Maternal Health Record

The "Maternal Health Record" relates to the perinatal period (during and after pregnancy) of a patient's history. In Malaysia government practice, maternal health records are kept as a physical document by patient (another copy stored by the facility). This flow allows continuation of care between one facility to another to naturally occur during a patient perinatal visits.

The maternal health record in RekodPesakit and RekodSaya attempts to replicate the concept in the form of a digital record retaining as much resemblance of the physical flow while still allowing the concept of record sharing between facilities.

Below is an overview diagram to illustrate how FHIR resource are used for maternal health record,

maternal-overview


Resource Breakdown

Every maternal health record requires List (MY Core) record as a base panel to referene every record related to the current perinatal episode.

List Example

{
    "resourceType": "List",
    "id": "list-sample",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/List-my-core"
        ]
    },
    "status": "current",
    "mode": "working",
    "title": "Maternal Health Record 12-Sep-2023",
    "code": {
        "coding":  [
            {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/sub-record-type-my-core",
                "code": "sub-001",
                "display": "Maternal Health Record"
            }
        ]
    },
    "subject": {
        "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4"
    },
    "date": "2023-09-12T01:34:38.641Z",
    "source": {
        "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484/_history/1"
    },
    "entry":  [
        {
            "item": {
                "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4",
                "display": "Patient"
            }
        }
    ]
}


The List must conform to List (MY Core) with;

  1. A source declaring main source system meta.source
  2. MY Core profile declared meta.profile="http://fhir.hie.moh.gov.my/StructureDefinition/List-my-core"
  3. The status as "current" status="current"
  4. The mode as "working" mode="working"
  5. A code to define maternal record "sub-001" code.coding.code="sub-001"
  6. Title defined as "Maternal Health Record DD-MMM-YYYY"
    • e.g. title:"Maternal Health Record 01-Sep-2023"
  7. The patient referenced as a subject subject.reference with history version stored
    • e.g.subject.reference:"Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4"
  8. The date when record created date
  9. entry referencing the patient entry.item.reference

Referring to

Command 'pagelink' could not render: Page not found.
, the Maternal Health Record are generally broken down into a few categories;

  • QuestionnaireResponse only
  • QuestionnaireResponse + Composition
  • Observation

QuestionnaireResponse Only

The main record are mostly stored as QuestionnaireResponse (MY Core) conforming to each defined

Command 'pagelink' could not render: Page not found.
pages.

It is advisable to send as a bundle with both QuestionnaireResponse and List referencing the QuestionnaireResponse as example below:

