Questionnaire
Composition Form
Download Composition Form Questionnaire
Download Composition Form QuestionnaireResponse Sample
| No | Title | JSON |
|---|---|---|
| 1. | Dengue Assessment Checklist |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-dengue-checklist", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-dengue-checklist", "version": "1.0.0", "name": "QDengueChecklist", "title": "Dengue Assessment Checklist", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "dengue-cl.1", "text": "Recognition", "type": "group", "item": [ { "linkId": "dengue-cl.1.1", "text": "Fever", "type": "boolean" }, { "linkId": "dengue-cl.1.2", "text": "Aches and Pain", "type": "boolean" }, { "linkId": "dengue-cl.1.3", "text": "Nausea and / or Vomitting", "type": "boolean" }, { "linkId": "dengue-cl.1.4", "text": "Rash", "type": "boolean" }, { "linkId": "dengue-cl.1.5", "text": "Leucopenia", "type": "boolean" }, { "linkId": "dengue-cl.1.6", "text": "Any Warning Signs", "type": "boolean" }, { "linkId": "dengue-cl.1.7", "text": "Remarks", "type": "text" } ] }, { "linkId": "dengue-cl.2", "text": "Warning signs", "type": "group", "item": [ { "linkId": "dengue-cl.2.1", "text": "Persistent Vomiting (3 or more than 3 times over the last 24 hours)", "type": "boolean" }, { "linkId": "dengue-cl.2.2", "text": "Persistent Diarrhea (3 or more than 3 times over the last 24 hours)", "type": "boolean" }, { "linkId": "dengue-cl.2.3", "text": "Any Abdominal Pain / Tenderness", "type": "boolean" }, { "linkId": "dengue-cl.2.4", "text": "Lethargy / Restlessness / Confusion", "type": "boolean" }, { "linkId": "dengue-cl.2.5", "text": "Tender Liver", "type": "boolean" }, { "linkId": "dengue-cl.2.6", "text": "Third Space Fluid Accumulation", "type": "boolean" }, { "linkId": "dengue-cl.2.7", "text": "Spontaneous Bleeding Tendencies", "type": "boolean" }, { "linkId": "dengue-cl.2.8", "text": "Raised HCT With Rapid Drop in Platelet. \nMale Age ≤ 60 : HCT >46 \nMale Age >60 : HCT > 42 \nFemale All Ages : >40", "type": "boolean" }, { "linkId": "dengue-cl.2.9", "text": "Remarks", "type": "text" } ] }, { "linkId": "dengue-cl.3", "text": "Other criteria", "type": "group", "item": [ { "linkId": "dengue-cl.3.1", "text": "Syncope", "type": "boolean" }, { "linkId": "dengue-cl.3.2", "text": "Social factor", "type": "boolean" }, { "linkId": "dengue-cl.3.3", "text": "Remarks", "type": "text" } ] }, { "linkId": "dengue-cl.4", "text": "Special Group", "type": "group", "item": [ { "linkId": "dengue-cl.4.1", "text": "Obese", "type": "boolean" }, { "linkId": "dengue-cl.4.2", "text": "Pregnant", "type": "boolean" }, { "linkId": "dengue-cl.4.3", "text": "Heart failure / CKD / CLD", "type": "boolean" }, { "linkId": "dengue-cl.4.4", "text": "Diabetes Mellitus", "type": "boolean" }, { "linkId": "dengue-cl.4.5", "text": "Hypertension", "type": "boolean" }, { "linkId": "dengue-cl.4.6", "text": "IHD", "type": "boolean" }, { "linkId": "dengue-cl.4.7", "text": "COPD", "type": "boolean" }, { "linkId": "dengue-cl.4.8", "text": "Age > 65", "type": "boolean" }, { "linkId": "dengue-cl.4.9", "text": "Remarks", "type": "text" } ] }, { "linkId": "dengue-cl.5", "text": "Physical Examination and Vital Signs", "type": "group", "item": [ { "linkId": "dengue-cl.5.1", "text": "Physical Examination Findings", "type": "text" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue", "valueInteger": 300 } ], "linkId": "dengue-cl.5.2", "code": [ { "system": "http://loinc.org", "code": "8480-6", "display": "Systolic Blood Pressure" } ], "text": "Systolic Blood Pressure (mmHg)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue", "valueInteger": 250 } ], "linkId": "dengue-cl.5.3", "code": [ { "system": "http://loinc.org", "code": "8462-4", "display": "Diastolic Blood Pressure" } ], "text": "Diastolic Blood Pressure (mmHg)", "type": "quantity", "enableWhen": [ { "question": "dengue-cl.5.2", "operator": "exists", "answerBoolean": true } ], "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 400 } ], "linkId": "dengue-cl.5.4", "text": "Heart Rate (/min)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 100 } ], "linkId": "dengue-cl.5.5", "text": "Body Temperature (°C)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "°C", "system": "http://unitsofmeasure.org", "code": "Cel" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 100 } ], "linkId": "dengue-cl.5.6", "text": "Oxygen Saturation (%)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 80 } ], "linkId": "dengue-cl.5.7", "text": "Respiratory Rate (/min)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue", "valueInteger": 10 } ], "linkId": "dengue-cl.5.8", "text": "Pain Score", "type": "quantity" } ] }, { "linkId": "dengue-cl.6", "text": "Blood Investigation", "type": "group", "item": [ { "linkId": "dengue-cl.6.1", "text": "White Cell Counts", "type": "quantity" }, { "linkId": "dengue-cl.6.2", "text": "Hb", "type": "quantity" }, { "linkId": "dengue-cl.6.3", "text": "HCT", "type": "quantity" }, { "linkId": "dengue-cl.6.4", "text": "Platelet", "type": "quantity" }, { "linkId": "dengue-cl.6.5", "text": "Dengue Point of Care Checklist (Combo / Rapid Checklist)", "type": "quantity" } ] }, { "linkId": "dengue-cl.7", "text": "Severe Dengue", "type": "group", "item": [ { "linkId": "dengue-cl.7.1", "text": "Hypotension SBP <90 or MAP <60 or SBP Drop > 40mmHg From Known Baseline", "type": "boolean" }, { "linkId": "dengue-cl.7.2", "text": "Shock Index: HR > SBP or Abnormal CCTVR", "type": "boolean" }, { "linkId": "dengue-cl.7.3", "text": "Third Space Fluid Accumulation With Respiratory Distress", "type": "boolean" }, { "linkId": "dengue-cl.7.4", "text": "Altered Concious Level", "type": "boolean" }, { "linkId": "dengue-cl.7.5", "text": "Any bleed GI / Non Mucosal And Non Cutaneous / Non Physiological", "type": "boolean" }, { "linkId": "dengue-cl.7.6", "text": "Specific Organ Dysfunction", "type": "boolean" }, { "linkId": "dengue-cl.7.7", "text": "Remarks", "type": "text" } ] }, { "linkId": "dengue-cl.8", "text": "Onset of Illness", "type": "group", "item": [ { "linkId": "dengue-cl.8,1", "text": "Fever Onset", "type": "dateTime" }, { "linkId": "dengue-cl.8.2", "text": "Critical Phase Onset", "type": "dateTime" } ] }, { "linkId": "dengue-cl.9", "text": "Phase of Illness", "type": "choice", "answerOption": [ { "valueCoding": { "code": "01", "display": "Febrile" } }, { "valueCoding": { "code": "02", "display": "Critical" } }, { "valueCoding": { "code": "03", "display": "Recovery" } } ] }, { "linkId": "dengue-cl.10", "text": "Diagnosis", "type": "choice", "answerOption": [ { "valueCoding": { "code": "01", "display": "Dengue Fever Without Warning Signs" } }, { "valueCoding": { "code": "02", "display": "Dengue Fever With Warning Signs" } }, { "valueCoding": { "code": "03", "display": "Severe Dengue" } } ] }, { "linkId": "dengue-cl.11", "text": "Management", "type": "group", "item": [ { "linkId": "dengue-cl.11.1", "text": "Management / Plans", "type": "text" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-dengue-checklist", "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-dengue-checklist" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-dengue-checklist", "status": "completed", "subject": { "reference": "Patient/93fd2974-8652-489e-a75e-e5a489796f77" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "dengue-cl.1", "text": "Recognition", "item": [ { "linkId": "dengue-cl.1.1", "text": "Fever", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.1.2", "text": "Aches and pain", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.1.3", "text": "Nausea and / or vomitting", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.1.4", "text": "Rash", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.1.5", "text": "Leucopenia", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.1.6", "text": "Any warning signs", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.1.7", "text": "Remarks", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "dengue-cl.2", "text": "Warning signs", "item": [ { "linkId": "dengue-cl.2.1", "text": "Persistent vomiting (3 or more than 3 times over the last 24 hours)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.2.2", "text": "Persistent diarrhea (3 or more than 3 times over the last 24 hours)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.2.3", "text": "Any abdominal pain / tenderness", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.2.4", "text": "Lethargy / Restlessness / Confusion", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.2.5", "text": "Tender liver", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.2.6", "text": "Third space fluid accumulation", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.2.7", "text": "Spontaneous bleeding tendencies", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.2.8", "text": "Raised HCT with rapid drop in platelet. \nMale age ≤ 60 : HCT >46 \nMale age >60 : HCT > 42 \nFemale all ages : >40", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.2.9", "text": "Remarks", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "dengue-cl.3", "text": "Other criteria", "item": [ { "linkId": "dengue-cl.3.1", "text": "Syncope", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.3.2", "text": "Social factor", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.3.3", "text": "Remarks", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "dengue-cl.4", "text": "Special Group", "item": [ { "linkId": "dengue-cl.4.1", "text": "Obese", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.4.2", "text": "Pregnant", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.4.3", "text": "Heart failure /CKD / CLD", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.4.4", "text": "Diabetes Mellitus", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.4.5", "text": "Hypertension", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.4.6", "text": "IHD", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.4.7", "text": "COPD", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.4.8", "text": "Age > 65", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.4.9", "text": "Remarks", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "dengue-cl.5", "text": "Physical Examination and Vital signs", "item": [ { "linkId": "dengue-cl.5.1", "text": "Physical Examination findings", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "dengue-cl.5.2", "text": "Systolic Blood Pressure (mmHg)", "answer": [ { "valueQuantity": { "value": 12, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "dengue-cl.5.3", "text": "Diastolic Blood Pressure (mmHg)", "answer": [ { "valueQuantity": { "value": 12, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "dengue-cl.5.4", "text": "Heart Rate (/min)", "answer": [ { "valueQuantity": { "value": 12, "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } ] }, { "linkId": "dengue-cl.5.5", "text": "Body Temperature (°C)", "answer": [ { "valueQuantity": { "value": 12, "unit": "°C", "system": "http://unitsofmeasure.org", "code": "Cel" } } ] }, { "linkId": "dengue-cl.5.6", "text": "Oxygen Saturation (%)", "answer": [ { "valueQuantity": { "value": 12, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } } ] }, { "linkId": "dengue-cl.5.7", "text": "Respiratory Rate (/min)", "answer": [ { "valueQuantity": { "value": 12, "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } ] }, { "linkId": "dengue-cl.5.8", "text": "Pain score" } ] }, { "linkId": "dengue-cl.6", "text": "Blood investigation", "item": [ { "linkId": "dengue-cl.6.1", "text": "White cell counts", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "dengue-cl.6.2", "text": "Hb", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "dengue-cl.6.3", "text": "HCT", "answer": [ { "valueString": "inseinsert string herert string here" } ] }, { "linkId": "dengue-cl.6.4", "text": "Platelet", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "dengue-cl.6.5", "text": "Dengue Point of Care checklist (Combo/Rapid checklist)", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "dengue-cl.7", "text": "Severe Dengue", "item": [ { "linkId": "dengue-cl.7.1", "text": "Hypotension SBP <90 or MAP <60 or SBP drop > 40mmHg from known baseline", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.7.2", "text": "Shock Index: HR > SBP or abnormal CCTVR", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.7.3", "text": "Third Space fluid accumulation with respiratory distress", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.7.4", "text": "Altered concious level", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.7.5", "text": "Any bleed GI / non mucosal and non cutaneous / non physiological", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.7.6", "text": "Specific organ dysfunction", "answer": [ { "valueBoolean": true } ] }, { "linkId": "dengue-cl.7.7", "text": "Remarks", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "dengue-cl.8", "text": "Onset of illness", "item": [ { "linkId": "dengue-cl.8,1", "text": "Fever onset", "answer": [ { "valueDateTime": "2023-06-26T02:23:10.392Z" } ] }, { "linkId": "dengue-cl.8.2", "text": "Critical phase onset", "answer": [ { "valueDateTime": "2023-06-12T02:23:11.621Z" } ] } ] }, { "linkId": "dengue-cl.9", "text": "Phase of illness", "answer": [ { "valueCoding": { "code": "02", "display": "Critical" } } ] }, { "linkId": "dengue-cl.10", "text": "Diagnosis", "answer": [ { "valueCoding": { "code": "01", "display": "Dengue fever without warning signs" } } ] }, { "linkId": "dengue-cl.11", "text": "Management", "item": [ { "linkId": "dengue-cl.11.1", "text": "Management/Plans", "answer": [ { "valueString": "insert string here" } ] } ] } ] } |
| 2. | Hypertension Clerking Note |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-hpt-note", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-hpt-note", "version": "1.0.0", "name": "QHptNoteA", "title": "Hypertension Clerking Note", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "description": "Hypertension Clerking Note", "item": [ { "linkId": "hpt-note.1", "text": "Concomitant Disease", "type": "group", "item": [ { "linkId": "hpt-note.1.1", "text": "Diabetes Mellitus", "type": "boolean" }, { "linkId": "hpt-note.1.2", "text": "Renal Disease", "type": "boolean" }, { "linkId": "hpt-note.1.3", "text": "Heart Failure", "type": "boolean" }, { "linkId": "hpt-note.1.4", "text": "Gout", "type": "boolean" }, { "linkId": "hpt-note.1.5", "text": "Concomitant Disease Remarks", "type": "text" } ] }, { "linkId": "hpt-note.2", "text": "Past Medical Admissions for Hypertension", "type": "group", "item": [ { "linkId": "hpt-note.2.1", "text": "Any Ward Admissions For Hypertension Emergencies", "type": "boolean" }, { "linkId": "hpt-note.2.2", "text": "Any Emergency Department Encounters", "type": "boolean" }, { "linkId": "hpt-note.2.3", "text": "Past Medical Admissions Remarks", "type": "text" } ] }, { "linkId": "hpt-note.3", "text": "Medication Summary", "type": "group", "item": [ { "linkId": "hpt-note.3.1", "text": "Findings", "type": "text" } ] }, { "linkId": "hpt-note.4", "text": "Smoking History", "type": "group", "item": [ { "linkId": "hpt-note.4.1", "text": "Starting Date of Smoking", "type": "date" }, { "linkId": "hpt-note.4.2", "text": "How Many Cigarettes Per Day", "type": "integer" }, { "linkId": "hpt-note.4.3", "text": "Pack Years of Smoking (years)", "type": "integer" } ] }, { "linkId": "hpt-note.5", "text": "Social History", "type": "group", "item": [ { "linkId": "hpt-note.5.1", "text": "Findings", "type": "text" } ] }, { "linkId": "hpt-note.6", "text": "Family History", "type": "group", "item": [ { "linkId": "hpt-note.6.1", "text": "Findings", "type": "text" } ] }, { "linkId": "hpt-note.7", "text": "Symptoms", "type": "group", "item": [ { "linkId": "hpt-note.7.1", "text": "Visual Disturbances", "type": "boolean" }, { "linkId": "hpt-note.7.2", "text": "Chest Pain", "type": "boolean" }, { "linkId": "hpt-note.7.3", "text": "Lower Limb Swellings", "type": "boolean" }, { "linkId": "hpt-note.7.4", "text": "Headache", "type": "boolean" }, { "linkId": "hpt-note.7.5", "text": "Vomiting", "type": "boolean" }, { "linkId": "hpt-note.7.6", "text": "Limb Weakness", "type": "boolean" }, { "linkId": "hpt-note.7.7", "text": "Shortness of Breath", "type": "boolean" }, { "linkId": "hpt-note.7.8", "text": "Symptoms Remarks", "type": "text" } ] }, { "linkId": "hpt-note.8", "text": "History of Presenting Illness Summary", "type": "group", "item": [ { "linkId": "hpt-note.8.1", "text": "Findings", "type": "text" } ] }, { "linkId": "hpt-note.9", "text": "Initial Vital Signs", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 300 } ], "linkId": "hpt-note.9.1", "code": [ { "system": "http://loinc.org", "code": "8480-6", "display": "Systolic Blood Pressure" } ], "text": "Systolic Blood Pressure (mmHg)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 250 } ], "linkId": "hpt-note.9.2", "code": [ { "system": "http://loinc.org", "code": "8462-4", "display": "Diastolic Blood Pressure" } ], "text": "Diastolic Blood Pressure (mmHg)", "type": "quantity", "enableWhen": [ { "question": "hpt-note.9.1", "operator": "exists", "answerBoolean": true } ], "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 400 } ], "linkId": "hpt-note.9.9", "text": "Heart Rate (/min)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "per minute", "system": "http://unitsofmeasure.org", "code": "/min" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 100 } ], "linkId": "hpt-note.9.10", "text": "Oxygen Saturation (%)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 100 } ], "linkId": "hpt-note.9.11", "code": [ { "system": "http://loinc.org", "code": "8310-5", "display": "Body Temperature" } ], "text": "Body Temperature (°C)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "°C", "system": "http://unitsofmeasure.org", "code": "Cel" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 10 } ], "linkId": "hpt-note.9.12", "text": "Pain score", "type": "quantity" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 80 } ], "linkId": "hpt-note.9.13", "text": "Respiratory Rate (/min)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "per minute", "system": "http://unitsofmeasure.org", "code": "/min" } } ] } ] }, { "linkId": "hpt-note.10", "text": "Blood Pressure Second Reading", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 300 } ], "linkId": "hpt-note.10.1", "code": [ { "system": "http://loinc.org", "code": "8480-6", "display": "Systolic Blood Pressure" } ], "text": "Systolic Blood Pressure Second Reading (mmHg)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 250 } ], "linkId": "hpt-note.10.2", "code": [ { "system": "http://loinc.org", "code": "8462-4", "display": "Diastolic Blood Pressure" } ], "text": "Diastolic Blood Pressure Second Reading (mmHg)", "type": "quantity", "enableWhen": [ { "question": "hpt-note.10.1", "operator": "exists", "answerBoolean": true } ], "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "hpt-note.10.3", "text": "Recorded Time", "type": "dateTime" } ] }, { "linkId": "hpt-note.11", "text": "Blood Pressure Standing", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 300 } ], "linkId": "hpt-note.11.1", "code": [ { "system": "http://loinc.org", "code": "8480-6", "display": "Systolic Blood Pressure" } ], "text": "Systolic Blood Pressure Standing (mmHg)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 250 } ], "linkId": "hpt-note.11.2", "code": [ { "system": "http://loinc.org", "code": "8462-4", "display": "Diastolic Blood Pressure" } ], "text": "Diastolic Blood Pressure Standing (mmHg)", "type": "quantity", "enableWhen": [ { "question": "hpt-note.11.1", "operator": "exists", "answerBoolean": true } ], "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "hpt-note.11.3", "text": "Recorded Time", "type": "dateTime" } ] }, { "linkId": "hpt-note.12", "text": "Blood Pressure Seated", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 300 } ], "linkId": "hpt-note.12.1", "text": "Systolic Blood Pressure Seated (mmHg)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 250 } ], "linkId": "hpt-note.12.2", "code": [ { "system": "http://loinc.org", "code": "8462-4", "display": "Diastolic Blood Pressure" } ], "text": "Diastolic Blood Pressure Seated (mmHg)", "type": "quantity", "enableWhen": [ { "question": "hpt-note.12.1", "operator": "exists", "answerBoolean": true } ], "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "hpt-note.12.3", "text": "Recorded Time", "type": "dateTime" } ] }, { "linkId": "hpt-note.13", "text": "Central Nervous System Examinations", "type": "group", "item": [ { "linkId": "hpt-note.13.1", "text": "Findings", "type": "text" } ] }, { "linkId": "hpt-note.14", "text": "Eye Examination", "type": "group", "item": [ { "linkId": "hpt-note.14.1", "text": "Findings", "type": "text" } ] }, { "linkId": "hpt-note.15", "text": "Cranial Nerves Examination", "type": "group", "item": [ { "linkId": "hpt-note.15.1", "text": "Findings", "type": "text" } ] }, { "linkId": "hpt-note.16", "text": "Cardiac Examination", "type": "group", "item": [ { "linkId": "hpt-note.16.1", "text": "Findings", "type": "text" } ] }, { "linkId": "hpt-note.17", "text": "General Endocrine Examination", "type": "group", "item": [ { "linkId": "hpt-note.17.1", "text": "Findings", "type": "text" } ] }, { "linkId": "hpt-note.18", "text": "Abdominal Examination", "type": "group", "item": [ { "linkId": "hpt-note.18.1", "text": "Findings", "type": "text" } ] }, { "linkId": "hpt-note.19", "text": "Respiratory Examination", "type": "group", "item": [ { "linkId": "hpt-note.19.1", "text": "Findings", "type": "text" } ] }, { "linkId": "hpt-note.20", "text": "General Examination Findings Summary", "type": "group", "item": [ { "linkId": "hpt-note.20.1", "text": "Findings", "type": "text" } ] }, { "linkId": "hpt-note.21", "text": "Investigations / Special Test", "type": "group", "item": [ { "linkId": "hpt-note.21.1", "text": "Fundoscopy", "type": "text" }, { "linkId": "hpt-note.21.2", "text": "US KUB Findings", "type": "text" }, { "linkId": "hpt-note.21.3", "text": "CT Scan Findings", "type": "text" }, { "linkId": "hpt-note.21.4", "text": "Xray Findings", "type": "text" }, { "linkId": "hpt-note.21.5", "text": "General Investigations / Summary", "type": "text" } ] }, { "linkId": "hpt-note.22", "text": "Diagnosis", "type": "group", "item": [ { "linkId": "hpt-note.22.1", "text": "Diagnosis", "type": "text" } ] }, { "linkId": "hpt-note.23", "text": "Management / Treatment", "type": "group", "item": [ { "linkId": "hpt-note.23.1", "text": "Management Summary", "type": "text" } ] }, { "linkId": "hpt-note.24", "text": "TCA Date", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/dateRule-my-core", "valueString": "futureDate" } ], "linkId": "hpt-note.24.1", "text": "Date", "type": "dateTime" } ] }, { "linkId": "hpt-note.25", "text": "Referral", "type": "group", "item": [ { "linkId": "hpt-note.25.1", "text": "Reason for Referral", "type": "text" }, { "linkId": "hpt-note.25.2", "text": "Spoken To", "type": "string" }, { "linkId": "hpt-note.25.3", "text": "Time of Referral made", "type": "dateTime" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-hpt-note", "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-hpt-note" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-hpt-note", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "hpt-note.1", "text": "Concomitant Disease", "item": [ { "linkId": "hpt-note.1.1", "text": "Diabetes Mellitus", "answer": [ { "valueBoolean": true } ] }, { "linkId": "hpt-note.1.2", "text": "Renal Disease", "answer": [ { "valueBoolean": true } ] }, { "linkId": "hpt-note.1.3", "text": "Heart Failure", "answer": [ { "valueBoolean": true } ] }, { "linkId": "hpt-note.1.4", "text": "Gout", "answer": [ { "valueBoolean": true } ] }, { "linkId": "hpt-note.1.5", "text": "Concomitant Disease Remarks", "answer": [ { "valueString": "enter string here" } ] } ] }, { "linkId": "hpt-note.2", "text": "Past Medical Admissions for Hypertension", "item": [ { "linkId": "hpt-note.2.1", "text": "Any ward admissions for Hypertension Emergencies", "answer": [ { "valueBoolean": true } ] }, { "linkId": "hpt-note.2.3", "text": "Past Medical Admissions Remarks", "answer": [ { "valueString": "enter string here" } ] } ] }, { "linkId": "hpt-note.3", "text": "Medication History", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "hpt-note.4", "text": "Smoking History", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "hpt-note.4.1", "text": "Starting Date of Smoking", "answer": [ { "valueDateTime": "2023-05-28T08:24:00.500Z" } ] }, { "linkId": "hpt-note.4.2", "text": "How many ciggarates per day", "answer": [ { "valueInteger": 12 } ] }, { "linkId": "hpt-note.4.3", "text": "Pack years of smoking (years)", "answer": [ { "valueInteger": 12 } ] } ] } ] }, { "linkId": "hpt-note.5", "text": "Social History", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "hpt-note.6", "text": "Family History", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "hpt-note.7", "text": "Symptoms", "item": [ { "linkId": "hpt-note.7.1", "text": "Visual Disturbances", "answer": [ { "valueBoolean": true } ] }, { "linkId": "hpt-note.7.2", "text": "Chest pain", "answer": [ { "valueBoolean": true } ] }, { "linkId": "hpt-note.7.3", "text": "Lower limb swellings", "answer": [ { "valueBoolean": true } ] }, { "linkId": "hpt-note.7.4", "text": "Headache", "answer": [ { "valueBoolean": true } ] }, { "linkId": "hpt-note.7.5", "text": "Vomiting", "answer": [ { "valueBoolean": true } ] }, { "linkId": "hpt-note.7.6", "text": "Limb weakness", "answer": [ { "valueBoolean": true } ] }, { "linkId": "hpt-note.7.7", "text": "Shortness of breath", "answer": [ { "valueBoolean": true } ] }, { "linkId": "hpt-note.7.8", "text": "Symptoms Remarks", "answer": [ { "valueString": "enter string here" } ] } ] }, { "linkId": "hpt-note.8", "text": "History of Presenting Illness Summary", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "hpt-note.9", "text": "Vital Signs", "item": [ { "linkId": "hpt-note.9.1", "text": "BP on arrival systolic (mmHg)", "answer": [ { "valueInteger": 120 } ] }, { "linkId": "hpt-note.9.2", "text": "BP on arrival diastolic (mmHg)", "answer": [ { "valueInteger": 70 } ] }, { "linkId": "hpt-note.9.3", "text": "BP second reading systolic (mmHg)", "answer": [ { "valueInteger": 120 } ] }, { "linkId": "hpt-note.9.4", "text": "BP second reading diastolic (mmHg)", "answer": [ { "valueInteger": 70 } ] }, { "linkId": "hpt-note.9.5", "text": "BP systolic standing (mmHg)", "answer": [ { "valueInteger": 120 } ] }, { "linkId": "hpt-note.9.6", "text": "BP diastolic standing (mmHg)", "answer": [ { "valueInteger": 70 } ] }, { "linkId": "hpt-note.9.7", "text": "BP systolic seated (mmHg)", "answer": [ { "valueInteger": 120 } ] }, { "linkId": "hpt-note.9.8", "text": "BP diastolic seated (mmHg)", "answer": [ { "valueInteger": 70 } ] }, { "linkId": "hpt-note.9.9", "text": "Heart Rate (bpm)", "answer": [ { "valueInteger": 99 } ] }, { "linkId": "hpt-note.9.10", "text": "SPo2 (%)", "answer": [ { "valueInteger": 99 } ] }, { "linkId": "hpt-note.9.11", "text": "Temperature (Degrees Celcius)", "answer": [ { "valueDecimal": 36.87 } ] }, { "linkId": "hpt-note.9.12", "text": "Pain score", "answer": [ { "valueInteger": 2 } ] }, { "linkId": "hpt-note.9.13", "text": "CCTVR", "answer": [ { "valueString": "enter string here" } ] } ] }, { "linkId": "hpt-note.10", "text": "Central Nervous System Examinations (Normal Findings)", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "hpt-note.10.1", "text": "Findings", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "hpt-note.11", "text": "Eye Examination (Normal Findings)", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "hpt-note.11.1", "text": "Findings", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "hpt-note.12", "text": "Cranial Nerves Examination (Normal findings)", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "hpt-note.12.1", "text": "Findings", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "hpt-note.13", "text": "Cardiac Examination (Normal Findings)", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "hpt-note.13.1", "text": "Findings", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "hpt-note.14", "text": "General Endocrine Examination (Normal Findings)", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "hpt-note.14.1", "text": "Findings", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "hpt-note.15", "text": "Abdominal Examination (Normal Findings)", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "hpt-note.15.1", "text": "Findings", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "hpt-note.16", "text": "Respiratory Examination ( Normal Findings)", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "hpt-note.16.1", "text": "Findings", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "hpt-note.17", "text": "General Examination Findings Summary", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "hpt-note.18", "text": "Investigations / Special Test", "answer": [ { "valueString": "enter string here", "item": [ { "linkId": "hpt-note.18.1", "text": "Fundoscopy", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "hpt-note.18.2", "text": "US KUB Findings", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "hpt-note.18.3", "text": "CT Scan Findings", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "hpt-note.18.4", "text": "Xray Findings", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "hpt-note.19", "text": "Diagnosis", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "hpt-note.20", "text": "Management/Treatment Summary", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "hpt-note.21", "text": "TCA Date", "answer": [ { "valueDateTime": "2023-05-28T08:24:52.474Z" } ] }, { "linkId": "hpt-note.22", "text": "Referral", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "hpt-note.22.1", "text": "Reason for Referral", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "hpt-note.22.2", "text": "Spoken To:", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "hpt-note.22.3", "text": "Time of Referral made", "answer": [ { "valueDateTime": "2023-05-07T08:24:55.409Z" } ] } ] } ] } ] } |
| 3. | TB Clerking Template |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-tb-note", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-tb-note", "version": "1.0.0", "name": "QTbNote", "title": "TB Clerking Template", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "tb-note.1", "text": "Special Group", "type": "group", "item": [ { "linkId": "tb-note.1.1", "text": "TB Contact", "type": "boolean" }, { "linkId": "tb-note.1.2", "text": "Pregnancy", "type": "boolean" }, { "linkId": "tb-note.1.3", "text": "Other Comorbids (e.g Diabetes Mellitus or Hypertension)", "type": "boolean" }, { "linkId": "tb-note.1.4", "text": "Immunocompromised (e.g. on Immunosupressants / HIV)", "type": "boolean" }, { "linkId": "tb-note.1.5", "text": "Special Group Remarks", "type": "text" } ] }, { "linkId": "tb-note.2", "text": "Past Medical / Surgical History", "type": "group", "item": [ { "linkId": "tb-note.2.1", "text": "Past Medical History", "type": "text" }, { "linkId": "tb-note.2.2", "text": "Past Surgical History", "type": "text" } ] }, { "linkId": "tb-note.3", "text": "Medication History", "type": "group", "item": [ { "linkId": "tb-note.3.1", "text": "Medication Details", "type": "text" } ] }, { "linkId": "tb-note.4", "text": "Social and Family History", "type": "group", "item": [ { "linkId": "tb-note.4.2", "text": "Social History", "type": "text" }, { "linkId": "tb-note.4.1", "text": "Family History", "type": "text" } ] }, { "linkId": "tb-note.5", "text": "Symptoms", "type": "group", "item": [ { "linkId": "tb-note.5.1", "text": "Cough", "type": "boolean" }, { "linkId": "tb-note.5.2", "text": "Fever", "type": "boolean" }, { "linkId": "tb-note.5.3", "text": "Night Sweats", "type": "boolean" }, { "linkId": "tb-note.5.4", "text": "Haemoptysis", "type": "boolean" }, { "linkId": "tb-note.5.5", "text": "Weight Loss", "type": "boolean" }, { "linkId": "tb-note.5.6", "text": "Chest Pain", "type": "boolean" }, { "linkId": "tb-note.5.7", "text": "Shortness of Breath", "type": "boolean" }, { "linkId": "tb-note.5.8", "text": "Lethargy", "type": "boolean" }, { "linkId": "tb-note.5.9", "text": "Symptoms Remark", "type": "text" } ] }, { "linkId": "tb-note.6", "text": "History of Presenting Illness Summary", "type": "group", "item": [ { "linkId": "tb-note.6.1", "text": "Findings", "type": "text" } ] }, { "linkId": "tb-note.7", "text": "Vital Signs", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 300 } ], "linkId": "tb-note.7.1", "code": [ { "system": "http://loinc.org", "code": "8480-6", "display": "Systolic Blood Pressure" } ], "text": "Systolic Blood Pressure (mmHg)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 250 } ], "linkId": "tb-note.7.2", "code": [ { "system": "http://loinc.org", "code": "8462-4", "display": "Diastolic Blood Pressure" } ], "text": "Diastolic Blood Pressure (mmHg)", "type": "quantity", "enableWhen": [ { "question": "tb-note.7.1", "operator": "exists", "answerBoolean": true } ], "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 400 } ], "linkId": "tb-note.7.3", "text": "Heart Rate (/min)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 100 } ], "linkId": "tb-note.7.4", "code": [ { "system": "http://loinc.org", "code": "8310-5", "display": "Body Temperature" } ], "text": "Body Temperature (°C)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "°C", "system": "http://unitsofmeasure.org", "code": "Cel" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 100 } ], "linkId": "tb-note.7.5", "text": "Oxygen Saturation (%)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 80 } ], "linkId": "tb-note.7.6", "text": "Respiratory Rate (/min)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 10 } ], "linkId": "tb-note.7.7", "text": "Pain score", "type": "quantity" } ] }, { "linkId": "tb-note.8", "text": "Physical Examination", "type": "group", "item": [ { "linkId": "tb-note.8.1", "text": "Findings", "type": "text" } ] }, { "linkId": "tb-note.9", "text": "Investigations / Special Test", "type": "group", "item": [ { "linkId": "tb-note.9.1", "text": "Findings", "type": "text" } ] }, { "linkId": "tb-note.10", "text": "Imaging", "type": "group", "item": [ { "linkId": "tb-note.10.1", "text": "Chest X ray Intepretation", "type": "text" } ] }, { "linkId": "tb-note.11", "text": "Diagnosis", "type": "group", "item": [ { "linkId": "tb-note.11.1", "text": "Diagnosis", "type": "text" } ] }, { "linkId": "tb-note.12", "text": "Management / Treatment", "type": "group", "item": [ { "linkId": "tb-note.12.1", "text": "Management Summary", "type": "text" } ] }, { "linkId": "tb-note.13", "text": "Notification of Infectious Disease", "type": "group", "item": [ { "linkId": "tb-note.13.1", "text": "Spoken To", "type": "text" }, { "linkId": "tb-note.13.2", "text": "Time of Notification", "type": "dateTime" } ] }, { "linkId": "tb-note.14", "text": "TCA Date", "type": "group", "item": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/dateRule-my-core", "valueString": "futureDate" } ], "linkId": "tb-note.14.1", "text": "Date", "type": "dateTime" } ] }, { "linkId": "tb-note.15", "text": "Referral", "type": "group", "item": [ { "linkId": "tb-note.15.1", "text": "Reason for Referral", "type": "text" }, { "linkId": "tb-note.15.2", "text": "Spoken To", "type": "string" }, { "linkId": "tb-note.15.3", "text": "Time of Referral", "type": "dateTime" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-tb-note", "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-tb-note" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-tb-note", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "tb-note.1", "text": "Special Group", "item": [ { "linkId": "tb-note.1.1", "text": "TB Contact", "answer": [ { "valueBoolean": true } ] }, { "linkId": "tb-note.1.2", "text": "Pregnancy", "answer": [ { "valueBoolean": true } ] }, { "linkId": "tb-note.1.3", "text": "Other comorbids (e.g Diabetes Mellitus or Hypertension)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "tb-note.1.4", "text": "Immunocompromised (e.g. on immunosupressants / HIV)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "tb-note.1.5", "text": "Special Group Remarks", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "tb-note.2", "text": "Past Medical / Surgical History", "item": [ { "linkId": "tb-note.2.1", "text": "Past Medical History", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "tb-note.2.2", "text": "Past Surgical History", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "tb-note.3", "text": "Medication History", "item": [ { "linkId": "tb-note.3.1", "text": "Medication Details", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "tb-note.4", "text": "Social and Family History", "item": [ { "linkId": "tb-note.4.2", "text": "Social History", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "tb-note.4.1", "text": "Family History", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "tb-note.5", "text": "Symptoms", "item": [ { "linkId": "tb-note.5.1", "text": "Cough", "answer": [ { "valueBoolean": true } ] }, { "linkId": "tb-note.5.2", "text": "Fever", "answer": [ { "valueBoolean": true } ] }, { "linkId": "tb-note.5.3", "text": "Night Sweats", "answer": [ { "valueBoolean": true } ] }, { "linkId": "tb-note.5.4", "text": "Haemoptysis", "answer": [ { "valueBoolean": true } ] }, { "linkId": "tb-note.5.5", "text": "Weight loss", "answer": [ { "valueBoolean": true } ] }, { "linkId": "tb-note.5.6", "text": "Chest pain", "answer": [ { "valueBoolean": true } ] }, { "linkId": "tb-note.5.7", "text": "Shortness of breath", "answer": [ { "valueBoolean": true } ] }, { "linkId": "tb-note.5.8", "text": "Lethargy", "answer": [ { "valueBoolean": true } ] }, { "linkId": "tb-note.5.9", "text": "Symptoms Remark", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "tb-note.6", "text": "History of Presenting Illness Summary", "item": [ { "linkId": "tb-note.6.1", "text": "Findings", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "tb-note.7", "text": "Vital Signs", "item": [ { "linkId": "tb-note.7.1", "text": "Systolic Blood Pressure (mmHg)", "answer": [ { "valueQuantity": { "value": 120, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "tb-note.7.2", "text": "Diastolic Blood Pressure (mmHg)", "answer": [ { "valueQuantity": { "value": 70, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "tb-note.7.3", "text": "Heart Rate (/min)", "answer": [ { "valueQuantity": { "value": 66, "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } ] }, { "linkId": "tb-note.7.4", "text": "Body Temperature (°C)", "answer": [ { "valueQuantity": { "value": 36.7, "unit": "°C", "system": "http://unitsofmeasure.org", "code": "Cel" } } ] }, { "linkId": "tb-note.7.5", "text": "Oxygen Saturation (%)", "answer": [ { "valueQuantity": { "value": 99, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } } ] }, { "linkId": "tb-note.7.6", "text": "Respiratory Rate (/min)", "answer": [ { "valueQuantity": { "value": 66, "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } ] }, { "linkId": "tb-note.7.7", "text": "Pain score", "answer": [ { "valueInteger": 2 } ] } ] }, { "linkId": "tb-note.8", "text": "Physical Examination", "item": [ { "linkId": "tb-note.8.1", "text": "Findings", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "tb-note.9", "text": "Investigations / Special Test", "item": [ { "linkId": "tb-note.9.1", "text": "Findings", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "tb-note.10", "text": "Imaging", "item": [ { "linkId": "tb-note.10.1", "text": "Chest X ray Intepretation", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "tb-note.11", "text": "Diagnosis", "item": [ { "linkId": "tb-note.11.1", "text": "Diagnosis", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "tb-note.12", "text": "Management / Treatment", "item": [ { "linkId": "tb-note.12.1", "text": "Management Summary", "answer": [ { "valueString": "insert string here" } ] } ] }, { "linkId": "tb-note.13", "text": "Notification of Infectious Disease", "item": [ { "linkId": "tb-note.13.1", "text": "Spoken To", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "tb-note.13.2", "text": "Time of Notification", "answer": [ { "valueDateTime": "2023-06-13T08:37:27.230Z" } ] } ] }, { "linkId": "tb-note.14", "text": "TCA Date", "item": [ { "linkId": "tb-note.14.1", "text": "Date", "answer": [ { "valueDateTime": "2023-06-26T08:37:29.780Z" } ] } ] }, { "linkId": "tb-note.15", "text": "Referral", "item": [ { "linkId": "tb-note.15.1", "text": "Reason for Referral", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "tb-note.15.2", "text": "Spoken To", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "tb-note.15.3", "text": "Time of Referral", "answer": [ { "valueDateTime": "2023-06-12T08:37:33.806Z" } ] } ] } ] } |
