-25", "version": "1.0.0", "name": "QMaternal25", "title": "Masalah Dikesan Semasa Postnatal, Pengendalian dan Rawatan", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-25.1", "text": "Masalah", "type": "text" }, { "linkId": "maternal-25.2", "text": "Pengendalian dan rawatan", "type": "text" } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-25", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-25", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "author": { "reference": "PractitionerRole/cd16e0cb-3e0f-43bb-9197-901f5daff3ba/_history/23" }, "item": [ { "linkId": "maternal-25.1", "text": "Masalah", "answer": [ { "valueString": "Masalah html entries goes here" } ] }, { "linkId": "maternal-25.2", "text": "Pengendalian dan rawatan", "answer": [ { "valueString": "Pengendalian dan rawatan html entries goes here" } ] } ] } |
| 26. | Jadual Suntikan Thromboprophylaxis Untuk Ibu Postnatal |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-26", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-26", "version": "1.0.0", "name": "QMaternal26", "title": "Jadual Suntikan Thromboprophylaxis Untuk Ibu Postnatal ((SUBCUTANEOUS UNFRACTIONATED HEPARIN/ LOW MOLECULAR WEIGHT HEPARIN) - Jika Berkaitan", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-26.1", "text": "Nama ubat", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "373294004", "display": "Low Molecular Weight Heparin" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "372877000", "display": "Subcutaneous Unfractionated Heparin" } } ] }, { "linkId": "maternal-26.2", "text": "Dos", "type": "quantity" }, { "linkId": "maternal-26.3", "text": "Tarikh", "type": "date" }, { "linkId": "maternal-26.4", "text": "Masa", "type": "dateTime" } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-26", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/template-section", "value": "qr-maternal-26" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-26", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14+08:00", "author": { "reference": "PractitionerRole/08a661a4-2855-47e9-8e2e-cbb43f785ecf/_history/3" }, "item": [ { "linkId": "maternal-26.1", "text": "Nama ubat", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "373294004", "display": "Low Molecular Weight Heparin" } } ] }, { "linkId": "maternal-26.2", "text": "Dos", "answer": [ { "valueQuantity": { "value": 2121, "unit": "mg" } } ] }, { "linkId": "maternal-26.3", "text": "Tarikh", "answer": [ { "valueDate": "2023-06-13" } ] }, { "linkId": "maternal-26.4", "text": "Masa", "answer": [ { "valueDateTime": "2023-06-12T03:55:08+08:00" } ] } ] } |
| 27. | Senarai Semak Keberkesanan Penyusuan Susu Ibu Semasa Postnatal |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-27", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-27", "version": "1.0.0", "name": "QMaternal27", "title": "Senarai Semak Keberkesanan Penyusuan Susu Ibu Semasa Postnatal", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-27.1", "text": "Jenis Lawatan", "type": "choice", "answerOption": [ { "valueCoding": { "code": "00", "display": "Lawatan Postnatal Pertama" } }, { "valueCoding": { "code": "01", "display": "Mengikut Keperluan" } }, { "valueCoding": { "code": "02", "display": "Lawatan Postnatal Terakhir" } } ] }, { "linkId": "maternal-27.2", "text": "Tanda-tanda am penyusuan susu ibu berjalan dengan baik", "type": "group", "item": [ { "linkId": "maternal-27.2.1", "text": "Ibu kelihatan sihat", "type": "boolean" }, { "linkId": "maternal-27.2.2", "text": "Ibu tenang dan selesa", "type": "boolean" }, { "linkId": "maternal-27.2.3", "text": "Tanda kasih sayang antara ibu dan bayinya", "type": "boolean" }, { "linkId": "maternal-27.2.4", "text": "Bayi kelihatan sihat", "type": "boolean" }, { "linkId": "maternal-27.2.5", "text": "Bayi tenang dan selesa", "type": "boolean" }, { "linkId": "maternal-27.2.6", "text": "Bayi mencapai payudara apabila lapar", "type": "boolean" } ] }, { "linkId": "maternal-27.3", "text": "Payudara", "type": "group", "item": [ { "linkId": "maternal-27.3.1", "text": "Payudara kelihatan sihat", "type": "boolean" }, { "linkId": "maternal-27.3.2", "text": "Tidak sakit atau tidak selesa", "type": "boolean" }, { "linkId": "maternal-27.3.3", "text": "Diampu dengan baik, jauh dari areola", "type": "boolean" }, { "linkId": "maternal-27.3.4", "text": "Puting menonjol dan protractile", "type": "boolean" } ] }, { "linkId": "maternal-27.4", "text": "Posisi bayi", "type": "group", "item": [ { "linkId": "maternal-27.4.1", "text": "Kepala dan abdan bayi lurus", "type": "boolean" }, { "linkId": "maternal-27.4.2", "text": "Badan bayi rapat dan menghadap ibu", "type": "boolean" }, { "linkId": "maternal-27.4.3", "text": "Seluruh badan bayi diampu", "type": "boolean" }, { "linkId": "maternal-27.4.4", "text": "Bayi mencapai payudara ibu, hidung bayi bertentangan dengan puting payudara ibu", "type": "boolean" } ] }, { "linkId": "maternal-27.5", "text": "Pelengkapan bayi", "type": "group", "item": [ { "linkId": "maternal-27.5.1", "text": "Kelihatan lebih areola di atas mulut bayi", "type": "boolean" }, { "linkId": "maternal-27.5.2", "text": "Mulut bayi terbuka luas", "type": "boolean" }, { "linkId": "maternal-27.5.3", "text": "Bibir bawah melengkup keluar", "type": "boolean" }, { "linkId": "maternal-27.5.4", "text": "Dagu bayi menyentuh payudara ibu", "type": "boolean" } ] }, { "linkId": "maternal-27.6", "text": "Penghisapan", "type": "group", "item": [ { "linkId": "maternal-27.6.1", "text": "Penghisapan perlahan dan mendalam", "type": "boolean" }, { "linkId": "maternal-27.6.2", "text": "Pipi penuh dan bulat", "type": "boolean" }, { "linkId": "maternal-27.6.3", "text": "Bayi melepaskan payudara dengan sendiri bila habis menyusu", "type": "boolean" }, { "linkId": "maternal-27.6.4", "text": "Ibu merasai tanda refleks oksitosin", "type": "boolean" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-27", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-27", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "item": [ { "text": "Jenis Lawatan", "linkId": "maternal-27.1", "answer": [ { "valueCoding": { "code": "00", "display": "Lawatan Postnatal Pertama" } } ] }, { "text": "Tanda-tanda am penyusuan susu ibu berjalan dengan baik", "linkId": "maternal-27.2", "item": [ { "text": "Ibu kelihatan sihat", "linkId": "maternal-27.2.1", "answer": [ { "valueBoolean": true } ] }, { "text": "Ibu tenang dan selesa", "linkId": "maternal-27.2.2", "answer": [ { "valueBoolean": true } ] }, { "text": "Tanda kasih sayang antara ibu dan bayinya", "linkId": "maternal-27.2.3", "answer": [ { "valueBoolean": true } ] }, { "text": "Bayi kelihatan sihat", "linkId": "maternal-27.2.4", "answer": [ { "valueBoolean": true } ] }, { "text": "Bayi tenang dan selesa", "linkId": "maternal-27.2.5", "answer": [ { "valueBoolean": true } ] }, { "text": "Bayi mencapai payudara apabila lapar", "linkId": "maternal-27.2.6", "answer": [ { "valueBoolean": true } ] } ] }, { "text": "Payudara", "linkId": "maternal-27.3", "item": [ { "text": "Payudara kelihatan sihat", "linkId": "maternal-27.3.1", "answer": [ { "valueBoolean": true } ] }, { "text": "Tidak sakit atau tidak selesa", "linkId": "maternal-27.3.2", "answer": [ { "valueBoolean": true } ] }, { "text": "Diampu dengan baik, jauh dari areola", "linkId": "maternal-27.3.3", "answer": [ { "valueBoolean": true } ] }, { "text": "Puting menonjol dan protractile", "linkId": "maternal-27.3.4", "answer": [ { "valueBoolean": true } ] } ] }, { "text": "Posisi bayi", "linkId": "maternal-27.4", "item": [ { "text": "Kepala dan abdan bayi lurus", "linkId": "maternal-27.4.1", "answer": [ { "valueBoolean": true } ] }, { "text": "Badan bayi rapat dan menghadap ibu", "linkId": "maternal-27.4.2", "answer": [ { "valueBoolean": true } ] }, { "text": "Seluruh badan bayi diampu", "linkId": "maternal-27.4.3", "answer": [ { "valueBoolean": true } ] }, { "text": "Bayi mencapai payudara ibu, hidung bayi bertentangan dengan puting payudara ibu", "linkId": "maternal-27.4.4", "answer": [ { "valueBoolean": true } ] } ] }, { "text": "Pelengkapan bayi", "linkId": "maternal-27.5", "item": [ { "text": "Kelihatan lebih areola di atas mulut bayi", "linkId": "maternal-27.5.1", "answer": [ { "valueBoolean": true } ] }, { "text": "Mulut bayi terbuka luas", "linkId": "maternal-27.5.2", "answer": [ { "valueBoolean": true } ] }, { "text": "Bibir bawah melengkup keluar", "linkId": "maternal-27.5.3", "answer": [ { "valueBoolean": true } ] }, { "text": "Dagu bayi menyentuh payudara ibu", "linkId": "maternal-27.5.4", "answer": [ { "valueBoolean": true } ] } ] }, { "text": "Penghisapan", "linkId": "maternal-27.6", "item": [ { "text": "Penghisapan perlahan dan mendalam", "linkId": "maternal-27.6.1", "answer": [ { "valueBoolean": true } ] }, { "text": "Pipi penuh dan bulat", "linkId": "maternal-27.6.2", "answer": [ { "valueBoolean": true } ] }, { "text": "Bayi melepaskan payudara dengan sendiri bila habis menyusu", "linkId": "maternal-27.6.3", "answer": [ { "valueBoolean": true } ] }, { "text": "Ibu merasai tanda refleks oksitosin", "linkId": "maternal-27.6.4", "answer": [ { "valueBoolean": true } ] } ] } ] } |