QuestionnaireResponse only

{
    "resourceType": "Bundle",
    "type": "transaction",
    "entry":  [
        {
            "request": {
                "method": "PUT",
                "url": "List/list-sample"
            },
            "resource": {
                "resourceType": "List",
                "id": "list-sample",
                "meta": {
                    "source": "http://provider.hie.moh.gov.my",
                    "profile":  [
                        "http://fhir.hie.moh.gov.my/StructureDefinition/List-my-core"
                    ]
                },
                "status": "current",
                "mode": "working",
                "title": "Maternal Health Record 12-Sep-2023",
                "code": {
                    "coding":  [
                        {
                            "system": "http://fhir.hie.moh.gov.my/CodeSystem/sub-record-type-my-core",
                            "code": "sub-001",
                            "display": "Maternal Health Record"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4"
                },
                "date": "2023-09-12T01:34:38.641Z",
                "source": {
                    "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484/_history/1"
                },
                "entry":  [
                    {
                        "item": {
                            "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4",
                            "display": "Patient"
                        }
                    },
                    {
                        "date": "2023-09-12T09:34:41+08:00",
                        "item": {
                            "reference": "QuestionnaireResponse/qr-maternal-01-sample",
                            "display": "maternal-01"
                        }
                    }
                ]
            }
        },
        {
            "request": {
                "method": "PUT",
                "url": "QuestionnaireResponse/qr-maternal-01-sample"
            },
            "resource": {
                "resourceType": "QuestionnaireResponse",
                "id": "qr-maternal-01-sample",
                "meta": {
                    "source": "http://provider.hie.moh.gov.my",
                    "profile":  [
                        "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
                    ]
                },
                "identifier": {
                    "system": "http://fhir.hie.moh.gov.my/sid/template-section",
                    "value": "qr-maternal-01"
                },
                "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-01",
                "status": "completed",
                "subject": {
                    "reference": "Patient/dba06121-c9c3-4169-bb92-b67a6f337ded/_history/4"
                },
                "authored": "2023-09-12T09:34:41+08:00",
                "item":  [
                    {
                        "linkId": "maternal-1.1",
                        "text": "THA (LNMP)",
                        "answer":  [
                            {
                                "valueDate": "2023-08-01",
                                "item":  [
                                    {
                                        "linkId": "maternal-1.1.1",
                                        "text": "Unsure Date",
                                        "answer":  [
                                            {
                                                "valueBoolean": true
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "linkId": "maternal-1.2",
                        "text": "TAL (EDD)",
                        "answer":  [
                            {
                                "valueDate": "2024-05-07"
                            }
                        ]
                    },
                    {
                        "linkId": "maternal-1.3",
                        "text": "RE EDD",
                        "answer":  [
                            {
                                "valueDate": "2024-05-14"
                            }
                        ]
                    },
                    {
                        "linkId": "maternal-1.4",
                        "text": "Gravida",
                        "answer":  [
                            {
                                "valueInteger": 3
                            }
                        ]
                    },
                    {
                        "linkId": "maternal-1.5",
                        "text": "Para",
                        "answer":  [
                            {
                                "valueInteger": 2,
                                "item":  [
                                    {
                                        "linkId": "maternal-1.5.1",
                                        "text": "+",
                                        "answer":  [
                                            {
                                                "valueInteger": 1
                                            }
                                        ]
                                    },
                                    {
                                        "linkId": "maternal-1.5.2",
                                        "text": "Para remark",
                                        "answer":  [
                                            {
                                                "valueString": "miscarriage"
                                            }
                                        ]
                                    }
                                ]
                            }
                        ]
                    },
                    {
                        "linkId": "maternal-1.6",
                        "text": "Jururawat Y/M",
                        "answer":  [
                            {
                                "valueReference": {
                                    "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484",
                                    "display": "SAIFULDAULAH BIN MOHD HAFIZ NGOO ( Medical Officer )"
                                }
                            },
                            {
                                "valueReference": {
                                    "reference": "PractitionerRole/19c428c2-21aa-4494-b416-22bd51de90d7",
                                    "display": "ZULAIKA ( Medical Officer )"
                                }
                            }
                        ]
                    },
                    {
                        "linkId": "maternal-1.8",
                        "text": "Height",
                        "answer":  [
                            {
                                "valueQuantity": {
                                    "value": 168
                                }
                            }
                        ]
                    },
                    {
                        "linkId": "maternal-1.9",
                        "text": "Booking Weight",
                        "answer":  [
                            {
                                "valueQuantity": {
                                    "value": 55
                                }
                            }
                        ]
                    },
                    {
                        "linkId": "maternal-1.10",
                        "text": "BMI",
                        "answer":  [
                            {
                                "valueQuantity": {
                                    "value": 19.49
                                }
                            }
                        ]
                    },
                    {
                        "linkId": "maternal-1.11",
                        "text": "BMI category",
                        "answer":  [
                            {
                                "valueCoding": {
                                    "code": "310252000",
                                    "display": "Kurang Berat Badan (BMI < 20)"
                                }
                            }
                        ]
                    }
                ]
            }
        }
    ]
}


The List must conform to List (MY Core) as mentioned above.

The QuestionnaireResponse must conform to QuestionnaireResponse (MY Core) with;

  1. A source declaring main source system meta.source
  2. MY Core profile declared meta.profile="http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
  3. An identifier of the related page "qr-maternal-[pageNo]"
    • e.g. identifier.system="qr-maternal-01"
  4. A reference to the questionnaire
    • e.g. questionnaire: "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-01"
  5. A status as "completed" status="completed"
    • e.g. title:"Maternal Health Record 01-Sep-2023"
  6. The patient referenced as a subject subject.reference
  7. The date when record created authored

These are the pages that stores as a QuestionnaireResponse only;


Click MY Core postman API link to view common API used in HIE.