Self/Risk Assessment
Download Self/Risk Assessment Questionnaire
Download Self/Risk Assessment QuestionnaireResponse Sample
| No | Title | JSON |
|---|---|---|
| 1. | AUDIT-C |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-audit-c", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-audit-c", "title": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "description": "The AUDIT-C is scored on a scale of 0-12 (scores of 0 reflect no alcohol use). In men, a score of 4 or more is considered positive; in women, a score of 3 or more is considered positive. Generally, the higher the AUDIT-C score, the more likely it is that the person's drinking is affecting his/her health and safety.", "useContext": [ { "code": { "system": "http://hl7.org/fhir/CodeSystem/usage-context-type", "code": "workflow", "display": "Workflow Setting" }, "valueCodeableConcept": { "coding": [ { "code": "self-assessment", "display": "Self-Assessment" } ] } } ], "purpose": "The AUDIT questionnaire is designed to help in the self-assessment of alcohol consumption and to identify any implications for the person's health and wellbeing, now and in the future.", "code": [ { "system": "http://loinc.org", "code": "72109-2", "display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]" } ], "item": [ { "linkId": "01", "code": [ { "system": "http://loinc.org", "code": "68518-0", "display": "How often do you have a drink containing alcohol" } ], "prefix": "1", "text": "How often did you have a drink containing alcohol in the past year?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18926-8", "display": "Monthly or less" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18927-6", "display": "Two to four times a month" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18928-4", "display": "Two to three times per week" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18929-2", "display": "Four or more times a week" } } ] }, { "linkId": "02", "code": [ { "system": "http://loinc.org", "code": "68519-8", "display": "How many standard drinks containing alcohol do you have on a typical day" } ], "prefix": "2", "text": "How many drinks containing alcohol did you have on a typical day when you were drinking in the past year?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "1 or 2 drinks" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18926-8", "display": "3 or 4" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18927-6", "display": "5 to 6" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18928-4", "display": "7 to 9" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18929-2", "display": "10 or more" } } ] }, { "linkId": "03", "code": [ { "system": "http://loinc.org", "code": "68520-6", "display": "How often do you have 6 or more drinks on 1 occasion" } ], "prefix": "3", "text": "How often did you have six or more drinks on one occasion in the past year?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18926-8", "display": "Less than monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18927-6", "display": "monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18928-4", "display": "weekly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18929-2", "display": "daily or almost daily" } } ] }, { "id": "score", "linkId": "04", "code": [ { "system": "http://loinc.org", "code": "75626-2", "display": "Total score [AUDIT-C]" } ], "prefix": "4", "text": "Total score [AUDIT-C]", "type": "integer", "required": true, "readOnly": true }, { "id": "outcome", "linkId": "05", "code": [ { "code": "outcome" } ], "prefix": "5", "text": "Outcome Summary [AUDIT]", "type": "choice", "required": true, "readOnly": true, "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-c-my-core", "code": "a1", "display": "Low-Risk Consumption" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-c-my-core", "code": "a2", "display": "Alcohol misuse" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-c-my-core", "code": "a3", "display": "Alcohol misuse and possible health effected" } } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-audit-c", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "extension": [ { "url": "http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core", "valueReference": { "reference": "Questionnaire/q-audit-c" } } ], "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-audit-c", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2023-01-30T04:22:00.113Z", "author": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "item": [ { "linkId": "01", "text": "How often do you have a drink containing alcohol?", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } } ] }, { "linkId": "02", "text": "How many standard drinks containing alcohol do you have on a typical day when drinking?", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } } ] }, { "linkId": "03", "text": "How often do you have six or more drinks on one occasion?", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } } ] }, { "linkId": "04", "text": "Total score [AUDIT-C]", "answer": [ { "valueInteger": 0 } ] }, { "linkId": "05", "text": "Outcome Summary [AUDIT]", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-c-my-core", "code": "a1", "display": "Low-Risk Consumption" } } ] } ] } |
| 2. | AUDIT-10 |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-audit-10", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-audit-10", "title": "Alcohol Use Disorder Identification Test 10 [AUDIT-10]", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "description": "The AUDIT-10 has 10 questions and the range of possible scores is from 0 to 40 where 0 indicates an abstainer who has never had any problems from alcohol, 1 to 7 suggests low risk consumption, 8 to 14 suggest harmful alcohol consumption and ≥15 Likelihood of alcohol dependence (moderate-severe alcohol use disorder)", "useContext": [ { "code": { "system": "http://hl7.org/fhir/CodeSystem/usage-context-type", "code": "workflow", "display": "Workflow Setting" }, "valueCodeableConcept": { "coding": [ { "code": "self-assessment", "display": "Self-Assessment" } ] } } ], "purpose": "The AUDIT questionnaire is designed to help in the self-assessment of alcohol consumption and to identify any implications for the person's health and wellbeing, now and in the future.", "code": [ { "system": "http://loinc.org", "code": "72110-0", "display": "Alcohol Use Disorder Identification Test [AUDIT]" } ], "item": [ { "linkId": "00", "code": [ { "system": "http://loinc.org", "code": "46098-0", "display": "Sex" } ], "prefix": "1", "text": "Please select your gender", "type": "choice", "required": false, "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" } } ] }, { "linkId": "01", "code": [ { "system": "http://loinc.org", "code": "68518-0", "display": "How often do you have a drink containing alcohol" } ], "prefix": "2", "text": "How often do you have a drink containing alcohol?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18933-4", "display": "Monthly or less" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18876-5", "display": "2-4 times a month" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18891-4", "display": "2-3 times a week" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18934-2", "display": "4 or more times a week" } } ] }, { "linkId": "02", "code": [ { "system": "http://loinc.org", "code": "68519-8", "display": "How many standard drinks containing alcohol do you have on a typical day" } ], "prefix": "3", "text": "How many standard drinks containing alcohol do you have on a typical day when drinking?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "1 or 2" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18926-8", "display": "3 or 4" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18927-6", "display": "5 or 6" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18928-4", "display": "7 to 9" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18929-2", "display": "10 or more" } } ] }, { "linkId": "03", "code": [ { "system": "http://loinc.org", "code": "68520-6", "display": "How often do you have 6 or more drinks on 1 occasion" } ], "prefix": "4", "text": "How often do you have six or more drinks on one occasion?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18926-8", "display": "Less than monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18927-6", "display": "Monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18928-4", "display": "Weekly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18929-2", "display": "Daily or almost daily" } } ] }, { "linkId": "04", "code": [ { "system": "http://loinc.org", "code": "97734-8", "display": "Inability to stop drinking once started" } ], "prefix": "5", "text": "During the past year, how often have you found that you were not able to stop drinking once you had started?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18933-4", "display": "Less than monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18876-5", "display": "Monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18891-4", "display": "Weekly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18934-2", "display": "Daily or almost daily" } } ] }, { "linkId": "05", "code": [ { "system": "http://loinc.org", "code": "97735-5", "display": "Failed expectations due to drinking" } ], "prefix": "6", "text": "During the past year, how often have you failed to do what was normally expected of you because of drinking?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18933-4", "display": "Less than monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18876-5", "display": "Monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18891-4", "display": "Weekly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18934-2", "display": "Daily or almost daily" } } ] }, { "linkId": "06", "code": [ { "system": "http://loinc.org", "code": "97736-3", "display": "Drink needed in morning to begin activities after drinking session" } ], "prefix": "7", "text": "During the past year, how often have you needed a drink in the morning to get yourself going after a heavy drinking session?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18933-4", "display": "Less than monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18876-5", "display": "Monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18891-4", "display": "Weekly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18934-2", "display": "Daily or almost daily" } } ] }, { "linkId": "07", "code": [ { "system": "http://loinc.org", "code": "97737-1", "display": "Guilt or remorse after drinking" } ], "prefix": "8", "text": "During the past year, how often have you had a feeling of guilt or remorse after drinking?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18933-4", "display": "Less than monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18876-5", "display": "Monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18891-4", "display": "Weekly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18934-2", "display": "Daily or almost daily" } } ] }, { "linkId": "08", "code": [ { "system": "http://loinc.org", "code": "97738-9", "display": "Inability to recall events from night before due to drinking" } ], "prefix": "9", "text": "During the past year, how often have you been unable to remember what happened the night before because you had been drinking?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18933-4", "display": "Less than monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18876-5", "display": "Monthly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18891-4", "display": "Weekly" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA18934-2", "display": "Daily or almost daily" } } ] }, { "linkId": "09", "code": [ { "system": "http://loinc.org", "code": "97739-7", "display": "Injury to you or someone else resulting from drinking" } ], "prefix": "10", "text": "Have you or someone else been injured as a result of your drinking?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA32-8", "display": "No" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA32279-4", "display": "Yes, but not in the past year" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA32280-2", "display": "Yes, during the past year" } } ] }, { "linkId": "10", "code": [ { "system": "http://loinc.org", "code": "97740-5", "display": "Has anyone expressed concern about your drinking or suggested you cut down" } ], "prefix": "11", "text": "Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested you cut down?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "LA32-8", "display": "No" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA32279-4", "display": "Yes, but not in the past year" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 4.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA32280-2", "display": "Yes, during the past year" } } ] }, { "id": "score", "linkId": "11", "code": [ { "system": "http://loinc.org", "code": "75624-7", "display": "Total score [AUDIT]" } ], "prefix": "12", "text": "Total score [AUDIT]", "type": "integer", "required": true, "readOnly": true }, { "id": "outcome", "linkId": "12", "code": [ { "code": "outcome" } ], "prefix": "13", "text": "Outcome Summary [AUDIT]", "type": "choice", "required": true, "readOnly": true, "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-10-my-core", "code": "a0", "display": "Indicates an abstainer who has never had any problems from alcohol" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-10-my-core", "code": "a1", "display": "Suggests low risk consumption" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-10-my-core", "code": "a2", "display": "Suggest harmful alcohol consumption" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-10-my-core", "code": "a3", "display": "Likelihood of alcohol dependence (moderate-severe alcohol use disorder)" } } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-audit-10", "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-audit-10", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-08-03T04:22:00.113Z", "author": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "item": [ { "linkId": "00", "text": "Please select your gender", "answer": [ { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "male", "display": "Male" } } ] }, { "linkId": "01", "text": "How often do you have a drink containing alcohol?", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA18926-8", "display": "Monthly or less" } } ] }, { "linkId": "02", "text": "How many standard drinks containing alcohol do you have on a typical day when drinking?", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA18926-8", "display": "Monthly or less" } } ] }, { "linkId": "03", "text": "How often do you have six or more drinks on one occasion?", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA18926-8", "display": "Monthly or less" } } ] }, { "linkId": "04", "text": "During the past year, how often have you found that you were not able to stop drinking once you had started?", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA18933-4", "display": "Less than monthly" } } ] }, { "linkId": "05", "text": "During the past year, how often have you failed to do what was normally expected of you because of drinking?", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA18933-4", "display": "Less than monthly" } } ] }, { "linkId": "06", "text": "During the past year, how often have you needed a drink in the morning to get yourself going after a heavy drinking session?", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } } ] }, { "linkId": "07", "text": "During the past year, how often have you had a feeling of guilt or remorse after drinking?", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } } ] }, { "linkId": "08", "text": "During the past year, how often have you been unable to remember what happened the night before because you had been drinking?", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6270-8", "display": "Never" } } ] }, { "linkId": "09", "text": "Have you or someone else been injured as a result of your drinking?", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA32-8", "display": "No" } } ] }, { "linkId": "10", "text": "Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested you cut down?", "answer": [ { "valueCoding": { "code": "LA32-8", "display": "No" } } ] }, { "linkId": "11", "text": "Total score [AUDIT]", "answer": [ { "valueInteger": 7 } ] }, { "linkId": "12", "text": "Outcome Summary [AUDIT]", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-10-my-core", "code": "a1", "display": "Low-risk consumption" } } ] } ] } |
| 3. | DASS-21 |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-dass-21", "meta": { "versionId": "4", "lastUpdated": "2024-02-06T11:39:55.765+08:00", "source": "#gvQEyVe526qP1u0y", "profile": [ "http://hl7.org/fhir/StructureDefinition/Questionnaire" ] }, "url": "http://fhir.hie.moh.gov.my/Questionnaire/dass-21", "title": "Depression Anxiety and Stress Scale 21 (DASS-21)", "status": "active", "date": "2023-08-30T01:44:59.0418083+00:00", "description": "Please read each statement and choose the answer that indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement", "useContext": [ { "code": { "system": "http://terminology.hl7.org/CodeSystem/usage-context-type", "code": "workflow", "display": "Workflow Setting" }, "valueCodeableConcept": { "coding": [ { "code": "self-assessment", "display": "Self-Assessment" } ] } } ], "purpose": "The DASS-21 is the short form of the DASS-42, a self-report scale designed to measure the negative emotional states of depression, anxiety and stress.", "code": [ { "code": "dass-21" } ], "item": [ { "linkId": "01", "code": [ { "code": "stress" } ], "prefix": "1", "text": "I found it hard to wind down", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "02", "code": [ { "code": "anxiety" } ], "prefix": "2", "text": "I was aware of dryness of my mouth", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "03", "code": [ { "code": "depression" } ], "prefix": "3", "text": "I couldn’t seem to experience any positive feeling at all", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "04", "code": [ { "code": "anxiety" } ], "prefix": "4", "text": "I experienced breathing difficulty", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "05", "code": [ { "code": "depression" } ], "prefix": "5", "text": "I found it difficult to work up the initiative to do things", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "06", "code": [ { "code": "stress" } ], "prefix": "6", "text": "I tended to over-react to situations", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "07", "code": [ { "code": "anxiety" } ], "prefix": "7", "text": "I experienced trembling", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "08", "code": [ { "code": "stress" } ], "prefix": "8", "text": "I felt that I was using a lot of nervous energy", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "09", "code": [ { "code": "anxiety" } ], "prefix": "9", "text": "I was worried about situations in which I might panic and make a fool of myself", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "10", "code": [ { "code": "depression" } ], "prefix": "10", "text": "I felt that I had nothing to look forward to", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "11", "code": [ { "code": "stress" } ], "prefix": "11", "text": "I found myself getting agitated", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "12", "code": [ { "code": "stress" } ], "prefix": "12", "text": "I found it difficult to relax", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "13", "code": [ { "code": "depression" } ], "prefix": "13", "text": "I felt down-hearted and blue", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "14", "code": [ { "code": "stress" } ], "prefix": "14", "text": "I was intolerant of anything that kept me from getting on with what I was doing", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "15", "code": [ { "code": "anxiety" } ], "prefix": "15", "text": "I felt I was close to panic", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "16", "code": [ { "code": "depression" } ], "prefix": "16", "text": "I was unable to become enthusiastic about anything", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "17", "code": [ { "code": "depression" } ], "prefix": "17", "text": "I felt I wasn’t worth much as a person", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "18", "code": [ { "code": "stress" } ], "prefix": "18", "text": "I felt that I was rather touchy", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "19", "code": [ { "code": "anxiety" } ], "prefix": "19", "text": "I was aware of the action of my heart in the absence of physical exertion", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "20", "code": [ { "code": "anxiety" } ], "prefix": "20", "text": "I felt scared without any good reason", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "linkId": "21", "code": [ { "code": "depression" } ], "prefix": "21", "text": "I felt that life was meaningless", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "code": "0", "display": "Never" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "code": "1", "display": "Sometimes" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "code": "2", "display": "Often" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "code": "3", "display": "Almost Always" } } ] }, { "id": "score-stress", "linkId": "22", "code": [ { "code": "stress-score" } ], "text": "Stress Score", "type": "integer", "required": true, "readOnly": true }, { "id": "outcome-stress", "linkId": "23", "code": [ { "code": "stress outcome" } ], "text": "Stress Outcome Summary", "type": "choice", "required": true, "readOnly": true, "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core", "code": "s01", "display": "Normal" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core", "code": "s02", "display": "Mild Stress" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core", "code": "s03", "display": "Moderate Stress" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core", "code": "s04", "display": "Severe Stress" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core", "code": "s05", "display": "Extremely Severe Stress" } } ] }, { "id": "score-anxiety", "linkId": "24", "code": [ { "code": "anxiety-score" } ], "text": "Anxiety Score", "type": "integer", "required": true, "readOnly": true }, { "id": "outcome-anxiety", "linkId": "25", "code": [ { "code": "anxiety outcome" } ], "text": "Anxiety Outcome Summary", "type": "choice", "required": true, "readOnly": true, "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core", "code": "a01", "display": "Normal" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core", "code": "a02", "display": "Mild Anxiety" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core", "code": "a03", "display": "Moderate Anxiety" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core", "code": "a04", "display": "Severe Anxiety" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core", "code": "a05", "display": "Extremely Severe Anxiety" } } ] }, { "id": "score-depression", "linkId": "26", "code": [ { "code": "depression-score" } ], "text": "Depression Score", "type": "integer", "required": true, "readOnly": true }, { "id": "outcome-depression", "linkId": "27", "code": [ { "code": "depression outcome" } ], "text": "Depression Outcome Summary", "type": "choice", "required": true, "readOnly": true, "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core", "code": "d01", "display": "Normal" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core", "code": "d02", "display": "Mild Depression" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core", "code": "d03", "display": "Moderate Depression" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core", "code": "d04", "display": "Severe Depression" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core", "code": "d05", "display": "Extremely Severe Depression" } } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-dass-21", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "extension": [ { "url": "http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core", "valueReference": { "reference": "Questionnaire/q-dass-21" } } ], "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-dass-21", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2023-01-30T04:22:00.113Z", "author": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "item": [ { "linkId": "01", "text": "I found it hard to wind down", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "02", "text": "I was aware of dryness of my mouth", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "03", "text": "I couldn’t seem to experience any positive feeling at all", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "04", "text": "I experienced breathing difficulty (eg, excessively rapid breathing, breathlessness in the absence of physical exertion)", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "05", "text": "I found it difficult to work up the initiative to do things", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "06", "text": "I tended to over-react to situations", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "07", "text": "I experienced trembling (eg, in the hands)", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "08", "text": "I felt that I was using a lot of nervous energy", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "09", "text": "I was worried about situations in which I might panic and make a fool of myself", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "10", "text": "I felt that I had nothing to look forward to", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "11", "text": "I found myself getting agitated", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "12", "text": "I found it difficult to relax", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "13", "text": "I felt down-hearted and blue", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "14", "text": "I was intolerant of anything that kept me from getting on with what I was doing", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "15", "text": "I felt I was close to panic", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "16", "text": "I was unable to become enthusiastic about anything", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "17", "text": "I felt I wasn’t worth much as a person", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "18", "text": "I felt that I was rather touchy", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "19", "text": "I was aware of the action of my heart in the absence of physical exertion (eg, sense of heart rate increase, heart missing a beat)", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "20", "text": "I felt scared without any good reason", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "21", "text": "I felt that life was meaningless", "answer": [ { "valueCoding": { "code": "0", "display": "Never" } } ] }, { "linkId": "22", "text": "Stress Score", "answer": [ { "valueInteger": 0 } ] }, { "linkId": "23", "text": "Stress Outcome Summary", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core", "code": "s01", "display": "Normal" } } ] }, { "linkId": "24", "text": "Anxiety Score", "answer": [ { "valueInteger": 0 } ] }, { "linkId": "25", "text": "Anxiety Outcome Summary", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core", "code": "a01", "display": "Normal" } } ] }, { "linkId": "26", "text": "Depression Score", "answer": [ { "valueInteger": 0 } ] }, { "linkId": "27", "text": "Depression Outcome Summary", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core", "code": "d01", "display": "Normal" } } ] } ] } |
| 4. | PHQ-9 |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-phq-9", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-phq-9", "title": "PHQ-9 quick depression assessment panel", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "description": "The Patient Health Questionnaire is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as \"0\" (not at all) to \"3\" (nearly every day).", "useContext": [ { "code": { "system": "http://hl7.org/fhir/CodeSystem/usage-context-type", "code": "workflow", "display": "Workflow Setting" }, "valueCodeableConcept": { "coding": [ { "code": "self-assessment", "display": "Self-Assessment" } ] } } ], "purpose": "To monitor severity over time for newly diagnosed patients or patients in current treatment for depression", "code": [ { "system": "http://loinc.org", "code": "44249-1" } ], "item": [ { "linkId": "01", "code": [ { "system": "http://loinc.org", "code": "44250-9" } ], "prefix": "1", "text": "Little interest or pleasure in doing things", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6569-3", "display": "Several days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6570-1", "display": "More than half the days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6571-9", "display": "Nearly every day" } } ] }, { "linkId": "02", "code": [ { "system": "http://loinc.org", "code": "44255-8" } ], "prefix": "2", "text": "Feeling down, depressed, or hopeless", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6569-3", "display": "Several days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6570-1", "display": "More than half the days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6571-9", "display": "Nearly every day" } } ] }, { "linkId": "03", "code": [ { "system": "http://loinc.org", "code": "44259-0" } ], "prefix": "3", "text": "Trouble falling or staying asleep, or sleeping too much", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6569-3", "display": "Several days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6570-1", "display": "More than half the days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6571-9", "display": "Nearly every day" } } ] }, { "linkId": "04", "code": [ { "system": "http://loinc.org", "code": "44254-1" } ], "prefix": "4", "text": "Feeling tired or having little energy", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6569-3", "display": "Several days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6570-1", "display": "More than half the days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6571-9", "display": "Nearly every day" } } ] }, { "linkId": "05", "code": [ { "system": "http://loinc.org", "code": "44251-7" } ], "prefix": "5", "text": "Poor appetite or overeating", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6569-3", "display": "Several days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6570-1", "display": "More than half the days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6571-9", "display": "Nearly every day" } } ] }, { "linkId": "06", "code": [ { "system": "http://loinc.org", "code": "44258-2" } ], "prefix": "6", "text": "Feeling bad about yourself-or that you are a failure or have let yourself or your family down", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6569-3", "display": "Several days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6570-1", "display": "More than half the days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6571-9", "display": "Nearly every day" } } ] }, { "linkId": "07", "code": [ { "system": "http://loinc.org", "code": "44252-5" } ], "prefix": "7", "text": "Trouble concentrating on things, such as reading the newspaper or watching television", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6569-3", "display": "Several days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6570-1", "display": "More than half the days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6571-9", "display": "Nearly every day" } } ] }, { "linkId": "08", "code": [ { "system": "http://loinc.org", "code": "44253-3" } ], "prefix": "8", "text": "Moving or speaking so slowly that other people could have noticed. Or the opposite-being so fidgety or restless that you have been moving around a lot more than usual", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6569-3", "display": "Several days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6570-1", "display": "More than half the days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6571-9", "display": "Nearly every day" } } ] }, { "linkId": "09", "code": [ { "system": "http://loinc.org", "code": "44260-8" } ], "prefix": "9", "text": "Thoughts that you would be better off dead, or of hurting yourself in some way", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6569-3", "display": "Several days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 2.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6570-1", "display": "More than half the days" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 3.0 } ], "valueCoding": { "system": "http://loinc.org", "code": "LA6571-9", "display": "Nearly every day" } } ] }, { "id": "score", "linkId": "11", "code": [ { "system": "http://loinc.org", "code": "44261-6" } ], "prefix": "11", "text": "Patient Health Questionnaire 9 item (PHQ-9) total score", "type": "integer", "required": true, "readOnly": true }, { "id": "outcome", "linkId": "12", "code": [ { "system": "http://loinc.org", "code": "44261-6" } ], "prefix": "12", "text": "Patient Health Questionnaire 9 item (PHQ-9) total outcome", "type": "choice", "required": true, "readOnly": true, "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-phq-9-my-core", "code": "01", "display": "Minimal depression" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-phq-9-my-core", "code": "02", "display": "Mild depression" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-phq-9-my-core", "code": "03", "display": "Moderate depression" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-phq-9-my-core", "code": "04", "display": "Moderately severe depression" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-phq-9-my-core", "code": "05", "display": "Severe depression" } } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-phq-9", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "extension": [ { "url": "http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core", "valueReference": { "reference": "Questionnaire/qr-phq-9" } } ], "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-phq-9", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8", "display": "ALYSA" }, "authored": "2023-01-19T08:00:00+08:00", "author": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "item": [ { "linkId": "01", "text": "Little interest or pleasure in doing things", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } } ] }, { "linkId": "02", "text": "Feeling down, depressed, or hopeless", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } } ] }, { "linkId": "03", "text": "Trouble falling or staying asleep, or sleeping too much", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } } ] }, { "linkId": "04", "text": "Feeling tired or having little energy", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } } ] }, { "linkId": "05", "text": "Poor appetite or overeating", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } } ] }, { "linkId": "06", "text": "Feeling bad about yourself-or that you are a failure or have let yourself or your family down", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } } ] }, { "linkId": "07", "text": "Trouble concentrating on things, such as reading the newspaper or watching television", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } } ] }, { "linkId": "08", "text": "Moving or speaking so slowly that other people could have noticed. Or the opposite-being so fidgety or restless that you have been moving around a lot more than usual", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } } ] }, { "linkId": "09", "text": "Thoughts that you would be better off dead, or of hurting yourself in some way", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6568-5", "display": "Not at all" } } ] }, { "linkId": "10", "text": "How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?", "answer": [ { "valueCoding": { "system": "http://loinc.org", "code": "LA6572-7", "display": "Not difficult at all" } } ] }, { "linkId": "11", "text": "Patient Health Questionnaire 9 item (PHQ-9) total score", "answer": [ { "valueInteger": 0 } ] }, { "linkId": "12", "text": "Patient Health Questionnaire 9 item (PHQ-9) total outcome", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-phq-9-my-core", "code": "01", "display": "Minimal depression" } } ] } ] } |