| 28. | Senarai Semak Penjagaan Postnatal Mengikut Kod Warna |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-28", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-28", "version": "1.0.0", "name": "QMaternal28", "title": "Senarai Semak Penjagaan Postnatal Mengikut Kod Warna", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "purpose": "Senarai semak ini digunakan oleh anggota kesihatan ketika menjalankan penjagaan postnatal. Ia perlu bagi pengesanan faktor risiko dan pengendalian semasa penjagaan postnatal", "item": [ { "linkId": "maternal-28.0", "code": [ { "code": "maternal-28.0" } ], "text": "Hari Postnatal", "type": "quantity" }, { "linkId": "maternal-28.1", "code": [ { "code": "maternal-28.1" } ], "text": "Rumusan", "type": "choice", "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": "160245001", "display": "Tiada Risiko" } } ] }, { "linkId": "maternal-28.2", "code": [ { "code": "maternal-28.2" } ], "text": "Kod Merah", "type": "group", "item": [ { "linkId": "maternal-28.2.1", "code": [ { "code": "maternal-28.2.1" } ], "text": "Eclampsia", "type": "boolean" }, { "linkId": "maternal-28.2.2", "code": [ { "code": "maternal-28.2.2" } ], "text": "Pre-eclampsia yang teruk (BP >140/90mmHg, proteinuria) \nSimptomatik: \n– sakit kepala, pening, kabur penglihatan, sakit epigastrik, mual", "type": "boolean" }, { "linkId": "maternal-28.2.3", "code": [ { "code": "maternal-28.2.3" } ], "text": "PPH( Post partum haemorrhage)", "type": "boolean" }, { "linkId": "maternal-28.2.4", "code": [ { "code": "maternal-28.2.4" } ], "text": "Retained placenta/ Product of conception", "type": "boolean" }, { "linkId": "maternal-28.2.5", "code": [ { "code": "maternal-28.2.5" } ], "text": "Masalah kencing/ urinary:", "type": "group", "item": [ { "linkId": "maternal-28.2.5.1", "code": [ { "code": "maternal-28.2.5.1" } ], "text": "Tidak boleh kencing (Acute urinary retention)", "type": "boolean" }, { "linkId": "maternal-28.2.5.2", "code": [ { "code": "maternal-28.2.5.2" } ], "text": "Incontinence", "type": "boolean" } ] }, { "linkId": "maternal-28.2.6", "code": [ { "code": "maternal-28.2.6" } ], "text": "Ibu penghidap penyakit jantung bersalin di rumah", "type": "boolean" }, { "linkId": "maternal-28.2.7", "code": [ { "code": "maternal-28.2.7" } ], "text": "Ibu Rhesus negatif bersalin di rumah", "type": "boolean" }, { "linkId": "maternal-28.2.8", "code": [ { "code": "maternal-28.2.8" } ], "text": "Tanda dan simptom deep vein thrombosis/ pulmonary embolism:", "type": "group", "item": [ { "linkId": "maternal-28.2.8.1", "code": [ { "code": "maternal-28.2.8.1" } ], "text": "Susah bernafas", "type": "boolean" }, { "linkId": "maternal-28.2.8.2", "code": [ { "code": "maternal-28.2.8.2" } ], "text": "Sakit/ bengkak betis (calf tenderness/ swelling)", "type": "boolean" }, { "linkId": "maternal-28.2.8.3", "code": [ { "code": "maternal-28.2.8.3" } ], "text": "Sakit dada", "type": "boolean" }, { "linkId": "maternal-28.2.8.4", "code": [ { "code": "maternal-28.2.8.4" } ], "text": "Kemerahan/ keradangan kaki(redness/ inflammation of lower limbs)", "type": "boolean" } ] }, { "linkId": "maternal-28.2.9", "code": [ { "code": "maternal-28.2.9" } ], "text": "Hematoma di bahagian luka episiotomi/ pembedahan caesarean", "type": "boolean" }, { "linkId": "maternal-28.2.10", "code": [ { "code": "maternal-28.2.10" } ], "text": "Anemia yang teruk (Hb <7g/dL)", "type": "boolean" }, { "linkId": "maternal-28.2.11", "code": [ { "code": "maternal-28.2.11" } ], "text": "Anemia Hb <9g/dL dengan tanda-tanda seperti sesak nafas, berdebar-debar, pucat, mudah letih dan pitam", "type": "boolean" }, { "linkId": "maternal-28.2.12", "code": [ { "code": "maternal-28.2.12" } ], "text": "Simptom respiratori: \n- Sesak nafas, \n- Batuk berdarah berpanjangan, \n- Serangan asma", "type": "boolean" }, { "linkId": "maternal-28.2.13", "code": [ { "code": "maternal-28.2.13" } ], "text": "Puerperal Sepsis: Demam, lokia berbau busuk/ luar biasa", "type": "boolean" }, { "linkId": "maternal-28.2.14", "code": [ { "code": "maternal-28.2.14" } ], "text": "Keinginan ingin mencederakan/membunuh diri", "type": "boolean" } ] }, { "linkId": "maternal-28.3", "code": [ { "code": "maternal-28.3" } ], "text": "Kod Kuning", "type": "group", "item": [ { "linkId": "maternal-28.3.1", "code": [ { "code": "maternal-28.3.1" } ], "text": "BP >140/90mmHg, asimptomatik, tiada proteinuria", "type": "boolean" }, { "linkId": "maternal-28.3.2", "code": [ { "code": "maternal-28.3.2" } ], "text": "Sebarang simptom yang membimbangkan contoh: loya dan muntah, sakit kepala", "type": "boolean" }, { "linkId": "maternal-28.3.3", "code": [ { "code": "maternal-28.3.3" } ], "text": "Jangkitan (wound breakdown)/ di bahagian luka episiotomi/ pembedahan caesaeran", "type": "boolean" }, { "linkId": "maternal-28.3.4", "code": [ { "code": "maternal-28.3.4" } ], "text": "Demam ≥ 37.5 º C", "type": "boolean" }, { "linkId": "maternal-28.3.5", "code": [ { "code": "maternal-28.3.5" } ], "text": "Keadaan obstetric bagi kes bersalin di rumah: \n- Kematian perinatal, \n- Berat badan bayi <2.5kg atau >3.5kg", "type": "boolean" }, { "linkId": "maternal-28.3.6", "code": [ { "code": "maternal-28.3.6" } ], "text": "Rahim yang tidak mengecut (subinvolution of uterus)", "type": "boolean" }, { "linkId": "maternal-28.3.7", "code": [ { "code": "maternal-28.3.7" } ], "text": "Ibu yang menunjukkan tanda-tanda : \n- Psikiatrik (eg.murung,emosi tidak stabil) \n- Kecacatan mental atau fizikal \n- Keganasan rumah tangga/ sosial", "type": "boolean" }, { "linkId": "maternal-28.3.8", "code": [ { "code": "maternal-28.3.8" } ], "text": "Masalah penyusuan susu ibu: \n- Bengkak payudara \n- Puting luka \n- Puting merekah", "type": "boolean" }, { "linkId": "maternal-28.3.9", "code": [ { "code": "maternal-28.3.9" } ], "text": "Masalah kencing \n- Kencing kerap (frequency) \n- Sakit kencing (dysuria)", "type": "boolean" }, { "linkId": "maternal-28.3.10", "code": [ { "code": "maternal-28.3.10" } ], "text": "Rujukan dengan Temujanji Haemoglobin <9g/dL asimptomatik", "type": "boolean" }, { "linkId": "maternal-28.3.11", "code": [ { "code": "maternal-28.3.12" } ], "text": "Rujukan dengan Temujanji Masalah perubatan yang baru dikesan/keciciran - Contoh: SLE, Diabetes Mellitus, HIV positif, Hepatitis B positif, penyakit buah pinggang semasa mengandung, sel darah abnormal (blood dyscrasias), syphilis yang belum dirawat", "type": "boolean" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-28", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-28", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "author": { "reference": "Practitioner/3d431987-df04-4018-9af3-d9928cac031f" }, "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/template-section", "value": "qr-maternal-28" }, "item": [ { "linkId": "maternal-28.0", "text": "Hari Postnatal", "answer": [ { "valueQuantity": { "value": 12, "unit": "12" } } ] }, { "linkId": "maternal-28.1", "text": "Rumusan", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "386713009", "display": "Merah" } } ] }, { "linkId": "maternal-28.2", "text": "Kod Merah", "item": [ { "linkId": "maternal-28.2.1", "text": "Eclampsia", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.2.2", "text": "Pre-eclampsia yang teruk (BP >140/90mmHg, proteinuria) \n Simptomatik: \n – sakit kepala, pening, kabur penglihatan, sakit epigastrik, mual", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.2.3", "text": "PPH( Post partum haemorrhage)", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.2.4", "text": "Retained placenta/ Product of conception", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.2.5", "text": "Masalah kencing/ urinary:", "item": [ { "linkId": "maternal-28.2.5.1", "text": "Tidak boleh kencing (Acute urinary retention)", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.2.5.2", "text": "Incontinence", "answer": [ { "valueBoolean": false } ] } ] }, { "linkId": "maternal-28.2.6", "text": "Ibu penghidap penyakit jantung bersalin di rumah", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.2.7", "text": "Ibu Rhesus negatif bersalin di rumah", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.2.8", "text": "Tanda dan simptom deep vein thrombosis/ pulmonary embolism:", "item": [ { "linkId": "maternal-28.2.8.1", "text": "Susah bernafas", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-28.2.8.2", "text": "Sakit/ bengkak betis (calf tenderness/ swelling)", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.2.8.3", "text": "Sakit dada", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-28.2.8.4", "text": "Kemerahan/ keradangan kaki(redness/ inflammation of lower limbs)", "answer": [ { "valueBoolean": false } ] } ] }, { "linkId": "maternal-28.2.9", "text": "Hematoma di bahagian luka episiotomi/ pembedahan caesarean", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.2.10", "text": "Anemia yang teruk (Hb <7g/dL)", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.2.11", "text": "Anemia Hb <9g/dL dengan tanda-tanda seperti sesak nafas, berdebar-debar, pucat, mudah letih dan pitam", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.2.12", "text": "Simptom respiratori: \n - Sesak nafas, \n - Batuk berdarah berpanjangan, \n - Serangan asma", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.2.13", "text": "Puerperal Sepsis: Demam, lokia berbau busuk/ luar biasa", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.2.14", "text": "Keinginan ingin mencederakan/membunuh diri", "answer": [ { "valueBoolean": false } ] } ] }, { "linkId": "maternal-28.3", "text": "Kod Kuning", "item": [ { "linkId": "maternal-28.3.1", "text": "BP >140/90mmHg, asimptomatik, tiada proteinuria", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.3.2", "text": "Sebarang simptom yang membimbangkan contoh: loya dan muntah, sakit kepala", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.3.3", "text": "Jangkitan (wound breakdown)/ di bahagian luka episiotomi/ pembedahan caesaeran", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.3.4", "text": "Demam ≥ 37.5 º C", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.3.5", "text": "Keadaan obstetric bagi kes bersalin di rumah: \n - Kematian perinatal, \n - Berat badan bayi <2.5kg atau >3.5kg", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.3.6", "text": "Rahim yang tidak mengecut (subinvolution of uterus)", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.3.7", "text": "Ibu yang menunjukkan tanda-tanda : \n - Psikiatrik (eg.murung,emosi tidak stabil) \n - Kecacatan mental atau fizikal \n - Keganasan rumah tangga/ sosial", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.3.8", "text": "Masalah penyusuan susu ibu: \n - Bengkak payudara \n - Puting luka \n - Puting merekah", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.3.9", "text": "Masalah kencing \n - Kencing kerap (frequency) \n - Sakit kencing (dysuria)", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.3.10", "text": "Rujukan dengan Temujanji Haemoglobin <9g/dL asimptomatik", "answer": [ { "valueBoolean": false } ] }, { "linkId": "maternal-28.3.11", "text": "Rujukan dengan Temujanji Masalah perubatan yang baru dikesan/keciciran - Contoh: SLE, Diabetes Mellitus , HIV positif , Hepatitis B positif ,penyakit buah pinggang semasa mengandung, sel darah abnormal (blood dyscrasias), syphilis yang belum dirawat", "answer": [ { "valueBoolean": false } ] } ] } ] } |