No Title JSON
1. Rekod Kesihatan Ibu
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-maternal-01",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-01",
    "version": "maternal-1.0.0",
    "name": "QMaternal01",
    "title": "Rekod Kesihatan Ibu",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "item":  [
        {
            "linkId": "maternal-1.1",
            "text": "THA (LNMP)",
            "type": "date",
            "item":  [
                {
                    "linkId": "maternal-1.1.1",
                    "text": "Unsure Date",
                    "type": "boolean"
                }
            ]
        },
        {
            "linkId": "maternal-1.2",
            "text": "TAL (EDD)",
            "type": "date"
        },
        {
            "linkId": "maternal-1.3",
            "text": "RE EDD",
            "type": "date"
        },
        {
            "linkId": "maternal-1.4",
            "text": "Gravida",
            "type": "integer"
        },
        {
            "linkId": "maternal-1.5",
            "text": "Para",
            "type": "integer",
            "item":  [
                {
                    "linkId": "maternal-1.5.1",
                    "text": "+",
                    "type": "integer"
                },
                {
                    "linkId": "maternal-1.5.2",
                    "text": "Para remark",
                    "type": "string",
                    "maxLength": 20
                }
            ]
        },
        {
            "linkId": "maternal-1.6",
            "text": "Jururawat Y/M",
            "type": "reference",
            "repeats": true
        },
        {
            "linkId": "maternal-1.7",
            "text": "Postnatal Address",
            "type": "string"
        },
        {
            "linkId": "maternal-1.8",
            "text": "Height",
            "type": "quantity"
        },
        {
            "linkId": "maternal-1.9",
            "text": "Booking Weight",
            "type": "quantity"
        },
        {
            "linkId": "maternal-1.10",
            "text": "BMI",
            "type": "quantity"
        },
        {
            "linkId": "maternal-1.11",
            "text": "BMI category",
            "type": "choice",
            "answerOption":  [
                {
                    "valueCoding": {
                        "code": "310252000",
                        "display": "Kurang Berat Badan (BMI < 20)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "35425004",
                        "display": "Normal (BMI 20 -24)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "162863004",
                        "display": "Lebih Berat Badan (BMI 25 - 29)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "162864005",
                        "display": "Obese (BMI > 30)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "408512008",
                        "display": "Extreme Obese (BMI > 40)"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-1.12",
            "text": "Post Natal Record",
            "type": "boolean"
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-maternal-01",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
        ]
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/baseR4/Questionnaire/q-maternal-01",
    "status": "completed",
    "subject": {
        "reference": "Patient/f92c383f-68de-46c1-8cde-970efa2d0f15/_history/1"
    },
    "authored": "2023-01-01T04:14:25+08:00",
    "item":  [
        {
            "linkId": "maternal-1.1",
            "text": "THA (LNMP)",
            "answer":  [
                {
                    "valueDate": "2023-08-01",
                    "item":  [
                        {
                            "linkId": "maternal-1.1.1",
                            "text": "Unsure Date",
                            "answer":  [
                                {
                                    "valueBoolean": true
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-1.2",
            "text": "TAL (EDD)",
            "answer":  [
                {
                    "valueDate": "2024-05-07"
                }
            ]
        },
        {
            "linkId": "maternal-1.3",
            "text": "RE EDD",
            "answer":  [
                {
                    "valueDate": "2024-05-14"
                }
            ]
        },
        {
            "linkId": "maternal-1.4",
            "text": "Gravida",
            "answer":  [
                {
                    "valueInteger": 3
                }
            ]
        },
        {
            "linkId": "maternal-1.5",
            "text": "Para",
            "answer":  [
                {
                    "valueInteger": 2,
                    "item":  [
                        {
                            "linkId": "maternal-1.5.1",
                            "text": "+",
                            "answer":  [
                                {
                                    "valueInteger": 1
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-1.5.2",
                            "text": "Para remark",
                            "answer":  [
                                {
                                    "valueString": "miscarriage"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-1.6",
            "text": "Jururawat Y/M",
            "answer":  [
                {
                    "valueReference": {
                        "reference": "PractitionerRole/121d966a-ca39-44dd-8e49-345f5ef1e484",
                        "display": "SAIFULDAULAH BIN MOHD HAFIZ NGOO ( Medical Officer )"
                    }
                },
                {
                    "valueReference": {
                        "reference": "PractitionerRole/19c428c2-21aa-4494-b416-22bd51de90d7",
                        "display": "ZULAIKA ( Medical Officer )"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-1.8",
            "text": "Height",
            "answer":  [
                {
                    "valueQuantity": {
                        "value": 168
                    }
                }
            ]
        },
        {
            "linkId": "maternal-1.9",
            "text": "Booking Weight",
            "answer":  [
                {
                    "valueQuantity": {
                        "value": 55
                    }
                }
            ]
        },
        {
            "linkId": "maternal-1.10",
            "text": "BMI",
            "answer":  [
                {
                    "valueQuantity": {
                        "value": 19.49
                    }
                }
            ]
        },
        {
            "linkId": "maternal-1.11",
            "text": "BMI category",
            "answer":  [
                {
                    "valueCoding": {
                        "code": "310252000",
                        "display": "Kurang Berat Badan (BMI < 20)"
                    }
                }
            ]
        }
    ]
}