| 5. | Whooley Questions |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-whooley", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-whooley", "title": "Whooley Questions", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "description": "A no response to both questions (negative test) essentially rules out depression, and a yes response to one or both questions (positive test) identifies virtually all persons who may benefit from further evaluation.", "useContext": [ { "code": { "system": "http://hl7.org/fhir/CodeSystem/usage-context-type", "code": "workflow", "display": "Workflow Setting" }, "valueCodeableConcept": { "coding": [ { "code": "self-assessment", "display": "Self-Assessment" } ] } } ], "purpose": "The Whooley Questions are used as a screening tool for major depressive disorder", "code": [ { "system": "http://snomed.info/sct", "code": "450752004", "display": "Whooley Depression Screen" } ], "item": [ { "linkId": "whooley.1", "prefix": "1", "text": "During the past month, have you often been bothered by feeling down, depressed or hopeless?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://snomed.info/sct", "code": "373067005", "display": "No" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://snomed.info/sct", "code": "373066001", "display": "Yes" } } ] }, { "linkId": "whooley.2", "prefix": "2", "text": "During the past month, have you often been bothered by little interest or pleasure in doing things?", "type": "choice", "required": true, "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 0.0 } ], "valueCoding": { "system": "http://snomed.info/sct", "code": "373067005", "display": "No" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core", "valueDecimal": 1.0 } ], "valueCoding": { "system": "http://snomed.info/sct", "code": "373066001", "display": "Yes" } } ] }, { "id": "score", "linkId": "whooley.3", "prefix": "3", "text": "Whooley Total Score", "type": "integer", "required": true, "readOnly": true }, { "id": "outcome", "linkId": "whooley.4", "code": [ { "code": "outcome" } ], "prefix": "4", "text": "Outcome Whooley", "type": "choice", "required": true, "readOnly": true, "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-whooley-my-core", "code": "a1", "display": "Positive Test" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-whooley-my-core", "code": "a2", "display": "Negative Test" } } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-whooley", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "extension": [ { "url": "http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core", "valueReference": { "reference": "Questionnaire/q-whooley" } } ], "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/template-section", "value": "qr-whooley" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-whooley", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "whooley.1", "text": "During the past month, have you often been bothered by feeling down, depressed or hopeless?", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "373066001", "display": "Yes" } } ] }, { "linkId": "whooley.2", "text": "During the past month, have you often been bothered by little interest or pleasure in doing things?", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "373066001", "display": "Yes" } } ] }, { "linkId": "whooley.3", "text": "Whooley Total Score", "answer": [ { "valueInteger": 2 } ] }, { "linkId": "whooley.4", "text": "Outcome Whooley", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-whooley-my-core", "code": "a1", "display": "Positive Test" } } ] } ] } |
| 6. | General CVD Risk Prediction |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-gen-cvs", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-gen-cvs", "title": "General CVD Risk Prediction", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "description": "Framingham Risk Score is used to estimate the 10-year cardiovascular risk of an individual", "useContext": [ { "code": { "system": "http://hl7.org/fhir/CodeSystem/usage-context-type", "code": "workflow", "display": "Workflow Setting" }, "valueCodeableConcept": { "coding": [ { "code": "self-assessment", "display": "Self-Assessment" } ] } } ], "purpose": "Based on a population 30 to 74 years old and without CVD at the baseline examination, including predictors age, diabetes, smoking, treated and untreated systolic blood pressure, total cholesterol, HDL cholesterol and BMI", "code": [ { "system": "http://loinc.org", "code": "65853-4", "display": "General cardiovascular disease 10Y risk [#] Framingham.D'Agostino" } ], "item": [ { "linkId": "01", "code": [ { "system": "http://loinc.org", "code": "76691-5", "display": "Gender identity" } ], "text": "Gender", "type": "choice", "required": true, "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" } } ] }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 0 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 130 } ], "linkId": "02", "code": [ { "system": "http://loinc.org", "code": "30525-0", "display": "Age" } ], "text": "Age", "type": "integer", "required": true }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 300 } ], "linkId": "03", "code": [ { "system": "http://loinc.org", "code": "8480-6", "display": "Systolic blood pressure" } ], "text": "Systolic Blood Pressure", "type": "quantity", "required": true }, { "linkId": "04", "code": [ { "system": "http://loinc.org", "code": "95547-6", "display": "Patient is being treated for high blood pressure" } ], "text": "Treated for Hypertension", "type": "boolean", "required": true }, { "linkId": "05", "code": [ { "system": "http://loinc.org", "code": "72166-2", "display": "Tobacco smoking status" } ], "text": "Smoking Status", "type": "boolean", "required": true }, { "linkId": "06", "code": [ { "system": "http://loinc.org", "code": "33248-6", "display": "Diabetes status [Identifier]" } ], "text": "Treated for Diabetes", "type": "boolean", "required": true }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core", "valueInteger": 10 }, { "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core", "valueInteger": 50 } ], "linkId": "07", "code": [ { "system": "http://loinc.org", "code": "39156-5", "display": "Body mass index (BMI) [Ratio]" } ], "text": "Body Mass Index (BMI)", "type": "quantity", "required": true }, { "id": "score", "linkId": "08", "code": [ { "system": "http://loinc.org", "code": "65853-4", "display": "General cardiovascular disease 10Y risk [#] Framingham.D'Agostino" } ], "text": "Your 10-Year Heart Attack Risk score", "type": "quantity", "required": true, "readOnly": true }, { "id": "outcome", "linkId": "09", "code": [ { "system": "http://loinc.org", "code": "65853-4", "display": "General cardiovascular disease 10Y risk [#] Framingham.D'Agostino" } ], "text": "Your 10-Year Heart Attack Risk outcome", "type": "choice", "required": true, "readOnly": true, "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-gen-cvs-my-core", "code": "a1", "display": "Low heart attack risk" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-gen-cvs-my-core", "code": "a2", "display": "Moderate heart attack risk" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-gen-cvs-my-core", "code": "a3", "display": "High heart attack risk" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-gen-cvs-my-core", "code": "a4", "display": "Very high heart attack risk" } } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-gen-cvs", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "extension": [ { "url": "http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core", "valueReference": { "reference": "Questionnaire/q-gen-cvs" } } ], "status": "completed", "authored": "2023-01-30T08:00:00+08:00", "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/questionnaire-gen-cvs", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "author": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "item": [ { "linkId": "01", "text": "Gender", "answer": [ { "valueCoding": { "system": "http://hl7.org/fhir/administrative-gender", "code": "male", "display": "Male" } } ] }, { "linkId": "02", "text": "Age", "answer": [ { "valueInteger": 31 } ] }, { "linkId": "03", "text": "Systolic Blood Pressure", "answer": [ { "valueQuantity": { "value": 120, "unit": "mm[Hg]", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "04", "text": "Treated for Hypertension", "answer": [ { "valueBoolean": false } ] }, { "linkId": "05", "text": "Smoking Status", "answer": [ { "valueBoolean": false } ] }, { "linkId": "06", "text": "Treated for Diabetes", "answer": [ { "valueBoolean": false } ] }, { "linkId": "07", "text": "Body Mass Index (BMI)", "answer": [ { "valueQuantity": { "value": 28, "unit": "kg/m2", "system": "http://unitsofmeasure.org", "code": "kg/m2" } } ] }, { "linkId": "08", "text": "Your 10-Year Heart Attack Risk score", "answer": [ { "valueQuantity": { "value": 2.2, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } } ] } ] } |
Maternal Health record
Download Maternal Questionnaire
Download Maternal QuestionnaireResponse Sample
| 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 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 |
| 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 ≥38˚C atau >3 hari", "type": "boolean" }, { "linkId": "maternal-17.4.15", "code": [ { "code": "maternal-17.4.15" } ], "text": "Penyakit jantung tanpa gejala", "type": "boolean" }, { "linkId": "maternal-17.4.16", "code": [ { "code": "maternal-17.4.16" } ], "text": "*Ketagihan dadah/ rokok/ alkohol", "type": "boolean" }, { "linkId": "maternal-17.4.17", "code": [ { "code": "maternal-17.4.17" } ], "text": "Skor risiko antenatal Venous Thromboembolism (VTE) ≥3", "type": "boolean" }, { "linkId": "maternal-17.4.18", "code": [ { "code": "maternal-17.4.18" } ], "text": "Kandungan kembar", "type": "boolean" }, { "linkId": "maternal-17.4.19", "code": [ { "code": "maternal-17.4.19" } ], "text": "Masalah kesihatan mental", "type": "boolean" }, { "linkId": "maternal-17.4.20", "code": [ { "code": "maternal-17.4.20" } ], "text": "BMI >40kgm/2", "type": "boolean" } ] }, { "linkId": "maternal-17.5", "code": [ { "code": "maternal-17.5" } ], "text": "Senarai Semak Pengendalian Ibu Hamil (Kod Hijau)", "type": "group", "item": [ { "linkId": "maternal-17.5.1", "code": [ { "code": "maternal-17.5.1" } ], "text": "Rh negatif", "type": "boolean" }, { "linkId": "maternal-17.5.2", "code": [ { "code": "maternal-17.5.2" } ], "text": "Berat badan ibu sebelum mengandung atau ketika booking <45kg", "type": "boolean" }, { "linkId": "maternal-17.5.3", "code": [ { "code": "maternal-17.5.3" } ], "text": "Obes (≥30.0kg/m²)", "type": "boolean" }, { "linkId": "maternal-17.5.4", "code": [ { "code": "maternal-17.5.4" } ], "text": "Pertambahan berat badan yang mendadak (>2 kg dalam seminggu)", "type": "boolean" }, { "linkId": "maternal-17.5.5", "code": [ { "code": "maternal-17.5.5" } ], "text": "Berat badan statik atau menurun (dalam tempoh sebulan)", "type": "boolean" }, { "linkId": "maternal-17.5.6", "code": [ { "code": "maternal-17.5.6" } ], "text": "Masalah perubatan semasa", "type": "boolean" }, { "linkId": "maternal-17.5.7", "code": [ { "code": "maternal-17.5.7" } ], "text": "Masalah ginekologi yang lalu (fibroid, cyst, pembedahan)", "type": "boolean" }, { "linkId": "maternal-17.5.8", "code": [ { "code": "maternal-17.5.8" } ], "text": "LNMP yang tidak pasti", "type": "boolean" }, { "linkId": "maternal-17.5.9", "code": [ { "code": "maternal-17.5.9" } ], "text": "3 kali keguguran yang berturutan", "type": "boolean" }, { "linkId": "maternal-17.5.10", "code": [ { "code": "maternal-17.5.10" } ], "text": "Sejarah obstetrik yang lalu", "type": "group", "item": [ { "linkId": "maternal-17.5.10.1", "code": [ { "code": "maternal-17.5.10.1" } ], "text": "Pembedahan caesarean", "type": "boolean" }, { "linkId": "maternal-17.5.10.2", "code": [ { "code": "maternal-17.5.10.2" } ], "text": "PIH/ eclampsia/ diabetes", "type": "boolean" }, { "linkId": "maternal-17.5.10.3", "code": [ { "code": "maternal-17.5.10.3" } ], "text": "Kematian perinatal", "type": "boolean" }, { "linkId": "maternal-17.5.10.4", "code": [ { "code": "maternal-17.5.10.4" } ], "text": "Bayi dengan berat lahir <2.5kg atau >4kg", "type": "boolean" }, { "linkId": "maternal-17.5.10.5", "code": [ { "code": "maternal-17.5.10.5" } ], "text": "Luka perineum 3rd degree dan 4th degree", "type": "boolean" }, { "linkId": "maternal-17.5.10.6", "code": [ { "code": "maternal-17.5.10.6" } ], "text": "Retained placenta", "type": "boolean" }, { "linkId": "maternal-17.5.10.7", "code": [ { "code": "maternal-17.5.10.7" } ], "text": "Post partum haemorrhage", "type": "boolean" }, { "linkId": "maternal-17.5.10.8", "code": [ { "code": "maternal-17.5.10.8" } ], "text": "Kelahiran instrumental", "type": "boolean" } ] }, { "linkId": "maternal-17.5.11", "code": [ { "code": "maternal-17.5.11" } ], "text": "Pergerakan janin kurang semasa kandungan ≥32 minggu", "type": "boolean" }, { "linkId": "maternal-17.5.12", "code": [ { "code": "maternal-17.5.12" } ], "text": "Tekanan darah 140/90 mmHg tanpa urin protein", "type": "boolean" }, { "linkId": "maternal-17.5.13", "code": [ { "code": "maternal-17.5.13" } ], "text": "Hemoglobin 9 - <11g/dL", "type": "boolean" }, { "linkId": "maternal-17.5.14", "code": [ { "code": "maternal-17.5.14" } ], "text": "Glukosuria 2 kali", "type": "boolean" }, { "linkId": "maternal-17.5.15", "code": [ { "code": "maternal-17.5.15" } ], "text": "Air kencing mempunyai protein ≥1+", "type": "boolean" }, { "linkId": "maternal-17.5.16", "code": [ { "code": "maternal-17.5.16" } ], "text": "Tinggi rahim (SFH) tidak sejajar dengan jangkamasa kandungan +/- 3cm", "type": "boolean" }, { "linkId": "maternal-17.5.17", "code": [ { "code": "maternal-17.5.17" } ], "text": "Breech/ Oblique/ Tranverse dengan tiada tanda sakit bersalin pada 36 minggu kehamilan", "type": "boolean" }, { "linkId": "maternal-17.5.18", "code": [ { "code": "maternal-17.5.18" } ], "text": "Kepala bayi tinggi (Head not engaged) semasa kandungan 37 minggu bagi primigravida", "type": "boolean" }, { "linkId": "maternal-17.5.19", "code": [ { "code": "maternal-17.5.19" } ], "text": "Ibu GDM dengan kawalan diet tanpa komplikasi", "type": "boolean" }, { "linkId": "maternal-17.5.20", "code": [ { "code": "maternal-17.5.20" } ], "text": "Ibu berumur 36 - 39 tahun", "type": "boolean" }, { "linkId": "maternal-17.5.21", "code": [ { "code": "maternal-17.5.21" } ], "text": "Primigravida/pseudoprimigravida", "type": "boolean" }, { "linkId": "maternal-17.5.22", "code": [ { "code": "maternal-17.5.22" } ], "text": "Grandmultipara ≥5", "type": "boolean" }, { "linkId": "maternal-17.5.23", "code": [ { "code": "maternal-17.5.23" } ], "text": "Jarak kelahiran <2 tahun atau melebihi 5 tahun", "type": "boolean" }, { "linkId": "maternal-17.5.24", "code": [ { "code": "maternal-17.5.24" } ], "text": "Ketinggian ibu <145cm", "type": "boolean" } ] }, { "linkId": "maternal-17.6", "code": [ { "code": "maternal-17.6" } ], "text": "Senarai Semak Pengendalian Ibu Hamil (Kod Putih)", "type": "group", "enableWhen": [ { "question": "maternal-17.3", "operator": "exists", "answerBoolean": false }, { "question": "maternal-17.4", "operator": "exists", "answerBoolean": false }, { "question": "maternal-17.5", "operator": "exists", "answerBoolean": false } ], "enableBehavior": "all", "item": [ { "linkId": "maternal-17.6.1", "code": [ { "code": "maternal-17.6.1" } ], "text": "Gravida 2 – 5 (tidak termasuk pseudoprimigravida)", "type": "boolean" }, { "linkId": "maternal-17.6.2", "code": [ { "code": "maternal-17.6.2" } ], "text": "Tiada masalah obstetrik lalu dan semasa", "type": "boolean" }, { "linkId": "maternal-17.6.3", "code": [ { "code": "maternal-17.6.3" } ], "text": "Tiada masalah perubatan yang lalu dan semasa", "type": "boolean" }, { "linkId": "maternal-17.6.4", "code": [ { "code": "maternal-17.6.4" } ], "text": "Ibu berumur 20 - 35 tahun", "type": "boolean" }, { "linkId": "maternal-17.6.5", "code": [ { "code": "maternal-17.6.5" } ], "text": "Ibu berkahwin dan mempunyai sokongan keluarga", "type": "boolean" } ] }, { "linkId": "maternal-17.7", "code": [ { "code": "maternal-17.7" } ], "text": "Kriteria Untuk Bersalin Di ABC/ Rumah", "type": "group", "enableWhen": [ { "question": "maternal-17.6", "operator": "exists", "answerBoolean": true } ], "item": [ { "linkId": "maternal-17.7.1", "code": [ { "code": "maternal-17.7.1" } ], "text": "Gravida 2 – 5 (tidak termasuk pseudoprimigravida)", "type": "boolean" }, { "linkId": "maternal-17.7.2", "code": [ { "code": "maternal-17.7.2" } ], "text": "Tiada masalah obstetrik lalu dan semasa", "type": "boolean" }, { "linkId": "maternal-17.7.3", "code": [ { "code": "maternal-17.7.3" } ], "text": "Tiada masalah perubatan yang lalu dan semasa", "type": "boolean" }, { "linkId": "maternal-17.7.4", "code": [ { "code": "maternal-17.7.4" } ], "text": "Ibu berumur 20 - 35 tahun", "type": "boolean" }, { "linkId": "maternal-17.7.5", "code": [ { "code": "maternal-17.7.5" } ], "text": "Ibu berkahwin dan mempunyai sokongan keluarga", "type": "boolean" }, { "linkId": "maternal-17.7.6", "code": [ { "code": "maternal-17.7.6" } ], "text": "POA 37-40 minggu", "type": "boolean" }, { "linkId": "maternal-17.7.7", "code": [ { "code": "maternal-17.7.7" } ], "text": "Anggaran berat bayi 2.5-3.5kg", "type": "boolean" }, { "linkId": "maternal-17.7.8", "code": [ { "code": "maternal-17.7.8" } ], "text": "Persekitaran rumah ibu sesuai", "type": "boolean" } ] } ] } 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 ≥38˚C 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
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-18", "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-18" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-18", "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-18.1", "text": "VTE risk factor", "answer": [ { "valueCoding": { "code": "00", "display": "Pre pregnancy/Booking" } } ] }, { "linkId": "maternal-18.2", "text": "Pre-existing risk factors", "item": [ { "linkId": "maternal-18.3.1", "text": "Previous VTE (VTE Score - 4)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.3.2", "text": "High risk thrombophilia (VTE Score - 3)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.3.3", "text": "Medical comorbidities (VTE Score - 3)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.3.4", "text": "Obesity", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core", "code": "00", "display": "BMI <40kg/m2 (VTE Score - 2)" } } ] }, { "linkId": "maternal-18.3.5", "text": "Family history of VTE (VTE Score - 1)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.3.6", "text": "Low risk thrombophilia (VTE Score - 1)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.3.7", "text": "Current smoker >10 per day (VTE Score - 1)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.3.8", "text": "Gross varicose veins(VTE Score - 1)", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "maternal-18.4", "text": "Obstetric risk factors", "item": [ { "linkId": "maternal-18.4.1", "text": "Caesaren section (emergency & elective) (VTE Score - 2)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.4.2", "text": "Pre eclampsia (VTE Score - 1)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.4.3", "text": "IVF (1st trimester risk only) (VTE Score - 1)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.4.4", "text": "Rotational instrumental delivery (VTE Score - 1)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.4.5", "text": "PPH (>100mls) or requires blood transfusion (VTE Score - 1)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.4.6", "text": "Stillbirth (current) (VTE Score - 1)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.4.7", "text": "Prolonged labour (>24 hours) (VTE Score - 1)", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "maternal-18.5", "text": "Transient risk factors", "item": [ { "linkId": "maternal-18.5.1", "text": "Surgical procedures (excluding episiotomy, 1st & 4 2 nd degree perineal repair, evacuation of products of conception) (VTE Score - 4)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.5.2", "text": "Hyperemesis gravidarum / OHSS (VTE Score - 4)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.5.3", "text": "Systemic/ Postpartum infection (VTE Score - 1)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.5.4", "text": "Immobility Dehydration/ Admission beyond 3 days (VTE Score - 1)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "maternal-18.5.5", "text": "Long distance travel (> 4hours) (VTE Score - 1)", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "maternal-18.6", "text": "Total score", "answer": [ { "valueQuantity": { "value": 33 } } ] } ] } |
| 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 } } |
| 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
{ "resourceType": "Questionnaire", "id": "q-maternal-21", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-21", "version": "1.0.0", "name": "QMaternal21", "title": "Kemasukan Hospital", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "maternal-21.1", "text": "Kemasukan", "type": "group", "repeats": true, "item": [ { "linkId": "maternal-21.1.1", "text": "Nama hospital", "type": "string" }, { "linkId": "maternal-21.1.2", "text": "R/N", "type": "string" }, { "linkId": "maternal-21.1.3", "text": "Tarikh masuk", "type": "dateTime" }, { "linkId": "maternal-21.1.4", "text": "Tarikh Keluar", "type": "dateTime" }, { "linkId": "maternal-21.1.5", "text": "Diagnosa", "type": "string" }, { "linkId": "maternal-21.1.6", "text": "Rawatan semasa discaj", "type": "string" }, { "linkId": "maternal-21.1.7", "text": "Tarikh temujanji akan datang", "type": "dateTime" }, { "linkId": "maternal-21.1.8", "text": "Pegawai Perubatan", "type": "string" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-maternal-21", "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-21", "status": "completed", "subject": { "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8" }, "authored": "2022-11-16T03:56:06.596Z", "item": [ { "linkId": "maternal-21.1", "text": "Kemasukan", "item": [ { "linkId": "maternal-21.1.1", "text": "Nama hospital", "answer": [ { "valueString": "string entry goes here" } ] }, { "linkId": "maternal-21.1.2", "text": "R/N", "answer": [ { "valueString": "string entry goes here" } ] }, { "linkId": "maternal-21.1.3", "text": "Tarikh masuk", "answer": [ { "valueDateTime": "2023-02-13T23:22:36.875+08:00" } ] }, { "linkId": "maternal-21.1.4", "text": "Tarikh Keluar", "answer": [ { "valueDateTime": "2023-02-14T23:22:36.875+08:00" } ] }, { "linkId": "maternal-21.1.5", "text": "Diagnosa", "answer": [ { "valueString": "string entry goes here" } ] }, { "linkId": "maternal-21.1.6", "text": "Rawatan semasa discaj", "answer": [ { "valueString": "string entry goes here" } ] }, { "linkId": "maternal-21.1.7", "text": "Tarikh temujanji akan datang", "answer": [ { "valueDateTime": "2023-03-01T23:22:36.875+08:00" } ] }, { "linkId": "maternal-21.1.8", "text": "Pegawai Perubatan", "answer": [ { "valueString": "string entry goes here" } ] } ] }, { "linkId": "maternal-21.1", "text": "Kemasukan", "item": [ { "linkId": "maternal-21.1.1", "text": "Nama hospital", "answer": [ { "valueString": "string entry goes here" } ] }, { "linkId": "maternal-21.1.2", "text": "R/N", "answer": [ { "valueString": "string entry goes here" } ] }, { "linkId": "maternal-21.1.3", "text": "Tarikh masuk", "answer": [ { "valueDateTime": "2023-01-13T23:22:36.875+08:00" } ] }, { "linkId": "maternal-21.1.4", "text": "Tarikh Keluar", "answer": [ { "valueDateTime": "2023-01-14T23:22:36.875+08:00" } ] }, { "linkId": "maternal-21.1.5", "text": "Diagnosa", "answer": [ { "valueString": "string entry goes here" } ] }, { "linkId": "maternal-21.1.6", "text": "Rawatan semasa discaj", "answer": [ { "valueString": "string entry goes here" } ] }, { "linkId": "maternal-21.1.7", "text": "Tarikh temujanji akan datang", "answer": [ { "valueDateTime": "2023-02-01T23:22:36.875+08:00" } ] }, { "linkId": "maternal-21.1.8", "text": "Pegawai Perubatan", "answer": [ { "valueString": "string entry goes here" } ] } ] } ] } |
| 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 } ] } ] } ] } |
Child Health Record
Download Child QuestionnaireResponse Sample
| No | Title | JSON |
|---|---|---|
| 1. | Sosiodemografi | Store and displayed from Patient (MY Core) record |
| 2. | Maklumat Adik Beradik |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-child-02", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-02", "version": "1.0.0", "name": "QChild02", "title": "Maklumat Adik Beradik", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-2.1", "text": "Maklumat Adik Beradik", "type": "group", "repeats": true, "item": [ { "linkId": "child-2.1.1", "text": "Tahun Lahir", "type": "date" }, { "linkId": "child-2.1.2", "text": "Jantina", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Lelaki" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Perempuan" } } ] }, { "linkId": "child-2.1.3", "text": "Masalah/Catatan Kesihatan", "type": "text" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-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-child-02" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-02", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-2.1", "text": "Maklumat Adik Beradik", "item": [ { "linkId": "child-2.1.1", "text": "Tahun Lahir", "answer": [ { "valueDate": "2020-04-01" } ] }, { "linkId": "child-2.1.2", "text": "Jantina", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Lelaki" } } ] }, { "linkId": "child-2.1.3", "text": "Masalah/Catatan Kesihatan", "answer": [ { "valueString": "Dia ada sakit gigi ^_^" } ] } ] }, { "linkId": "child-2.1", "text": "Maklumat Adik Beradik", "item": [ { "linkId": "child-2.1.1", "text": "Tahun Lahir", "answer": [ { "valueDate": "2010-04-01" } ] }, { "linkId": "child-2.1.2", "text": "Jantina", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Perempuan" } } ] }, { "linkId": "child-2.1.3", "text": "Masalah/Catatan Kesihatan", "answer": [ { "valueString": "Dia syehat sajew :3" } ] } ] } ] } |
| 3. | Rekod Antenatal Ibu |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-child-03", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-03", "version": "1.0.0", "name": "QChild03", "title": "Rekod Antenatal Ibu", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-3.1", "text": "VDRL/TPHA", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Ya/ Positif" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Negatif/ Tiada" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "00", "display": "Tiada Maklumat" } } ] }, { "linkId": "child-3.2", "text": "Retroviral", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Ya/ Positif" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Negatif/ Tiada" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "00", "display": "Tiada Maklumat" } } ] }, { "linkId": "child-3.3", "text": "Hepatitis B", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Ya/ Positif" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Negatif/ Tiada" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "00", "display": "Tiada Maklumat" } } ] }, { "linkId": "child-3.4", "text": "Diabetes / GDM", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Ya/ Positif" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Negatif/ Tiada" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "00", "display": "Tiada Maklumat" } } ] }, { "linkId": "child-3.5", "text": "Hypertension/ PIH", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Ya/ Positif" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Negatif/ Tiada" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "00", "display": "Tiada Maklumat" } } ] }, { "linkId": "child-3.6", "text": "Thalassemia", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Ya/ Positif" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Negatif/ Tiada" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "00", "display": "Tiada Maklumat" } } ] }, { "linkId": "child-3.7", "text": "Kumpulan Darah Ibu", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "A" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "B" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "00", "display": "AB" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "00", "display": "O" } } ] }, { "linkId": "child-3.8", "text": "Rhesus", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Rh-positive" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Rh-negative" } } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-03", "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-child-03" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-03", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-3.1", "text": "VDRL/TPHA", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Ya/ Positif" } } ] }, { "linkId": "child-3.2", "text": "Retroviral", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Negatif/ Tiada" } } ] }, { "linkId": "child-3.3", "text": "Hepatitis B", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "00", "display": "Tiada Maklumat" } } ] }, { "linkId": "child-3.4", "text": "Diabetes / GDM", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "00", "display": "Tiada Maklumat" } } ] }, { "linkId": "child-3.5", "text": "Hypertension/ PIH", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Ya/ Positif" } } ] }, { "linkId": "child-3.6", "text": "Thalassemia", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Negatif/ Tiada" } } ] }, { "linkId": "child-3.7", "text": "Kumpulan Darah Ibu", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "00", "display": "AB" } } ] }, { "linkId": "child-3.8", "text": "Rhesus", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Rh-negative" } } ] } ] } |
| 4. | Rekod Kelahiran |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-child-04", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-04", "version": "1.0.0", "name": "QChild04", "title": "Rekod Kelahiran", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-4.1", "text": "Waktu Lahir", "type": "dateTime" }, { "linkId": "child-4.2", "text": "Jangkasama Kandungan", "type": "quantity" }, { "linkId": "child-4.3", "text": "Tempat Lahir", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Rumah" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Klinik" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "03", "display": "Hospital" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "04", "display": "Pusat Bersalin" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "05", "display": "ABC dll" } } ] }, { "linkId": "child-4.4", "text": "Jenis kelahiran", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Normal (Vertex)" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Breech" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "03", "display": "Forceps" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "04", "display": "Vacuum" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "05", "display": "LSCS" } } ] }, { "linkId": "child-4.5", "text": "Komplikasi (jika ada)", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Fetal distress" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Meconium stained liquor" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "03", "display": "Prolonged/ Premature Ruptured of Membrane" } } ] }, { "linkId": "child-4.6", "text": "Komplikasi lain (jika ada)", "type": "string" }, { "linkId": "child-4.7", "text": "Bilangan bayi", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Singleton" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Kembar" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "03", "display": "Kembar >2" } } ] }, { "linkId": "child-4.8", "text": "Skor Apgar", "type": "group", "item": [ { "linkId": "child-4.8.1", "text": "1 min", "type": "integer" }, { "linkId": "child-4.8.2", "text": "5 min", "type": "integer" }, { "linkId": "child-4.8.3", "text": "10 min", "type": "integer" }, { "linkId": "child-4.8.4", "text": "20 min", "type": "integer" } ] }, { "linkId": "child-4.9", "text": "Berat lahir", "type": "quantity" }, { "linkId": "child-4.10", "text": "Panjang", "type": "quantity" }, { "linkId": "child-4.11", "text": "Lilitan kepala", "type": "quantity" }, { "linkId": "child-4.12", "text": "IM Vitamin K diberi", "type": "boolean" }, { "linkId": "child-4.13", "text": "G6PD", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Normal" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Deficient" } } ] }, { "linkId": "child-4.14", "text": "TSH", "type": "quantity" }, { "linkId": "child-4.15", "text": "T4", "type": "quantity" }, { "linkId": "child-4.16", "text": "Saringan Pendengaran (jika dilakukan)", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Normal" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Abnormal" } } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-04", "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-child-04" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-04", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-4.1", "text": "Waktu Lahir", "answer": [ { "valueDateTime": "2023-04-27T00:41:05.886Z" } ] }, { "linkId": "child-4.2", "text": "Jangkasama Kandungan", "answer": [ { "valueQuantity": { "value": 40 } } ] }, { "linkId": "child-4.3", "text": "Tempat Lahir", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Klink" } } ] }, { "linkId": "child-4.4", "text": "Jenis Keliran", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "03", "display": "Forceps" } } ] }, { "linkId": "child-4.5", "text": "Komplikasi (jika ada)", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Meconium stained liquor" } } ] }, { "linkId": "child-4.6", "text": "Komplikasi lain (jika ada)", "answer": [ { "valueString": "Tiada, kalau ada pown taknak bagitau :v" } ] }, { "linkId": "child-4.7", "text": "Bilangan bayi", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Kembar" } } ] }, { "linkId": "child-4.8", "text": "Skor Apgar", "item": [ { "linkId": "child-4.8.1", "text": "1 min", "answer": [ { "valueInteger": 10 } ] }, { "linkId": "child-4.8.2", "text": "5 min", "answer": [ { "valueInteger": 10 } ] }, { "linkId": "child-4.8.3", "text": "10 min", "answer": [ { "valueInteger": 10 } ] }, { "linkId": "child-4.8.4", "text": "20 min", "answer": [ { "valueInteger": 10 } ] } ] }, { "linkId": "child-4.9", "text": "Berat lahir", "answer": [ { "valueQuantity": { "value": 2.5 } } ] }, { "linkId": "child-4.10", "text": "Panjang", "answer": [ { "valueQuantity": { "value": 90 } } ] }, { "linkId": "child-4.11", "text": "Lilitan kepala", "answer": [ { "valueQuantity": { "value": 25 } } ] }, { "linkId": "child-4.12", "text": "IM Vitamin K diberi", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-4.13", "text": "G6PD", "answer": [ { "valueQuantity": { "value": 12 } } ] }, { "linkId": "child-4.14", "text": "TSH", "answer": [ { "valueQuantity": { "value": 32 } } ] }, { "linkId": "child-4.15", "text": "T4", "answer": [ { "valueQuantity": { "value": 12 } } ] }, { "linkId": "child-4.16", "text": "Saringan Pendengaran (jika dilakukan)", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Normal" } } ] } ] } |
| 5. | Senarai Masalah |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-child-05", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-05", "version": "1.0.0", "name": "QChild05", "title": "Senarai Masalah", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-5", "text": "Masalah", "type": "group", "repeats": true, "item": [ { "linkId": "child-5.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "child-5.2", "text": "Masalah Dikesan", "type": "string" }, { "linkId": "child-5.3", "text": "Catatan", "type": "text" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-05", "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-child-05" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-05", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-5", "text": "Masalah", "item": [ { "linkId": "child-5.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-04-27T00:44:51.277Z" } ] }, { "linkId": "child-5.2", "text": "Masalah Dikesan", "answer": [ { "valueString": "Tak Comel Sangat" } ] }, { "linkId": "child-5.3", "text": "Catatan", "answer": [ { "valueString": "Kenapa baby ni tak comel T_T" } ] } ] }, { "linkId": "child-5", "text": "Masalah", "item": [ { "linkId": "child-5.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-04-27T00:45:17.710Z" } ] }, { "linkId": "child-5.2", "text": "Masalah Dikesan", "answer": [ { "valueString": "Mengantuk" } ] }, { "linkId": "child-5.3", "text": "Catatan", "answer": [ { "valueString": "Asyik tidur jer baby ni >.<" } ] } ] } ] } |