| 29. | Pemeriksaan Ibu Postnatal (1 Bulan) di Klinik |
Questionnaire
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| 30. | Rekod Pemberian Pendidikan Kesihatan |
Questionnaire
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5 Perkara", "type": "group", "item": [ { "linkId": "30.1.17.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.1.17.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.1.18", "text": "Persiapan bersalin untuk ibu dan bayi", "type": "group", "item": [ { "linkId": "30.1.18.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.1.18.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.1.19", "text": "Senaman antenatal", "type": "group", "item": [ { "linkId": "30.1.19.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.1.19.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.1.20", "text": "Perancang keluarga", "type": "group", "item": [ { "linkId": "30.1.20.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.1.20.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.1.21", "text": "Tanda-tanda bersalin & proses kelahiran", "type": "group", "item": [ { "linkId": "30.1.21.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.1.21.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.1.22", "text": "Kelahiran selamat & bahaya kelahiran tidak selamat", "type": "group", "item": [ { "linkId": "30.1.22.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.1.22.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.1.23", "text": "Pemberitahuan awal kelahiran", "type": "group", "item": [ { "linkId": "30.1.23.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.1.23.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.1.24", "text": "Penjagaan kesihatan pergigian", "type": "group", "item": [ { "linkId": "30.1.24.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.1.24.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.1.25", "text": "Jaundis neonatal", "type": "group", "item": [ { "linkId": "30.1.25.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.1.25.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] } ] }, { "linkId": "30.2", "text": "Postnatal", "type": "group", "item": [ { "linkId": "30.2.1", "text": "Pemakanan semasa dalam pantang", "type": "group", "item": [ { "linkId": "30.2.1.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.2.1.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.2.2", "text": "Senaman postnatal", "type": "group", "item": [ { "linkId": "30.2.2.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.2.2.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.2.3", "text": "Penjagaan kebersihan diri, luka episiotomi & luka pembedahan", "type": "group", "item": [ { "linkId": "30.2.3.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.2.3.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.2.4", "text": "Kepentingan mendapat rawatan awal", "type": "group", "item": [ { "linkId": "30.2.4.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.2.4.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.2.5", "text": "Pengesanan jaundis", "type": "group", "item": [ { "linkId": "30.2.5.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.2.5.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] } ] }, { "linkId": "30.3", "text": "Keadaan Luar Biasa Semasa Hamil", "type": "group", "item": [ { "linkId": "30.3.1", "text": "Pre-eclampsia semasa hamil dan tanda & simptom Pre-eclampsia", "type": "group", "item": [ { "linkId": "30.3.1.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.3.1.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.3.2", "text": "Diabetes semasa hamil", "type": "group", "item": [ { "linkId": "30.3.2.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.3.2.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.3.3", "text": "Anaemia dan kesan kepada ibu dan janin", "type": "group", "item": [ { "linkId": "30.3.3.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.3.3.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] }, { "linkId": "30.3.4", "text": "Pendarahan semasa hamil", "type": "group", "item": [ { "linkId": "30.3.4.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "30.3.4.2", "text": "Name anggota yang memberi pendidikan", "type": "reference" } ] } ] } ] } QuestionnaireResponse
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}, { "linkId": "30.1.1.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:42:25.727Z" } ] } ] }, { "linkId": "30.1.2", "text": "Kepentingan datang awal ke klinik", "item": [ { "linkId": "30.1.2.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:42:28.279Z" } ] }, { "linkId": "30.1.2.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.2.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:42:29.356Z" } ] } ] }, { "linkId": "30.1.3", "text": "Masalah ringan semasa hamil dan cara mengatasinya", "item": [ { "linkId": "30.1.3.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:42:31.450Z" } ] }, { "linkId": "30.1.3.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.3.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:42:33.350Z" } ] } ] }, { "linkId": "30.1.4", "text": "Pemakanan ibu hamil", "item": [ { "linkId": "30.1.4.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:42:35.665Z" } ] }, { "linkId": "30.1.4.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.4.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:42:37.248Z" } ] } ] }, { "linkId": "30.1.5", "text": "Kepentingan penyusuan susu ibu kepada bayi", "item": [ { "linkId": "30.1.5.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:42:38.799Z" } ] }, { "linkId": "30.1.5.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.5.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:42:40.018Z" } ] } ] }, { "linkId": "30.1.6", "text": "Kepentingan penyusuan susu ibu kepada ibu", "item": [ { "linkId": "30.1.6.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:42:41.962Z" } ] }, { "linkId": "30.1.6.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.6.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:42:43.475Z" } ] } ] }, { "linkId": "30.1.7", "text": "Kepentingan sentuhan kulit ke kulit sejurus selepas kelahiran", "item": [ { "linkId": "30.1.1.7", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:42:45.378Z" } ] }, { "linkId": "30.1.7.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.7.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:42:46.576Z" } ] } ] }, { "linkId": "30.1.8", "text": "Kepentingan permulaan awal untuk penyusuan susu ibu", "item": [ { "linkId": "30.1.8.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:42:48.347Z" } ] }, { "linkId": "30.1.8.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.8.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:42:50.437Z" } ] } ] }, { "linkId": "30.1.9", "text": "Kepentingan ibu bersama bayi (rooming in) 24 jam sehari", "item": [ { "linkId": "30.1.9.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:42:52.519Z" } ] }, { "linkId": "30.1.9.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.9.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:42:53.734Z" } ] } ] }, { "linkId": "30.1.10", "text": "Kepentingan penyusuan susu ibu mengikut kehendak bayi", "item": [ { "linkId": "30.1.10.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:42:55.000Z" } ] }, { "linkId": "30.1.10.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.10.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:42:55.907Z" } ] } ] }, { "linkId": "30.1.11", "text": "Kepentingan penyusuan susu ibu dengan kerap untuk memastikan penghasilan susu ibu mencukupi", "item": [ { "linkId": "30.1.11.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:42:57.766Z" } ] }, { "linkId": "30.1.11.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.11.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:42:59.286Z" } ] } ] }, { "linkId": "30.1.12", "text": "Kepentingan posisi dan pelekapan yang baik semasa penyusuan susu ibu", "item": [ { "linkId": "30.1.12.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:00.548Z" } ] }, { "linkId": "30.1.12.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.12.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:01.426Z" } ] } ] }, { "linkId": "30.1.13", "text": "Kepentingan penyusuan susu ibu secara eksklusif bagi 6 bulan pertama tanpa sebarang makanan atau minuman lain", "item": [ { "linkId": "30.1.13.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:02.920Z" } ] }, { "linkId": "30.1.13.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.13.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:03.943Z" } ] } ] }, { "linkId": "30.1.14", "text": "Kepentingan meneruskan penyusuan susu ibu selepas 6 bulan di samping pemberian makanan pelengkap", "item": [ { "linkId": "30.1.14.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:06.466Z" } ] }, { "linkId": "30.1.14.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.14.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:07.474Z" } ] } ] }, { "linkId": "30.1.15", "text": "Memastikan memulakan penyusuan awal", "item": [ { "linkId": "30.1.15.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:08.239Z" } ] }, { "linkId": "30.1.15.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.15.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:09.470Z" } ] } ] }, { "linkId": "30.1.16", "text": "Bahaya dan risiko bayi yang tidak diberi susu ibu", "item": [ { "linkId": "30.1.16.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:11.410Z" } ] }, { "linkId": "30.1.16.