2. Perihal Kandungan Lalu
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-maternal-02",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-02",
    "version": "1.0.0",
    "name": "QMaternal02",
    "title": "Perihal Kandungan Lalu",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "item":  [
        {
            "linkId": "maternal-2.0",
            "text": "Perihal kandungan lalu",
            "type": "group",
            "repeats": true,
            "item":  [
                {
                    "linkId": "maternal-2.1",
                    "text": "Perihal kandungan lalu",
                    "type": "group",
                    "repeats": true,
                    "item":  [
                        {
                            "linkId": "maternal-2.1.1",
                            "text": "Tahun",
                            "type": "date"
                        },
                        {
                            "linkId": "maternal-2.1.2",
                            "text": "Hasil Kandungan",
                            "type": "string"
                        },
                        {
                            "linkId": "maternal-2.1.3",
                            "text": "Jenis Kelahiran",
                            "type": "string"
                        },
                        {
                            "linkId": "maternal-2.1.4",
                            "text": "Tempat",
                            "type": "string"
                        },
                        {
                            "linkId": "maternal-2.1.5",
                            "text": "Disambut Oleh",
                            "type": "string"
                        },
                        {
                            "linkId": "maternal-2.1.6",
                            "text": "Jantina",
                            "type": "choice",
                            "answerOption":  [
                                {
                                    "valueCoding": {
                                        "system": "http://hl7.org/fhir/administrative-gender",
                                        "code": "male",
                                        "display": "Lelaki"
                                    }
                                },
                                {
                                    "valueCoding": {
                                        "system": "http://hl7.org/fhir/administrative-gender",
                                        "code": "female",
                                        "display": "Perempuan"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.7",
                            "text": "Berat Lahir",
                            "type": "quantity"
                        },
                        {
                            "linkId": "maternal-2.1.8",
                            "text": "Komplikasi Ibu",
                            "type": "string"
                        },
                        {
                            "linkId": "maternal-2.1.9",
                            "text": "Komplikasi Anak",
                            "type": "string"
                        },
                        {
                            "linkId": "maternal-2.1.10",
                            "text": "Penyusuan susu ibu/tempoh",
                            "type": "string"
                        },
                        {
                            "linkId": "maternal-2.1.11",
                            "text": "Keadaan anak sekarang",
                            "type": "string"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-2.2",
            "text": "Tarikh Perkahwinan",
            "type": "date",
            "repeats": true
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-maternal-02",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
        ]
    },
    "identifier": {
        "system": "http://fhir.hie.moh.gov.my/sid/template-section",
        "value": "qr-maternal-02"
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-02",
    "status": "completed",
    "subject": {
        "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
    },
    "authored": "2022-11-16T03:56:06.596Z",
    "item":  [
        {
            "linkId": "maternal-2.0",
            "text": "Perihal kandungan lalu",
            "item":  [
                {
                    "linkId": "maternal-2.1",
                    "text": "Perihal kandungan lalu",
                    "item":  [
                        {
                            "linkId": "maternal-2.1.1",
                            "text": "Tahun",
                            "answer":  [
                                {
                                    "valueDate": "2020-08-05"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.2",
                            "text": "Hasil Kandungan",
                            "answer":  [
                                {
                                    "valueString": "1"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.3",
                            "text": "Jenis Kelahiran",
                            "answer":  [
                                {
                                    "valueString": "kembar 1"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.4",
                            "text": "Tempat",
                            "answer":  [
                                {
                                    "valueString": "tempat entry 1"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.5",
                            "text": "Disambut Oleh",
                            "answer":  [
                                {
                                    "valueString": "disambut entry 1"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.6",
                            "text": "Jantina",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://hl7.org/fhir/administrative-gender",
                                        "code": "male",
                                        "display": "Lelaki"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.7",
                            "text": "Berat Lahir",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 2
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.8",
                            "text": "Komplikasi Ibu",
                            "answer":  [
                                {
                                    "valueString": "komplikasi ibu entry 1"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.9",
                            "text": "Komplikasi Anak",
                            "answer":  [
                                {
                                    "valueString": "komplikasi anak entry 1"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.10",