| 6. | Rawatan Neonatal |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-child-06", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-06", "version": "1.0.0", "name": "QChild06", "title": "Rawatan Neonatal", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-6", "text": "Rawatan Neonatal", "type": "group", "repeats": true, "item": [ { "linkId": "child-6.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "child-6.2", "text": "Umur semasa lawatan", "type": "quantity" }, { "linkId": "child-6.3", "text": "Berat badan", "type": "quantity" }, { "linkId": "child-6.4", "text": "Panjang", "type": "quantity" }, { "linkId": "child-6.5", "text": "Lilitan kepala", "type": "quantity" }, { "linkId": "child-6.6", "text": "Tindakbalas", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Aktif" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Tidak aktif" } } ] }, { "linkId": "child-6.7", "text": "Warna bayi", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Normal" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Biru" } }, { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "03", "display": "Pucat" } } ] }, { "linkId": "child-6.8", "text": "Wajah dismorfik (Con: Down's Syndrome)", "type": "string" }, { "linkId": "child-6.9", "text": "Jaundis", "type": "string" }, { "linkId": "child-6.10", "text": "Keadaan kulit", "type": "string" }, { "linkId": "child-6.11", "text": "Penilaian penyusuan", "type": "string" }, { "linkId": "child-6.12", "text": "Buang air besar", "type": "string" }, { "linkId": "child-6.13", "text": "Buang air kecil", "type": "string" }, { "linkId": "child-6.14", "text": "Kadar pernafasan (normal 40 - 60/min)", "type": "quantity" }, { "linkId": "child-6.15", "text": "Kadar denyutan jantung (normal 120 - 160/min)", "type": "quantity" }, { "linkId": "child-6.16", "text": "Suhu badan (normal suhu ketiak 36.5 - 37.0°C)", "type": "quantity" }, { "linkId": "child-6.17", "text": "Fontanelle (Rupabentuk/ Ubun-ubun/ Bengkak/ benjolan/ caput)", "type": "string" }, { "linkId": "child-6.18", "text": "Leher - bengkak/ ketulan", "type": "string" }, { "linkId": "child-6.19", "text": "Mata (contoh: juling, katarak, lelehan dll)", "type": "string" }, { "linkId": "child-6.20", "text": "Mulut (contoh: sumbing, gigi, oral thrush dll)", "type": "string" }, { "linkId": "child-6.21", "text": "Telinga (bentuk, lelehan dll)", "type": "string" }, { "linkId": "child-6.22", "text": "Sistem respiratori Bentuk dada, bunyi pernafasan, grunting dll)", "type": "string" }, { "linkId": "child-6.23", "text": "Sistem Kardiovaskular (bunyi luar biasa dll)", "type": "string" }, { "linkId": "child-6.24", "text": "Abdomen (distented, tali pusat, benjolan dll)", "type": "string" }, { "linkId": "child-6.25", "text": "Alat kelamin (rupa bentuk, testis, lelehan)", "type": "string" }, { "linkId": "child-6.26", "text": "Tulang (tulang belakang, tangan, kaki, jari, hip)", "type": "string" }, { "linkId": "child-6.27", "text": "Sistem neurologi", "type": "group", "item": [ { "linkId": "child-6.27.1", "text": "Reflex", "type": "string" }, { "linkId": "child-6.27.2", "text": "Muscle tone", "type": "string" } ] }, { "linkId": "child-6.28", "text": "Perkara yang membimbangkan ibu bapa/penjaga", "type": "string" }, { "linkId": "child-6.29", "text": "Bimbingan awal diberikan", "type": "boolean" }, { "linkId": "child-6.30", "text": "Catatan", "type": "text" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-06", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" ] }, "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/template-section", "value": "qr-child-06" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-06", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-6", "text": "Rawatan Postnatal", "item": [ { "linkId": "child-6.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-04-27T00:49:56.227Z" } ] }, { "linkId": "child-6.2", "text": "Umur semasa lawatn", "answer": [ { "valueQuantity": { "value": 1 } } ] }, { "linkId": "child-6.3", "text": "Berat badan", "answer": [ { "valueQuantity": { "value": 3 } } ] }, { "linkId": "child-6.4", "text": "Panjang", "answer": [ { "valueQuantity": { "value": 90 } } ] }, { "linkId": "child-6.5", "text": "Lilitan kepala", "answer": [ { "valueQuantity": { "value": 30 } } ] }, { "linkId": "child-6.6", "text": "Tindakbalas", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "01", "display": "Aktif" } } ] }, { "linkId": "child-6.7", "text": "Warna bayi", "answer": [ { "valueCoding": { "system": "http://fhir.hie.moh.gov.my/CodeSystem/child-record-my-core", "code": "02", "display": "Biru" } } ] }, { "linkId": "child-6.8", "text": "Wajah dismorfik (Con: Down's Syndrome)", "answer": [ { "valueString": "Down's Syndrome" } ] }, { "linkId": "child-6.9", "text": "Jaundis", "answer": [ { "valueString": "paras kepala" } ] }, { "linkId": "child-6.10", "text": "Keadaan kulit", "answer": [ { "valueString": "good" } ] }, { "linkId": "child-6.11", "text": "Penilaian penyusuan", "answer": [ { "valueString": "bagus" } ] }, { "linkId": "child-6.12", "text": "Buang air besar", "answer": [ { "valueString": "ada" } ] }, { "linkId": "child-6.13", "text": "Buang air kecil", "answer": [ { "valueString": "ada" } ] }, { "linkId": "child-6.14", "text": "Kadar pernafasan (normal 40 - 60/min)", "answer": [ { "valueQuantity": { "value": 50 } } ] }, { "linkId": "child-6.15", "text": "Kadar denyutan jantung (normal 120 - 160/min)", "answer": [ { "valueQuantity": { "value": 130 } } ] }, { "linkId": "child-6.16", "text": "Suhu badan (normal suhu ketiak 36.5 - 37.0°C)", "answer": [ { "valueQuantity": { "value": 37 } } ] }, { "linkId": "child-6.17", "text": "Kepala (Rupabentuk/ Ubun-ubun/ Bengkak/ benjolan/ caput", "answer": [ { "valueString": "caput" } ] }, { "linkId": "child-6.18", "text": "Leher - bengkak/ ketulan", "answer": [ { "valueString": "ketulan" } ] }, { "linkId": "child-6.19", "text": "Mata (contoh: juling, katarak, lelehan dll)", "answer": [ { "valueString": "juling" } ] }, { "linkId": "child-6.20", "text": "Mulut (contoh: sumbing, gigi, oral thrush dll)", "answer": [ { "valueString": "sumbing" } ] }, { "linkId": "child-6.21", "text": "Telinga (bentuk, lelehan dll)", "answer": [ { "valueString": "capang" } ] }, { "linkId": "child-6.22", "text": "Sistem respiratori Bentuk dada, bunyi pernafasan, grunting dll)", "answer": [ { "valueString": "normal" } ] }, { "linkId": "child-6.23", "text": "Sistem Kardiovaskular (bunyi luar biasa dll)", "answer": [ { "valueString": "murmur heard post S2" } ] }, { "linkId": "child-6.24", "text": "Abdomen (distented, tali pusat, benjolan dll)", "answer": [ { "valueString": "distended" } ] }, { "linkId": "child-6.25", "text": "Alat kelamin (rupa bentuk, testis, lelehan)", "answer": [ { "valueString": "kecik sangat (thats what she said)" } ] }, { "linkId": "child-6.26", "text": "Tulang (tulang belakang, tangan, kaki, jari, hip)", "answer": [ { "valueString": "tulang lembut lagi" } ] }, { "linkId": "child-6.27", "text": "Sistem neurologi", "item": [ { "linkId": "child-6.27.1", "text": "Reflex", "answer": [ { "valueString": "normal" } ] }, { "linkId": "child-6.27.2", "text": "Muscle tone", "answer": [ { "valueString": "good" } ] } ] }, { "linkId": "child-6.28", "text": "Perkara yang membimbangkan ibu bapa/penjaga", "answer": [ { "valueString": "mak bapak risau baby belum lagi boleh kerja cari makan sendiri and berdikari" } ] }, { "linkId": "child-6.29", "text": "Bimbingan awal diberikan", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-6.30", "text": "Catatan", "answer": [ { "valueString": "refer above" } ] } ] }, { "linkId": "child-6", "text": "Rawatan Postnatal", "item": [ { "linkId": "child-6.30", "text": "Catatan", "answer": [ { "valueString": "sama as above" } ] } ] } ] } |
| 7. | Jadual dan Rekod Imunisasi | Store and displayed from Immunization (MY Core) record |
| 8. | Anthropometry Child |
Store and displayed from Command 'pagelink' could not render: Page not found. under Anthropometry child panel
|
| 9. | Lawatan Ke Klinik |
Questionnaire Lawatan 1 Bulan
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(Perhatikan)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-3-4m.5.3", "text": "Bayi berkukur atau mengekek? (cooing/ squealing)", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-3-4m.5.4", "text": "Bayi terkejut pada bunyi kuat", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-3-4m.5.5", "text": "Bayi membalas dengan senyuman?", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-3-4m.5.6", "text": "Bayi memandang muka anda?", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-3-4m.6", "text": "Jika ada 'tidak' pada senarai semak perkembangan umur 3 bulan, rujuk Pegawai Perubatan/FMS/Pakar Pediatrik dan isikan maklumat di bawah.", "item": [ { "linkId": "child-3-4m.6.1", "text": "Tarikh Temujanji", "answer": [ { "valueDateTime": "2023-05-02T06:02:15.073Z" } ] }, { "linkId": "child-3-4m.6.2", "text": "Tempat Rujukan", "answer": [ { "valueString": "insert entry here" } ] }, { "linkId": "child-3-4m.6.3", "text": "Tujuan Rujukan", "answer": [ { "valueString": "insert entry here" } ] }, { "linkId": "child-3-4m.6.4", "text": "Jika ada 'tidak' pada senarai semak, Jalankan penilaian perkembangan mengguna Carta Denver", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-3-4m.6.5", "text": "Jika ada 'tidak' pada senarai semak, Lakukan simulasi awal", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-3-4m.7", "text": "Bimbingan Awal Tandakan selepas nasihat diberi. (Rujuk Panduan Ibubapa/ Penjaga)", "item": [ { "linkId": "child-3-4m.7.1", "text": "Luangkan masa untuk bermain dan bercakap dengan bayi anda.", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-3-4m.7.2", "text": "Pilih alat permainan yang selamat dan sesuai untuk bayi anda.", "answer": [ { "valueBoolean": true } ] } ] } ] } Questionnaire Lawatan 5 & 6 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-5-6m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-5-6m", "version": "1.0.0", "name": "QChild5-6m", "title": "Lawatan Umur 5 & 6 Bulan", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-5-6m.0", "text": "Lawatan", "type": "choice", "answerOption": [ { "valueCoding": { "code": "00", "display": "5 bulan" } }, { "valueCoding": { "code": "01", "display": "6 bulan" } } ] }, { "linkId": "child-5-6m.1", "text": "Tarikh lawatan", "type": "dateTime" }, { "linkId": "child-5-6m.2", "text": "Umur semasa lawatan", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] }, { "linkId": "child-5-6m.3", "text": "Aktiviti", "type": "group", "item": [ { "linkId": "child-5-6m.3.1", "text": "Berat (kg)", "type": "quantity", "item": [ { "linkId": "child-5-6m.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "type": "string" } ] }, { "linkId": "child-5-6m.3.2", "text": "Panjang (cm)", "type": "quantity", "item": [ { "linkId": "child-5-6m.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "type": "string" } ] }, { "linkId": "child-5-6m.3.3", "text": "BMI (kg/m2) \nNota: Ambil BMI pada umur 5 bulan sekiranya ada MP/B/BT)", "type": "quantity", "item": [ { "linkId": "child-5-6m.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "type": "string" } ] }, { "linkId": "child-5-6m.3.4", "text": "Lilitan kepala (cm)", "type": "quantity", "item": [ { "linkId": "child-5-6m.3.4.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-5-6m.3.5", "text": "Pemeriksaan fizikal (termasuk mulut)", "type": "string", "item": [ { "linkId": "child-5-6m.3.5.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-5-6m.3.6", "text": "Perkara yang membimbangkan ibu bapa/penjaga", "type": "string", "item": [ { "linkId": "child-5-6m.3.6.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-5-6m.3.7", "text": "Bimbingan awal (Rujuk bimbingan awal umur 6 bulan Panduan Ibubapa/Penjaga", "type": "boolean" }, { "linkId": "child-5-6m.3.8", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "type": "string" }, { "linkId": "child-5-6m.3.9", "text": "Rujuk Pemeriksaan Pergigian (Tarikh)", "type": "dateTime" }, { "linkId": "child-5-6m.3.10", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-5-6m.4", "text": "Senarai Semak Perkembangan Umur 6 bulan (sila semak terlebih dahulu apa yang ibubapa/penjaga tulis): Tandakan pada ruangan yang berkenaan", "type": "group", "item": [ { "linkId": "child-5-6m.4.1", "text": "Bayi boleh mengawal kepalanya ketika ditarik dari keadaan baring ke duduk", "type": "boolean" }, { "linkId": "child-5-6m.4.2", "text": "Bayi boleh meniarap dan menelentang", "type": "boolean" }, { "linkId": "child-5-6m.4.3", "text": "Bayi boleh menggengam objek", "type": "boolean" }, { "linkId": "child-5-6m.4.4", "text": "Mata bayi mengikut pergerakan objek", "type": "boolean" }, { "linkId": "child-5-6m.4.5", "text": "Bayi bertindakbalas kepada bunyi", "type": "boolean" } ] }, { "linkId": "child-5-6m.5", "text": "Jika ada 'tidak' pada senarai semak perkembangan, rujuk Pegawai Perubatan/FMS/Pakar Pediatrik dan isikan maklumat di bawah.", "type": "group", "item": [ { "linkId": "child-5-6m.5.1", "text": "Tarikh Temujanji", "type": "dateTime" }, { "linkId": "child-5-6m.5.2", "text": "Tempat Rujukan", "type": "string" }, { "linkId": "child-5-6m.5.3", "text": "Tujuan Rujukan", "type": "string" }, { "linkId": "child-5-6m.5.4", "text": "Jika ada 'tidak' pada senarai semak, Jalankan penilaian perkembangan mengguna Carta Denver", "type": "boolean" }, { "linkId": "child-5-6m.5.5", "text": "Jika ada 'tidak' pada senarai semak, Lakukan stimulasi awal", "type": "boolean" } ] }, { "linkId": "child-5-6m.6", "text": "Bimbingan Awal Pada Umur 6 Bulan: Tandakan selepas nasihat diberi. (Rujuk Panduan Ibu bapa/Penjaga)", "type": "group", "item": [ { "linkId": "child-5-6m.6.1", "text": "Kebersihan diri \na. Penggunaan puting tiruan adalah tidak digalakkan. Jika penggunaan puting tiruan tidak dapat dielakkan, pastikan puting tidak disalut madu/manisan \nb. Bersihkan bahagian dalam mulut bayi dengan kain basah sekurang-kurangnya dua kali sehari terutamanya sebelum tidur malam. \nc. Ibu mestilah membasuh tangan selepas menukar lampin", "type": "boolean" }, { "linkId": "child-5-6m.6.2", "text": "Pemakanan \na. Makanan pelengkap HANYA diperkenalkan semasa bayi berumur 6 bulan. \n b. Galakkan anak anda minum dari cawan mulai dari umur 6 bulan kerana penggunaan botol susu yang berterusan akan meninggikan risiko kejadian kerosakan gigi.", "type": "boolean" }, { "linkId": "child-5-6m.6.3", "text": "Pertumbuhan gigi \na. Pertumbuhan gigi susu pertama dijangka akan berlaku. Gigi susu penting untuk panduan gigi kekal tumbuh. Dapatkan pemeriksaan gigi sebaik sahaja gigi tumbuh. \nb. Anak mungkin mengalami ketidakselesaan (air liur meleleh/suka gigit benda keras/demam). Berikan anak sesuatu yang bersih dan selamat untuk digigit. \nc. Hentikan tabiat menghisap jari/puting tiruan bagi mengelakkan masalah susun atur pergigian.", "type": "boolean" }, { "linkId": "child-5-6m.6.4", "text": "Keselamatan dan Pencegahan Kecederaan \na. Aktiviti bayi anda perlu diawasi setiap masa. \nb. Jangan guna ‘baby walker’ kerana ia boleh menyebabkan kecederaan dalam dan luaran yang teruk. \nc. Jangan beri bayi anda kacang atau alat permainan yang kecil yang boleh menyebabkan tercekik. \nd. Pilih alat permainan yang selamat dan sesuai untuk bayi anda.", "type": "boolean" } ] }, { "linkId": "child-5-6m.remark", "text": "Catatan / Rumusan", "type": "text" } ] } QuestionnaireResponse Lawatan 5 & 6 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-5-6m", "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-child-5-6m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-5-6m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-5-6m.0", "text": "Lawatan", "answer": [ { "valueCoding": { "code": "00", "display": "5 bulan" } } ] }, { "linkId": "child-5-6m.1", "text": "Tarikh lawatan", "answer": [ { "valueDateTime": "2023-09-04T01:12:12.003Z" } ] }, { "linkId": "child-5-6m.2", "text": "Umur semasa lawatan", "answer": [ { "valueQuantity": { "value": 152, "unit": "day", "code": "d", "system": "http://unitsofmeasure.org" } } ] }, { "linkId": "child-5-6m.3", "text": "Aktiviti", "item": [ { "linkId": "child-5-6m.3.1", "text": "Berat (kg)", "answer": [ { "valueQuantity": { "value": 50 }, "item": [ { "linkId": "child-5-6m.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "answer": [ { "valueString": "entry goes here" } ] } ] } ] }, { "linkId": "child-5-6m.3.2", "text": "Panjang (cm)", "answer": [ { "valueQuantity": { "value": 50 }, "item": [ { "linkId": "child-5-6m.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "answer": [ { "valueString": "entry goes here" } ] } ] } ] }, { "linkId": "child-5-6m.3.3", "text": "BMI (kg/m2) \nNota: Ambil BMI pada umur 5 bulan sekiranya ada MP/B/BT)", "answer": [ { "valueQuantity": { "value": 50 }, "item": [ { "linkId": "child-5-6m.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "answer": [ { "valueString": "entry goes here" } ] } ] } ] }, { "linkId": "child-5-6m.3.4", "text": "Lilitan kepala (cm)", "answer": [ { "valueQuantity": { "value": 50 }, "item": [ { "linkId": "child-5-6m.3.4.1", "text": "Catatan", "answer": [ { "valueString": "entry goes here" } ] } ] } ] }, { "linkId": "child-5-6m.3.5", "text": "Pemeriksaan fizikal (termasuk mulut)", "answer": [ { "valueString": "entry goes here", "item": [ { "linkId": "child-5-6m.3.5.1", "text": "Catatan", "answer": [ { "valueString": "entry goes here" } ] } ] } ] }, { "linkId": "child-5-6m.3.6", "text": "Perkara yang membimbangkan ibu bapa/penjaga", "answer": [ { "valueString": "entry goes here", "item": [ { "linkId": "child-5-6m.3.6.1", "text": "Catatan", "answer": [ { "valueString": "entry goes here" } ] } ] } ] }, { "linkId": "child-5-6m.3.7", "text": "Bimbingan awal (Rujuk bimbingan awal umur 6 bulan Panduan Ibubapa/Penjaga", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-5-6m.3.8", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "answer": [ { "valueString": "entry goes here" } ] }, { "linkId": "child-5-6m.3.9", "text": "Rujuk Pemeriksaan Pergigian (Tarikh)", "answer": [ { "valueDateTime": "2023-09-04T01:12:45.172Z" } ] }, { "linkId": "child-5-6m.3.10", "text": "Catatan", "answer": [ { "valueString": "entry goes here" } ] } ] }, { "linkId": "child-5-6m.4", "text": "Senarai Semak Perkembangan Umur 6 bulan (sila semak terlebih dahulu apa yang ibubapa/penjaga tulis): Tandakan pada ruangan yang berkenaan", "item": [ { "linkId": "child-5-6m.4.1", "text": "Bayi boleh mengawal kepalanya ketika ditarik dari keadaan baring ke duduk", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-5-6m.4.2", "text": "Bayi boleh meniarap dan menelentang", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-5-6m.4.3", "text": "Bayi boleh menggengam objek", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-5-6m.4.4", "text": "Mata bayi mengikut pergerakan objek", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-5-6m.4.5", "text": "Bayi bertindakbalas kepada bunyi", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-5-6m.5", "text": "Jika ada 'tidak' pada senarai semak perkembangan, rujuk Pegawai Perubatan/FMS/Pakar Pediatrik dan isikan maklumat di bawah.", "item": [ { "linkId": "child-5-6m.5.1", "text": "Tarikh Temujanji", "answer": [ { "valueDateTime": "2023-09-04T01:12:47.796Z" } ] }, { "linkId": "child-5-6m.5.2", "text": "Tempat Rujukan", "answer": [ { "valueString": "entry goes here" } ] }, { "linkId": "child-5-6m.5.3", "text": "Tujuan Rujukan", "answer": [ { "valueString": "entry goes here" } ] }, { "linkId": "child-5-6m.5.4", "text": "Jika ada 'tidak' pada senarai semak, Jalankan penilaian perkembangan mengguna Carta Denver", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-5-6m.5.5", "text": "Jika ada 'tidak' pada senarai semak, Lakukan stimulasi awal", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-5-6m.6", "text": "Bimbingan Awal Pada Umur 6 Bulan: Tandakan selepas nasihat diberi. (Rujuk Panduan Ibu bapa/Penjaga)", "item": [ { "linkId": "child-5-6m.6.1", "text": "Kebersihan diri \na. Penggunaan puting tiruan adalah tidak digalakkan. Jika penggunaan puting tiruan tidak dapat dielakkan, pastikan puting tidak disalut madu/manisan \nb. Bersihkan bahagian dalam mulut bayi dengan kain basah sekurang-kurangnya dua kali sehari terutamanya sebelum tidur malam. \nc. Ibu mestilah membasuh tangan selepas menukar lampin", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-5-6m.6.2", "text": "Pemakanan \na. Makanan pelengkap HANYA diperkenalkan semasa bayi berumur 6 bulan. \n b. Galakkan anak anda minum dari cawan mulai dari umur 6 bulan kerana penggunaan botol susu yang berterusan akan meninggikan risiko kejadian kerosakan gigi.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-5-6m.6.3", "text": "Pertumbuhan gigi \na. Pertumbuhan gigi susu pertama dijangka akan berlaku. Gigi susu penting untuk panduan gigi kekal tumbuh. Dapatkan pemeriksaan gigi sebaik sahaja gigi tumbuh. \nb. Anak mungkin mengalami ketidakselesaan (air liur meleleh/suka gigit benda keras/demam). Berikan anak sesuatu yang bersih dan selamat untuk digigit. \nc. Hentikan tabiat menghisap jari/puting tiruan bagi mengelakkan masalah susun atur pergigian.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-5-6m.6.4", "text": "Keselamatan dan Pencegahan Kecederaan \na. Aktiviti bayi anda perlu diawasi setiap masa. \nb. Jangan guna ‘baby walker’ kerana ia boleh menyebabkan kecederaan dalam dan luaran yang teruk. \nc. Jangan beri bayi anda kacang atau alat permainan yang kecil yang boleh menyebabkan tercekik. \nd. Pilih alat permainan yang selamat dan sesuai untuk bayi anda.", "answer": [ { "valueBoolean": false } ] } ] }, { "linkId": "child-5-6m.remark", "text": "Catatan / Rumusan", "answer": [ { "valueString": "entry goes here" } ] } ] } Questionnaire Lawatan 9 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-9m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-9m", "version": "1.0.0", "name": "QChild9m", "title": "Lawatan Umur 9 Bulan", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-9m.1", "text": "Tarikh lawatan", "type": "dateTime" }, { "linkId": "child-9m.2", "text": "Umur semasa lawatan", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] }, { "linkId": "child-9m.3", "text": "Aktiviti", "type": "group", "item": [ { "linkId": "child-9m.3.1", "text": "Berat (kg)", "type": "quantity", "item": [ { "linkId": "child-9m.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "type": "string" } ] }, { "linkId": "child-9m.3.2", "text": "Panjang (cm)", "type": "quantity", "item": [ { "linkId": "child-9m.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "type": "string" } ] }, { "linkId": "child-9m.3.3", "text": "BMI (kg/m2)", "type": "quantity", "item": [ { "linkId": "child-9m.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "type": "string" } ] }, { "linkId": "child-9m.3.4", "text": "Lilitan kepala (cm)", "type": "quantity", "item": [ { "linkId": "child-9m.3.4.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-9m.3.5", "text": "Pemeriksaan fizikal (termasuk mulut)", "type": "string", "item": [ { "linkId": "child-9m.3.5.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-9m.3.6", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "type": "string" } ] }, { "linkId": "child-9m.4", "text": "Perkara yang membimbangkan ibubapa/penjaga", "type": "string" }, { "linkId": "child-9m.5", "text": "Senarai Semak Perkembangan (sila semak terlebih dahulu apa yang ibubapa/penjaga tulis): Tandakan pada ruangan yang berkenaan", "type": "group", "item": [ { "linkId": "child-9m.5.1", "text": "Bayi duduk tanpa bantuan.", "type": "boolean" }, { "linkId": "child-9m.5.2", "text": "Bayi memindahkan objek dari satu tangan ke tangan yang lain.", "type": "boolean" }, { "linkId": "child-9m.5.3", "text": "Bayi meniru sebutan...ma-ma…ba-ba… da-da", "type": "boolean" }, { "linkId": "child-9m.5.4", "text": "Menentukan arah datangnya bunyi dengan tepat?", "type": "boolean" } ] }, { "linkId": "child-9m.6", "text": "Jika ada 'tidak' pada senarai semak perkembangan, rujuk Pegawai Perubatan/FMS/Pakar Pediatrik dan isikan maklumat di bawah.", "type": "group", "item": [ { "linkId": "child-9m.6.1", "text": "Tarikh Temujanji", "type": "dateTime" }, { "linkId": "child-9m.6.2", "text": "Tempat Rujukan", "type": "string" }, { "linkId": "child-9m.6.3", "text": "Tujuan Rujukan", "type": "string" }, { "linkId": "child-9m.6.4", "text": "Jika ada 'tidak' pada senarai semak, Jalankan penilaian perkembangan mengguna Carta Denver", "type": "boolean" }, { "linkId": "child-9m.6.5", "text": "Jika ada 'tidak' pada senarai semak, Lakukan stimulasi awal", "type": "boolean" } ] }, { "linkId": "child-9m.7", "text": "Bimbingan Awal. Tandakan selepas nasihat diberi. (Rujuk Panduan Ibu bapa/Penjaga)", "type": "group", "item": [ { "linkId": "child-9m.7.1", "text": "Pemakanan \na. Perkenalkan makanan jejari kepada anak.", "type": "boolean" }, { "linkId": "child-9m.7.2", "text": "Pergigian. \na. Dapatkan pemeriksaan gigi sekiranya belum diperiksa. \n.b Berus gigi dan gusi anak menggunakan berus gigi yang lembut.", "type": "boolean" }, { "linkId": "child-9m.7.3", "text": "Keselamatan dan Pencegahan Kecederaan. \na. Jangan guna ‘baby walker’ kerana ia boleh menyebabkan kecederaan dalam dan luaran yang teruk. \nb. Jangan beri bayi anda kacang atau alat permainan yang kecil yang boleh menyebabkannya tercekik.", "type": "boolean" }, { "linkId": "child-9m.7.4", "text": "Perkembangan. \na. Kerap membaca bahan bacaan bergambar kepada anak. \nb. Sering berbual dengan anak. \nc.Tiada 'screen time' untuk anak.", "type": "boolean" } ] }, { "linkId": "child-9m.remark", "text": "Catatan / Rumusan", "type": "text" } ] } QuestionnaireResponse Lawatan 9 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-9m", "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-child-9m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-9m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-9m.1", "text": "Tarikh lawatan", "answer": [ { "valueDateTime": "2023-05-01T23:12:30.776Z" } ] }, { "linkId": "child-9m.2", "text": "Umur semasa lawatan", "answer": [ { "valueQuantity": { "value": 10, "unit": "bulan" } } ] }, { "linkId": "child-9m.3", "text": "Aktiviti", "item": [ { "linkId": "child-9m.3.1", "text": "Berat (kg)", "answer": [ { "valueQuantity": { "value": 2, "unit": "kg" }, "item": [ { "linkId": "child-9m.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-9m.3.2", "text": "Panjang (cm)", "answer": [ { "valueQuantity": { "value": 2, "unit": "cm" }, "item": [ { "linkId": "child-9m.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-9m.3.3", "text": "BMI (kg/m2)", "answer": [ { "valueQuantity": { "value": 2, "unit": "kg/m2" }, "item": [ { "linkId": "child-9m.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-9m.3.4", "text": "Lilitan kepala (cm)", "answer": [ { "valueQuantity": { "value": 2, "unit": "cm" }, "item": [ { "linkId": "child-9m.3.4.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-9m.3.5", "text": "Pemeriksaan fizikal (termasuk mulut)", "answer": [ { "valueString": "insert entry here", "item": [ { "linkId": "child-9m.3.5.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-9m.3.6", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "answer": [ { "valueString": "insert entry here" } ] } ] }, { "linkId": "child-9m.4", "text": "Perkara yang membimbangkan ibubapa/penjaga", "answer": [ { "valueString": "insert entry here" } ] }, { "linkId": "child-9m.5", "text": "Senarai Semak Perkembangan (sila semak terlebih dahulu apa yang ibubapa/penjaga tulis): Tandakan pada ruangan yang berkenaan", "item": [ { "linkId": "child-9m.5.1", "text": "Bayi duduk tanpa bantuan.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-9m.5.2", "text": "Bayi memindahkan objek dari satu tangan ke tangan yang lain.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-9m.5.3", "text": "Bayi meniru sebutan...ma-ma…ba-ba… da-da", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-9m.5.4", "text": "Menentukan arah datangnya bunyi dengan tepat?", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-9m.6", "text": "Jika ada 'tidak' pada senarai semak perkembangan, rujuk Pegawai Perubatan/FMS/Pakar Pediatrik dan isikan maklumat di bawah.", "item": [ { "linkId": "child-9m.6.1", "text": "Tarikh Temujanji", "answer": [ { "valueDateTime": "2023-05-01T06:10:33.596Z" } ] }, { "linkId": "child-9m.6.2", "text": "Tempat Rujukan", "answer": [ { "valueString": "insert entry here" } ] }, { "linkId": "child-9m.6.3", "text": "Tujuan Rujukan", "answer": [ { "valueString": "insert entry here" } ] }, { "linkId": "child-9m.6.4", "text": "Jika ada 'tidak' pada senarai semak, Jalankan penilaian perkembangan mengguna Carta Denver", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-9m.6.5", "text": "Jika ada 'tidak' pada senarai semak, Lakukan stimulasi awal", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-9m.7", "text": "Bimbingan Awal. Tandakan selepas nasihat diberi. (Rujuk Panduan Ibu bapa/Penjaga)", "item": [ { "linkId": "child-9m.7.1", "text": "Pemakanan \na. Perkenalkan anak anda dengan makanan seperti roti dan biskut.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-9m.7.2", "text": "Keselamatan dan pencegahan kecederaan. \na. Ambil langkah-langkah pencegahan untuk mengelakkan bayi daripada terjatuh dari katil atau tangga. \nb. Jangan beri bayi anda kacang atau alat permainan yang kecil yang boleh menyebabkannya tercekik. ", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-9m.7.3", "text": "Dapatkan pemeriksaan gigi sekiranya belum diperiksa", "answer": [ { "valueBoolean": true } ] } ] } ] } Questionnaire Lawatan 10 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-10m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-10m", "version": "1.0.0", "name": "QChild10m", "title": "Lawatan Umur 10 Bulan (Sarawak)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-10m.1", "text": "Tarikh lawatan", "type": "dateTime" }, { "linkId": "child-10m.2", "text": "Umur semasa lawatan", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] }, { "linkId": "child-10m.3", "text": "Aktiviti", "type": "group", "item": [ { "linkId": "child-10m.3.1", "text": "Berat (kg)", "type": "quantity", "item": [ { "linkId": "child-10m.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "type": "string" } ] }, { "linkId": "child-10m.3.2", "text": "Panjang (cm)", "type": "quantity", "item": [ { "linkId": "child-10m.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "type": "string" } ] }, { "linkId": "child-10m.3.3", "text": "BMI (kg/m2)", "type": "quantity", "item": [ { "linkId": "child-10m.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "type": "string" } ] }, { "linkId": "child-10m.3.4", "text": "Lilitan kepala (cm)", "type": "quantity", "item": [ { "linkId": "child-10m.3.4.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-10m.3.5", "text": "Pemeriksaan fizikal (termasuk mulut)", "type": "string", "item": [ { "linkId": "child-10m.3.5.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-10m.3.6", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "type": "string" } ] }, { "linkId": "child-10m.4", "text": "Perkara yang membimbangkan ibubapa/penjaga", "type": "string" }, { "linkId": "child-10m.remark", "text": "Catatan / Rumusan", "type": "text" } ] } QuestionnaireResponse Lawatan 10 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-10m", "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-child-10m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-10m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-10m.1", "text": "Tarikh lawatan", "answer": [ { "valueDateTime": "2023-05-01T23:12:30.776Z" } ] }, { "linkId": "child-10m.2", "text": "Umur semasa lawatan", "answer": [ { "valueQuantity": { "value": 10, "unit": "bulan" } } ] }, { "linkId": "child-10m.3", "text": "Aktiviti", "item": [ { "linkId": "child-10m.3.1", "text": "Berat (kg)", "answer": [ { "valueQuantity": { "value": 2, "unit": "kg" }, "item": [ { "linkId": "child-10m.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-10m.3.2", "text": "Panjang (cm)", "answer": [ { "valueQuantity": { "value": 2, "unit": "cm" }, "item": [ { "linkId": "child-10m.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-10m.3.3", "text": "BMI (kg/m2)", "answer": [ { "valueQuantity": { "value": 2, "unit": "kg/m2" }, "item": [ { "linkId": "child-10m.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-10m.3.4", "text": "Lilitan kepala (cm)", "answer": [ { "valueQuantity": { "value": 2, "unit": "cm" }, "item": [ { "linkId": "child-10m.3.4.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-10m.3.5", "text": "Pemeriksaan fizikal (termasuk mulut)", "answer": [ { "valueString": "insert entry here", "item": [ { "linkId": "child-10m.3.5.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-10m.3.6", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "answer": [ { "valueString": "insert entry here" } ] } ] }, { "linkId": "child-10m.4", "text": "Perkara yang membimbangkan ibubapa/penjaga", "answer": [ { "valueString": "insert entry here" } ] } ] } Questionnaire Lawatan 12 & 15 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-12-15m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-12-15m", "version": "1.0.0", "name": "QChild12-15m", "title": "Lawatan Umur 12 & 15 Bulan", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-12-15m.0", "text": "Lawatan", "type": "choice", "answerOption": [ { "valueCoding": { "code": "00", "display": "12 bulan" } }, { "valueCoding": { "code": "01", "display": "15 bulan" } } ] }, { "linkId": "child-12-15m.1", "text": "Tarikh lawatan", "type": "dateTime" }, { "linkId": "child-12-15m.2", "text": "Umur semasa lawatan", "type": "quantity" }, { "linkId": "child-12-15m.3", "text": "Aktiviti", "type": "group", "item": [ { "linkId": "child-12-15m.3.1", "text": "Berat (kg)", "type": "quantity", "item": [ { "linkId": "child-12-15m.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "type": "string" } ] }, { "linkId": "child-12-15m.3.2", "text": "Panjang (cm)", "type": "quantity", "item": [ { "linkId": "child-12-15m.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "type": "string" } ] }, { "linkId": "child-12-15m.3.3", "text": "BMI (kg/m2)", "type": "quantity", "item": [ { "linkId": "child-12-15m.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "type": "string" } ] }, { "linkId": "child-12-15m.3.4", "text": "Lilitan kepala (cm)", "type": "quantity", "item": [ { "linkId": "child-12-15m.3.4.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-12-15m.3.5", "text": "Pemeriksaan fizikal (termasuk mulut)", "type": "string", "item": [ { "linkId": "child-12-15m.3.5.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-12-15m.3.6", "text": "Perkara yang membimbangkan ibu bapa/penjaga", "type": "string", "item": [ { "linkId": "child-12-15m.3.6.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-12-15m.3.7", "text": "Rujuk Pemeriksaan Pergigian (Tarikh)", "type": "dateTime" }, { "linkId": "child-12-15m.3.8", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "type": "string" }, { "linkId": "child-12-15m.3.9", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-12-15m.4", "text": "Senarai Semak Perkembangan Umur 12 bulan (sila semak terlebih dahulu apa yang ibubapa/penjaga tulis): Tandakan pada ruangan yang berkenaan", "type": "group", "item": [ { "linkId": "child-12-15m.4.1", "text": "Bayi berdiri tanpa bantuan.", "type": "boolean" }, { "linkId": "child-12-15m.4.2", "text": "Bayi mengambil benda kecil dengan menggunakan ibu jari dan telunjuk.(thumb & index finger grasp)", "type": "boolean" }, { "linkId": "child-12-15m.4.3", "text": "Bayi menggetuk 2 objek satu sama lain.", "type": "boolean" }, { "linkId": "child-12-15m.4.4", "text": "Bayi menyebut da-da/ ma-ma tanpa makna.", "type": "boolean" }, { "linkId": "child-12-15m.4.5", "text": "Bayi boleh bermain tepuk amai-amai atau melambai tangan.", "type": "boolean" } ] }, { "linkId": "child-12-15m.5", "text": "Jika ada 'tidak' pada senarai semak perkembangan, rujuk Pegawai Perubatan/FMS/Pakar Pediatrik dan isikan maklumat di bawah.", "type": "group", "item": [ { "linkId": "child-12-15m.5.1", "text": "Tarikh Temujanji", "type": "dateTime" }, { "linkId": "child-12-15m.5.2", "text": "Tempat Rujukan", "type": "string" }, { "linkId": "child-12-15m.5.3", "text": "Tujuan Rujukan", "type": "string" }, { "linkId": "child-12-15m.5.4", "text": "Jika ada 'tidak' pada senarai semak, Jalankan penilaian perkembangan mengguna Carta Denver", "type": "boolean" }, { "linkId": "child-12-15m.5.5", "text": "Jika ada 'tidak' pada senarai semak, Lakukan stimulasi awal", "type": "boolean" } ] }, { "linkId": "child-12-15m.6", "text": "Bimbingan Awal Pada Umur 12 Bulan: Tandakan selepas nasihat diberi. (Rujuk Panduan Ibu bapa/Penjaga)", "type": "group", "item": [ { "linkId": "child-12-15m.6.1", "text": "Kebersihan diri \na. Cuci tangan sebelum makan dan selepas ke tandas. \nb. Memberus gigi sekurang-kurangnya dua kali sehari terutamanya sebelum tidur malam. \nc. Boleh guna secalit ubat gigi berfluorida bagi anak yang sudah pandai meludah. \nd. Biasakan periksa gigi anak dengan mengangkat bibir. \ne. Pastikan anak mendapat pemeriksaan gigi di klinik sebaiknya dua kali setahun.", "type": "boolean" }, { "linkId": "child-12-15m.6.2", "text": "Pemakanan \na. Galakkan penyusuan susu ibu sehingga bayi berumur 2 tahun. \nb. Perkenalkan makanan keluarga kepada anak secara beransur-ansur.", "type": "boolean" }, { "linkId": "child-12-15m.6.3", "text": "Keselamatan dan pencegahan kecederaan \na. Jangan tinggalkan bayi anda di tempat takungan air (contoh: baldi, besen, bilik air dan lain-lain) tanpa pengawasan kerana ia boleh menyebabkan lemas. \nb. Jangan biarkan bayi anda bermain beg plastik kerana boleh mengakibatkan lemas. \nc. Semua ubatan dan racun (contoh: minyak tanah/ agen peluntur) perlu disimpan di tempat yang selamat dan tidak dapat diambil atau disimpan di dalam bekas yang tidak boleh dibuka oleh kanak-kanak. \nd. Jangan beri anak anda kacang dan bahagian permainan yang kecil kerana boleh menyebabkan tercekik. \ne. Gunakan tempat duduk anak (Baby Car Seat) di dalam kereta semasa memandu.", "type": "boolean" }, { "linkId": "child-12-15m.6.4", "text": "Kemahiran keibubapaan \na. Amalkan kemahiran keibubapaan yang baik. \nb. Memukul dan menengking tidak boleh membantu dalam mendisiplinkan kanak-kanak.", "type": "boolean" }, { "linkId": "child-12-15m.6.5", "text": "Perkembangan anak \n.a Kerap berbual, membaca dan bercerita dengan anak untuk meningkatkan perkembangan bahasa \nb. Tiada 'screen time' (TV, telefon pintar, tablet) \nc. Pastikan anak mendapat tidur yang cukup", "type": "boolean" } ] }, { "linkId": "child-12-15m.remark", "text": "Catatan / Rumusan", "type": "text" } ] } QuestionnaireResponse Lawatan 12 & 15 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-12-15m", "meta": { "source": "http://provider.hie.moh.gov.my#7jwBfm7HEYVhHbya", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/template-section", "value": "qr-child-12-15m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-12-15m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-12-15m.0", "text": "Lawatan", "answer": [ { "valueCoding": { "code": "00", "display": "12 bulan" } } ] }, { "linkId": "child-12-15m.1", "text": "Tarikh lawatan", "answer": [ { "valueDateTime": "2023-06-05T03:39:20.011Z" } ] }, { "linkId": "child-12-15m.2", "text": "Umur semasa lawatan", "answer": [ { "valueQuantity": { "value": 12, "unit": "bulan" } } ] }, { "linkId": "child-12-15m.3", "text": "Aktiviti", "item": [ { "linkId": "child-12-15m.3.1", "text": "Berat (kg)", "answer": [ { "valueQuantity": { "value": 12, "unit": "kg" }, "item": [ { "linkId": "child-12-15m.