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.16.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:12.302Z" } ] } ] }, { "linkId": "30.1.17", "text": "Menyokong dan mengamalkan kelahiran dan penjagaan Mesra Ibu (Mother Friendly Care) - 5 Perkara", "item": [ { "linkId": "30.1.17.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:13.096Z" } ] }, { "linkId": "30.1.17.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.17.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:14.639Z" } ] } ] }, { "linkId": "30.1.18", "text": "Persiapan bersalin untuk ibu dan bayi", "item": [ { "linkId": "30.1.18.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:16.938Z" } ] }, { "linkId": "30.1.18.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.18.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:17.923Z" } ] } ] }, { "linkId": "30.1.19", "text": "Senaman antenatal", "item": [ { "linkId": "30.1.19.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:18.908Z" } ] }, { "linkId": "30.1.19.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.19.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:19.949Z" } ] } ] }, { "linkId": "30.1.20", "text": "Perancang keluarga", "item": [ { "linkId": "30.1.20.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:21.846Z" } ] }, { "linkId": "30.1.20.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.20.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:22.814Z" } ] } ] }, { "linkId": "30.1.21", "text": "Tanda-tanda bersalin & proses kelahiran", "item": [ { "linkId": "30.1.21.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:23.650Z" } ] }, { "linkId": "30.1.21.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.21.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:24.445Z" } ] } ] }, { "linkId": "30.1.22", "text": "Kelahiran selamat & bahaya kelahiran tidak selamat", "item": [ { "linkId": "30.1.22.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:25.893Z" } ] }, { "linkId": "30.1.22.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.22.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:26.727Z" } ] } ] }, { "linkId": "30.1.23", "text": "Pemberitahuan awal kelahiran", "item": [ { "linkId": "30.1.23.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:28.869Z" } ] }, { "linkId": "30.1.23.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.23.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:30.408Z" } ] } ] }, { "linkId": "30.1.24", "text": "Penjagaan kesihatan pergigian", "item": [ { "linkId": "30.1.24.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:32.240Z" } ] }, { "linkId": "30.1.24.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.24.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:33.387Z" } ] } ] }, { "linkId": "30.1.25", "text": "Jaundis neonatal", "item": [ { "linkId": "30.1.25.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:34.423Z" } ] }, { "linkId": "30.1.25.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.1.25.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:35.321Z" } ] } ] } ] }, { "linkId": "30.2", "text": "Postnatal", "item": [ { "linkId": "30.2.1", "text": "Pemakanan semasa dalam pantang", "item": [ { "linkId": "30.2.1.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:36.788Z" } ] }, { "linkId": "30.2.1.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:37.970Z" } ] } ] }, { "linkId": "30.2.2", "text": "Senaman postnatal", "item": [ { "linkId": "30.2.2.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:39.682Z" } ] }, { "linkId": "30.2.2.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.2.2.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:40.597Z" } ] } ] }, { "linkId": "30.2.3", "text": "Penjagaan kebersihan diri, luka episiotomi & luka pembedahan", "item": [ { "linkId": "30.2.3.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:41.384Z" } ] }, { "linkId": "30.2.3.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.2.3.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:44:07.714Z" } ] } ] }, { "linkId": "30.2.4", "text": "Kepentingan mendapat rawatan awal", "item": [ { "linkId": "30.2.4.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:43.541Z" } ] }, { "linkId": "30.2.4.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.2.4.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:44.224Z" } ] } ] }, { "linkId": "30.2.5", "text": "Pengesanan jaundis", "item": [ { "linkId": "30.2.5.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:45.063Z" } ] }, { "linkId": "30.2.5.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.2.5.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:45.964Z" } ] } ] } ] }, { "linkId": "30.3", "text": "Keadaan Luar Biasa Semasa Hamil", "item": [ { "linkId": "30.3.1", "text": "Pre-eclampsia semasa hamil dan tanda & simptom Pre-eclampsia", "item": [ { "linkId": "30.3.1.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:48.333Z" } ] }, { "linkId": "30.3.1.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.3.1.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:49.711Z" } ] } ] }, { "linkId": "30.3.2", "text": "Diabetes semasa hamil", "item": [ { "linkId": "30.3.2.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:51.946Z" } ] }, { "linkId": "30.3.2.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.3.2.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:53.161Z" } ] } ] }, { "linkId": "30.3.3", "text": "Anaemia dan kesan kepada ibu dan janin", "item": [ { "linkId": "30.3.3.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:53.959Z" } ] }, { "linkId": "30.3.3.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.3.3.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:54.924Z" } ] } ] }, { "linkId": "30.3.4", "text": "Pendarahan semasa hamil", "item": [ { "linkId": "30.3.4.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-08-25T00:43:56.547Z" } ] }, { "linkId": "30.3.4.2", "text": "Name anggota yang memberi pendidikan", "answer": [ { "valueReference": { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20", "display": "Nizar" } } ] }, { "linkId": "30.3.4.3", "text": "Pengesahan ibu", "answer": [ { "valueDateTime": "2023-08-25T00:43:57.933Z" } ] } ] } ] } ] } |
| 31. | Informasi Panduan Dan Pendidikan Kesihatan |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-31", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-31", "version": "1.0.0", "name": "QMaternal31", "title": "Informasi Panduan Dan Pendidikan Kesihatan", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "31.1", "text": "Selamat Datang Ke Alam Kehamilan", "type": "group", "item": [ { "linkId": "31.1.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.1.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.1.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.1.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.2", "text": "Penjagaan Semasa Kehamilan", "type": "group", "item": [ { "linkId": "31.2.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.2.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.2.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.2.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.3", "text": "Perkhidmatan Semasa Lawatan Ke Klinik", "type": "group", "item": [ { "linkId": "31.3.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.3.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.3.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.3.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.4", "text": "Persediaan Untuk Bersalin", "type": "group", "item": [ { "linkId": "31.4.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.4.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.4.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.4.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.5", "text": "Penjagaan Ibu Selepas Bersalin", "type": "group", "item": [ { "linkId": "31.5.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.5.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.5.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.5.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.6", "text": "Gangguan Ringan Semasa Hamil", "type": "group", "item": [ { "linkId": "31.6.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.6.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.6.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.6.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.7", "text": "Gangguan Yang Kerap Berlaku Semasa Hamil Serta Kesan Kepada Ibu Dan Bayi Dalam Kandungan", "type": "group", "item": [ { "linkId": "31.7.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.7.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.7.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.7.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.8", "text": "Venous Thromboembolism (VTE)", "type": "group", "item": [ { "linkId": "31.8.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.8.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.8.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.8.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.9", "text": "Panduan Pemakanan Bagi Persediaan Kehamilan, Semasa Hamil Sewaktu Berpantang Dan Menyusukan Bayi", "type": "group", "item": [ { "linkId": "31.9.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.9.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.9.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.9.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.10", "text": "Panduan Pemakanan Bagi Ibu Hamil Yang Mengalami Anemia Kekurangan Zat Besi (Iron Deficiency Anaemia-Ida)", "type": "group", "item": [ { "linkId": "31.10.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.10.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.10.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.10.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.11", "text": "Saranan Peningkatan Berat Badan Yang Sihat Semasa Kehamilan (Gestational Weight Gain-Gwg)", "type": "group", "item": [ { "linkId": "31.11.