                            "text": "Penyusuan susu ibu/tempoh",
                            "answer":  [
                                {
                                    "valueString": "1"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.11",
                            "text": "Keadaan anak sekarang",
                            "answer":  [
                                {
                                    "valueString": "keadaan entry 1"
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "maternal-2.1",
                    "text": "Perihal kandungan lalu",
                    "item":  [
                        {
                            "linkId": "maternal-2.1.1",
                            "text": "Tahun",
                            "answer":  [
                                {
                                    "valueDate": "2020-08-05"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.2",
                            "text": "Hasil Kandungan",
                            "answer":  [
                                {
                                    "valueString": "1"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.3",
                            "text": "Jenis Kelahiran",
                            "answer":  [
                                {
                                    "valueString": "kembar 2"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.4",
                            "text": "Tempat",
                            "answer":  [
                                {
                                    "valueString": "tempat entry 2"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.5",
                            "text": "Disambut Oleh",
                            "answer":  [
                                {
                                    "valueString": "disambut entry 2"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.6",
                            "text": "Jantina",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://hl7.org/fhir/administrative-gender",
                                        "code": "female",
                                        "display": "Perempuan"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.7",
                            "text": "Berat Lahir",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 2
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.8",
                            "text": "Komplikasi Ibu",
                            "answer":  [
                                {
                                    "valueString": "komplikasi ibu entry 2"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.9",
                            "text": "Komplikasi Anak",
                            "answer":  [
                                {
                                    "valueString": "komplikasi anak entry 2"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.10",
                            "text": "Penyusuan susu ibu/tempoh",
                            "answer":  [
                                {
                                    "valueString": "2"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.11",
                            "text": "Keadaan anak sekarang",
                            "answer":  [
                                {
                                    "valueString": "keadaan entry 2"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-2.0",
            "text": "Perihal kandungan lalu",
            "item":  [
                {
                    "linkId": "maternal-2.1",
                    "text": "Perihal kandungan lalu",
                    "item":  [
                        {
                            "linkId": "maternal-2.1.1",
                            "text": "Tahun",
                            "answer":  [
                                {
                                    "valueDate": "2023-08-05"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.2",
                            "text": "Hasil Kandungan",
                            "answer":  [
                                {
                                    "valueString": "1"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.3",
                            "text": "Jenis Kelahiran",
                            "answer":  [
                                {
                                    "valueString": "bukan kembar"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.4",
                            "text": "Tempat",
                            "answer":  [
                                {
                                    "valueString": "tempat entry 3"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.5",
                            "text": "Disambut Oleh",
                            "answer":  [
                                {
                                    "valueString": "disambut entry 3"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.6",
                            "text": "Jantina",
                            "answer":  [
                                {
                                    "valueCoding": {
                                        "system": "http://hl7.org/fhir/administrative-gender",
                                        "code": "male",
                                        "display": "Lelaki"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.7",
                            "text": "Berat Lahir",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 2
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.8",
                            "text": "Komplikasi Ibu",
                            "answer":  [
                                {
                                    "valueString": "komplikasi ibu entry 3"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.9",
                            "text": "Komplikasi Anak",
                            "answer":  [
                                {
                                    "valueString": "komplikasi anak entry 3"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.10",
                            "text": "Penyusuan susu ibu/tempoh",
                            "answer":  [
                                {
                                    "valueString": "1"
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-2.1.11",
                            "text": "Keadaan anak sekarang",
                            "answer":  [
                                {
                                    "valueString": "keadaan entry 3"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-2.2",
            "text": "Tarikh Perkahwinan",
            "answer":  [
                {
                    "valueDate": "2003-08-06"
                },
                {
                    "valueDate": "2019-07-31"
                }
            ]
        }
    ]
}