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-12-15m.3.2", "text": "Panjang (cm)", "answer": [ { "valueQuantity": { "value": 12, "unit": "cm" }, "item": [ { "linkId": "child-12-15m.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-12-15m.3.3", "text": "BMI (kg/m2) ", "answer": [ { "valueQuantity": { "value": 12, "unit": "kg/m2" }, "item": [ { "linkId": "child-12-15m.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-12-15m.3.4", "text": "Lilitan kepala (cm)", "answer": [ { "valueQuantity": { "value": 12, "unit": "cm" }, "item": [ { "linkId": "child-12-15m.3.4.1", "text": "Catatan", "answer": [ { "valueString": "enter string heree" } ] } ] } ] }, { "linkId": "child-12-15m.3.5", "text": "Pemeriksaan fizikal (termasuk mulut)", "answer": [ { "valueString": "enter string here", "item": [ { "linkId": "child-12-15m.3.5.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-12-15m.3.6", "text": "Perkara yang membimbangkan ibu bapa/penjaga", "answer": [ { "valueString": "enter string here", "item": [ { "linkId": "child-12-15m.3.6.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-12-15m.3.7", "text": "Rujuk Pemeriksaan Pergigian (Tarikh)", "answer": [ { "valueDateTime": "2023-06-19T03:39:55.252Z" } ] }, { "linkId": "child-12-15m.3.8", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-12-15m.3.9", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] }, { "linkId": "child-12-15m.4", "text": "Senarai Semak Perkembangan Umur 12 bulan (sila semak terlebih dahulu apa yang ibubapa/penjaga tulis): Tandakan pada ruangan yang berkenaan", "item": [ { "linkId": "child-12-15m.4.1", "text": "Bayi berdiri tanpa bantuan.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-12-15m.4.2", "text": "Bayi mengambil benda kecil dengan menggunakan ibu jari dan telunjuk.(thumb & index finger grasp)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-12-15m.4.3", "text": "Bayi menggetuk 2 objek satu sama lain.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-12-15m.4.4", "text": "Bayi menyebut da-da/ ma-ma tanpa makna.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-12-15m.4.5", "text": "Bayi boleh bermain tepuk amai-amai atau melambai tangan.", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-12-15m.5", "text": "Jika ada 'tidak' pada senarai semak perkembangan, rujuk Pegawai Perubatan/FMS/Pakar Pediatrik dan isikan maklumat di bawah.", "item": [ { "linkId": "child-12-15m.5.1", "text": "Tarikh Temujanji", "answer": [ { "valueDateTime": "2023-06-25T03:40:01.447Z" } ] }, { "linkId": "child-12-15m.5.2", "text": "Tempat Rujukan", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-12-15m.5.3", "text": "Tujuan Rujukan", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-12-15m.5.4", "text": "Jika ada 'tidak' pada senarai semak, Jalankan penilaian perkembangan mengguna Carta Denver", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-12-15m.5.5", "text": "Jika ada 'tidak' pada senarai semak, Lakukan stimulasi awal", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-12-15m.6", "text": "Bimbingan Awal Pada Umur 12 Bulan: Tandakan selepas nasihat diberi. (Rujuk Panduan Ibu bapa/Penjaga)", "item": [ { "linkId": "child-12-15m.6.1", "text": "Kebersihan diri \na. Cuci tangan anak sebelum makan dan selepas ke tandas.. \nb. Memberus gigi dengan ubat gigi berfluorida sekurang-kurangnya dua kali sehari terutamanya sebelum tidur malam. \nc. Biasakan periksa gigi anak dengan mengangkat bibir. \nd. Pastikan anak mendapat pemeriksaan gigi di klinik.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-12-15m.6.2", "text": "Pemakanan \na. Galakkan penyusuan susu ibu sehingga bayi berumur 2 tahun. \nb. Perkenalkan makanan keluarga kepada anak secara beransur-ansur.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-12-15m.6.3", "text": "Keselamatan dan pencegahan kecederaan \na. Jangan tinggalkan bayi anda di tempat takungan air (contoh: baldi, besen, bilik air dan lain-lain) tanpa pengawasan kerana ia boleh menyebabkan lemas. \nb. Jangan biarkan bayi anda bermain beg plastik kerana boleh mengakibatkan lemas. \nc. Semua ubatan dan racun (contoh: minyak tanah/ agen peluntur) perlu disimpan di tempat yang selamat dan tidak dapat diambil atau disimpan di dalam bekas yang tidak boleh dibuka oleh kanak-kanak. \nd. Jangan beri anak anda kacang dan bahagian permainan yang kecil kerana boleh menyebabkan tercekik. \ne. Gunakan tempat duduk anak (Baby Car Seat) di dalam kereta semasa memandu.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-12-15m.6.4", "text": "Kemahiran keibubapaan \na. Amalkan kemahiran keibubapaan yang baik. \nb. Memukul dan menengking tidak boleh membantu dalam mendisiplinkan kanak-kanak.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-12-15m.6.5", "text": "Nasihat berkaitan pemilihan pusat penjagaan anak \nSekiranya anda ingin menghantar anak anda ke pusat asuhan, pastikan \n.a Berdaftar dengan Jabatan Kebajikan Masyarakat \nb. Persekitaran yang selamat dan bersih \nc. Mempunyai penjaga yang terlatih Mempunyai penjaga yang terlatih Mempunyai penjaga yang terlatih \nd. Anda dibenarkan melawat anak pada bila-bila masa", "answer": [ { "valueBoolean": true } ] } ] } ] } Questionnaire Lawatan 18 & 21 Bulan
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(Rujuk Panduan Ibu bapa/Penjaga)", "type": "group", "item": [ { "linkId": "child-18-21m.6.1", "text": "Kebersihan diri & Pergigian \na. Cuci tangan sebelum makan dan selepas ke tandas. \nb. Memberus gigi sekurang-kurangnya dua kali sehari terutamanya sebelum tidur malam. \nc. Boleh guna secalit ubat gigi berfluorida bagi anak yang sudah pandai meludah. \nd. Biasakan periksa gigi anak dengan mengangkat bibir. \ne. Pastikan anak mendapat pemeriksaan gigi di klinik sebaiknya dua kali setahun.", "type": "boolean" }, { "linkId": "child-18-21m.6.2", "text": "Pemakananan \na. Berikan anak anda pelbagai jenis makanan untuk sumber tenaga. \nb. Beri makanan kepada anak sedikit-sedikit dan kerap.", "type": "boolean" }, { "linkId": "child-18-21m.6.3", "text": "Keselamatan dan Pencegahan Kecederaan \na. Jangan tinggalkan bayi anda di tempat takungan air (contoh: baldi, besen, bilik air dan lain-lain) tanpa pengawasan kerana ia boleh menyebabkan lemas. \nb. Jangan biarkan bayi anda bermain beg plastik kerana boleh mengakibatkan lemas. \nc. Semua ubatan dan racun (contoh: minyak tanah/agen peluntur) perlu disimpan di tempat yang selamat dan tidak dapat diambil atau disimpan di dalam bekas yang tidak boleh dibuka oleh kanak-kanak. \nd. Jangan beri anak anda kacang dan bahagian permainan yang kecil kerana boleh menyebabkan tercekik. \ne. Gunakan kerusi keselamatan kanak-kanak (Baby Car Seat) semasa di dalam kereta.", "type": "boolean" }, { "linkId": "child-18-21m.6.4", "text": "Perkembangan anak \na. Beri anak permainan yang mengalakkan imaginasi dan kreativiti. \nb. Bantu anak dalam mengenal dan mengawal emosi. \nc. Tiada 'screen time' (TV, telefon pintar, tablet). \nd.Pastikan anak mendapat tidur yang cukup", "type": "boolean" } ] }, { "linkId": "child-18-21m.remark", "text": "Catatan / Rumusan", "type": "text" } ] } QuestionnaireResponse Lawatan 18 & 21 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-18-21m", "meta": { "source": "http://provider.hie.moh.gov.my#tsYopLCxQIuV7c8i", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/template-section", "value": "qr-child-18-21m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-18-21mm", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-18-21m.0", "text": "Lawatan", "answer": [ { "valueCoding": { "code": "00", "display": "18 bulan" } } ] }, { "linkId": "child-18-21m.1", "text": "Tarikh lawatan", "answer": [ { "valueDateTime": "2023-06-05T03:42:25.343Z" } ] }, { "linkId": "child-18-21m.2", "text": "Umur semasa lawatan", "answer": [ { "valueQuantity": { "value": 22, "unit": "bulan" } } ] }, { "linkId": "child-18-21m.3", "text": "Aktiviti", "item": [ { "linkId": "child-18-21m.3.1", "text": "Berat (kg)", "answer": [ { "valueQuantity": { "value": 12, "unit": "kg" }, "item": [ { "linkId": "child-18-21m.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-18-21m.3.2", "text": "Panjang (cm)", "answer": [ { "valueQuantity": { "value": 12, "unit": "cm" }, "item": [ { "linkId": "child-18-21m.3.2.1", "text": "Catatan (Normal/B/BT/ME", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-18-21m.3.3", "text": "BMI (kg/m2)", "answer": [ { "valueQuantity": { "value": 12, "unit": "kg/m2" }, "item": [ { "linkId": "child-18-21m.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-18-21m.3.4", "text": "Lilitan kepala (cm)", "answer": [ { "valueQuantity": { "value": 12, "unit": "cm" }, "item": [ { "linkId": "child-18-21m.3.4.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-18-21m.3.5", "text": "Pemeriksaan fizikal (termasuk mulut) Nota: Lakukan ujian saringan M-CHAT pada umur 18 bulan", "answer": [ { "valueString": "enter string here", "item": [ { "linkId": "child-18-21m.3.5.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-18-21m.3.6", "text": "Rujuk Pegawai Perubatan", "answer": [ { "valueDateTime": "2023-06-05T03:42:55.230Z", "item": [ { "linkId": "child-18-21m.3.6.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-18-21m.3.7", "text": "Rujuk Pemeriksaan Pergigian (Tarikh)", "answer": [ { "valueDateTime": "2023-05-29T03:42:57.456Z" } ] }, { "linkId": "child-18-21m.3.8", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-18-21m.3.9", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] }, { "linkId": "child-18-21m.4", "text": "Senarai Semak Perkembangan Umur 18 bulan (sila semak terlebih dahulu apa yang ibubapa/penjaga tulis): Tandakan pada ruangan yang berkenaan", "item": [ { "linkId": "child-18-21m.4.1", "text": "Bayi berjalan sendiri.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-18-21m.4.2", "text": "Bayi menconteng.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-18-21m.4.3", "text": "Bayi menyebut sekurang-kurangnya tiga perkataan yang bermakna.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-18-21m.4.4", "text": "Bayi mengikut arahan yang mudah.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-18-21m.4.5", "text": "Lulus saringan M-CHAT (rujuk Jadual M-CHAT).", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-18-21m.5", "text": "Jika ada 'tidak' pada senarai semak perkembangan, rujuk Pegawai Perubatan/FMS/Pakar Pediatrik dan isikan maklumat di bawah.", "item": [ { "linkId": "child-18-21m.5.1", "text": "Tarikh Temujanji", "answer": [ { "valueDateTime": "2023-06-11T03:43:04.101Z" } ] }, { "linkId": "child-18-21m.5.2", "text": "Tempat Rujukan", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-18-21m.5.3", "text": "Tujuan Rujukan", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-18-21m.5.4", "text": "Jika ada 'tidak' pada senarai semak, Jalankan penilaian perkembangan mengguna Carta Denver", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-18-21m.5.5", "text": "Jika ada 'tidak' pada senarai semak, Lakukan stimulasi awal", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-18-21m.6", "text": "Bimbingan Awal Pada Umur 18 Bulan: Tandakan selepas nasihat diberi. (Rujuk Panduan Ibu bapa/Penjaga)", "item": [ { "linkId": "child-18-21m.6.1", "text": "Kebersihan diri \na. Cuci tangan anak sebelum makan dan selepas ke tandas. \nb. Memberus gigi dengan ubat gigi berfluorida sekurang-kurangnya dua kali sehari terutamanya sebelum tidur malam. \nc. Biasakan periksa gigi anak dengan mengangkat bibir. \nd. Pastikan anak dapat pemeriksaan gigi di klinik.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-18-21m.6.2", "text": "Pemakananan \na. Berikan anak anda pelbagai jenis makanan untuk sumber tenaga bagi pertumbuhan, perkembangan dan melakukan aktiviti. \nb. Beri makanan kepada anak sedikit-sedikit dan kerap.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-18-21m.6.3", "text": "Keselamatan dan Pencegahan Kecederaan \na. Jangan biarkan anak bermain bersendirian di dalam atau berhampiran takungan air (basin, baldi, kolam, kolah) atau di dalam bilik air kerana boleh menyebabkan lemas. \nb. Semua ubatan dan racun (contoh: minyak tanah/ agen peluntur) perlu disimpan di tempat yang selamat dan tidak dapat diambil atau disimpan di dalam bekas yang tidak boleh dibuka oleh kanak-kanak. \nc. Jangan beri anak anda kacang dan bahagian permainan yang kecil kerana boleh menyebabkan tercekik. \nd. Dudukkan anak di dalam ‘child car seat’ semasa berada dalam kenderaan", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-18-21m.6.4", "text": "Kemahiran Keibubapaan \na. Amalkan kemahiran keibubapaan yang baik (Lampiran 5). \nb. Jangan memukul atau menengking kerana ia tidak boleh membantu dalam mendisiplinkan kanak-kanak.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-18-21m.6.5", "text": "Nasihat berkaitan pemilihan pusat penjagaan anak \nSekiranya anda ingin menghantar anak anda ke pusat asuhan, pastikan: \na. Berdaftar dengan Jabatan Kebajikan Masyarakat \nb. Persekitaran yang selamat dan bersih. \nc. Mempunyai penjaga yang terlatih. \nd. Anda dibenarkan melawat anak pada bila-bila masa", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-18-21m.6.6", "text": "Perhatikan masalah perkembangan \na. Awasi tanda-tanda amaran kelewatan perkembangan (Rujuk Carta Perkembangan Si Comel Anda).", "answer": [ { "valueBoolean": true } ] } ] } ] } Questionnaire Lawatan 2 Tahun, 2 Tahun 6 Bulan, 3 Tahun & 3 Tahun 6 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-2-3y", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-2-3y", "version": "1.0.0", "name": "QChild2-3y", "title": "(Lawatan Umur 2 Tahun, 2 Tahun 6 Bulan, 3 Tahun & 3 Tahun 6 Bulan)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-2-3y.0", "text": "Lawatan", "type": "choice", "answerOption": [ { "valueCoding": { "code": "00", "display": "2 tahun" } }, { "valueCoding": { "code": "01", "display": "2 tahun 6 bulan" } }, { "valueCoding": { "code": "02", "display": "3 tahun" } }, { "valueCoding": { "code": "03", "display": "3 tahun 6 bulan" } } ] }, { "linkId": "child-2-3y.1", "text": "Tarikh lawatan", "type": "dateTime" }, { "linkId": "child-2-3y.2", "text": "Umur semasa lawatan", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] }, { "linkId": "child-2-3y.3", "text": "Aktiviti", "type": "group", "item": [ { "linkId": "child-2-3y.3.1", "text": "Berat (kg)", "type": "quantity", "item": [ { "linkId": "child-2-3y.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "type": "string" } ] }, { "linkId": "child-2-3y.3.2", "text": "Panjang (cm)", "type": "quantity", "item": [ { "linkId": "child-2-3y.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "type": "string" } ] }, { "linkId": "child-2-3y.3.3", "text": "BMI (kg/m2)", "type": "quantity", "item": [ { "linkId": "child-2-3y.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "type": "string" } ] }, { "linkId": "child-2-3y.3.4", "text": "Lilitan Kepala (cm) - hanya isi untuk 2 tahun", "type": "quantity", "item": [ { "linkId": "child-2-3y.3.4.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-2-3y.3.5", "text": "Pemeriksaan fizikal (termasuk mulut)", "type": "string", "item": [ { "linkId": "child-2-3y.3.5.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-2-3y.3.6", "text": "Perkara yang membimbangkan ibu bapa", "type": "string", "item": [ { "linkId": "child-2-3y.3.6.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-2-3y.3.7", "text": "Bimbingan awal (Rujuk panduan Ibubapa/Penjaga", "type": "boolean" }, { "linkId": "child-2-3y.3.8", "text": "Lulus Ujian M-chat", "type": "boolean", "item": [ { "linkId": "child-2-3y.3.8.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-2-3y.3.9", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "type": "string" }, { "linkId": "child-2-3y.3.10", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-2-3y.remark", "text": "Catatan / Rumusan", "type": "text" } ] } QuestionnaireResponse Lawatan 2 Tahun, 2 Tahun 6 Bulan, 3 Tahun & 3 Tahun 6 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-2-3y", "meta": { "source": "http://provider.hie.moh.gov.my#j39uyR5vhco4nIZL", "profile": [ "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core" ] }, "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/template-section", "value": "qr-child-2-3y" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-2-3y", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-2-3y.0", "text": "Lawatan", "answer": [ { "valueCoding": { "code": "00", "display": "2 tahun" } } ] }, { "linkId": "child-2-3y.1", "text": "Tarikh lawatan", "answer": [ { "valueDateTime": "2023-05-01T23:12:30.776Z" } ] }, { "linkId": "child-2-3y.2", "text": "Umur semasa lawatan", "answer": [ { "valueQuantity": { "value": 2, "unit": "tahun" } } ] }, { "linkId": "child-2-3y.3", "text": "Aktiviti", "item": [ { "linkId": "child-2-3y.3.1", "text": "Berat (kg)", "answer": [ { "valueQuantity": { "value": 2, "unit": "kg" }, "item": [ { "linkId": "child-2-3y.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-2-3y.3.2", "text": "Panjang (cm)", "answer": [ { "valueQuantity": { "value": 2, "unit": "cm" }, "item": [ { "linkId": "child-2-3y.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-2-3y.3.3", "text": "BMI (kg/m2)", "answer": [ { "valueQuantity": { "value": 2, "unit": "kg/m2" }, "item": [ { "linkId": "child-2-3y.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-2-3y.3.4", "text": "Lilitan Kepala (cm) - hanya isi untuk 2 tahun", "answer": [ { "valueQuantity": { "value": 2, "unit": "cm" }, "item": [ { "linkId": "child-2-3y.3.4.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-2-3y.3.5", "text": "Pemeriksaan fizikal (termasuk mulut)", "answer": [ { "valueString": "insert entry here", "item": [ { "linkId": "child-2-3y.3.5.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-2-3y.3.6", "text": "Perkara yang membimbangkan ibu bapa", "answer": [ { "valueString": "insert entry here", "item": [ { "linkId": "child-2-3y.3.6.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-2-3y.3.7", "text": "Bimbingan awal (Rujuk panduan Ibubapa/Penjaga", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-2-3y.3.8", "text": "Lulus Ujian M-chat (rujuk Carta M-Chat dalam pemeriksaan umur 18 bulan) \nIsi hanya semasa 3 tahun", "answer": [ { "valueBoolean": false, "item": [ { "linkId": "child-2-3y.3.8.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-2-3y.3.9", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "answer": [ { "valueString": "insert entry here" } ] }, { "linkId": "child-2-3y.3.10", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] } Questionnaire Lawatan 4 Tahun
{ "resourceType": "Questionnaire", "id": "q-child-4y", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-4y", "version": "1.0.0", "name": "QChild4y", "title": "Lawatan Umur 4 Tahun", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-4y.1", "text": "Tarikh lawatan", "type": "dateTime" }, { "linkId": "child-4y.2", "text": "Umur semasa lawatan", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] }, { "linkId": "child-4y.3", "text": "Aktiviti", "type": "group", "item": [ { "linkId": "child-4y.3.1", "text": "Berat (kg)", "type": "quantity", "item": [ { "linkId": "child-4y.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "type": "string" } ] }, { "linkId": "child-4y.3.2", "text": "Panjang (cm)", "type": "quantity", "item": [ { "linkId": "child-4y.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "type": "string" } ] }, { "linkId": "child-4y.3.3", "text": "BMI (kg/m2)", "type": "quantity", "item": [ { "linkId": "child-4y.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "type": "string" } ] }, { "linkId": "child-4y.3.4", "text": "Pemeriksaan fizikal (termasuk mulut)", "type": "string", "item": [ { "linkId": "child-4y.3.4.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-4y.3.5", "text": "Pemeriksaan mata", "type": "dateTime", "item": [ { "linkId": "child-4y.3.5.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-4y.3.6", "text": "Rujuk Pegawai Perubatan", "type": "dateTime", "item": [ { "linkId": "child-4y.3.6.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-4y.3.7", "text": "Rujuk Pemeriksaan Pergigian", "type": "dateTime", "item": [ { "linkId": "child-4y.3.7.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-4y.3.8", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "type": "string" } ] }, { "linkId": "child-4y.4", "text": "Perkara yang membimbangkan ibubapa/penjaga", "type": "string" }, { "linkId": "child-4y.5", "text": "Senarai Semak Perkembangan (sila semak terlebih dahulu apa yang ibubapa/penjaga tulis): Tandakan pada ruangan yang berkenaan", "type": "group", "item": [ { "linkId": "child-4y.5.1", "text": "Orang lain boleh memahami pertuturan anak", "type": "boolean" }, { "linkId": "child-4y.5.2", "text": "Anak boleh bercakap menggunakan ayat sepenuhnya?", "type": "boolean" }, { "linkId": "child-4y.5.3", "text": "Anak boleh meniru lukisan bulatan. (Perhatikan)", "type": "boolean" }, { "linkId": "child-4y.5.4", "text": "Anak boleh berinteraksi dengan kanak-kanak lain", "type": "boolean" } ] }, { "linkId": "child-4y.6", "text": "Jika ada 'tidak' pada senarai semak perkembangan, rujuk Pegawai Perubatan/FMS/Pakar Pediatrik dan isikan maklumat di bawah.", "type": "group", "item": [ { "linkId": "child-4y.6.1", "text": "Tarikh Temujanji", "type": "dateTime" }, { "linkId": "child-4y.6.2", "text": "Tempat Rujukan", "type": "string" }, { "linkId": "child-4y.6.3", "text": "Tujuan Rujukan", "type": "string" }, { "linkId": "child-4y.6.4", "text": "Jika ada 'tidak' pada senarai semak, Jalankan penilaian perkembangan mengguna Carta Denver", "type": "boolean" }, { "linkId": "child-4y.6.5", "text": "Jika ada 'tidak' pada senarai semak, Lakukan stimulasi awal", "type": "boolean" } ] }, { "linkId": "child-4y.7", "text": "Bimbingan Awal. Tandakan selepas nasihat diberi. (Rujuk Panduan Ibu bapa/Penjaga)", "type": "group", "item": [ { "linkId": "child-4y.7.1", "text": "Kebersihan diri Pergigian \na. Berus gigi dengan ubat gigi berfluorida bersaiz sebesar sebiji kacang pis dua kali sehari terutamanya sebelum tidur malam. \nb.Dapatkan pemeriksaan gigi setiap 6 bulan. \nc.Hentikan tabiat menghisap jari/puting tiruan bagi mengelakkan masalah susun atur pergigian.", "type": "boolean" }, { "linkId": "child-4y.7.2", "text": "Pemakanan \na. Beri anak makanan berkhasiat semasa waktu makan utama. \nb. Pilih snek berkhasiat kepada anak seperti buah-buahan, sayur-sayuran, susu, dadih elakkan makanan ringan yang tidak berkhasiat, minumam bergas dan manis. \nc.Pastikan anak anda minum 4-6 gelas cecair dalam bentuk air masak, jus buah-buahan atau sup.", "type": "boolean" }, { "linkId": "child-4y.7.3", "text": "Keselamatan dan Pencegahan Kecederaan \na. Mengajar anak amalan baik di jalan raya. \nb. Gunakan topi keselamatan bila menunggang basikal. \nc. Pastikan anak menggunakan kerusi keselamatan dan pasang tali pinggang keselamatan semasa di dalam kereta. \nd. Elakkan anak bermain di longkang, kolam, perigi atau sungai. \ne.Pastikan tingkap berpagar untuk mengelakkan anak anda terjatuh.", "type": "boolean" }, { "linkId": "child-4y.7.4", "text": "Perkembangan anak \na.Amalkan peraturan yang sentiasa tetap dan tegas. \nb. Guna budi bicara sebelum menjatuhkan hukuman. \nc. Luangkan masa untuk berbual dengan anak anda. \nd. Jadi seorang pendengar yang baik. \ne. Menekankan amalan yang baik dengan puji-pujian. \nf. Hindarkan dari memberi gelaran yang negatif terhadap anak anda.", "type": "boolean" } ] }, { "linkId": "child-4y.remark", "text": "Catatan / Rumusan", "type": "text" } ] } QuestionnaireResponse Lawatan 4 Tahun
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-4y", "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-child-4y" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-4y", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-4y.1", "text": "Tarikh lawatan", "answer": [ { "valueDateTime": "2023-05-01T23:12:30.776Z" } ] }, { "linkId": "child-4y.2", "text": "Umur semasa lawatan", "answer": [ { "valueQuantity": { "value": 4, "unit": "tahun" } } ] }, { "linkId": "child-4y.3", "text": "Aktiviti", "item": [ { "linkId": "child-4y.3.1", "text": "Berat (kg)", "answer": [ { "valueQuantity": { "value": 2, "unit": "kg" }, "item": [ { "linkId": "child-4y.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-4y.3.2", "text": "Panjang (cm)", "answer": [ { "valueQuantity": { "value": 2, "unit": "cm" }, "item": [ { "linkId": "child-4y.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-4y.3.3", "text": "BMI (kg/m2)", "answer": [ { "valueQuantity": { "value": 2, "unit": "kg/m2" }, "item": [ { "linkId": "child-4y.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-4y.3.4", "text": "Pemeriksaan fizikal (termasuk mulut)", "answer": [ { "valueString": "insert entry here", "item": [ { "linkId": "child-4y.3.4.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-4y.3.5", "text": "Pemeriksaan mata", "answer": [ { "valueDateTime": "2023-05-03T12:52:58.608Z", "item": [ { "linkId": "child-4y.3.5.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-4y.3.6", "text": "Rujuk Pegawai Perubatan", "answer": [ { "valueDateTime": "2023-05-24T09:53:02.979Z", "item": [ { "linkId": "child-4y.3.6.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-4y.3.7", "text": "Rujuk Pemeriksaan Pergigian", "answer": [ { "valueDateTime": "2023-05-19T09:53:05.744Z", "item": [ { "linkId": "child-4y.3.7.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-4y.3.8", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "answer": [ { "valueString": "insert entry here" } ] } ] }, { "linkId": "child-4y.4", "text": "Perkara yang membimbangkan ibubapa/penjaga", "answer": [ { "valueString": "insert entry here" } ] }, { "linkId": "child-4y.5", "text": "Senarai Semak Perkembangan (sila semak terlebih dahulu apa yang ibubapa/penjaga tulis): Tandakan pada ruangan yang berkenaan", "item": [ { "linkId": "child-4y.5.1", "text": "Orang lain boleh memahami pertuturan anak", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-4y.5.2", "text": "Anak boleh bercakap menggunakan ayat sepenuhnya?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-4y.5.3", "text": "Anak boleh meniru lukisan bulatan. (Perhatikan)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-4y.5.4", "text": "Anak boleh berinteraksi dengan kanak-kanak lain", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-4y.6", "text": "Jika ada 'tidak' pada senarai semak perkembangan, rujuk Pegawai Perubatan/FMS/Pakar Pediatrik dan isikan maklumat di bawah.", "item": [ { "linkId": "child-4y.6.1", "text": "Tarikh Temujanji", "answer": [ { "valueDateTime": "2023-05-07T09:53:13.903Z" } ] }, { "linkId": "child-4y.6.2", "text": "Tempat Rujukan", "answer": [ { "valueString": "insert entry here" } ] }, { "linkId": "child-4y.6.3", "text": "Tujuan Rujukan", "answer": [ { "valueString": "insert entry here" } ] }, { "linkId": "child-4y.6.4", "text": "Jika ada 'tidak' pada senarai semak, Jalankan penilaian perkembangan mengguna Carta Denver", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-4y.6.5", "text": "Jika ada 'tidak' pada senarai semak, Lakukan stimulasi awal", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-4y.7", "text": "Bimbingan Awal. Tandakan selepas nasihat diberi. (Rujuk Panduan Ibu bapa/Penjaga)", "item": [ { "linkId": "child-4y.7.1", "text": "Pemakanan \na. Beri anak makanan berkhasiat semasa waktu makan utama. \nb. Pilih snek berkhasiat kepada anak seperti buah-buahan, sayur-sayuran, susu, dadih. \nc. Elakkan makanan ringan yang tidak berkhasiat, minuman bergas dan manis. \nd. Pastikan anak anda minum 4-6 gelas cecair dalam bentuk air masak, jus buahbuahan atau sup.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-4y.7.2", "text": "Penjagaan Gigi \na. Berus gigi dengan ubat gigi berfluorida dua kali sehari terutamanya sebelum tidur malam. \nb. Dapatkan permeriksaan gigi setiap 6 bulan. \nc. Hentikan tabiat menghisap jari/ puting tiruan bagi mengelakkan masalah susunatur pergigian.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-4y.7.3", "text": "Elakkan kecederaan \na. Mengajar anak amalan baik di jalan raya (ibu bapa perlu menjadi contoh). \nb. Gunakan topi keselamatan bila menunggang basikal. \nc. Pastikan anak menggunakan kerusi keselamatan dan pasang tali pinggang keselamatan semasa di dalam kereta. \nd. Elakkan anak bermain di longkang, kolam, perigi atau sungai. \ne. Pastikan tingkap berpagar untuk mengelakkan anak anda terjatuh.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-4y.7.4", "text": "Promosi dan amalan kesihatan mental yang sihat \na. Amalkan peraturan yang sentiasa tetap dan tegas. \nb. Guna budi bicara sebelum menjatuhkan hukuman. \nc. Luangkan masa untuk berbual dengan anak anda. \nd. Jadi seorang pendengar yang baik. \ne. Menekankan amalan yang baik dengan puji- pujian. \nf. Hindarkan dari memberi gelaran yang negatif terhadap anak anda.", "answer": [ { "valueBoolean": true } ] } ] } ] } Questionnaire Lawatan 5 & 6 Tahun
{ "resourceType": "Questionnaire", "id": "q-child-5-6y", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-5-6y", "version": "1.0.0", "name": "QChild5-6y", "title": "Lawatan Umur 5 & 6 Tahun", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-5-6y.0", "text": "Lawatan", "type": "choice", "answerOption": [ { "valueCoding": { "code": "00", "display": "5 tahun" } }, { "valueCoding": { "code": "01", "display": "6 tahun" } } ] }, { "linkId": "child-5-6y.1", "text": "Tarikh lawatan", "type": "dateTime" }, { "linkId": "child-5-6y.2", "text": "Umur semasa lawatan", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] }, { "linkId": "child-5-6y.3", "text": "Aktiviti", "type": "group", "item": [ { "linkId": "child-5-6y.3.1", "text": "Berat (kg)", "type": "quantity", "item": [ { "linkId": "child-5-6y.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "type": "string" } ] }, { "linkId": "child-5-6y.3.2", "text": "Panjang (cm)", "type": "quantity", "item": [ { "linkId": "child-5-6y.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "type": "string" } ] }, { "linkId": "child-5-6y.3.3", "text": "BMI (kg/m2)", "type": "quantity", "item": [ { "linkId": "child-5-6y.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "type": "string" } ] }, { "linkId": "child-5-6y.3.4", "text": "Pemeriksaan fizikal (termasuk mulut)", "type": "string", "item": [ { "linkId": "child-5-6y.3.4.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-5-6y.3.5", "text": "Perkara yang membimbangkan ibu bapa/penjaga", "type": "string", "item": [ { "linkId": "child-5-6y.3.5.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-5-6y.3.6", "text": "Bimbingan awal (Rujuk Panduan Ibubapa/Penjaga", "type": "boolean" }, { "linkId": "child-5-6y.3.7", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "type": "string" }, { "linkId": "child-5-6y.3.8", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-5-6y.remark", "text": "Catatan / Rumusan", "type": "text" } ] } QuestionnaireResponse Lawatan 5 & 6 Tahun
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-5-6y", "meta": { "source": "http://provider.hie.moh.gov.my", "profile": [ "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse" ] }, "identifier": { "system": "http://fhir.hie.moh.gov.my/sid/template-section", "value": "qr-child-5-6y" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-5-6y", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-5-6y.0", "text": "Lawatan", "answer": [ { "valueCoding": { "code": "00", "display": "5 tahun" } } ] }, { "linkId": "child-5-6y.1", "text": "Tarikh lawatan", "answer": [ { "valueDateTime": "2023-05-01T23:12:30.776Z" } ] }, { "linkId": "child-5-6y.2", "text": "Umur semasa lawatan", "answer": [ { "valueQuantity": { "value": 5, "unit": "tahun" } } ] }, { "linkId": "child-5-6y.3", "text": "Aktiviti", "item": [ { "linkId": "child-5-6y.3.1", "text": "Berat (kg)", "answer": [ { "valueQuantity": { "value": 2, "unit": "kg" }, "item": [ { "linkId": "child-5-6y.3.1.1", "text": "Catatan (Normal/KBB/KBBT/MP)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-5-6y.3.2", "text": "Panjang (cm)", "answer": [ { "valueQuantity": { "value": 2, "unit": "cm" }, "item": [ { "linkId": "child-5-6y.3.2.1", "text": "Catatan (Normal/B/BT/ME)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-5-6y.3.3", "text": "BMI (kg/m2)", "answer": [ { "valueQuantity": { "value": 2, "unit": "kg/m2" }, "item": [ { "linkId": "child-5-6y.3.3.1", "text": "Catatan (Normal/MP/B/BT)", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-5-6y.3.4", "text": "Pemeriksaan fizikal (termasuk mulut)", "answer": [ { "valueString": "insert entry here", "item": [ { "linkId": "child-5-6y.3.4.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-5-6y.3.5", "text": "Perkara yang membimbangkan ibu bapa/penjaga", "answer": [ { "valueString": "insert entry here", "item": [ { "linkId": "child-5-6y.3.5.1", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-5-6y.3.6", "text": "Bimbingan awal (Rujuk Panduan Ibubapa/Penjaga", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-5-6y.3.7", "text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi)", "answer": [ { "valueString": "insert entry here" } ] }, { "linkId": "child-5-6y.3.8", "text": "Catatan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] } Questionnaire Lawatan Tambahan
{ "resourceType": "Questionnaire", "id": "q-child-add", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-add", "version": "1.0.0", "name": "QChildAdd", "title": "Pemeriksaan Tambahan Lawatan Klinik", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-add.1", "text": "Umur semasa lawatan", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] }, { "linkId": "child-add.2", "text": "Perkara yang membimbangkan ibu bapa/penjaga", "type": "string" }, { "linkId": "child-add.3", "text": "Maklumat Tambahan", "type": "text" } ] } QuestionnaireResponse Lawatan Tambahan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-add", "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-child-add" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-add", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-add.1", "text": "Umur semasa lawatan", "answer": [ { "valueString": "enter string" } ] }, { "linkId": "child-add.2", "text": "Perkara yang membimbangkan ibu bapa/penjaga", "answer": [ { "valueString": "enter string" } ] }, { "linkId": "child-add.3", "text": "Maklumat Tambahan", "answer": [ { "valueString": "enter string" } ] } ] } |
| 10. | Rekod Pegawai Perubatan |
Questionnaire Rekod Baru Lahir