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.11.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.11.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.11.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.12", "text": "Penyusuan Susu Ibu Yang Terbaik Buat Bayi Dan Ibu", "type": "group", "item": [ { "linkId": "31.12.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.12.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.12.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.12.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.13", "text": "Masalah Ibu Semasa Berpantang (Postnatal)", "type": "group", "item": [ { "linkId": "31.13.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.13.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.13.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.13.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.14", "text": "Bayi Dan Jaundis", "type": "group", "item": [ { "linkId": "31.14.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.14.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.14.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.14.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] }, { "linkId": "31.15", "text": "Penjagaan Kesihatan Bayi", "type": "group", "item": [ { "linkId": "31.15.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "type": "boolean" }, { "linkId": "31.15.2", "text": "Panduan Kesihatan Diberikan Oleh", "type": "reference" }, { "linkId": "31.15.3", "text": "Tarikh Panduan Kesihatan Diberikan", "type": "dateTime" }, { "linkId": "31.15.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "type": "boolean" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-31", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/template-section", "value": "qr-maternal-29" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-31", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "item": [ { "linkId": "31.1", "text": "Selamat Datang Ke Alam Kehamilan", "item": [ { "linkId": "31.1.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.1.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.1.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:05:50.762Z" } ] }, { "linkId": "31.1.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.2", "text": "Penjagaan Semasa Kehamilan", "item": [ { "linkId": "31.2.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.2.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.2.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:05:53.858Z" } ] }, { "linkId": "31.2.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.3", "text": "Perkhidmatan Semasa Lawatan Ke Klinik", "item": [ { "linkId": "31.3.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.3.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.3.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:05:57.117Z" } ] }, { "linkId": "31.3.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.4", "text": "Persediaan Untuk Bersalin", "item": [ { "linkId": "31.4.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.4.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.4.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:05:59.756Z" } ] }, { "linkId": "31.4.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.5", "text": "Penjagaan Ibu Selepas Bersalin", "item": [ { "linkId": "31.5.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.5.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.5.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:06:17.146Z" } ] }, { "linkId": "31.5.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.6", "text": "Gangguan Ringan Semasa Hamil", "item": [ { "linkId": "31.6.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.6.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.6.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:06:17.000Z" } ] }, { "linkId": "31.6.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.7", "text": "Gangguan Yang Kerap Berlaku Semasa Hamil Serta Kesan Kepada Ibu Dan Bayi Dalam Kandungan", "item": [ { "linkId": "31.7.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.7.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.7.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:06:17.000Z" } ] }, { "linkId": "31.7.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.8", "text": "Venous Thromboembolism (VTE)", "item": [ { "linkId": "31.8.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.8.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.8.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:06:17.000Z" } ] }, { "linkId": "31.8.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.9", "text": "Panduan Pemakanan Bagi Persediaan Kehamilan, Semasa Hamil Sewaktu Berpantang Dan Menyusukan Bayi", "item": [ { "linkId": "31.9.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.9.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.9.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:06:17.000Z" } ] }, { "linkId": "31.9.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.10", "text": "Panduan Pemakanan Bagi Ibu Hamil Yang Mengalami Anemia Kekurangan Zat Besi (Iron Deficiency Anaemia-Ida)", "item": [ { "linkId": "31.10.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.10.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.10.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:06:17.000Z" } ] }, { "linkId": "31.10.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.11", "text": "Saranan Peningkatan Berat Badan Yang Sihat Semasa Kehamilan (Gestational Weight Gain-Gwg)", "item": [ { "linkId": "31.11.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.11.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.11.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:06:17.000Z" } ] }, { "linkId": "31.11.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.12", "text": "Penyusuan Susu Ibu Yang Terbaik Buat Bayi Dan Ibu", "item": [ { "linkId": "31.12.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.12.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.12.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:06:42.416Z" } ] }, { "linkId": "31.12.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.13", "text": "Masalah Ibu Semasa Berpantang (Postnatal)", "item": [ { "linkId": "31.13.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.13.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.13.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:06:37.337Z" } ] }, { "linkId": "31.13.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.14", "text": "Bayi Dan Jaundis", "item": [ { "linkId": "31.14.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.14.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.14.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:06:07.152Z" } ] }, { "linkId": "31.14.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "31.15", "text": "Penjagaan Kesihatan Bayi", "item": [ { "linkId": "31.15.1", "text": "Panduan Kesihatan Diberikan Kepada Pesakit", "answer": [ { "valueBoolean": true } ] }, { "linkId": "31.15.2", "text": "Panduan Kesihatan Diberikan Oleh", "answer": [ { "valueReference": { "reference": "PractitionerRole/e9d755f9-53e6-4e01-890a-cb9f236d146d/_history/3", "display": "Saifuldaulah Bin Mohd Hafiz Ngoo" } } ] }, { "linkId": "31.15.3", "text": "Tarikh Panduan Kesihatan Diberikan", "answer": [ { "valueDateTime": "2023-08-10T04:06:32.536Z" } ] }, { "linkId": "31.15.4", "text": "Pesakit Sahihkan Panduan Kesihatan Diberikan", "answer": [ { "valueBoolean": true } ] } ] } ] } |
QuestionnaireResponse + Composition
If a record is related to a clinical summary, a Composition (MY Core) is also created to reference the QuestionnaireResponse (MY Core). These pages requires both Composition and QuestionnaireResponse to be created as they are part of a summary that will be shared to the general record in HIE for users not using maternal health record.
It is advisable to send as a bundle with both QuestionnaireResponse, Composition and List referencing the QuestionnaireResponse as example below:
QuestionnaireResponse + Composition
{ "resourceType": "Bundle", "type": "transaction", "entry": [ { "request": { "method": "PUT", "url": "List/list-sample" }, "resource": { "resourceType": "List", "id": "list-sample", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/List-my-core" ] }, "status": "current", "mode": "working", "title": "Maternal Health Record 12-Sep-2023", "code": { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/sub-record-type-my-core", "code": "sub-001", "display": "Maternal Health Record" } ] }, "subject": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4" }, "date": "2023-09-12T01:34:38.641Z", "source": { "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484/_history/1" }, "entry": [ { "item": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4", "display": "Patient" } }, { "date": "2023-09-12T09:34:41+08:00", "item": { "reference": "QuestionnaireResponse/qr-maternal-01-sample", "display": "maternal-01" } }, { "date": "2023-09-12T09:34:41+08:00", "item": { "reference": "QuestionnaireResponse/qr-maternal-07-sample", "display": "maternal-07" } } ] } }, { "request": { "method": "PUT", "url": "QuestionnaireResponse/qr-maternal-07-sample" }, "resource": { "resourceType": "QuestionnaireResponse", "id": "qr-maternal-07-sample", "meta": { "source": "http://provider.hie.moh.gov.myF", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/template-section", "value": "qr-maternal-07" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-07", "status": "completed", "subject": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded" }, "authored": "2023-09-12T10:31:27+08:00", "author": { "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484/_history/1", "display": "SAIFULDAULAH BIN MOHD HAFIZ NGOO" }, "item": [ { "linkId": "maternal-7.1", "text": "Jenis Pemeriksaan", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core", "code": "maternal-rme-1", "display": "Routine