3. Riwayat Kesihatan Ibu Dan Keluarga
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-maternal-03",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-03",
    "version": "1.0.0",
    "name": "QMaternal03",
    "title": "Riwayat Kesihatan Ibu Dan Keluarga",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "item":  [
        {
            "linkId": "maternal-3.1",
            "text": "Haid",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-3.1.1",
                    "text": "Jumlah Hari",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-3.1.2",
                    "text": "Pusingan",
                    "type": "choice",
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "78456001",
                                "display": "Teratur"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "80182007",
                                "display": "Tidak teratur"
                            }
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-3.2",
            "text": "Amalan Perancang Keluarga",
            "type": "group",
            "required": true,
            "item":  [
                {
                    "linkId": "maternal-3.2.1",
                    "text": "Mengamal perancang keluarga",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-3.2.2",
                    "text": "Kaedah",
                    "type": "choice",
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "225370004",
                                "display": "Barrier Method"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "89639000",
                                "display": "Cervical cap and diaphragm"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "268463003",
                                "display": "Coitus Interruptus"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "102954005",
                                "display": "Emergency Contraception"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "137531000119108",
                                "display": "Hormonal patch"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "449038007",
                                "display": "Implant"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "268464009",
                                "display": "Injectables"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "449038007",
                                "display": "Intrauterine Contraception (Hormonal)"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "312079003",
                                "display": "Intrauterine Contraception (Non-Hormonal)"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "237122005",
                                "display": "Lactation Amenorrhoea Methods"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "5935008",
                                "display": "Oral Contraceptives"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "225371000",
                                "display": "Other natural methods"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "268466006",
                                "display": "Spermicidal Contraception"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "137521000119105",
                                "display": "Vaginal Ring"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.2.3",
                    "text": "Berapa lama",
                    "type": "quantity"
                }
            ]
        },
        {
            "linkId": "maternal-3.3",
            "text": "Status Merokok",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-3.3.1",
                    "text": "Ibu",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-3.3.2",
                    "text": "Suami",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-3.3.3",
                    "text": "Remark Status Merokok",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "maternal-3.4",
            "text": "Masalah Perubatan Ibu",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-3.4.1",
                    "text": "Masalah Perubatan Ibu",
                    "type": "choice",
                    "repeats": true,
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "73211009",
                                "display": "Diabetes"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "195967001",
                                "display": "Asma"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "40108008",
                                "display": "Thalasemia"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "19442009",
                                "display": "Thalasemia Carrier"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "38341003",
                                "display": "Hipertensi"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "49601007",
                                "display": "Sakit Jantung"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "14304000",
                                "display": "Tiroid"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "609328004",
                                "display": "Alergi"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "56717001",
                                "display": "Tibi"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "363346000",
                                "display": "Kanser"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "74732009",
                                "display": "Psikiatri"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "271737000",
                                "display": "Anemia"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.4.2",
                    "text": "Lain-lain Masalah Perubatan Ibu",
                    "type": "string"
                }
            ]
        },
        {
            "linkId": "maternal-3.5",
            "text": "Saringan Tibi",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-3.5.1",
                    "text": "Adakah anda mengalami batuk lebih 2 minggu",
                    "type": "boolean"
                }
            ]
        },
        {
            "linkId": "maternal-3.6",
            "text": "Masalah Perubatan Keluarga",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-3.6.1",
                    "text": "Masalah Perubatan Keluarga",
                    "type": "choice",