{ "resourceType": "Questionnaire", "id": "q-child-born", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-born", "version": "1.0.0", "name": "QChildborn", "title": "Rekod Baru Lahir", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-born.1", "text": "Vital sign", "type": "group", "item": [ { "linkId": "child-born.1.1", "text": "Suhu badan", "type": "quantity" }, { "linkId": "child-born.1.2", "text": "Kadar respiratori", "type": "quantity" }, { "linkId": "child-born.1.3", "text": "Kadar denyutan jantung", "type": "quantity" } ] }, { "linkId": "child-born.2", "text": "Buang air besar dalam masa 24 jam", "type": "boolean" }, { "linkId": "child-born.3", "text": "Buang air kecil dalam masa 24 jam", "type": "boolean" }, { "linkId": "child-born.4", "text": "Memulakan penyusuan susu ibu", "type": "boolean" }, { "linkId": "child-born.5", "text": "Pemeriksaan am", "type": "group", "item": [ { "linkId": "child-born.5.1", "text": "General Condition", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.1.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.2", "text": "Appearance", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.2.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.3", "text": "Colour", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.3.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.4", "text": "Skin", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.4.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.5", "text": "Head/Neck", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.5.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.6", "text": "Ears", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.6.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.7", "text": "Eyes (including red light reflex)", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.7.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.8", "text": "Lips", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.8.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.9", "text": "Gum", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.9.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.10", "text": "Palate", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.10.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.11", "text": "Chest", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.11.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.12", "text": "Respiration", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.12.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.13", "text": "Heart", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.13.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.14", "text": "Abdomen", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.14.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.15", "text": "Spine", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.15.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.16", "text": "Anus", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.16.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.17", "text": "Genitalia", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.17.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.18", "text": "Femoral Pulse", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.18.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.19", "text": "Hips", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.19.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.20", "text": "Hands", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.20.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.21", "text": "Feet", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.21.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-born.5.22", "text": "Moro Reflex", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-born-5.22.1", "text": "Catatan", "type": "string" } ] } ] }, { "linkId": "child-born.6", "text": "Maklumat tambahan (jika ada)", "type": "text" }, { "linkId": "child-born.7", "text": "Bimbingan awal untuk ibubapa/penjaga", "type": "group", "item": [ { "linkId": "child-born.7.1", "text": "Ibu bapa/ penjaga perlu memberitahu klinik berhampiran dalam masa 24 jam selepas keluar dari hospital supaya jururawat dapat melawat ibu dan bayi di rumah dalam masa beberapa hari akan datang.", "type": "boolean" }, { "linkId": "child-born.7.2", "text": "Susukan bayi anda dengan susu ibu sahaja dalam tempoh enam bulan pertama dan teruskan penyusuan susu ibu sehingga anak berumur dua tahun. Kerap membuang air besar adalah normal bagi bayi yang diberi susu ibu.", "type": "boolean" }, { "linkId": "child-born.7.3", "text": "Bayi anda mungkin mengalami jaundis dalam beberapa hari selepas lahir. Dapatkan nasihat perubatan secepat mungkin apabila jaundis dikesan. Jangan jemur bayi anda.", "type": "boolean" }, { "linkId": "child-born.7.4", "text": "Pastikan tali pusat bayi anda bersih dan kering", "type": "boolean" }, { "linkId": "child-born.7.5", "text": "Rasa suhu air mandian sebelum memandikan bayi anda. Sentiasa isikan besen mandi dengan air sejuk terlebih dahulu sebelum air panas.", "type": "boolean" }, { "linkId": "child-born.7.6", "text": "Dapatkan imunisasi untuk bayi anda mengikut jadual untuk melindunginya daripada mendapat jangkitan yang teruk.", "type": "boolean" }, { "linkId": "child-born.7.7", "text": "Daftar kelahiran bayi anda dalam masa 14 hari.", "type": "boolean" } ] } ] } QuestionnaireResponse Rekod Baru Lahir
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dalam masa 24 jam", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-born.3", "text": "Buang air kecil dalam masa 24 jam", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-born.4", "text": "Memulakan penyusuan susu ibu", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-born.5", "text": "Pemeriksaan am", "item": [ { "linkId": "child-born.5.1", "text": "General Condition", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-born-5.1.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.2", "text": "Appearance", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-born-5.2.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.3", "text": "Colour", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-born-5.3.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.4", "text": "Skin", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-born-5.4.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.5", "text": "Head/Neck", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-born-5.5.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.6", "text": "Ears", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-born-5.6.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.7", "text": "Eyes (including red light reflex)", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-born-5.7.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.8", "text": "Lips", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-born-5.8.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.9", "text": "Gum", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-born-5.9.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.10", "text": "Palate", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-born-5.10.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.11", "text": "Chest", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-born-5.11.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.12", "text": "Respiration", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-born-5.12.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.13", "text": "Heart", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-born-5.13.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.14", "text": "Abdomen", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-born-5.14.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.15", "text": "Spine", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-born-5.15.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.16", "text": "Anus", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-born-5.16.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.17", "text": "Genitalia", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-born-5.17.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.18", "text": "Femoral Pulse", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-born-5.18.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.19", "text": "Hips", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-born-5.19.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.20", "text": "Hands", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-born-5.20.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.21", "text": "Feet", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-born-5.21.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-born.5.22", "text": "Moro Reflex", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-born-5.22.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] } ] }, { "linkId": "child-born.6", "text": "Maklumat tambahan (jika ada)", "answer": [ { "valueString": "Maklumat Tambahan goes here" } ] }, { "linkId": "child-born.7", "text": "Bimbingan awal untuk ibubapa/penjaga", "item": [ { "linkId": "child-born.7.1", "text": "Ibu bapa/ penjaga perlu memberitahu klinik berhampiran dalam masa 24 jam selepas keluar dari hospital supaya jururawat dapat melawat ibu dan bayi di rumah dalam masa beberapa hari akan datang.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-born.7.2", "text": "Susukan bayi anda dengan susu ibu sahaja dalam tempoh enam bulan pertama dan teruskan penyusuan susu ibu sehingga anak berumur dua tahun. Kerap membuang air besar adalah normal bagi bayi yang diberi susu ibu.", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-born.7.3", "text": "Bayi anda mungkin mengalami jaundis dalam beberapa hari selepas lahir. Dapatkan nasihat perubatan secepat mungkin apabila jaundis dikesan. Jangan jemur bayi anda.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-born.7.4", "text": "Pastikan tali pusat bayi anda bersih dan kering", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-born.7.5", "text": "Rasa suhu air mandian sebelum memandikan bayi anda. Sentiasa isikan besen mandi dengan air sejuk terlebih dahulu sebelum air panas.", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-born.7.6", "text": "Dapatkan imunisasi untuk bayi anda mengikut jadual untuk melindunginya daripada mendapat jangkitan yang teruk.", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-born.7.7", "text": "Daftar kelahiran bayi anda dalam masa 14 hari.", "answer": [ { "valueBoolean": false } ] } ] } ] } Questionnaire Rekod 1 Bulan (RME 1)
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"http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.1.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.2", "text": "Appearance", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.2.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.3", "text": "Colour", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.3.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.4", "text": "Skin", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.4.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.5", "text": "Head/Neck", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.5.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.6", "text": "Ears", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.6.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.7", "text": "Eyes (including red light reflex)", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.7.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.8", "text": "Lips", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.8.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.9", "text": "Gum", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.9.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.10", "text": "Palate", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.10.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.11", "text": "Chest", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.11.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.12", "text": "Respiration", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.12.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.13", "text": "Heart", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.13.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.14", "text": "Abdomen", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.14.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.15", "text": "Spine", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.15.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.16", "text": "Anus", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.16.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.17", "text": "Genitalia", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.17.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.18", "text": "Femoral Pulse", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.18.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.19", "text": "Hips", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.19.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.20", "text": "Hands", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.20.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.21", "text": "Feet", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.21.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-md1m.2.22", "text": "Moro Reflex", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" } } ], "item": [ { "linkId": "child-md1m.2.22.1", "text": "Catatan", "type": "string" } ] } ] }, { "linkId": "child-md1m.3", "text": "Catatan", "type": "text" } ] } QuestionnaireResponse Rekod 1 Bulan (RME 1)
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"item": [ { "linkId": "child-md1m.2.1", "text": "General Condition", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md1m.2.1.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.2", "text": "Appearance", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md1m.2.2.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.3", "text": "Colour", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md1m.2.3.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.4", "text": "Skin", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md1m.2.4.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.5", "text": "Head/Neck", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md1m.2.5.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.6", "text": "Ears", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md1m.2.6.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.7", "text": "Eyes (including red light reflex)", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md1m.2.7.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.8", "text": "Lips", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md1m.2.8.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.9", "text": "Gum", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md1m.2.9.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.10", "text": "Palate", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md1m.2.10.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.11", "text": "Chest", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md1m.2.11.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.12", "text": "Respiration", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md1m.2.12.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.13", "text": "Heart", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md1m.2.13.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.14", "text": "Abdomen", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md1m.2.14.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.15", "text": "Spine", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md1m.2.15.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.16", "text": "Anus", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md1m.2.16.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.17", "text": "Genitalia", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md1m.2.17.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.18", "text": "Femoral Pulse", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md1m.2.18.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.19", "text": "Hips", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md1m.2.19.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.20", "text": "Hands", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md1m.2.20.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.21", "text": "Feet", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md1m.2.21.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] }, { "linkId": "child-md1m.2.22", "text": "Moro Reflex", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md1m.2.22.1", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } ] } ] }, { "linkId": "child-md1m.3", "text": "Catatan", "answer": [ { "valueString": "Catatan goes here" } ] } ] } Questionnaire Rekod 18 Bulan (RME 2)
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"child-md4y.1.12", "text": "Gait", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md4y.1.12.1", "text": "Catatan", "answer": [ { "valueString": "entry goes here" } ] } ] } ] }, { "linkId": "child-md4y.1.13", "text": "Genitalia", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md4y.1.13.1", "text": "Catatan", "answer": [ { "valueString": "entry goes here" } ] } ] } ] }, { "linkId": "child-md4y.1.14", "text": "Development", "item": [ { "linkId": "child-md4y.1.14.1", "text": "Gross motor", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md4y.1.14.1.1", "text": "Catatan", "answer": [ { "valueString": "entry goes here" } ] } ] } ] }, { "linkId": "child-md4y.1.14.2", "text": "Fine motor", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md4y.1.14.2.1", "text": "Catatan", "answer": [ { "valueString": "entry goes here" } ] } ] } ] }, { "linkId": "child-md4y.1.14.3", "text": "Speech", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md4y.1.14.3.1", "text": "Catatan", "answer": [ { "valueString": "entry goes here" } ] } ] } ] }, { "linkId": "child-md4y.1.14.4", "text": "Psychosocial", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "263654008", "display": "Abnormal" }, "item": [ { "linkId": "child-md4y.1.14.4.1", "text": "Catatan", "answer": [ { "valueString": "entry goes here" } ] } ] } ] }, { "linkId": "child-md4y.1.15.5", "text": "Cognitive", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "17621005", "display": "Normal" }, "item": [ { "linkId": "child-md4y.1.15.5.1", "text": "Catatan", "answer": [ { "valueString": "entry goes here" } ] } ] } ] } ] } ] }, { "linkId": "child-md4y.2", "text": "Rujukan FMS/Pakar Pediatrik", "item": [ { "linkId": "child-md4y.2.1", "text": "Dirujuk", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-md4y.2.2", "text": "Sebab Dirujuk", "answer": [ { "valueString": "entry goes here" } ] }, { "linkId": "child-md4y.2.3", "text": "Tempat Dirujuk", "answer": [ { "valueString": "entry goes here" } ] }, { "linkId": "child-md4y.2.4", "text": "Tarikh Temujanji", "answer": [ { "valueDateTime": "2023-09-28T01:03:09.855Z" } ] } ] }, { "linkId": "child-md4y.3", "text": "Catatan", "answer": [ { "valueString": "entry goes here" } ] } ] } Questionnaire Rekod Pemeriksaan Umum
{ "resourceType": "Questionnaire", "id": "q-child-madd", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-madd", "version": "1.0.0", "name": "QChildAdditionalMedicalExam", "title": "Additional Medical Exam for Child", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-madd.0", "text": "Umur semasa lawatan", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] }, { "linkId": "child-madd.1", "text": "Past Medical/Surgical History", "type": "string" }, { "linkId": "child-madd.2", "text": "Medication History", "type": "string" }, { "linkId": "child-madd.3", "text": "Social and Family History", "type": "string" }, { "linkId": "child-madd.4", "text": "History of Presenting Illness Summary", "type": "string" }, { "linkId": "child-madd.5", "text": "Vital Signs", "type": "group", "item": [ { "linkId": "child-madd.5.1", "text": "Systolic Blood Pressure (mmHg)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "child-madd.5.2", "text": "Diastolic Blood Pressure (mmHg)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "child-madd.5.3", "text": "Heart Rate (/min)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } ] }, { "linkId": "child-madd.5.4", "text": "Body Temperature (°C)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "°C", "system": "http://unitsofmeasure.org", "code": "Cel" } } ] }, { "linkId": "child-madd.5.5", "text": "Oxygen Saturation (%)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } } ] }, { "linkId": "child-madd.5.6", "text": "Respiratory Rate (/min)", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } ] }, { "linkId": "child-madd.5.7", "text": "Pain score", "type": "integer" } ] }, { "linkId": "child-madd.6", "text": "Physical Examination Summary", "type": "string" }, { "linkId": "child-madd.7", "text": "Investigations / Special Test", "type": "string" }, { "linkId": "child-madd.8", "text": "Diagnosis", "type": "string" }, { "linkId": "child-madd.9", "text": "Management/Treatment Summary", "type": "string" }, { "linkId": "child-madd.10", "text": "TCA Date", "type": "dateTime" }, { "linkId": "child-madd.11", "text": "Referral", "type": "boolean", "item": [ { "linkId": "child-madd.11.1", "text": "Referral Indication", "type": "string" }, { "linkId": "child-madd.11.2", "text": "Spoken To:", "type": "string" }, { "linkId": "child-madd.11.3", "text": "Time of Referral", "type": "dateTime" }, { "linkId": "child-madd.remark", "text": "Remark", "type": "text" } ] }, { "linkId": "child-madd.12", "text": "Catatan", "type": "text" } ] } QuestionnaireResponse Rekod Pemeriksaan Umum
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-madd", "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-child-madd" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-madd", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-madd.1", "text": "Past Medical/Surgical History", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "child-madd.2", "text": "Medication History", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "child-madd.3", "text": "Social and Family History", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "child-madd.4", "text": "History of Presenting Illness Summary", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "child-madd.5", "text": "Vital Signs", "item": [ { "linkId": "child-madd.5.1", "text": "Systolic Blood Pressure (mmHg)", "answer": [ { "valueQuantity": { "value": 120, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "child-madd.5.2", "text": "Diastolic Blood Pressure (mmHg)", "answer": [ { "valueQuantity": { "value": 70, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" } } ] }, { "linkId": "child-madd.5.3", "text": "Heart Rate (/min)", "answer": [ { "valueQuantity": { "value": 11, "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } ] }, { "linkId": "child-madd.5.4", "text": "Body Temperature (°C)", "answer": [ { "valueQuantity": { "value": 36.7, "unit": "°C", "system": "http://unitsofmeasure.org", "code": "Cel" } } ] }, { "linkId": "child-madd.5.5", "text": "Oxygen Saturation (%)", "answer": [ { "valueQuantity": { "value": 99, "unit": "%", "system": "http://unitsofmeasure.org", "code": "%" } } ] }, { "linkId": "child-madd.5.6", "text": "Respiratory Rate (/min)", "answer": [ { "valueQuantity": { "value": 33, "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min" } } ] }, { "linkId": "child-madd.5.7", "text": "Pain score", "answer": [ { "valueInteger": 2 } ] } ] }, { "linkId": "child-madd.6", "text": "Physical Examination Summary", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "child-madd.7", "text": "Investigations / Special Test", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "child-madd.8", "text": "Diagnosis", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "child-madd.9", "text": "Management/Treatment Summary", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "child-madd.10", "text": "TCA Date", "answer": [ { "valueDateTime": "2023-06-12T04:20:25.349Z" } ] }, { "linkId": "child-madd.11", "text": "Referral", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-madd.11.1", "text": "Referral Indication", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "child-madd.11.2", "text": "Spoken To:", "answer": [ { "valueString": "insert string here" } ] }, { "linkId": "child-madd.11.3", "text": "Time of Referral", "answer": [ { "valueDateTime": "2023-06-12T04:20:31.039Z" } ] } ] } ] } ] } |
| 11. | Developmental Milestone | Store and displayed from Developmental Milestone (MY Core) record |
| 12. | M-CHAT |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-child-mc-18m-3y", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-mc-18m-3y", "version": "1.0.0", "name": "QChild-Mchat-18m-3y", "title": "Ujian saringan M-CHAT 18 bulan dan 3 tahun", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-mc-18m-3y.0", "text": "Lawatan", "type": "choice", "answerOption": [ { "valueCoding": { "code": "00", "display": "18 bulan" } }, { "valueCoding": { "code": "01", "display": "2 tahun" } }, { "valueCoding": { "code": "02", "display": "3 tahun" } } ] }, { "linkId": "child-mc-18m-3y.1", "text": "Tarikh Ujian Dijalankan", "type": "dateTime" }, { "linkId": "child-mc-18m-3y.2", "text": "Umur semasa lawatan", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] }, { "linkId": "child-mc-18m-3y.3", "text": "Soalan (Kanak-kanak memerlukan penilaian lanjut oleh pegawai perubatan sekiranya ada jawapan yang tidak sama dengan jawapan yang terdapat di dalam buku Garis Panduan Rekod Kesihatan Kanak-kanak: \ni. Dua atau lebih soalan kritikal ATAU \nii. ii. Tiga atau lebih mana-mana soalan.", "type": "group", "item": [ { "linkId": "child-mc-18m-3y.3.1", "prefix": "1", "text": "Adakah anak anda seronok apabila ditimang, dibuai atau dihenjut atas kaki/ paha dan sebagainya? \nDoes your child enjoy being swung, bounced on your knee, etc?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.2", "prefix": "2", "text": "[SOALAN KRITIKAL] Adakah anak anda menunjukkan minat terhadap kanak-kanak lain? (contohnya bergaul, bermain, berkawan) \nDoes your child take an interest in other children? [CRITICAL QUESTION]", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.3", "prefix": "3", "text": "Adakah anak anda suka memanjat, contohnya tangga,kerusi, meja dan lain-lain? \nDoes your child like climbing on things, such as up stairs?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.4", "prefix": "4", "text": "Adakah anak anda seronok bermain “cak-cak” atau main sorok-sorok? \nDoes your child enjoy playing peek-a-boo or hide and seek?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.5", "prefix": "5", "text": "Adakah anak anda pernah bermain olok-olok/ berlakon, contohnya menelefon, bermain anak patung atau bermain masak-masak dan sebagainya? \nDoes your child ever pretend for example to talk on the phone or take care of dolls or pretend other things?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.6", "prefix": "6", "text": "Adakah anak anda pernah menunjuk/ menggunakan jari telunjuk untuk meminta sesuatu? \nDoes your child ever use his/her index finger to point, to ask for something?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.7", "prefix": "7", "text": "[SOALAN KRITIKAL] Adakah anak anda pernah menunjuk menggunakan jari telunjuk terhadap sesuatu yang menarik minatnya?\nDoes your child ever use his/her index finger to point, to indicate interest in something? [CRITICAL QUESTION]", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.8", "prefix": "8", "text": "Bolehkah anak anda bermain dengan alat permainan yang kecil dengan betul, selain dari memasukkannya ke dalam mulut, membelek-belek atau menjatuhkan permainan itu?(contohnya kiub, kereta kecil, dll) \nCan your child play properly with small toys without just mouthing, fiddling or dropping them?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.9", "prefix": "9", "text": "[SOALAN KRITIKAL] Pernahkah anak anda membawa objek/ benda dan menunjukkannya kepada anda? \nDoes your child ever bring objects over to you (parent) to show you something? [CRITICAL QUESTION]", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.10", "prefix": "10", "text": "Adakah anak anda bertentang mata dengan anda lebih daripada dua saat? \nDoes your child look you in the eye for more than a second or two?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.11", "prefix": "11", "text": "Pernahkah anak anda kelihatan seperti tersangat sensitif/terganggu terhadap bunyi bising?(contohnya: menutup telinga) \nDoes your child ever seem oversensitive to noise?(e.g. plugging ears)", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.12", "prefix": "12", "text": "Adakah anak anda senyum bila melihat anda atau membalas senyuman anda. \nDoes your child ever seem oversensitive to noise?(e.g. plugging ears) \nDoes your child smile in response to your face or your smile?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.13", "prefix": "13", "text": "[SOALAN KRITIKAL] Adakah anak anda meniru perlakuan anda (contohnya meniru mimik muka anda dan sebagainya)? \nDoes your child imitate you? (e.g. if you make a face will your child imitate it?) [CRITICAL QUESTION]", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.14", "prefix": "14", "text": "[SOALAN KRITIKAL] Adakah anak anda bertindak balas apabila namanya dipanggil? \nDoes your child respond to his/her name when you call? [CRITICAL QUESTION]", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.15", "prefix": "15", "text": "[SOALAN KRITIKAL] Sekiranya anda menunjuk pada alat permainan yang jauh dari anda, adakah anak anda akan melihat kepada alat permainan tersebut? \nIf you point at a toy across the room, does your child look at it? [CRITICAL QUESTION]", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.16", "prefix": "16", "text": "Bolehkah anak anda berjalan? \nDoes your child walk?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.17", "prefix": "17", "text": "Adakah anak anda akan melihat pada benda yang sedang anda lihat? \nDoes your child look at things you are looking at?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.18", "prefix": "18", "text": "Adakah anak anda membuat pergerakan jari yang ganjil/pelik dekat mukanya? \nDoes your child make unusual finger movements near his/her face?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.19", "prefix": "19", "text": "Adakah anak anda cuba menarik perhatian anda terhadap aktiviti yang dilakukannya? \nDoes your child try to attract your attention to his/her own activity?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.20", "prefix": "20", "text": "Pernahkah anda terfikir bahawa anak anda ada masalah pendengaran? \nHave you ever wondered if your child is deaf?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.21", "prefix": "21", "text": "Adakah anak anda dapat memahami percakapan orang? \nDoes your child understand what people say?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.22", "prefix": "22", "text": "Adakah anak anda kadang-kala kelihatan termenung atau merayau/berjalan tanpa tujuan? \nDoes your child sometimes stare at nothing or wander with no purpose?", "type": "boolean" }, { "linkId": "child-mc-18m-3y.3.23", "prefix": "23", "text": "Adakah anak anda memandang ke muka anda untuk melihat reaksi/tindakbalas anda apabila ia menghadapi sesuatu yang baru atau tidak biasa? \nDoes your child look at your face to check your reaction when faced with something unfamiliar?", "type": "boolean" } ] }, { "linkId": "child-mc-18m-3y.4", "text": "Summary", "type": "group", "item": [ { "linkId": "child-mc-18m-3y.4.1", "text": "Total No", "type": "quantity" }, { "linkId": "child-mc-18m-3y.4.2", "text": "Total Yes", "type": "quantity" }, { "linkId": "child-mc-18m-3y.4.3", "text": "Outcome", "type": "choice", "answerOption": [ { "valueCoding": { "code": "pass", "display": "Pass" } }, { "valueCoding": { "code": "fail", "display": "Fail" } } ] } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-mc-18m-3y", "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-child-mc-18m-3y" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-mc-18m-3y", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-mc-18m-3y.3", "text": "Soalan (Kanak-kanak memerlukan penilaian lanjut oleh pegawai perubatan sekiranya ada jawapan yang tidak sama dengan jawapan yang terdapat di dalam buku Garis Panduan Rekod Kesihatan Kanak-kanak: \ni. Dua atau lebih soalan kritikal ATAU \nii. ii. Tiga atau lebih mana-mana soalan.", "item": [ { "linkId": "child-mc-18m-3y.3.1", "text": "Adakah anak anda seronok apabila ditimang, dibuai atau dihenjut atas kaki/ paha dan sebagainya? \nDoes your child enjoy being swung, bounced on your knee, etc?", "answer": [ { "valueBoolean": false } ] }, { "linkId": "child-mc-18m-3y.3.2", "text": "[SOALAN KRITIKAL] Adakah anak anda menunjukkan minat terhadap kanak-kanak lain? (contohnya bergaul, bermain, berkawan) \nDoes your child take an interest in other children? [CRITICAL QUESTION]", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.3", "text": "Adakah anak anda suka memanjat, contohnya tangga,kerusi, meja dan lain-lain? \nDoes your child like climbing on things, such as up stairs?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.4", "text": "Adakah anak anda seronok bermain “cak-cak” atau main sorok-sorok? \nDoes your child enjoy playing peek-a-boo or hide and seek?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.5", "text": "Adakah anak anda pernah bermain olok-olok/ berlakon, contohnya menelefon, bermain anak patung atau bermain masak-masak dan sebagainya? \nDoes your child ever pretend for example to talk on the phone or take care of dolls or pretend other things?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.6", "text": "Adakah anak anda pernah menunjuk/ menggunakan jari telunjuk untuk meminta sesuatu? \nDoes your child ever use his/her index finger to point, to ask for something?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.7", "text": "[SOALAN KRITIKAL] Adakah anak anda pernah menunjuk menggunakan jari telunjuk terhadap sesuatu yang menarik minatnya?\nDoes your child ever use his/her index finger to point, to indicate interest in something? [CRITICAL QUESTION]", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.8", "text": "Bolehkah anak anda bermain dengan alat permainan yang kecil dengan betul, selain dari memasukkannya ke dalam mulut, membelek-belek atau menjatuhkan permainan itu?(contohnya kiub, kereta kecil, dll) \nCan your child play properly with small toys without just mouthing, fiddling or dropping them?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.9", "text": "[SOALAN KRITIKAL] Pernahkah anak anda membawa objek/ benda dan menunjukkannya kepada anda? \nDoes your child ever bring objects over to you (parent) to show you something? [CRITICAL QUESTION]", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.10", "text": "Adakah anak anda bertentang mata dengan anda lebih daripada dua saat? \nDoes your child look you in the eye for more than a second or two?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.11", "text": "Pernahkah anak anda kelihatan seperti tersangat sensitif/terganggu terhadap bunyi bising?(contohnya: menutup telinga) \nDoes your child ever seem oversensitive to noise?(e.g. plugging ears)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.12", "text": "Adakah anak anda senyum bila melihat anda atau membalas senyuman anda. \nDoes your child ever seem oversensitive to noise?(e.g. plugging ears) \nDoes your child smile in response to your face or your smile?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.13", "text": "[SOALAN KRITIKAL] Adakah anak anda meniru perlakuan anda (contohnya meniru mimik muka anda dan sebagainya)? \nDoes your child imitate you? (e.g. if you make a face will your child imitate it?) [CRITICAL QUESTION]", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.14", "text": "[SOALAN KRITIKAL] Adakah anak anda bertindak balas apabila namanya dipanggil? \nDoes your child respond to his/her name when you call? [CRITICAL QUESTION]", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.15", "text": "[SOALAN KRITIKAL] Sekiranya anda menunjuk pada alat permainan yang jauh dari anda, adakah anak anda akan melihat kepada alat permainan tersebut? \nIf you point at a toy across the room, does your child look at it? [CRITICAL QUESTION]", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.16", "text": "Bolehkah anak anda berjalan? \nDoes your child walk?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.17", "text": "Adakah anak anda akan melihat pada benda yang sedang anda lihat? \nDoes your child look at things you are looking at?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.18", "text": "Adakah anak anda membuat pergerakan jari yang ganjil/pelik dekat mukanya? \nDoes your child make unusual finger movements near his/her face?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.19", "text": "Adakah anak anda cuba menarik perhatian anda terhadap aktiviti yang dilakukannya? \nDoes your child try to attract your attention to his/her own activity?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.20", "text": "Pernahkah anda terfikir bahawa anak anda ada masalah pendengaran? \nHave you ever wondered if your child is deaf?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.21", "text": "Adakah anak anda dapat memahami percakapan orang? \nDoes your child understand what people say?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.22", "text": "Adakah anak anda kadang-kala kelihatan termenung atau merayau/berjalan tanpa tujuan? \nDoes your child sometimes stare at nothing or wander with no purpose?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-mc-18m-3y.3.23", "text": "Adakah anak anda memandang ke muka anda untuk melihat reaksi/tindakbalas anda apabila ia menghadapi sesuatu yang baru atau tidak biasa? \nDoes your child look at your face to check your reaction when faced with something unfamiliar?", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-mc-18m-3y.4", "text": "Summary", "item": [ { "linkId": "child-mc-18m-3y.4.1", "text": "Total No", "answer": [ { "valueQuantity": { "value": 1 } } ] }, { "linkId": "child-mc-18m-3y.4.2", "text": "Total Yes", "answer": [ { "valueQuantity": { "value": 22 } } ] }, { "linkId": "child-mc-18m-3y.4.3", "text": "Outcome", "answer": [ { "valueCoding": { "code": "pass", "display": "Pass" } } ] } ] } ] } |