Medical Exam 1 (RME 1)" } } ] }, { "linkId": "maternal-7.2", "text": "General", "item": [ { "linkId": "maternal-7.2.1", "text": "Pink/Pallor", "answer": [ { "valueString": "entry goes here" } ] }, { "linkId": "maternal-7.2.2", "text": "Jaundice", "answer": [ { "valueString": "entry goes here" } ] }, { "linkId": "maternal-7.2.3", "text": "BP", "item": [ { "linkId": "maternal-7.2.3.1", "text": "Systolic", "answer": [ { "valueQuantity": { "value": 120 } } ] }, { "linkId": "maternal-7.2.3.2", "text": "Diastolic", "answer": [ { "valueQuantity": { "value": 90 } } ] } ] }, { "linkId": "maternal-7.2.4", "text": "Pulse Rate", "answer": [ { "valueQuantity": { "value": 100 } } ] }, { "linkId": "maternal-7.2.5", "text": "Pulse Rhythm", "answer": [ { "valueString": "entry goes here" } ] } ] }, { "linkId": "maternal-7.3", "text": "Neck", "item": [ { "linkId": "maternal-7.3.1", "text": "Swelling", "answer": [ { "valueString": "entry goes here" } ] } ] }, { "linkId": "maternal-7.4", "text": "CVS", "item": [ { "linkId": "maternal-7.4.1", "text": "Clubbing", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-7.4.2", "text": "JVP", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } } ] }, { "linkId": "maternal-7.4.3", "text": "Apex Beat", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263739008", "display": "Displaced" } } ] }, { "linkId": "maternal-7.4.4", "text": "Heart Sounds", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "123824001", "display": "Abnormal" } } ] } ] }, { "linkId": "maternal-7.5", "text": "Breast", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ] }, { "linkId": "maternal-7.6", "text": "Lungs", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } } ] }, { "linkId": "maternal-7.7", "text": "Abdomen", "item": [ { "linkId": "maternal-7.7.1", "text": "SFH", "answer": [ { "valueString": "entry goes here" } ] }, { "linkId": "maternal-7.7.2", "text": "FHR", "answer": [ { "valueQuantity": { "value": 200 } } ] } ] }, { "linkId": "maternal-7.8", "text": "Lower limbs", "item": [ { "linkId": "maternal-7.8.1", "text": "Oedema", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-7.8.2", "text": "Calf tenderness", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "maternal-7.9", "text": "Catatan", "answer": [ { "valueString": "entry%20goes%20here" } ] } ] } }, { "request": { "method": "PUT", "url": "Composition/comp-maternal-07-sample" }, "resource": { "resourceType": "Composition", "id": "comp-maternal-07-sample", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Composition-my-core" ] }, "extension": [ { "url": "http://fhir.hie.moh.gov.my/StructureDefinition/location-recorded-my-core", "valueReference": { "display": "Bilik 1" } } ], "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/composition-id", "value": "KKSBN-CMP-2309000018" }, "status": "final", "type": { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-type-my-core", "code": "sub-001", "display": "Maternal Health Record" } ] }, "category": [ { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-category-my-core", "code": "sub-record", "display": "Sub-Record" } ] } ], "subject": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded" }, "encounter": { "reference": "Encounter/90ff4100-592f-4f41-8dc6-391918db90e5" }, "date": "2023-09-12T10:31:27+08:00", "author": [ { "display": "SAIFULDAULAH BIN MOHD HAFIZ NGOO" } ], "title": "Note", "confidentiality": "N", "custodian": { "reference": "Organization/21-05060049", "display": "Klinik Kesihatan Seremban" }, "event": [ { "code": [ { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core", "code": "maternal-rme-1", "display": "Routine Medical Exam 1 (RME 1)" } ] } ], "period": { "start": "2023-09-12T10:31:27+08:00" } } ], "section": [ { "title": "Form", "code": { "coding": [ { "system": "http://loinc.org", "code": "LP199484-9", "display": "Form" } ] }, "entry": [ { "reference": "QuestionnaireResponse/qr-maternal-07-sample/_history/1" } ] } ] } } ] }
The List must conform to List (MY Core) as mentioned above.
The QuestionnaireResponse must conform to QuestionnaireResponse (MY Core) as mentioned above.
The Composition must conform to Composition (MY Core) with;
- A source declaring main source system
meta.source - MY Core profile declared
meta.profile="http://fhir.hie.moh.gov.my/StructureDefinition/Composition-my-core" - An identifier of the composition "identifier.value"
- e.g.
identifier.system="qr-maternal-01"
- e.g.
- The status as "final"
status:"final" - The type as "sub-001"
type.coding.code="sub-001" - The category as "sub-record"
category.coding.code="sub-001" - The patient referenced as a subject
subject.reference - The date when record created
date - The author
author.display - A Title
title - The custodian referenced
custodian.reference - The event of the record based on the page
event.code.coding.codebased on ValueSetCompositionEvent (MY Core) - A date when the record occured
event.period.start - A reference to the QuestionnaireResponse
section.entry.reference
These are the pages that requires to store QuestionnaireResponse + Composition;
Click MY Core postman API link to view common API used in HIE.
| No | Title | JSON |
|---|---|---|
| 7. | Pemeriksaan Oleh Pegawai Perubatan dan Pegawai Pergigian |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-07", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-07", "version": "1.0.0", "name": "QMaternal07", "title": "Pemeriksaan Oleh Pegawai Perubatan dan Pegawai Pergigian", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-7.1", "code": [ { "code": "maternal-7.1" } ], "text": "Jenis Pemeriksaan", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core", "code": "maternal-rme-1", "display": "Routine Medical Exam 1 (RME 1)" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core", "code": "maternal-rme-2", "display": "Routine Medical Exam 2 (RME 2)" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core", "code": "maternal-rme-add", "display": "Additional Medical Exam" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core", "code": "maternal-rme-dental", "display": "Dental Routine Medical Exam" } } ] }, { "linkId": "maternal-7.2", "text": "General", "type": "group", "item": [ { "linkId": "maternal-7.2.1", "text": "Pink/Pallor", "type": "string" }, { "linkId": "maternal-7.2.2", "text": "Jaundice", "type": "string" }, { "linkId": "maternal-7.2.3", "text": "BP", "type": "group", "item": [ { "linkId": "maternal-7.2.3.1", "text": "Systolic", "type": "quantity" }, { "linkId": "maternal-7.2.3.2", "text": "Diastolic", "type": "quantity" } ] }, { "linkId": "maternal-7.2.4", "text": "Pulse Rate", "type": "quantity" }, { "linkId": "maternal-7.2.5", "text": "Pulse Rhythm", "type": "string" } ] }, { "linkId": "maternal-7.3", "text": "Neck", "type": "group", "item": [ { "linkId": "maternal-7.3.1", "text": "Swelling", "type": "string" } ] }, { "linkId": "maternal-7.4", "text": "CVS", "type": "group", "item": [ { "linkId": "maternal-7.4.1", "text": "Clubbing", "type": "boolean" }, { "linkId": "maternal-7.4.2", "text": "JVP", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "260399008", "display": "Raised" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } } ] }, { "linkId": "maternal-7.4.3", "text": "Apex Beat", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263739008", "display": "Displaced" } } ] }, { "linkId": "maternal-7.4.4", "text": "Heart Sounds", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "301132007", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "123824001", "display": "Abnormal" } } ] } ] }, { "linkId": "maternal-7.5", "text": "Breast", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ] }, { "linkId": "maternal-7.6", "text": "Lungs", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ] }, { "linkId": "maternal-7.7", "text": "Abdomen", "type": "group", "item": [ { "linkId": "maternal-7.7.1", "text": "SFH", "type": "string" }, { "linkId": "maternal-7.7.2", "text": "FHR", "type": "quantity" } ] }, { "linkId": "maternal-7.8", "text": "Lower limbs", "type": "group", "item": [ { "linkId": "maternal-7.8.1", "text": "Oedema", "type": "boolean" }, { "linkId": "maternal-7.8.2", "text": "Calf tenderness", "type": "boolean" } ] }, { "linkId": "maternal-7.9", "text": "Catatan", "type": "text" } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-07", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-07", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-23T00:42:29.983Z", "item": [ { "linkId": "maternal-7.1", "text": "Jenis Pemeriksaan", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core", "code": "maternal-rme-1", "display": "Routine Medical Exam 1 (RME 1)" } } ] }, { "linkId": "maternal-7.2", "text": "General", "item": [ { "linkId": "maternal-7.2.1", "text": "Pink/Pallor", "answer": [ { "valueString": "pink" } ] }, { "linkId": "maternal-7.2.2", "text": "Jaundice", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-7.2.3", "text": "BP", "item": [ { "linkId": "maternal-7.2.3.1", "text": "Systolic", "answer": [ { "valueQuantity": { "value": 120 } } ] }, { "linkId": "maternal-7.2.3.2", "text": "Diastolic", "answer": [ { "valueQuantity": { "value": 90 } } ] } ] }, { "linkId": "maternal-7.2.4", "text": "Pulse Rate", "answer": [ { "valueQuantity": { "value": 90 } } ] }, { "linkId": "maternal-7.2.5", "text": "Pulse Rhythm", "answer": [ { "valueString": "regularly regular" } ] } ] }, { "linkId": "maternal-7.3", "text": "Neck", "item": [ { "linkId": "maternal-7.3.1", "text": "Swelling", "answer": [ { "valueString": "swelling over less left lower zone, not tethered to skin" } ] } ] }, { "linkId": "maternal-7.4", "text": "CVS", "item": [ { "linkId": "maternal-7.4.1", "text": "Clubbing", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-7.4.2", "text": "JVP", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "260399008", "display": "Raised" } } ] }, { "linkId": "maternal-7.4.3", "text": "Apex Beat", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263739008", "display": "Displaced" } } ] }, { "linkId": "maternal-7.4.4", "text": "Heart Sounds", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "123824001", "display": "Abnormal" } } ] } ] }, { "linkId": "maternal-7.5", "text": "Breast", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } } ] }, { "linkId": "maternal-7.6", "text": "Lungs", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ] }, { "linkId": "maternal-7.7", "text": "Abdomen", "item": [ { "linkId": "maternal-7.7.1", "text": "SFH", "answer": [ { "valueQuantity": { "value": 35 } } ] }, { "linkId": "maternal-7.7.2", "text": "FHR", "answer": [ { "valueQuantity": { "value": 200 } } ] } ] }, { "linkId": "maternal-7.8", "text": "Lower limbs", "item": [ { "linkId": "maternal-7.8.1", "text": "Oedema", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-7.8.2", "text": "Calf tenderness", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "maternal-7.9", "text": "Catatan", "answer": [ { "valueString": "Patient has multiple issues, need to be referral to hospital" } ] } ] } |
| 20. | Pemeriksaan Kandungan Semasa |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-20", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-20", "version": "1.0.0", "name": "QMaternal20", "title": "Pemeriksaan Kandungan Semasa", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "description": "Description of routine examiniation", "purpose": "Purpose of routine examination", "item": [ { "linkId": "maternal-20.1", "code": [ { "code": "maternal-20.1" } ], "text": "Jenis Lawatan", "type": "choice", "answerOption": [ { "valueCoding": { "code": "maternal-lk", "display": "Lawatan Klinik" } }, { "valueCoding": { "code": "maternal-lr", "display": "Lawatan Rumah" } } ] }, { "linkId": "maternal-20.2", "code": [ { "code": "maternal-20.2" } ], "text": "Ujian Makmal", "type": "group", "item": [ { "linkId": "maternal-20.2.1", "code": [ { "code": "maternal-20.2.1" } ], "text": "Urin Protein", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "167273002", "display": "Not Detected" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167274008", "display": "Trace" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167275009", "display": "1+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167276005", "display": "2+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167277001", "display": "3+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167278006", "display": "4+" } } ], "item": [ { "linkId": "maternal-20.2.1.1", "code": [ { "code": "maternal-20.2.1.1" } ], "text": "Urin Protein Remark", "type": "string" } ] }, { "linkId": "maternal-20.2.2", "code": [ { "code": "maternal-20.2.2" } ], "text": "Urin Sugar", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "167273002", "display": "Not Detected" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167262009", "display": "Trace" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167264005", "display": "1+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167265006", "display": "2+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167266007", "display": "3+" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "167267003", "display": "4+" } } ], "item": [ { "linkId": "maternal-20.2.2.1", "code": [ { "code": "maternal-20.2.2.1" } ], "text": "Urin Sugar Remark", "type": "string" } ] }, { "linkId": "maternal-20.2.3", "code": [ { "code": "maternal-20.2.3" } ], "text": "Hb", "type": "quantity" } ] }, { "linkId": "maternal-20.3", "code": [ { "code": "maternal-20.3" } ], "text": "Pemeriksaan", "type": "group", "item": [ { "linkId": "maternal-20.3.1", "code": [ { "system": "http://loinc.org", "code": "29463-7", "display": "Weight" } ], "text": "Berat", "type": "quantity" }, { "linkId": "maternal-20.3.2", "code": [ { "system": "http://loinc.org", "code": "35094-2", "display": "Blood pressure panel" } ], "text": "Blood Pressure", "type": "group", "item": [ { "linkId": "maternal-20.3.2.1", "code": [ { "system": "http://loinc.org", "code": "8480-6", "display": "Systolic Blood Pressure" } ], "text": "Systolic", "type": "quantity" }, { "linkId": "maternal-20.3.2.2", "code": [ { "system": "http://loinc.org", "code": "8462-4", "display": "Diastolic Blood Pressure" } ], "text": "Diastolic", "type": "quantity" } ] }, { "linkId": "maternal-20.3.3", "code": [ { "system": "http://loinc.org", "code": "59408-5", "display": "Heart Rate" } ], "text": "Nadi", "type": "quantity" }, { "linkId": "maternal-20.3.4", "code": [ { "system": "http://snomed.info/sct", "code": "267038008", "display": "Edema" } ], "text": "Edema", "type": "string" } ] }, { "linkId": "maternal-20.4", "code": [ { "code": "maternal-20.4" } ], "text": "Kandungan", "type": "group", "item": [ { "linkId": "maternal-20.4.1", "code": [ { "code": "maternal-20.4.1" } ], "text": "Tempoh hamil", "type": "quantity" }, { "linkId": "maternal-20.4.2", "code": [ { "system": "http://snomed.info/sct", "code": "364253002", "display": "Fundal height of uterus" } ], "text": "Tinggi Rahim", "type": "string" } ] }, { "linkId": "maternal-20.5", "code": [ { "code": "maternal-20.5" } ], "text": "Janin", "type": "group", "item": [ { "linkId": "maternal-20.5.1", "code": [ { "code": "maternal-20.5.1" } ], "text": "Presentasi", "type": "string" }, { "linkId": "maternal-20.5.2", "code": [ { "system": "http://snomed.info/sct", "code": "249043002", "display": "Fetal heart rate" } ], "text": "Jantung", "type": "string" }, { "linkId": "maternal-20.5.3", "code": [ { "code": "maternal-20.5.3" } ], "text": "Gerak", "type": "string" } ] }, { "linkId": "maternal-20.6", "code": [ { "code": "maternal-20.6" } ], "text": "Masalah", "type": "text" }, { "linkId": "maternal-20.7", "code": [ { "code": "maternal-20.7" } ], "text": "Pengendalian dan Rawatan", "type": "text" }, { "linkId": "maternal-20.8", "code": [ { "code": "maternal-20.8" } ], "text": "Tarikh Temujanji", "type": "dateTime", "repeats": true } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-20", "meta": { "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-20", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2023-02-06T03:56:06+08:00", "author": { "reference": "PractitionerRole/cd16e0cb-3e0f-43bb-9197-901f5daff3ba/_history/23" }, "item": [ { "linkId": "maternal-20.1", "text": "Jenis Lawatan", "answer": [ { "valueCoding": { "code": "maternal-lk", "display": "Lawatan Klinik" } } ] }, { "linkId": "maternal-20.2", "text": "Ujian Makmal", "item": [ { "linkId": "maternal-20.2.1", "text": "Urin Protein", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "167275009", "display": "1+" }, "item": [ { "linkId": "maternal-20.2.1.1", "text": "Urin Protein Remark", "answer": [ { "valueString": "Urin Protein remark" } ] } ] } ] }, { "linkId": "maternal-20.2.2", "text": "Urin Sugar", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "167265006", "display": "2+" }, "item": [ { "linkId": "maternal-20.2.2.1", "text": "Urin Sugar Remark", "answer": [ { "valueString": "Urin Sugar Remark" } ] } ] } ] }, { "linkId": "maternal-20.2.3", "text": "Hb", "answer": [ { "valueQuantity": { "value": 12 } } ] } ] }, { "linkId": "maternal-20.3", "text": "Pemeriksaan", "item": [ { "linkId": "maternal-20.3.1", "text": "Berat", "answer": [ { "valueQuantity": { "value": 55 } } ] }, { "linkId": "maternal-20.3.2", "text": "Blood Pressure", "item": [ { "linkId": "maternal-20.3.2.1", "text": "Systolic", "answer": [ { "valueQuantity": { "value": 120 } } ] }, { "linkId": "maternal-20.3.2.2", "text": "Diastolic ", "answer": [ { "valueQuantity": { "value": 90 } } ] } ] }, { "linkId": "maternal-20.3.3", "text": "Nadi", "answer": [ { "valueQuantity": { "value": 90 } } ] }, { "linkId": "maternal-20.3.4", "text": "Edema", "answer": [ { "valueString": "0" } ] } ] }, { "linkId": "maternal-20.4", "text": "Kandungan", "item": [ { "linkId": "maternal-20.4.1", "text": "Tempoh hamil", "answer": [ { "valueQuantity": { "value": 38 } } ] }, { "linkId": "maternal-20.4.2", "text": "Tinggi Rahim", "answer": [ { "valueString": "12" } ] } ] }, { "linkId": "maternal-20.5", "text": "Janin", "item": [ { "linkId": "maternal-20.5.1", "text": "Presentasi", "answer": [ { "valueString": "cephalic" } ] }, { "linkId": "maternal-20.5.2", "text": "Jantung", "answer": [ { "valueString": "normal" } ] }, { "linkId": "maternal-20.5.3", "text": "Gerak", "answer": [ { "valueString": "normal" } ] } ] }, { "linkId": "maternal-20.6", "text": "Masalah", "answer": [ { "valueString": "tiada pape\n1\n2\n3" } ] }, { "linkId": "maternal-20.7", "text": "Pengendalian dan Rawatan", "answer": [ { "valueString": "tiada pape\n1\n2\n3" } ] }, { "linkId": "maternal-20.8", "text": "Tarikh Temujanji", "answer": [ { "valueDateTime": "2023-08-02T01:48:08.524Z" }, { "valueDateTime": "2023-08-18T01:48:13.826Z" } ] } ] } |
| 25. | Masalah Dikesan Semasa Postnatal, Pengendalian dan Rawatan |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-maternal-25", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-25", "version": "1.0.0", "name": "QMaternal25", "title": "Masalah Dikesan Semasa Postnatal, Pengendalian dan Rawatan", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-25.1", "text": "Masalah", "type": "text" }, { "linkId": "maternal-25.2", "text": "Pengendalian dan rawatan", "type": "text" } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-25", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-25", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "author": { "reference": "PractitionerRole/cd16e0cb-3e0f-43bb-9197-901f5daff3ba/_history/23" }, "item": [ { "linkId": "maternal-25.1", "text": "Masalah", "answer": [ { "valueString": "Masalah html entries goes here" } ] }, { "linkId": "maternal-25.2", "text": "Pengendalian dan rawatan", "answer": [ { "valueString": "Pengendalian dan rawatan html entries goes here" } ] } ] } |
Certain pages are stored as Observation profile such as Obstetric Us (MY Core), Obstetric Hb (MY Core), Foetal Kick (MY Core). These pages are usually quantity type of entry and do not require specific Questionnaires to store the record.