| 13. | Permeriksaan Mata |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-child-eye", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-eye", "version": "1.0.0", "name": "QChildEye", "title": "Pemeriksaan Mata", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-eye.1", "text": "Tarikh ujian dijalankan", "type": "dateTime" }, { "linkId": "child-eye.2", "text": "Umur semasa ujian", "type": "quantity" }, { "linkId": "child-eye.3", "text": "Pemerhatian Bahagian Luar Mata", "type": "group", "item": [ { "linkId": "child-eye.3.1", "text": "Bengkak di sekeliling mata", "type": "boolean" }, { "linkId": "child-eye.3.2", "text": "Mata berair", "type": "boolean" }, { "linkId": "child-eye.3.3", "text": "Mata bertahi", "type": "boolean" }, { "linkId": "child-eye.3.4", "text": "Mata kuyu", "type": "boolean" }, { "linkId": "child-eye.3.5", "text": "Ketumbuhan pada mata putih", "type": "boolean" }, { "linkId": "child-eye.3.6", "text": "Warna iris mata kanan dan kiri tidak sama", "type": "boolean" }, { "linkId": "child-eye.3.7", "text": "Pupil tidak berbentuk bulat", "type": "boolean" }, { "linkId": "child-eye.3.8", "text": "Pupil berwarna putih*", "type": "boolean" }, { "linkId": "child-eye.3.9", "text": "Lain-lain (sila nyatakan):", "type": "string" }, { "linkId": "child-eye.3.10", "text": "Sila rujuk kepada Pegawai Perubatan jika kanak-kanak mengalami mata merah atau pupil kanak-kanak kelihatan kabut atau putih", "type": "boolean" } ] }, { "linkId": "child-eye.4", "text": "Ujian Akuiti Visual", "type": "group", "item": [ { "linkId": "child-eye.4.1", "text": "Mata Kanan", "type": "group", "item": [ { "linkId": "child-eye.4.1.1", "text": "Tanpa Cermin Mata", "type": "string" }, { "linkId": "child-eye.4.1.2", "text": "Dengan Cermin Mata", "type": "string" }, { "linkId": "child-eye.4.1.3", "text": "Dengan Cermin Mata dan Pin Hole", "type": "string" } ] }, { "linkId": "child-eye.4.2", "text": "Mata Kiri", "type": "group", "item": [ { "linkId": "child-eye.4.2.1", "text": "Tanpa Cermin Mata", "type": "string" }, { "linkId": "child-eye.4.2.2", "text": "Dengan cermin mata", "type": "string" }, { "linkId": "child-eye.4.2.3", "text": "Dengan cermin mata & pin hole (Kanak-kanak berumur bawah 4 tahun tidak perlu melakukan ujian pinhole)", "type": "string" } ] } ] }, { "linkId": "child-eye.5", "text": "Rujukan", "type": "boolean", "item": [ { "linkId": "child-eye.5.1", "text": "Tempat Rujukan", "type": "string" } ] }, { "linkId": "child-eye.6", "text": "Ujian Hirschberg", "type": "group", "item": [ { "linkId": "child-eye.6.2", "text": "Mata Kiri", "type": "choice", "answerOption": [ { "valueCoding": { "code": "01", "display": "Selari" } }, { "valueCoding": { "code": "02", "display": "Tidak Selari" } } ] }, { "linkId": "child-eye.6.1", "text": "Mata Kanan", "type": "choice", "answerOption": [ { "valueCoding": { "code": "01", "display": "Selari" } }, { "valueCoding": { "code": "02", "display": "Tidak Selari" } } ] } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-eye", "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-child-eye" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-eye", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-eye.1", "text": "Tarikh ujian dijalankan", "answer": [ { "valueDateTime": "2023-05-10T09:11:35.156Z" } ] }, { "linkId": "child-eye.2", "text": "Umur semasa ujian", "answer": [ { "valueQuantity": { "value": 2, "unit": "tahun" } } ] }, { "linkId": "child-eye.3", "text": "Pemerhatian Bahagian Luar Mata", "item": [ { "linkId": "child-eye.3.1", "text": "Bengkak di sekeliling mata", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-eye.3.2", "text": "Mata berair", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-eye.3.3", "text": "Mata bertahi", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-eye.3.4", "text": "Mata kuyu", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-eye.3.5", "text": "Ketumbuhan pada mata putih", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-eye.3.6", "text": "Warna iris mata kanan dan kiri tidak sama", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-eye.3.7", "text": "Pupil tidak berbentuk bulat", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-eye.3.8", "text": "Pupil berwarna putih*", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-eye.3.9", "text": "Lain-lain (sila nyatakan):", "answer": [ { "valueString": "mata rosak" } ] }, { "linkId": "child-eye.3.10", "text": "Sila rujuk kepada Pegawai Perubatan jika kanak-kanak mengalami mata merah atau pupil kanak-kanak kelihatan kabut atau putih", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-eye.4", "text": "Ujian Akuiti Visual", "item": [ { "linkId": "child-eye.4.1", "text": "Mata Kanan", "item": [ { "linkId": "child-eye.4.1.1", "text": "Tanpa Cermin Mata", "answer": [ { "valueString": "6/6" } ] }, { "linkId": "child-eye.4.1.2", "text": "Dengan Cermin Mata", "answer": [ { "valueString": "6/6" } ] }, { "linkId": "child-eye.4.1.3", "text": "Dengan Cermin Mata dan Pin Hole", "answer": [ { "valueString": "6/6" } ] } ] }, { "linkId": "child-eye.4.2", "text": "Mata Kiri", "item": [ { "linkId": "child-eye.4.2.1", "text": "Tanpa Cermin Mata", "answer": [ { "valueString": "6/6" } ] }, { "linkId": "child-eye.4.2.2", "text": "Dengan cermin mata", "answer": [ { "valueString": "6/6" } ] }, { "linkId": "child-eye.4.2.3", "text": "Dengan cermin mata & pin hole (Kanak-kanak berumur bawah 4 tahun tidak perlu melakukan ujian pinhole)", "answer": [ { "valueString": "6/6" } ] } ] } ] }, { "linkId": "child-eye.5", "text": "Rujukan", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-eye.5.1", "text": "Tempat Rujukan", "answer": [ { "valueString": "insert entry here" } ] } ] } ] }, { "linkId": "child-eye.6", "text": "Ujian Hirschberg", "item": [ { "linkId": "child-eye.6.2", "text": "Mata Kiri", "answer": [ { "valueCoding": { "code": "01", "display": "Selari" } } ] }, { "linkId": "child-eye.6.1", "text": "Mata Kanan", "answer": [ { "valueCoding": { "code": "02", "display": "Tidak Selari" } } ] } ] } ] } |
| 14. | Rekod Pergigian |
Questionnaire Pemeriksaan Pergigian (Umur 0-9 Bulan)
{ "resourceType": "Questionnaire", "id": "q-child-ds-0-9m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-ds-0-9m", "version": "1.0.0", "name": "QChildds09m", "title": "Pemeriksaan Pergigian (Umur 0-9 Bulan)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-ds-0-9m.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "child-ds-0-9m.2", "text": "Umur semasa lawatan", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] }, { "linkId": "child-ds-0-9m.3", "text": "Soalan-soalan", "type": "group", "item": [ { "linkId": "child-ds-0-9m.3.1", "text": "Bayi menghisap susu botol", "type": "boolean", "item": [ { "linkId": "child-ds-0-9m.3.1.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-0-9m.3.2", "text": "Bayi menghisap puting tiruan", "type": "boolean", "item": [ { "linkId": "child-ds-0-9m.3.2.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-0-9m.3.3", "text": "Bayi tidur dengan menghisap botol susu atau susu ibu", "type": "boolean", "item": [ { "linkId": "child-ds-0-9m.3.3.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-0-9m.3.4", "text": "Ibubapa/penjaga merasa dahulu makanan sebelum menyuapkan makanan ke dalam mulut bayi", "type": "boolean", "item": [ { "linkId": "child-ds-0-9m.3.4.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-0-9m.3.5", "text": "Bayi minum air lain selain daripada susu", "type": "boolean", "item": [ { "linkId": "child-ds-0-9m.3.5.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-0-9m.3.6", "text": "Memberi makanan ringan kepada bayi", "type": "boolean", "item": [ { "linkId": "child-ds-0-9m.3.6.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-0-9m.3.7", "text": "Membersihkan mulut bayi setiap hari", "type": "boolean", "item": [ { "linkId": "child-ds-0-9m.3.7.1", "text": "Catatan", "type": "string" } ] } ] }, { "linkId": "child-ds-0-9m.4", "text": "Bimbingan awal", "type": "group", "item": [ { "linkId": "child-ds-0-9m.4.1", "text": "Jangan biarkan bayi anda tidur bersama-sama botol susu/ payudara di dalammulut. Ini akan mengakibatkan kerosakan gigi awal/ karies botol susu.", "type": "boolean" }, { "linkId": "child-ds-0-9m.4.2", "text": "Jangan masukkan gula/ manisan ke dalam susu bayi.", "type": "boolean" }, { "linkId": "child-ds-0-9m.4.3", "text": "Elakkan menyalutkan puting dengan gula atau madu.", "type": "boolean" }, { "linkId": "child-ds-0-9m.4.4", "text": "Bersihkan mulut bayi dengan kain lembut yang bersih selepas menyusu.", "type": "boolean" }, { "linkId": "child-ds-0-9m.4.5", "text": "Dalam proses pertumbuhan gigi anak anda mungkin mengalami tidak selesa seperti: \na. Suka menggigit benda keras \nb. Air liur meleleh \nc. Demam", "type": "boolean" }, { "linkId": "child-ds-0-9m.4.6", "text": "Sekiranya bayi anda mengalami masalah tersebut: \nd. Urut gusi dengan jari atau tuala yang bersih. \ne. Memberi anak anda sesuatu yang selamat dan bersih untuk digigit dan elakkan memberi biskut yang melekit dan bergula.", "type": "boolean" }, { "linkId": "child-ds-0-9m.4.7", "text": "Elakkan memberi kanak-kanak makanan berlemak, tinggi garam dan gula serta tidak berkhasiat seperti gula-gula, kek, coklat, ais krim, kentang goreng segera dan minuman berkarbonat.", "type": "boolean" }, { "linkId": "child-ds-0-9m.4.8", "text": "Jangkitan kuman boleh dipindahkan jika ibu menyuapkan makanan dari mulutnya ke mulut bayi.", "type": "boolean" }, { "linkId": "child-ds-0-9m.4.9", "text": "Sebaik sahaja gigi susu pertama tumbuh, cuci giginya dengan menggunakan kain lembut basah atau berus gigi kecil yang sesuai.", "type": "boolean" }, { "linkId": "child-ds-0-9m.4.10", "text": "Sentiasa periksa gigi dengan mengangkat bibir.", "type": "boolean" }, { "linkId": "child-ds-0-9m.4.11", "text": "Gigi susu adalah penting untuk pembentukan gigi kekal yang sempurna.", "type": "boolean" } ] }, { "linkId": "child-ds-0-9m.5", "text": "Pemeriksaan", "type": "group", "repeats": true, "item": [ { "linkId": "child-ds-0-9m.5.1", "text": "Penemuan", "type": "string" }, { "linkId": "child-ds-0-9m.5.2", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-0-9m.6", "text": "Caries Risk Assessment", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "723505004", "display": "Low Risk" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "25594002", "display": "Moderate Risk" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "723509005", "display": "High Risk" } } ] }, { "linkId": "child-ds-0-9m.7", "text": "Rujuk Kepada Pegawai/Jururawat Pergigian", "type": "group", "item": [ { "linkId": "child-ds-0-9m.7.1", "text": "Tarikh Temujanji", "type": "dateTime" }, { "linkId": "child-ds-0-9m.7.2", "text": "Tarikh Rawatan", "type": "dateTime" }, { "linkId": "child-ds-0-9m.7.3", "text": "Catatan", "type": "text" } ] }, { "linkId": "child-ds-0-9m.remark", "text": "Catatan / Rumusan", "type": "text" } ] } QuestionnaireResponse Pemeriksaan Pergigian (Umur 0-9 Bulan)
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-ds-0-9m", "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-child-ds-0-9m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-ds-0-9m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-ds-0-9m.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-05-01T23:12:30.776Z" } ] }, { "linkId": "child-ds-0-9m.2", "text": "Umur semasa lawatan", "answer": [ { "valueQuantity": { "value": 9, "unit": "bulan" } } ] }, { "linkId": "child-ds-0-9m.3", "text": "Soalan-soalan", "item": [ { "linkId": "child-ds-0-9m.3.1", "text": "Bayi menghisap susu botol", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-0-9m.3.1.1", "text": "Catatan", "answer": [ { "valueString": "insert value here" } ] } ] } ] }, { "linkId": "child-ds-0-9m.3.2", "text": "Bayi menghisap puting tiruan", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-0-9m.3.2.1", "text": "Catatan", "answer": [ { "valueString": "insert value here" } ] } ] } ] }, { "linkId": "child-ds-0-9m.3.3", "text": "Bayi tidur dengan menghisap botol susu atau susu ibu", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-0-9m.3.3.1", "text": "Catatan", "answer": [ { "valueString": "insert value here" } ] } ] } ] }, { "linkId": "child-ds-0-9m.3.4", "text": "Ibubapa/penjaga merasa dahulu makanan sebelum menyuapkan makanan ke dalam mulut bayi", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-0-9m.3.4.1", "text": "Catatan", "answer": [ { "valueString": "insert value here" } ] } ] } ] }, { "linkId": "child-ds-0-9m.3.5", "text": "Bayi minum air lain selain daripada susu", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-0-9m.3.5.1", "text": "Catatan", "answer": [ { "valueString": "insert value here" } ] } ] } ] }, { "linkId": "child-ds-0-9m.3.6", "text": "Memberi makanan ringan kepada bayi", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-0-9m.3.6.1", "text": "Catatan", "answer": [ { "valueString": "insert value here" } ] } ] } ] }, { "linkId": "child-ds-0-9m.3.7", "text": "Membersihkan mulut bayi setiap hari", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-0-9m.3.7.1", "text": "Catatan", "answer": [ { "valueString": "insert value here" } ] } ] } ] } ] }, { "linkId": "child-ds-0-9m.4", "text": "Bimbingan awal", "item": [ { "linkId": "child-ds-0-9m.4.1", "text": "Jangan biarkan bayi anda tidur bersama-sama botol susu/ payudara di dalammulut. Ini akan mengakibatkan kerosakan gigi awal/ karies botol susu.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-0-9m.4.2", "text": "Jangan masukkan gula/ manisan ke dalam susu bayi.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-0-9m.4.3", "text": "Elakkan menyalutkan puting dengan gula atau madu.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-0-9m.4.4", "text": "Bersihkan mulut bayi dengan kain lembut yang bersih selepas menyusu.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-0-9m.4.5", "text": "Dalam proses pertumbuhan gigi anak anda mungkin mengalami tidak selesa seperti: \na. Suka menggigit benda keras \nb. Air liur meleleh \nc. Demam", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-0-9m.4.6", "text": "Sekiranya bayi anda mengalami masalah tersebut: \nd. Urut gusi dengan jari atau tuala yang bersih. \ne. Memberi anak anda sesuatu yang selamat dan bersih untuk digigit dan elakkan memberi biskut yang melekit dan bergula.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-0-9m.4.7", "text": "Elakkan memberi kanak-kanak makanan berlemak, tinggi garam dan gula serta tidak berkhasiat seperti gula-gula, kek, coklat, ais krim, kentang goreng segeradan minuman berkarbonat.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-0-9m.4.8", "text": "Jangkitan kuman boleh dipindahkan jika ibu menyuapkan makanan dari mulutnya ke mulut bayi.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-0-9m.4.9", "text": "Sebaik sahaja gigi susu pertama tumbuh, cuci giginya dengan menggunakan kain lembut basah atau berus gigi kecil yang sesuai.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-0-9m.4.10", "text": "Sentiasa periksa gigi dengan mengangkat bibir.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-0-9m.4.11", "text": "Gigi susu adalah penting untuk pembentukan gigi kekal yang sempurna.", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-ds-0-9m.5", "text": "Pemeriksaan", "item": [ { "linkId": "child-ds-0-9m.5.1", "text": "Penemuan", "answer": [ { "valueString": "insert value here" } ] }, { "linkId": "child-ds-0-9m.5.2", "text": "Catatan", "answer": [ { "valueString": "insert value here" } ] } ] }, { "linkId": "child-ds-0-9m.6", "text": "Caries Risk Assessment", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "25594002", "display": "Moderate Risk" } } ] }, { "linkId": "child-ds-0-9m.7", "text": "Rujuk Kepada Pegawai/Jururawat Pergigian", "item": [ { "linkId": "child-ds-0-9m.7.1", "text": "Tarikh Temujanji", "answer": [ { "valueDateTime": "2023-05-01T02:13:10.913Z" } ] }, { "linkId": "child-ds-0-9m.7.2", "text": "Tarikh Rawatan", "answer": [ { "valueDateTime": "2023-05-01T02:13:14.022Z" } ] }, { "linkId": "child-ds-0-9m.7.3", "text": "Catatan", "answer": [ { "valueString": "insert value here" } ] } ] } ] } Questionnaire Pemeriksaan Pergigian (Umur 10-23 Bulan)
{ "resourceType": "Questionnaire", "id": "q-child-ds-10-23m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-ds-10-23m", "version": "1.0.0", "name": "QChildds1023m", "title": "Pemeriksaan Pergigian (Umur 10-23 Bulan)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-ds-10-23m.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "child-ds-10-23m.2", "text": "Umur semasa lawatan", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] }, { "linkId": "child-ds-10-23m.3", "text": "Soalan-soalan", "type": "group", "item": [ { "linkId": "child-ds-10-23m.3.1", "text": "Anak dibiar tertidur dengan botol susu di dalam mulut atau ketika menyusu badan", "type": "boolean", "item": [ { "linkId": "child-ds-10-23m.3.1.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-10-23m.3.2", "text": "Ibubapa/penjaga pernah mendengar tentang karies botol susu", "type": "boolean", "item": [ { "linkId": "child-ds-10-23m.3.2.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-10-23m.3.3", "text": "Pernah mencampurkan gula ke dalam susu anak", "type": "boolean", "item": [ { "linkId": "child-ds-10-23m.3.3.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-10-23m.3.4", "text": "Memberi minuman lain selain daripada susu dengan menggunakan botol susu", "type": "boolean", "item": [ { "linkId": "child-ds-10-23m.3.4.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-10-23m.3.5", "text": "Kerap memberi makanan ringan (snek) di antara waktu makan utama. Jika YA berapa kerap?", "type": "boolean", "item": [ { "linkId": "child-ds-10-23m.3.5.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-10-23m.3.6", "text": "Anak menghisap puting tiruan atau jari", "type": "boolean", "item": [ { "linkId": "child-ds-10-23m.3.6.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-10-23m.3.7", "text": "Ibu bapa/ penjaga pernah memeriksa mulut anak", "type": "boolean", "item": [ { "linkId": "child-ds-10-23m.3.7.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-10-23m.3.8", "text": "Membersihkan mulut anak setiap hari. Jika YA berapa kerap?", "type": "boolean", "item": [ { "linkId": "child-ds-10-23m.3.8.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-10-23m.3.9", "text": "Menggunakan ubat gigi ketika memberus gigi anak", "type": "boolean", "item": [ { "linkId": "child-ds-10-23m.3.9.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-10-23m.3.10", "text": "Pernah membawa anak membuat pemeriksaan gigi. Jika YA berapa kerap?", "type": "boolean", "item": [ { "linkId": "child-ds-10-23m.3.10.1", "text": "Catatan", "type": "string" } ] } ] }, { "linkId": "child-ds-10-23m.4", "text": "Bimbingan awal", "type": "group", "item": [ { "linkId": "child-ds-10-23m.4.1", "text": "Gigi susu adalah penting untuk pembentukan gigi kekal yang sempurna.", "type": "boolean" }, { "linkId": "child-ds-10-23m.4.2", "text": "Karies botol susu boleh dielakkan dengan: \na. Tidak membiarkan anak anda tidur dengan menghisap botol susu dalam mulut. \nb. Mengalihkan botol susu dari mulut anak anda dengan perlahan sebaik sahaja anak anda habis menyusu/ tertidur. \nc. Menggunakan cawan bila anak anda berumur 6 bulan ke atas. \nd. Menggalakkan anak anda minum air kosong setiap kali selepas menyusu.", "type": "boolean" }, { "linkId": "child-ds-10-23m.4.3", "text": "Mengelakkan anak anda berkongsi makanan dan minuman dengan sesiapa sahaja bagi mencegah jangkitan kuman.", "type": "boolean" }, { "linkId": "child-ds-10-23m.4.4", "text": "Gula tersembunyi boleh membahayakan kesihatan anak anda. Oleh itu: \na. Kurangkan makanan dan minuman manis antara waktu makan tetap. \nb. Elakkan dari menambah gula ke dalam susu anak anda. \nc. Elakkan dari menyalut puting dengan madu/manisan.", "type": "boolean" }, { "linkId": "child-ds-10-23m.4.5", "text": "Elakkan bayi anda menghisap jari atau puting. Ini akan menyebabkan perubahan bentuk pada rahang (jongang).", "type": "boolean" }, { "linkId": "child-ds-10-23m.4.6", "text": "Penjagaan gigi \na. Sentiasa periksa gigi dengan mengangkat bibir anak anda. \nb. Cuci gigi anak anda dengan kain lembut yang basah semasa mandi dan sebelum tidur, sebaik sahaja gigi susu pertama tumbuh. \nc. Berus gigi anak anda dengan berus gigi yang lembut dan ubat gigi apabila gigi bertambah.", "type": "boolean" }, { "linkId": "child-ds-10-23m.4.7", "text": "Sekiranya berlakunya trauma/kecederaan pada mulut atau gigi anak anda, sila bawa anak ke klinik pergigian berdekatan", "type": "boolean" } ] }, { "linkId": "child-ds-10-23m.5", "text": "Pemeriksaan", "type": "group", "item": [ { "linkId": "child-ds-10-23m.5.1", "text": "Bilangan gigi yang ada", "type": "string" }, { "linkId": "child-ds-10-23m.5.2", "text": "Kesihatan mulut: \n- Plak \n- Karies (Bil Gigi)", "type": "string" }, { "linkId": "child-ds-10-23m.5.3", "text": "Keganjilan lain yang dikesan: \n- Ulser \n- White Spot \n- Abscess", "type": "string" }, { "linkId": "child-ds-10-23m.5.4", "text": "Kecederaan \n-Trauma \n- Patah Gigi", "type": "string" }, { "linkId": "child-ds-10-23m.5.5", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-10-23m.6", "text": "Caries Risk Assessment", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "723505004", "display": "Low Risk" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "25594002", "display": "Moderate Risk" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "723509005", "display": "High Risk" } } ] }, { "linkId": "child-ds-10-23m.7", "text": "Rujuk Kepada Pegawai/Jururawat Pergigian", "type": "group", "item": [ { "linkId": "child-ds-10-23m.7.1", "text": "Tarikh Temujanji", "type": "dateTime" }, { "linkId": "child-ds-10-23m.7.2", "text": "Tarikh Rawatan", "type": "dateTime" }, { "linkId": "child-ds-10-23m.7.3", "text": "Catatan", "type": "text" } ] }, { "linkId": "child-ds-10-23m.remark", "text": "Catatan / Rumusan", "type": "text" } ] } QuestionnaireResponse Pemeriksaan Pergigian (Umur 10-23 Bulan)
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-ds-10-23m", "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-child-ds-10-23m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-ds-10-23m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-ds-10-23m.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-06-13T04:47:26.432Z" } ] }, { "linkId": "child-ds-10-23m.2", "text": "Umur semasa lawatan", "answer": [ { "valueQuantity": { "value": 11, "unit": "bulan" } } ] }, { "linkId": "child-ds-10-23m.3", "text": "Soalan-soalan", "item": [ { "linkId": "child-ds-10-23m.3.1", "text": "Anak dibiar tertidur dengan botol susu di dalam mulut atau ketika menyusu badan", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-10-23m.3.1.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-10-23m.3.2", "text": "Ibubapa/penjaga pernah mendengar tentang karies botol susu", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-10-23m.3.3", "text": "Pernah mencampurkan gula ke dalam susu anak", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-10-23m.3.3.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-10-23m.3.4", "text": "Memberi minuman lain selain daripada susu dengan menggunakan botol susu", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-10-23m.3.4.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-10-23m.3.5", "text": "Kerap memberi makanan ringan (snek) di antara waktu makan utama. Jika YA berapa kerap?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-10-23m.3.5.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-10-23m.3.6", "text": "Anak menghisap puting tiruan atau jari", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-10-23m.3.6.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-10-23m.3.7", "text": "Ibu bapa/ penjaga pernah memeriksa mulut anak", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-10-23m.3.7.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-10-23m.3.8", "text": "Membersihkan mulut anak setiap hari. Jika YA berapa kerap?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-10-23m.3.8.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-10-23m.3.9", "text": "Menggunakan ubat gigi ketika memberus gigi anak", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-10-23m.3.9.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-10-23m.3.10", "text": "Pernah membawa anak membuat pemeriksaan gigi. Jika YA berapa kerap?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-10-23m.3.10.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] } ] }, { "linkId": "child-ds-10-23m.4", "text": "Bimbingan awal", "item": [ { "linkId": "child-ds-10-23m.4.1", "text": "Gigi susu adalah penting untuk pembentukan gigi kekal yang sempurna.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-10-23m.4.2", "text": "Karies botol susu boleh dielakkan dengan: \na. Tidak membiarkan anak anda tidur dengan menghisap botol susu dalam mulut. \nb. Mengalihkan botol susu dari mulut anak anda dengan perlahan sebaik sahaja anak anda habis menyusu/ tertidur. \nc. Menggunakan cawan bila anak anda berumur 6 bulan ke atas. \nd. Menggalakkan anak anda minum air kosong setiap kali selepas menyusu.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-10-23m.4.3", "text": "Mengelakkan anak anda berkongsi makanan dan minuman dengan sesiapa sahaja bagi mencegah jangkitan kuman.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-10-23m.4.4", "text": "Gula tersembunyi boleh membahayakan kesihatan anak anda. Oleh itu: \na. Kurangkan makanan dan minuman manis antara waktu makan tetap. \nb. Elakkan dari menambah gula ke dalam susu anak anda. \nc. Elakkan dari menyalut puting dengan madu/manisan.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-10-23m.4.5", "text": "Elakkan bayi anda menghisap jari atau puting. Ini akan menyebabkan perubahan bentuk pada rahang (jongang).", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-10-23m.4.6", "text": "Penjagaan gigi \na. Sentiasa periksa gigi dengan mengangkat bibir anak anda. \nb. Cuci gigi anak anda dengan kain lembut yang basah semasa mandi dan sebelum tidur, sebaik sahaja gigi susu pertama tumbuh. \nc. Berus gigi anak anda dengan berus gigi yang lembut dan ubat gigi apabila gigi bertambah.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-10-23m.4.7", "text": "Sekiranya berlakunya trauma/kecederaan pada mulut atau gigi anak anda, sila bawa anak ke klinik pergigian berdekatan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-ds-10-23m.5", "text": "Pemeriksaan", "item": [ { "linkId": "child-ds-10-23m.5.1", "text": "Bilangan gigi yang ada", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-ds-10-23m.5.2", "text": "Kesihatan mulut: \n- Plak \n- Karies (Bil Gigi)", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-ds-10-23m.5.3", "text": "Keganjilan lain yang dikesan: \n- Ulser \n- White Spot \n- Abscess", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-ds-10-23m.5.4", "text": "Kecederaan \n-Trauma \n- Patah Gigi", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-ds-10-23m.5.5", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] }, { "linkId": "child-ds-10-23m.6", "text": "Caries Risk Assessment", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "25594002", "display": "Moderate Risk" } } ] }, { "linkId": "child-ds-10-23m.7", "text": "Rujuk Kepada Pegawai/Jururawat Pergigian", "item": [ { "linkId": "child-ds-10-23m.7.1", "text": "Tarikh Temujanji", "answer": [ { "valueDateTime": "2023-06-20T04:47:56.007Z" } ] }, { "linkId": "child-ds-10-23m.7.2", "text": "Tarikh Rawatan", "answer": [ { "valueDateTime": "2023-06-18T04:47:57.975Z" } ] }, { "linkId": "child-ds-10-23m.7.3", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] } Questionnaire Pemeriksaan Pergigian (Umur 2-4 Tahun)
{ "resourceType": "Questionnaire", "id": "q-child-ds-2-4y", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-ds-2-4y", "version": "1.0.0", "name": "QChildds24ym", "title": "Pemeriksaan Pergigian (Umur 2-4 Tahun)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-ds-2-4y.1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "child-ds-2-4y.2", "text": "Umur semasa lawatan", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] }, { "linkId": "child-ds-2-4y.3", "text": "Soalan-soalan", "type": "group", "item": [ { "linkId": "child-ds-2-4y.3.1", "text": "Anak dibiar tertidur dengan botol susu di dalam mulut atau ketika menyusu badan", "type": "boolean", "item": [ { "linkId": "child-ds-2-4y.3.1.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-2-4y.3.2", "text": "Ibubapa/penjaga pernah mendengar tentang karies botol susu", "type": "boolean", "item": [ { "linkId": "child-ds-2-4y.3.2.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-2-4y.3.3", "text": "Pernah mencampurkan gula ke dalam susu anak", "type": "boolean", "item": [ { "linkId": "child-ds-2-4y.3.3.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-2-4y.3.4", "text": "Memberi minuman lain selain daripada susu dengan menggunakan botol susu", "type": "boolean", "item": [ { "linkId": "child-ds-2-4y.3.4.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-2-4y.3.5", "text": "Kerap memberi makanan ringan (snek) di antara waktu makan utama. Jika YA berapa kerap?", "type": "boolean", "item": [ { "linkId": "child-ds-2-4y.3.5.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-2-4y.3.6", "text": "Anak menghisap puting tiruan atau jari", "type": "boolean", "item": [ { "linkId": "child-ds-2-4y.3.6.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-2-4y.3.7", "text": "Ibu bapa/ penjaga pernah memeriksa mulut anak", "type": "boolean", "item": [ { "linkId": "child-ds-2-4y.3.7.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-2-4y.3.8", "text": "Membersihkan mulut anak setiap hari. Jika YA berapa kerap?", "type": "boolean", "item": [ { "linkId": "child-ds-2-4y.3.8.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-2-4y.3.9", "text": "Menggunakan ubat gigi ketika memberus gigi anak", "type": "boolean", "item": [ { "linkId": "child-ds-2-4y.3.9.1", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-2-4y.3.10", "text": "Pernah membawa anak membuat pemeriksaan gigi. Jika YA berapa kerap?", "type": "boolean", "item": [ { "linkId": "child-ds-2-4y.3.10.1", "text": "Catatan", "type": "string" } ] } ] }, { "linkId": "child-ds-2-4y.4", "text": "Bimbingan awal", "type": "group", "item": [ { "linkId": "child-ds-2-4y.4.1", "text": "Gigi susu adalah penting untuk pembentukan gigi kekal yang sempurna.", "type": "boolean" }, { "linkId": "child-ds-2-4y.4.2", "text": "Karies botol susu boleh dielakkan dengan: \na. Tidak membiarkan anak anda tidur dengan menghisap botol susu dalam mulut. \nb. Mengalihkan botol susu dari mulut anak anda dengan perlahan sebaik sahaja anak anda habis menyusu/ tertidur. \nc. Menggunakan cawan bila anak anda berumur 6 bulan ke atas. \nd. Menggalakkan anak anda minum air kosong setiap kali selepas menyusu.", "type": "boolean" }, { "linkId": "child-ds-2-4y.4.3", "text": "Mengelakkan anak anda berkongsi makanan dan minuman dengan sesiapa sahaja bagi mencegah jangkitan kuman.", "type": "boolean" }, { "linkId": "child-ds-2-4y.4.4", "text": "Gula tersembunyi boleh membahayakan kesihatan anak anda. Oleh itu: \na. Kurangkan makanan dan minuman manis antara waktu makan tetap. \nb. Elakkan dari menambah gula ke dalam susu anak anda. \nc. Elakkan dari menyalut puting dengan madu/manisan.", "type": "boolean" }, { "linkId": "child-ds-2-4y.4.5", "text": "Elakkan bayi anda menghisap jari atau puting. Ini akan menyebabkan perubahan bentuk pada rahang (jongang).", "type": "boolean" }, { "linkId": "child-ds-2-4y.4.6", "text": "Penjagaan gigi \na. Sentiasa periksa gigi dengan mengangkat bibir anak anda. \nb. Cuci gigi anak anda dengan kain lembut yang basah semasa mandi dan sebelum tidur, sebaik sahaja gigi susu pertama tumbuh. \nc. Berus gigi anak anda dengan berus gigi yang lembut dan ubat gigi apabila gigi bertambah.", "type": "boolean" }, { "linkId": "child-ds-2-4y.4.7", "text": "Sekiranya berlakunya trauma/kecederaan pada mulut atau gigi anak anda, sila bawa anak ke klinik pergigian berdekatan", "type": "boolean" } ] }, { "linkId": "child-ds-2-4y.5", "text": "Pemeriksaan", "type": "group", "item": [ { "linkId": "child-ds-2-4y.5.1", "text": "Bilangan gigi yang ada", "type": "string" }, { "linkId": "child-ds-2-4y.5.2", "text": "Kesihatan mulut: \n- Plak \n- Karies (Bil Gigi)", "type": "string" }, { "linkId": "child-ds-2-4y.5.3", "text": "Keganjilan lain yang dikesan: \n- Ulser \n- White Spot \n- Abscess", "type": "string" }, { "linkId": "child-ds-2-4y.5.4", "text": "Kecederaan \n-Trauma \n- Patah Gigi", "type": "string" }, { "linkId": "child-ds-2-4y.5.5", "text": "Catatan", "type": "string" } ] }, { "linkId": "child-ds-2-4y.6", "text": "Caries Risk Assessment", "type": "choice", "answerOption": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "723505004", "display": "Low Risk" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "25594002", "display": "Moderate Risk" } }, { "valueCoding": { "system": "http://snomed.info/sct", "code": "723509005", "display": "High Risk" } } ] }, { "linkId": "child-ds-2-4y.7", "text": "Rujuk Kepada Pegawai/Jururawat Pergigian", "type": "group", "item": [ { "linkId": "child-ds-2-4y.7.1", "text": "Tarikh Temujanji", "type": "dateTime" }, { "linkId": "child-ds-2-4y.7.2", "text": "Tarikh Rawatan", "type": "dateTime" }, { "linkId": "child-ds-2-4y.7.3", "text": "Catatan", "type": "text" } ] }, { "linkId": "child-ds-2-4y.remark", "text": "Catatan / Rumusan", "type": "text" } ] } QuestionnaireResponse Pemeriksaan Pergigian (Umur 2-4 Tahun)
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-ds-2-4y", "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-child-ds-2-4y" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-ds-2-4y", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-ds-2-4y.1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-06-05T04:41:27.491Z" } ] }, { "linkId": "child-ds-2-4y.2", "text": "Umur semasa lawatan", "answer": [ { "valueQuantity": { "value": 3, "unit": "tahun" } } ] }, { "linkId": "child-ds-2-4y.3", "text": "Soalan-soalan", "item": [ { "linkId": "child-ds-2-4y.3.1", "text": "Anak dibiar tertidur dengan botol susu di dalam mulut atau ketika menyusu badan", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-2-4y.3.1.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-2-4y.3.2", "text": "Ibubapa/penjaga pernah mendengar tentang karies botol susu", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-2-4y.3.2.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-2-4y.3.3", "text": "Pernah mencampurkan gula ke dalam susu anak", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-2-4y.3.3.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-2-4y.3.4", "text": "Memberi minuman lain selain daripada susu dengan menggunakan botol susu", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-2-4y.3.4.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-2-4y.3.5", "text": "Kerap memberi makanan ringan (snek) di antara waktu makan utama. Jika YA berapa kerap?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-2-4y.3.5.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-2-4y.3.6", "text": "Anak menghisap puting tiruan atau jari", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-2-4y.3.6.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-2-4y.3.7", "text": "Ibu bapa/ penjaga pernah memeriksa mulut anak", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-2-4y.3.7.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-2-4y.3.8", "text": "Membersihkan mulut anak setiap hari. Jika YA berapa kerap?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-2-4y.3.8.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-2-4y.3.9", "text": "Menggunakan ubat gigi ketika memberus gigi anak", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-2-4y.3.9.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] }, { "linkId": "child-ds-2-4y.3.10", "text": "Pernah membawa anak membuat pemeriksaan gigi. Jika YA berapa kerap?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "child-ds-2-4y.3.10.1", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] } ] }, { "linkId": "child-ds-2-4y.4", "text": "Bimbingan awal", "item": [ { "linkId": "child-ds-2-4y.4.1", "text": "Gigi susu adalah penting untuk pembentukan gigi kekal yang sempurna.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-2-4y.4.2", "text": "Karies botol susu boleh dielakkan dengan: \na. Tidak membiarkan anak anda tidur dengan menghisap botol susu dalam mulut. \nb. Mengalihkan botol susu dari mulut anak anda dengan perlahan sebaik sahaja anak anda habis menyusu/ tertidur. \nc. Menggunakan cawan bila anak anda berumur 6 bulan ke atas. \nd. Menggalakkan anak anda minum air kosong setiap kali selepas menyusu.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-2-4y.4.3", "text": "Mengelakkan anak anda berkongsi makanan dan minuman dengan sesiapa sahaja bagi mencegah jangkitan kuman.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-2-4y.4.4", "text": "Gula tersembunyi boleh membahayakan kesihatan anak anda. Oleh itu: \na. Kurangkan makanan dan minuman manis antara waktu makan tetap. \nb. Elakkan dari menambah gula ke dalam susu anak anda. \nc. Elakkan dari menyalut puting dengan madu/manisan.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-2-4y.4.5", "text": "Elakkan bayi anda menghisap jari atau puting. Ini akan menyebabkan perubahan bentuk pada rahang (jongang).", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-2-4y.4.6", "text": "Penjagaan gigi \na. Sentiasa periksa gigi dengan mengangkat bibir anak anda. \nb. Cuci gigi anak anda dengan kain lembut yang basah semasa mandi dan sebelum tidur, sebaik sahaja gigi susu pertama tumbuh. \nc. Berus gigi anak anda dengan berus gigi yang lembut dan ubat gigi apabila gigi bertambah.", "answer": [ { "valueBoolean": true } ] }, { "linkId": "child-ds-2-4y.4.7", "text": "Sekiranya berlakunya trauma/kecederaan pada mulut atau gigi anak anda, sila bawa anak ke klinik pergigian berdekatan", "answer": [ { "valueBoolean": true } ] } ] }, { "linkId": "child-ds-2-4y.5", "text": "Pemeriksaan", "item": [ { "linkId": "child-ds-2-4y.5.1", "text": "Bilangan gigi yang ada", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-ds-2-4y.5.2", "text": "Kesihatan mulut: \n- Plak \n- Karies (Bil Gigi)", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-ds-2-4y.5.3", "text": "Keganjilan lain yang dikesan: \n- Ulser \n- White Spot \n- Abscess", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-ds-2-4y.5.4", "text": "Kecederaan \n-Trauma \n- Patah Gigi", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-ds-2-4y.5.5", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] }, { "linkId": "child-ds-2-4y.6", "text": "Caries Risk Assessment", "answer": [ { "valueCoding": { "system": "http://snomed.info/sct", "code": "25594002", "display": "Moderate Risk" } } ] }, { "linkId": "child-ds-2-4y.7", "text": "Rujuk Kepada Pegawai/Jururawat Pergigian", "item": [ { "linkId": "child-ds-2-4y.7.1", "text": "Tarikh Temujanji", "answer": [ { "valueDateTime": "2023-06-25T04:42:04.555Z" } ] }, { "linkId": "child-ds-2-4y.7.2", "text": "Tarikh Rawatan", "answer": [ { "valueDateTime": "2023-06-11T04:42:05.870Z" } ] }, { "linkId": "child-ds-2-4y.7.3", "text": "Catatan", "answer": [ { "valueString": "enter string here" } ] } ] } ] } Questionnaire Pemeriksaan Pergigian Tambahan
{ "resourceType": "Questionnaire", "id": "q-child-ds-add", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-ds-add", "version": "1.0.0", "name": "QChildDentalAdd", "title": "Pemeriksaan Pergigian Tambahan", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "child-ds-add.1", "text": "Age of Child", "type": "quantity", "initial": [ { "valueQuantity": { "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } ] }, { "linkId": "child-ds-add.2", "text": "History of Presenting Illness", "type": "string" }, { "linkId": "child-ds-add.3", "text": "Examination", "type": "string" }, { "linkId": "child-ds-add.4", "text": "Management/Plan", "type": "string" }, { "linkId": "child-ds-add.5", "text": "Additional Remarks", "type": "text" } ] } QuestionnaireResponse Pemeriksaan Pergigian Tambahan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-ds-add", "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-child-ds-add" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-ds-add", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-ds-add.1", "text": "Age of Child", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-ds-add.2", "text": "History of Presenting Illness", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-ds-add.3", "text": "Examination", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-ds-add.4", "text": "Management/Plan", "answer": [ { "valueString": "enter string here" } ] }, { "linkId": "child-ds-add.5", "text": "Additional Remarks", "answer": [ { "valueString": "enter string here" } ] } ] } |
| 15. | Carta Perkembangan |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-child-rs-carta", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-carta", "version": "1.0.0", "name": "QChildRsCarta", "title": "Carta Perkembangan Si Comel Anda", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "rs-carta-1", "text": "Tarikh", "type": "dateTime" }, { "linkId": "rs-carta-2", "text": "Membalas senyuman", "type": "quantity" }, { "linkId": "rs-carta-3", "text": "Tegakkan kepala semasa duduk", "type": "quantity" }, { "linkId": "rs-carta-4", "text": "Meniarap dan terlentang", "type": "quantity" }, { "linkId": "rs-carta-5", "text": "Mencapai objek", "type": "quantity" }, { "linkId": "rs-carta-6", "text": "Memusing kepala ke arah bunyi", "type": "quantity" }, { "linkId": "rs-carta-7", "text": "Duduk tanpa disokong", "type": "quantity" }, { "linkId": "rs-carta-8", "text": "Memegang dengan jari ibu dan jari telunjuk", "type": "quantity" }, { "linkId": "rs-carta-9", "text": "Menyebut papa, mama", "type": "quantity" }, { "linkId": "rs-carta-10", "text": "Berjalan beberapa langkah", "type": "quantity" }, { "linkId": "rs-carta-11", "text": "Minum dengan cawan tanpa dibantu", "type": "quantity" }, { "linkId": "rs-carta-12", "text": "Menconteng", "type": "quantity" }, { "linkId": "rs-carta-13", "text": "Menyatukan 2 perkataan", "type": "quantity" }, { "linkId": "rs-carta-14", "text": "Menendang bola ke depan", "type": "quantity" }, { "linkId": "rs-carta-15", "text": "Menanggalkan pakaian", "type": "quantity" }, { "linkId": "rs-carta-16", "text": "Mengikut arahan", "type": "quantity" }, { "linkId": "rs-carta-17", "text": "Memakai pakaian", "type": "quantity" }, { "linkId": "rs-carta-18", "text": "Melompat setempat", "type": "quantity" }, { "linkId": "rs-carta-19", "text": "Bermain secara interaktif", "type": "quantity" }, { "linkId": "rs-carta-20", "text": "Melukis bulatan", "type": "quantity" } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-carta", "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-child-rs-carta" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-carta", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "rs-carta-1", "text": "Tarikh", "answer": [ { "valueDateTime": "2023-05-11T07:50:58.974Z" } ] }, { "linkId": "rs-carta-2", "text": "Membalas senyuman", "answer": [ { "valueQuantity": { "value": 1, "unit": "months" } } ] }, { "linkId": "rs-carta-3", "text": "Tegakkan kepala semasa duduk", "answer": [ { "valueQuantity": { "value": 3, "unit": "months" } } ] }, { "linkId": "rs-carta-4", "text": "Meniarap dan terlentang", "answer": [ { "valueQuantity": { "value": 4, "unit": "months" } } ] }, { "linkId": "rs-carta-5", "text": "Mencapai objek", "answer": [ { "valueQuantity": { "value": 5, "unit": "months" } } ] }, { "linkId": "rs-carta-6", "text": "Memusing kepala ke arah bunyi", "answer": [ { "valueQuantity": { "value": 6, "unit": "months" } } ] }, { "linkId": "rs-carta-7", "text": "Duduk tanpa disokong", "answer": [ { "valueQuantity": { "value": 6, "unit": "months" } } ] }, { "linkId": "rs-carta-8", "text": "Memegang dengan jari ibu dan jari telunjuk", "answer": [ { "valueQuantity": { "value": 8, "unit": "months" } } ] }, { "linkId": "rs-carta-9", "text": "Menyebut papa, mama", "answer": [ { "valueQuantity": { "value": 10, "unit": "months" } } ] }, { "linkId": "rs-carta-10", "text": "Berjalan beberapa langkah", "answer": [ { "valueQuantity": { "value": 11, "unit": "months" } } ] }, { "linkId": "rs-carta-11", "text": "Minum dengan cawan tanpa dibantu", "answer": [ { "valueQuantity": { "value": 12, "unit": "months" } } ] }, { "linkId": "rs-carta-12", "text": "Menconteng", "answer": [ { "valueQuantity": { "value": 14, "unit": "months" } } ] }, { "linkId": "rs-carta-13", "text": "Menyatukan 2 perkataan", "answer": [ { "valueQuantity": { "value": 17, "unit": "months" } } ] }, { "linkId": "rs-carta-14", "text": "Menendang bola ke depan", "answer": [ { "valueQuantity": { "value": 20, "unit": "months" } } ] }, { "linkId": "rs-carta-15", "text": "Menanggalkan pakaian", "answer": [ { "valueQuantity": { "value": 15, "unit": "months" } } ] }, { "linkId": "rs-carta-16", "text": "Mengikut arahan", "answer": [ { "valueQuantity": { "value": 16, "unit": "months" } } ] }, { "linkId": "rs-carta-17", "text": "Memakai pakaian", "answer": [ { "valueQuantity": { "value": 20, "unit": "months" } } ] }, { "linkId": "rs-carta-18", "text": "Melompat setempat", "answer": [ { "valueQuantity": { "value": 22, "unit": "months" } } ] }, { "linkId": "rs-carta-19", "text": "Bermain secara interaktif", "answer": [ { "valueQuantity": { "value": 30, "unit": "months" } } ] }, { "linkId": "rs-carta-20", "text": "Melukis bulatan", "answer": [ { "valueQuantity": { "value": 30, "unit": "months" } } ] } ] } |
| 16. | Pertumbuhan Gigi |
Questionnaire
{ "resourceType": "Questionnaire", "id": "q-child-rs-gigi", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-rs-gigi", "version": "1.0.0", "name": "QRsIbuBapaGigi", "title": "Pertumbuhan Gigi Si Comel Anda", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "description": "Maklumat Pertumbuhan Gigi", "item": [ { "linkId": "child-rs-gigi.1", "text": "Kiri Atas", "type": "group", "item": [ { "linkId": "child-rs-gigi.1.1", "prefix": "1", "text": "Tarikh Insisor (Kacip) Pertama tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.1.2", "prefix": "2", "text": "Tarikh Insisor (Kacip) Kedua tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.1.3", "prefix": "3", "text": "Tarikh Kanin Taring tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.1.4", "prefix": "4", "text": "Tarikh Geraham Pertama tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.1.5", "prefix": "5", "text": "Tarikh Geraham Kedua tumbuh", "type": "date" } ] }, { "linkId": "child-rs-gigi.2", "text": "Kiri Bawah", "type": "group", "item": [ { "linkId": "child-rs-gigi.2.1", "prefix": "6", "text": "Tarikh Insisor (Kacip) Pertama tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.2.2", "prefix": "7", "text": "Tarikh Insisor (Kacip) Kedua tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.2.3", "prefix": "8", "text": "Tarikh Kanin Taring tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.2.4", "prefix": "9", "text": "Tarikh Geraham Pertama tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.2.5", "prefix": "10", "text": "Tarikh Geraham Kedua tumbuh", "type": "date" } ] }, { "linkId": "child-rs-gigi.3", "text": "Kanan Bawah", "type": "group", "item": [ { "linkId": "child-rs-gigi.3.1", "prefix": "11", "text": "Tarikh Insisor (Kacip) Pertama tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.3.2", "prefix": "12", "text": "Tarikh Insisor (Kacip) Kedua tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.3.3", "prefix": "13", "text": "Tarikh Kanin Taring tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.3.4", "prefix": "14", "text": "Tarikh Geraham Pertama tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.3.5", "prefix": "15", "text": "Tarikh Geraham Kedua tumbuh", "type": "date" } ] }, { "linkId": "child-rs-gigi.4", "text": "Kanan Atas", "type": "group", "item": [ { "linkId": "child-rs-gigi.4.1", "prefix": "16", "text": "Tarikh Insisor (Kacip) Pertama tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.4.2", "prefix": "17", "text": "Tarikh Insisor (Kacip) Kedua tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.4.3", "prefix": "18", "text": "Tarikh Kanin Taring tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.4.4", "prefix": "19", "text": "Tarikh Geraham Pertama tumbuh", "type": "date" }, { "linkId": "child-rs-gigi.4.5", "prefix": "20", "text": "Tarikh Geraham Kedua tumbuh", "type": "date" } ] } ] } QuestionnaireResponse
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-gigi", "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-child-rs-gigi" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-gigi", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "child-rs-gigi.1", "text": "Kiri Atas", "item": [ { "linkId": "child-rs-gigi.1.1", "text": "Tarikh Insisor (Kacip) Pertama tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] }, { "linkId": "child-rs-gigi.1.2", "text": "Tarikh Insisor (Kacip) Kedua tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] }, { "linkId": "child-rs-gigi.1.3", "text": "Tarikh Kanin Taring tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] }, { "linkId": "child-rs-gigi.1.4", "text": "Tarikh Geraham Pertama tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] }, { "linkId": "child-rs-gigi.1.5", "text": "Tarikh Geraham Kedua tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] } ] }, { "linkId": "child-rs-gigi.2", "text": "Kiri Bawah", "item": [ { "linkId": "child-rs-gigi.2.1", "text": "Tarikh Insisor (Kacip) Pertama tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] }, { "linkId": "child-rs-gigi.2.2", "text": "Tarikh Insisor (Kacip) Kedua tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] }, { "linkId": "child-rs-gigi.2.3", "text": "Tarikh Kanin Taring tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] }, { "linkId": "child-rs-gigi.2.4", "text": "Tarikh Geraham Pertama tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] }, { "linkId": "child-rs-gigi.2.5", "text": "Tarikh Geraham Kedua tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] } ] }, { "linkId": "child-rs-gigi.3", "text": "Kanan Bawah", "item": [ { "linkId": "child-rs-gigi.3.1", "text": "Tarikh Insisor (Kacip) Pertama tumbuh", "answer": [ { "valueDate": "2023-05-02" } ] }, { "linkId": "child-rs-gigi.3.2", "text": "Tarikh Insisor (Kacip) Kedua tumbuh", "answer": [ { "valueDate": "2023-05-02" } ] }, { "linkId": "child-rs-gigi.3.3", "text": "Tarikh Kanin Taring tumbuh", "answer": [ { "valueDate": "2023-05-02" } ] }, { "linkId": "child-rs-gigi.3.4", "text": "Tarikh Geraham Pertama tumbuh", "answer": [ { "valueDate": "2023-05-02" } ] }, { "linkId": "child-rs-gigi.3.5", "text": "Tarikh Geraham Kedua tumbuh", "answer": [ { "valueDate": "2023-05-02" } ] } ] }, { "linkId": "child-rs-gigi.4", "text": "Kanan Atas", "item": [ { "linkId": "child-rs-gigi.4.1", "text": "Tarikh Insisor (Kacip) Pertama tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] }, { "linkId": "child-rs-gigi.4.2", "text": "Tarikh Insisor (Kacip) Kedua tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] }, { "linkId": "child-rs-gigi.4.3", "text": "Tarikh Kanin Taring tumbuh", "answer": [ { "valueDate": "2023-05-02" } ] }, { "linkId": "child-rs-gigi.4.4", "text": "Tarikh Geraham Pertama tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] }, { "linkId": "child-rs-gigi.4.5", "text": "Tarikh Geraham Kedua tumbuh", "answer": [ { "valueDate": "2023-05-01" } ] } ] } ] } |
| 17. | Senarai Semak Ibu Bapa |
Questionnaire Lawatan 1 & 2 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-rs-1-2m", "meta": { "versionId": "1", "lastUpdated": "2023-05-19T06:35:57.987+08:00", "source": "#xbMlTqOVNCeeV2kO" }, "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-1-2m", "version": "1.0.0", "name": "QChildRs1-2M", "title": "Senarai Semak Rekod Saya Ibu (Lawatan 1 & 2 Bulan)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "rs-1-2m-1", "text": "Lawatan", "type": "choice", "repeats": false, "answerOption": [ { "valueCoding": { "code": "01", "display": "1 months" } }, { "valueCoding": { "code": "02", "display": "2 months" } } ] }, { "linkId": "rs-1-2m-2", "text": "Adakah bayi anda sihat?", "type": "boolean" }, { "linkId": "rs-1-2m-3", "text": "Adakah bayi anda menyusu dengan baik?", "type": "boolean" }, { "linkId": "rs-1-2m-4", "text": "Adakah berat bayi anda memuaskan?", "type": "boolean" }, { "linkId": "rs-1-2m-5", "text": "Adakah bayi anda memandang muka anda?", "type": "boolean" }, { "linkId": "rs-1-2m-6", "text": "Adakah bayi anda memusingkan kepala ke arah cahaya?", "type": "boolean" }, { "linkId": "rs-1-2m-7", "text": "Adakah bayi anda terkejut mendengar bunyi kuat?", "type": "boolean" }, { "linkId": "rs-1-2m-8", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "type": "boolean" }, { "linkId": "rs-1-2m-9", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "type": "boolean", "item": [ { "linkId": "rs-1-2m-9-1", "text": "Sekiranya ada, nyatakan", "type": "text" } ] } ] } QuestionnaireResponse Lawatan 1 & 2 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-1-2m", "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-child-rs-1-2m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-1-2m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "rs-1-2m-1", "text": "Lawatan", "answer": [ { "valueCoding": { "code": "01", "display": "1 months" } } ] }, { "linkId": "rs-1-2m-2", "text": "Adakah bayi anda sihat?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-1-2m-3", "text": "Adakah bayi anda menyusu dengan baik?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-1-2m-4", "text": "Adakah berat bayi anda memuaskan?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-1-2m-5", "text": "Adakah bayi anda memandang muka anda?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-1-2m-6", "text": "Adakah bayi anda memusingkan kepala ke arah cahaya?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-1-2m-7", "text": "Adakah bayi anda terkejut mendengar bunyi kuat?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-1-2m-8", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-1-2m-9", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "rs-1-2m-9-1", "text": "Sekiranya ada, nyatakan", "answer": [ { "valueString": "test" } ] } ] } ] } ] } Questionnaire Lawatan 3 & 4 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-rs-3-4m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-3-4m", "version": "1.0.0", "name": "QChildRs3-4M", "title": "Senarai Semak Rekod Saya Ibu Bapa (Lawatan 3 & 4 Bulan)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "rs-3-4m-1", "text": "Lawatan", "type": "choice", "repeats": false, "answerOption": [ { "valueCoding": { "code": "01", "display": "3 months" } }, { "valueCoding": { "code": "02", "display": "4 months" } } ] }, { "linkId": "rs-3-4m-2", "text": "Kepala tegak apabila didukung (tidak lembik)", "type": "boolean" }, { "linkId": "rs-3-4m-3", "text": "Bayi menumpukan pandangan dan menggerakkan mata mengikut objek?", "type": "boolean" }, { "linkId": "rs-3-4m-4", "text": "Bayi ketawa atau menunjukkan tindakbalas apabila diacah?", "type": "boolean" }, { "linkId": "rs-3-4m-5", "text": "Bayi bersuara A-a, A-oo?", "type": "boolean" }, { "linkId": "rs-3-4m-6", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "type": "boolean" }, { "linkId": "rs-3-4m-7", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "type": "boolean", "item": [ { "linkId": "rs-3-4m-7-1", "text": "Sekiranya ada, nyatakan", "type": "text" } ] } ] } QuestionnaireResponse Lawatan 3 & 4 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-3-4m", "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-child-rs-3-4m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-3-4m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "rs-3-4m-1", "text": "Lawatan", "answer": [ { "valueCoding": { "code": "02", "display": "4 months" } } ] }, { "linkId": "rs-3-4m-2", "text": "Kepala tegak apabila didukung (tidak lembik)", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-3-4m-3", "text": "Bayi menumpukan pandangan dan menggerakkan mata mengikut objek?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-3-4m-4", "text": "Bayi ketawa atau menunjukkan tindakbalas apabila diacah?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-3-4m-5", "text": "Bayi bersuara A-a, A-oo?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-3-4m-6", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-3-4m-7", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "rs-3-4m-7-1", "text": "Sekiranya ada, nyatakan", "answer": [ { "valueString": "test" } ] } ] } ] } ] } Questionnaire Lawatan 5 & 6 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-rs-5-6m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-5-6m", "version": "1.0.0", "name": "QChildRs5-6M", "title": "Senarai Semak Rekod Saya Ibu Bapa (Lawatan 5 & 6 Bulan)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "rs-5-6m-1", "text": "Lawatan", "type": "choice", "repeats": false, "answerOption": [ { "valueCoding": { "code": "01", "display": "5 months" } }, { "valueCoding": { "code": "02", "display": "6 months" } } ] }, { "linkId": "rs-5-6m-2", "text": "Mengawal kepalanya ketika di tarik dari keadaan baring ke duduk?", "type": "boolean" }, { "linkId": "rs-5-6m-3", "text": "Meniarap dan menelentang?", "type": "boolean" }, { "linkId": "rs-5-6m-4", "text": "Menggenggam objek?", "type": "boolean" }, { "linkId": "rs-5-6m-5", "text": "Cuba mencapai mainan?", "type": "boolean" }, { "linkId": "rs-5-6m-6", "text": "Menoleh ke arah bunyi?", "type": "boolean" }, { "linkId": "rs-5-6m-7", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "type": "boolean" }, { "linkId": "rs-5-6m-8", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "type": "boolean", "item": [ { "linkId": "rs-5-6m-8-1", "text": "Sekiranya ada, nyatakan", "type": "text" } ] } ] } QuestionnaireResponse Lawatan 5 & 6 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-5-6m", "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-child-rs-5-6m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-5-6m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "rs-5-6m-1", "text": "Lawatan", "answer": [ { "valueCoding": { "code": "01", "display": "5 months" } } ] }, { "linkId": "rs-5-6m-2", "text": "Mengawal kepalanya ketika di tarik dari keadaan baring ke duduk?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-5-6m-3", "text": "Meniarap dan menelentang?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-5-6m-4", "text": "Menggenggam objek?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-5-6m-5", "text": "Cuba mencapai mainan?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-5-6m-6", "text": "Menoleh ke arah bunyi?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-5-6m-7", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-5-6m-8", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "rs-5-6m-8-1", "text": "Sekiranya ada, nyatakan", "answer": [ { "valueString": "test" } ] } ] } ] } ] } Questionnaire Lawatan 9 & 10 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-rs-9-10m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-9-10m", "version": "1.0.0", "name": "QChildRs9-10M", "title": "Senarai Semak Rekod Saya Ibu Bapa (Lawatan 9 & 10 Bulan)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "rs-9-10m-1", "text": "Lawatan", "type": "choice", "repeats": false, "answerOption": [ { "valueCoding": { "code": "01", "display": "9 months" } }, { "valueCoding": { "code": "02", "display": "10 months" } } ] }, { "linkId": "rs-9-10m-2", "text": "Duduk tanpa bantuan?", "type": "boolean" }, { "linkId": "rs-9-10m-3", "text": "Memindahkan objek dari tangan ke tangan?", "type": "boolean" }, { "linkId": "rs-9-10m-4", "text": "Menyuap makanan ke mulut?", "type": "boolean" }, { "linkId": "rs-9-10m-5", "text": "Menentukan arah datangnya bunyi dengan tepat?", "type": "boolean" }, { "linkId": "rs-9-10m-6", "text": "Meniru sebutan seperti Ma-Ma..Ba-Ba..Da-Da?", "type": "boolean" }, { "linkId": "rs-9-10m-7", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "type": "boolean" }, { "linkId": "rs-9-10m-8", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "type": "boolean", "item": [ { "linkId": "rs-9-10m-8-1", "text": "Sekiranya ada, nyatakan", "type": "text" } ] } ] } QuestionnaireResponse Lawatan 9 & 10 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-9-10m", "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-child-rs-9-10m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-9-10m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "rs-9-10m-1", "text": "Lawatan", "answer": [ { "valueCoding": { "code": "01", "display": "9 months" } } ] }, { "linkId": "rs-9-10m-2", "text": "Duduk tanpa bantuan?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-9-10m-3", "text": "Memindahkan objek dari tangan ke tangan?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-9-10m-4", "text": "Menyuap makanan ke mulut?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-9-10m-5", "text": "Menentukan arah datangnya bunyi dengan tepat?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-9-10m-6", "text": "Meniru sebutan seperti Ma-Ma..Ba-Ba..Da-Da?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-9-10m-7", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-9-10m-8", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "rs-9-10m-8-1", "text": "Sekiranya ada, nyatakan", "answer": [ { "valueString": "test" } ] } ] } ] } ] } Questionnaire Lawatan 12 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-rs-12m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-12m", "version": "1.0.0", "name": "QChildRs12M", "title": "Senarai Semak Rekod Saya Ibu Bapa (Lawatan 12 Bulan)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "rs-12m-1", "text": "Bangun berdiri apabila ditarik tangannya?", "type": "boolean" }, { "linkId": "rs-12m-2", "text": "Mengetuk 2 kiub/objek?", "type": "boolean" }, { "linkId": "rs-12m-3", "text": "Mengambil benda kecil menggunakan ibu jari dan jari telunjuk (pincer grasp)?", "type": "boolean" }, { "linkId": "rs-12m-4", "text": "Bermain ‘tepuk amai-amai’?", "type": "boolean" }, { "linkId": "rs-12m-5", "text": "Menyebut Pa-Pa, Ma-ma (tidak spesifik)?", "type": "boolean" }, { "linkId": "rs-12m-6", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "type": "boolean" }, { "linkId": "rs-12m-7", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "type": "boolean", "item": [ { "linkId": "rs-12m-7-1", "text": "Sekiranya ada, nyatakan", "type": "text" } ] } ] } QuestionnaireResponse Lawatan 12 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-12m", "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-child-rs-12m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-12m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "rs-12m-1", "text": "Bangun berdiri apabila ditarik tangannya?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-12m-2", "text": "Mengetuk 2 kiub/objek?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-12m-3", "text": "Mengambil benda kecil menggunakan ibu jari dan jari telunjuk (pincer grasp)?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-12m-4", "text": "Bermain ‘tepuk amai-amai’?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-12m-5", "text": "Menyebut Pa-Pa, Ma-ma (tidak spesifik)?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-12m-6", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-12m-7", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "rs-12m-7-1", "text": "Sekiranya ada, nyatakan", "answer": [ { "valueString": "test" } ] } ] } ] } ] } Questionnaire Lawatan 15 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-rs-15m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-15m", "version": "1.0.0", "name": "QChildRs15M", "title": "Senarai Semak Rekod Saya Ibu Bapa (Lawatan 15 Bulan)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "rs-15m-1", "text": "Boleh mengikut arahan yang mudah", "type": "boolean" }, { "linkId": "rs-15m-2", "text": "Menconteng", "type": "boolean" }, { "linkId": "rs-15m-3", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "type": "boolean" }, { "linkId": "rs-15m-4", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "type": "boolean", "item": [ { "linkId": "rs-15m-4-1", "text": "Sekiranya ada, nyatakan", "type": "text" } ] } ] } QuestionnaireResponse Lawatan 15 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-15m", "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-child-rs-15m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-15m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "rs-15m-1", "text": "Boleh mengikut arahan yang mudah", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-15m-2", "text": "Menconteng", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-15m-3", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-15m-4", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "rs-15m-4-1", "text": "Sekiranya ada, nyatakan", "answer": [ { "valueString": "test" } ] } ] } ] } ] } Questionnaire Lawatan 18 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-rs-18m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-18m", "version": "1.0.0", "name": "QChildRs18M", "title": "Senarai Semak Rekod Saya Ibu Bapa (Lawatan 18 Bulan)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "rs-18m-1", "text": "Berjalan sendiri?", "type": "boolean" }, { "linkId": "rs-18m-2", "text": "Boleh menconteng?", "type": "boolean" }, { "linkId": "rs-18m-3", "text": "Menyebut 3 perkataan dengan makna?", "type": "boolean" }, { "linkId": "rs-18m-4", "text": "Mengikut arahan yang mudah?", "type": "boolean" }, { "linkId": "rs-18m-5", "text": "Minum dari cawan?", "type": "boolean" }, { "linkId": "rs-18m-6", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "type": "boolean" }, { "linkId": "rs-18m-7", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "type": "boolean", "item": [ { "linkId": "rs-18m-7-1", "text": "Sekiranya ada, nyatakan", "type": "text" } ] } ] } QuestionnaireResponse Lawatan 18 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-18m", "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-child-rs-18m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-18m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "rs-18m-1", "text": "Berjalan sendiri?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-18m-2", "text": "Boleh menconteng?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-18m-3", "text": "Menyebut 3 perkataan dengan makna?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-18m-4", "text": "Mengikut arahan yang mudah?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-18m-5", "text": "Minum dari cawan?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-18m-6", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-18m-7", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "rs-18m-7-1", "text": "Sekiranya ada, nyatakan", "answer": [ { "valueString": "test" } ] } ] } ] } ] } Questionnaire Lawatan 21 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-rs-21m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-21m", "version": "1.0.0", "name": "QChildRs21M", "title": "Senarai Semak Rekod Saya Ibu Bapa (Lawatan 21 Bulan)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "rs-21m-1", "text": "Menanggalkan pakaian", "type": "boolean" }, { "linkId": "rs-21m-2", "text": "Melompat setempat", "type": "boolean" }, { "linkId": "rs-21m-3", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "type": "boolean" }, { "linkId": "rs-21m-4", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "type": "boolean", "item": [ { "linkId": "rs-21m-4-1", "text": "Sekiranya ada, nyatakan", "type": "text" } ] } ] } QuestionnaireResponse Lawatan 21 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-21m", "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-child-rs-21m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-21m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "rs-21m-1", "text": "Menanggalkan pakaian", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-21m-2", "text": "Melompat setempat", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-21m-3", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-21m-4", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "rs-21m-4-1", "text": "Sekiranya ada, nyatakan", "answer": [ { "valueString": "tets" } ] } ] } ] } ] } Questionnaire Lawatan 2 & 2 Tahun 6 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-rs-2-2y6m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-2-2y6m", "version": "1.0.0", "name": "QChildRs2-2Y6M", "title": "Senarai Semak Rekod Saya Ibu Bapa (Lawatan 2 & 2 Tahun 6 Bulan)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "rs-2-2y6m-1", "text": "Lawatan", "type": "choice", "repeats": false, "answerOption": [ { "valueCoding": { "code": "01", "display": "2 years" } }, { "valueCoding": { "code": "02", "display": "2 years 6 months" } } ] }, { "linkId": "rs-2-2y6m-2", "text": "Boleh berlari?", "type": "boolean" }, { "linkId": "rs-2-2y6m-3", "text": "Menyepak bola?", "type": "boolean" }, { "linkId": "rs-2-2y6m-4", "text": "Merangkai 2 perkataan seperni 'nak makan'?", "type": "boolean" }, { "linkId": "rs-2-2y6m-5", "text": "Mengenali anggotan badan?", "type": "boolean" }, { "linkId": "rs-2-2y6m-6", "text": "Membuka pakaian?", "type": "boolean" }, { "linkId": "rs-2-2y6m-7", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "type": "boolean" }, { "linkId": "rs-2-2y6m-8", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "type": "boolean", "item": [ { "linkId": "rs-2-2y6m-8-1", "text": "Sekiranya ada, nyatakan", "type": "text" } ] } ] } QuestionnaireResponse Lawatan 2 & 2 Tahun 6 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-2-2y6m", "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-child-rs-2-2y6m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-2-2y6m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "rs-2-2y6m-1", "text": "Lawatan", "answer": [ { "valueCoding": { "code": "01", "display": "2 years" } } ] }, { "linkId": "rs-2-2y6m-2", "text": "Boleh berlari?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-2-2y6m-3", "text": "Menyepak bola?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-2-2y6m-4", "text": "Merangkai 2 perkataan seperni 'nak makan'?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-2-2y6m-5", "text": "Mengenali anggotan badan?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-2-2y6m-6", "text": "Membuka pakaian?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-2-2y6m-7", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-2-2y6m-8", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "rs-2-2y6m-8-1", "text": "Sekiranya ada, nyatakan", "answer": [ { "valueString": "test" } ] } ] } ] } ] } Questionnaire Lawatan 3 & 3 Tahun 6 Bulan
{ "resourceType": "Questionnaire", "id": "q-child-rs-3-3y6m", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-3-3y6m", "version": "1.0.0", "name": "QChildRs3-3Y6M", "title": "Senarai Semak Rekod Saya Ibu Bapa (Lawatan 3 & 3 Tahun 6 Bulan)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "rs-3-3y6m-1", "text": "Lawatan", "type": "choice", "repeats": false, "answerOption": [ { "valueCoding": { "code": "01", "display": "3 years" } }, { "valueCoding": { "code": "02", "display": "3 years 6 months" } } ] }, { "linkId": "rs-3-3y6m-2", "text": "Memakai pakaian", "type": "boolean" }, { "linkId": "rs-3-3y6m-3", "text": "Melukis bulatan", "type": "boolean" }, { "linkId": "rs-3-3y6m-4", "text": "Merangkai 3 perkataan seperni 'nak makan nasi'?", "type": "boolean" }, { "linkId": "rs-3-3y6m-5", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "type": "boolean" }, { "linkId": "rs-3-3y6m-6", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "type": "boolean", "item": [ { "linkId": "rs-3-3y6m-6-1", "text": "Sekiranya ada, nyatakan", "type": "text" } ] } ] } QuestionnaireResponse Lawatan 3 & 3 Tahun 6 Bulan
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-3-3y6m", "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-child-rs-3-3y6m" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-3-3y6m", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "rs-3-3y6m-1", "text": "Lawatan", "answer": [ { "valueCoding": { "code": "01", "display": "3 years" } } ] }, { "linkId": "rs-3-3y6m-2", "text": "Memakai pakaian", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-3-3y6m-3", "text": "Melukis bulatan", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-3-3y6m-4", "text": "Merangkai 3 perkataan seperni 'nak makan nasi'?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-3-3y6m-5", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-3-3y6m-6", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "rs-3-3y6m-6-1", "text": "Sekiranya ada, nyatakan", "answer": [ { "valueString": "test" } ] } ] } ] } ] } Questionnaire Lawatan 4 Tahun
{ "resourceType": "Questionnaire", "id": "q-child-rs-4y", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-4y", "version": "1.0.0", "name": "QChildRs4Y", "title": "Senarai Semak Rekod Saya Ibu Bapa (Lawatan 4 Tahun)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "rs-4y-1", "text": "Berdiri sebelah kaki?", "type": "boolean" }, { "linkId": "rs-4y-2", "text": "Melukis bulatan?", "type": "boolean" }, { "linkId": "rs-4y-3", "text": "Mengurus penjagaan diri seperti buang air kecil dan besar?", "type": "boolean" }, { "linkId": "rs-4y-4", "text": "Pertuturan boleh difahami oleh semua orang?", "type": "boolean" }, { "linkId": "rs-4y-5", "text": "Bergaul dengan kanak-kanak lain?", "type": "boolean" }, { "linkId": "rs-4y-6", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "type": "boolean" }, { "linkId": "rs-4y-7", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "type": "boolean", "item": [ { "linkId": "rs-4y-7-1", "text": "Sekiranya ada, nyatakan", "type": "text" } ] } ] } QuestionnaireResponse Lawatan 4 Tahun
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-4y", "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-child-rs-4y" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-4y", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "rs-4y-1", "text": "Berdiri sebelah kaki?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-4y-2", "text": "Melukis bulatan?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-4y-3", "text": "Mengurus penjagaan diri seperti buang air kecil dan besar?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-4y-4", "text": "Pertuturan boleh difahami oleh semua orang?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-4y-5", "text": "Bergaul dengan kanak-kanak lain?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-4y-6", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-4y-7", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "rs-4y-7-1", "text": "Sekiranya ada, nyatakan", "answer": [ { "valueString": "test" } ] } ] } ] } ] } Questionnaire Lawatan 5 & 6 Tahun
{ "resourceType": "Questionnaire", "id": "q-child-rs-5-6y", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-5-6y", "version": "1.0.0", "name": "QChildRs5-6Y", "title": "Senarai Semak Rekod Saya Ibu Bapa (Lawatan 5 & 6 Tahun)", "status": "active", "date": "2024-02-12T04:04:09.5621857+00:00", "item": [ { "linkId": "rs-5-6y-1", "text": "Lawatan", "type": "choice", "repeats": false, "answerOption": [ { "valueCoding": { "code": "01", "display": "5 years" } }, { "valueCoding": { "code": "02", "display": "6 years" } } ] }, { "linkId": "rs-5-6y-2", "text": "Melompat tali dengan 2 kaki", "type": "boolean" }, { "linkId": "rs-5-6y-3", "text": "Tiru rajah segiempat", "type": "boolean" }, { "linkId": "rs-5-6y-4", "text": "Mengayuh basikal'?", "type": "boolean" }, { "linkId": "rs-5-6y-5", "text": "Bercakap dengan petah'?", "type": "boolean" }, { "linkId": "rs-5-6y-6", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "type": "boolean" }, { "linkId": "rs-5-6y-7", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "type": "boolean", "item": [ { "linkId": "rs-5-6y-7-1", "text": "Sekiranya ada, nyatakan", "type": "text" } ] } ] } QuestionnaireResponse Lawatan 5 & 6 Tahun
{ "resourceType": "QuestionnaireResponse", "id": "qr-child-rs-5-6y", "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-child-rs-5-6y" }, "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-rs-5-6y", "status": "completed", "subject": { "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c" }, "authored": "2023-04-27T00:20:14.414Z", "item": [ { "linkId": "rs-5-6y-1", "text": "Lawatan", "answer": [ { "valueCoding": { "code": "02", "display": "6 years" } } ] }, { "linkId": "rs-5-6y-2", "text": "Melompat tali dengan 2 kaki", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-5-6y-3", "text": "Tiru rajah segiempat", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-5-6y-4", "text": "Mengayuh basikal'?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-5-6y-5", "text": "Bercakap dengan petah'?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-5-6y-6", "text": "Adakah anda mempunyai masalah menjaga bayi anda?", "answer": [ { "valueBoolean": true } ] }, { "linkId": "rs-5-6y-7", "text": "Adakah anda mempunyai sebarang kebimbangan terhadap bayi?", "answer": [ { "valueBoolean": true, "item": [ { "linkId": "rs-5-6y-7-1", "text": "Sekiranya ada, nyatakan", "answer": [ { "valueString": "test" } ] } ] } ] } ] } |
| 18. | Buku Panduan |
Display only. No Questionnaire. |