Observation Only
These pages are generally objective assessment that are stored as Observation as they do not require specific question/template to store the record.
It is advisable to send as a bundle with both Observation and List referencing the QuestionnaireResponse as example below:
Observation only
{ "resourceType": "Bundle", "type": "transaction", "entry": [ { "request": { "method": "PUT", "url": "List/list-sample" }, "resource": { "resourceType": "List", "id": "list-sample", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/List-my-core" ] }, "status": "current", "mode": "working", "title": "Maternal Health Record 12-Sep-2023", "code": { "coding": [ { "system": "http://fhir.hie.moh.gov.my/CodeSystem/sub-record-type-my-core", "code": "sub-001", "display": "Maternal Health Record" } ] }, "subject": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4" }, "date": "2023-09-12T01:34:38.641Z", "source": { "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484/_history/1" }, "entry": [ { "item": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4", "display": "Patient" } }, { "date": "2023-09-12T09:34:41+08:00", "item": { "reference": "QuestionnaireResponse/qr-maternal-01-sample", "display": "maternal-01" } }, { "date": "2023-09-12T10:19:00+08:00", "item": { "reference": "Observation/obs-us-15-sample", "display": "observation-ultrasound" } } ] } }, { "request": { "method": "PUT", "url": "Observation/obs-us-15-sample" }, "resource": { "resourceType": "Observation", "id": "obs-us-15-sample", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-obstetric-us-my-core" ] }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "LP7830-5", "display": "OB ultrasound" } ] }, "subject": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded" }, "encounter": { "reference": "Encounter/90ff4100-592f-4f41-8dc6-391918db90e5" }, "effectiveDateTime": "2023-09-12T02:19:00.307Z", "issued": "2023-09-12T10:19:00+08:00", "performer": [ { "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484/_history/1", "display": "SAIFULDAULAH BIN MOHD HAFIZ NGOO" } ], "note": [ { "text": "remark%20goes%20here" } ], "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "11779-6", "display": "EDD" } ] }, "valueDateTime": "2024-05-07" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "18850-8", "display": "Presentation" } ] }, "valueString": "cephalic" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11615-2", "display": "FH/FM" } ] }, "valueString": "200" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11957-8", "display": "CRL" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11820-8", "display": "BPD" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "8288-3", "display": "HC" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11862-0", "display": "AC" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11963-6", "display": "FL" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11727-5", "display": "Estimated Fetal Weight" } ] }, "valueQuantity": { "value": 2000, "unit": "g", "system": "http://unitsofmeasure.org", "code": "g" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11995-8", "display": "Placenta" } ] }, "valueString": "anterior" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11627-7", "display": "AFI" } ] }, "valueString": "200" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "18185-9", "display": "Gestational age" } ] }, "valueQuantity": { "value": 35, "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] } } ] }
The List must conform to List (MY Core) as mentioned above.
The Observation must conform to either of the defined Observation (refer the Observation page directly to view the details);
These are the pages that store as Observation only;
Click MY Core postman API link to view common API used in HIE.
| No | Title | JSON |
|---|---|---|
| 14. | Hb monitoring |
Store and displayed from Obstetric Hb (MY Core) record Observation example
{ "resourceType": "Observation", "id": "example-obstetric-hb", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-obstetric-hb-my-core" ] }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "718-7", "display": "Hemoglobin [Mass/volume] in Blood" } ] }, "subject": { "reference": "Patient/95149eff-6e63-44cc-88cd-ff6d8e72b576" }, "encounter": { "reference": "Encounter/6f19f2d5-7f5a-4c39-a6bb-7cb574eec94a" }, "effectiveDateTime": "2023-03-06T08:00:00+08:00", "issued": "2023-03-06T08:00:00+08:00", "performer": [ { "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/20" } ], "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "18185-9", "display": "Gestational age" } ] }, "valueQuantity": { "value": 140, "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "718-7", "display": "Hemoglobin [Mass/volume] in Blood" } ] }, "valueQuantity": { "value": 22, "unit": "g/dL", "system": "http://unitsofmeasure.org", "code": "g/dL" } } ] } |
| 15. | Keputusan Pemeriksaan Ultrasound |
Store and displayed from Obstetric Us (MY Core) record Observation example
{ "resourceType": "Observation", "id": "example-obstetric-us", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-obstetric-us-my-core" ] }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "LP7830-5", "display": "OB ultrasound" } ] }, "subject": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded" }, "encounter": { "reference": "Encounter/90ff4100-592f-4f41-8dc6-391918db90e5" }, "effectiveDateTime": "2023-09-12T02:19:00.307Z", "issued": "2023-09-12T10:19:00+08:00", "performer": [ { "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484/_history/1", "display": "SAIFULDAULAH BIN MOHD HAFIZ NGOO" } ], "note": [ { "text": "remark%20goes%20here" } ], "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "11779-6", "display": "EDD" } ] }, "valueDateTime": "2024-05-07" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "18850-8", "display": "Presentation" } ] }, "valueString": "cephalic" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11615-2", "display": "FH/FM" } ] }, "valueString": "200" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11957-8", "display": "CRL" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11820-8", "display": "BPD" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "8288-3", "display": "HC" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11862-0", "display": "AC" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11963-6", "display": "FL" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11727-5", "display": "Estimated Fetal Weight" } ] }, "valueQuantity": { "value": 2000, "unit": "g", "system": "http://unitsofmeasure.org", "code": "g" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11995-8", "display": "Placenta" } ] }, "valueString": "anterior" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11627-7", "display": "AFI" } ] }, "valueString": "200" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "18185-9", "display": "Gestational age" } ] }, "valueQuantity": { "value": 35, "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] } |
| 16. | Fetal Growth Chart |
Store and displayed from Obstetric Us (MY Core) record Observation example
{ "resourceType": "Observation", "id": "example-obstetric-us", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-obstetric-us-my-core" ] }, "status": "final", "code": { "coding": [ { "system": "http://loinc.org", "code": "LP7830-5", "display": "OB ultrasound" } ] }, "subject": { "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded" }, "encounter": { "reference": "Encounter/90ff4100-592f-4f41-8dc6-391918db90e5" }, "effectiveDateTime": "2023-09-12T02:19:00.307Z", "issued": "2023-09-12T10:19:00+08:00", "performer": [ { "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484/_history/1", "display": "SAIFULDAULAH BIN MOHD HAFIZ NGOO" } ], "note": [ { "text": "remark%20goes%20here" } ], "component": [ { "code": { "coding": [ { "system": "http://loinc.org", "code": "11779-6", "display": "EDD" } ] }, "valueDateTime": "2024-05-07" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "18850-8", "display": "Presentation" } ] }, "valueString": "cephalic" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11615-2", "display": "FH/FM" } ] }, "valueString": "200" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11957-8", "display": "CRL" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11820-8", "display": "BPD" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "8288-3", "display": "HC" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11862-0", "display": "AC" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11963-6", "display": "FL" } ] }, "valueQuantity": { "value": 200, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11727-5", "display": "Estimated Fetal Weight" } ] }, "valueQuantity": { "value": 2000, "unit": "g", "system": "http://unitsofmeasure.org", "code": "g" } }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11995-8", "display": "Placenta" } ] }, "valueString": "anterior" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "11627-7", "display": "AFI" } ] }, "valueString": "200" }, { "code": { "coding": [ { "system": "http://loinc.org", "code": "18185-9", "display": "Gestational age" } ] }, "valueQuantity": { "value": 35, "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] } |
| 19. | Carta Pergerakan Janin |
Store and displayed from Foetal Kick (MY Core) record Observation example
{ "resourceType": "Observation", "identifier": [ { "system": "http://fhir.hie.moh.gov.my/sid/foetal-kick", "value": "20230513a1fe467-cad5-4ec9-83f8-fd6dfb46470c" } ], "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/Observation-foetal-kick-my-core" ] }, "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "251682005", "display": "Foetal Kick Count" } ] }, "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "effectivePeriod": { "start": "2023-05-10T06:00:00+08:00", "end": "2023-05-10T10:00:00+08:00" }, "issued": "2023-05-10T06:00:00+08:00", "valueQuantity": { "value": 10 } } |