                    "repeats": true,
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "73211009",
                                "display": "Diabetes"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "195967001",
                                "display": "Asma"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "271737000",
                                "display": "Anemia"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "38341003",
                                "display": "Hipertensi"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "49601007",
                                "display": "Sakit Jantung"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "40108008",
                                "display": "Thalasemia"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "19442009",
                                "display": "Thalasemia Carrier"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "609328004",
                                "display": "Alergi"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "56717001",
                                "display": "Tibi"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "74732009",
                                "display": "Psikiatri"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.6.2",
                    "text": "Lain-lain Masalah Perubatan Keluarga",
                    "type": "string"
                }
            ]
        },
        {
            "linkId": "maternal-3.7",
            "text": "Status Imunisasi Ibu",
            "type": "group",
            "repeats": true,
            "item":  [
                {
                    "linkId": "maternal-3.7.1",
                    "text": "Jenis/Dos vaksin",
                    "type": "string"
                },
                {
                    "linkId": "maternal-3.7.2",
                    "text": "Tarikh suntikan",
                    "type": "dateTime"
                },
                {
                    "linkId": "maternal-3.7.3",
                    "text": "Batch No",
                    "type": "string"
                },
                {
                    "linkId": "maternal-3.7.4",
                    "text": "Tarikh Luput",
                    "type": "dateTime"
                }
            ]
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-maternal-03",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
        ]
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/qr-maternal-03",
    "status": "completed",
    "subject": {
        "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
    },
    "authored": "2022-11-16T03:56:06.596Z",
    "item":  [
        {
            "linkId": "maternal-3.1",
            "text": "Haid",
            "item":  [
                {
                    "linkId": "maternal-3.1.1",
                    "text": "Jumlah Hari",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 1,
                                "unit": "month"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.1.2",
                    "text": "Pusingan",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "78456001",
                                "display": "Teratur"
                            }
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-3.2",
            "text": "Amalan Perancang Keluarga",
            "item":  [
                {
                    "linkId": "maternal-3.2.1",
                    "text": "Mengamal perancang keluarga",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.2.2",
                    "text": "Kaedah",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "225370004",
                                "display": "Barrier Method"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.2.3",
                    "text": "Berapa lama",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 1,
                                "unit": "month"
                            }
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-3.3",
            "text": "Status Merokok",
            "item":  [
                {
                    "linkId": "maternal-3.3.1",
                    "text": "Ibu",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.3.2",
                    "text": "Suami",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.3.3",
                    "text": "Remark Status Merokok",
                    "answer":  [
                        {
                            "valueString": "Remark status merokok goes here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-3.4",
            "text": "Masalah Perubatan Ibu",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "73211009",
                        "display": "Diabetes"
                    },
                    "item":  [
                        {
                            "linkId": "5876813438457",
                            "text": "Lain-lain",
                            "answer":  [
                                {
                                    "valueString": "Right Kidney Failure"
                                }
                            ]
                        }
                    ]
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "195967001",
                        "display": "Asma"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "40108008",
                        "display": "Thalasemia"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "56717001",
                        "display": "Tibi"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-3.5",
            "text": "Saringan Tibi",
            "item":  [
                {
                    "linkId": "maternal-3.5.1",
                    "text": "Adakah anda mengalami batuk lebih 2 minggu",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-3.6",
            "text": "Masalah Perubatan Keluarga",
            "item":  [
                {
                    "linkId": "maternal-3.6.1",
                    "text": "Masalah Perubatan Keluarga",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "195967001",
                                "display": "Asma"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "74732009",
                                "display": "Psikiatri"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.6.2",
                    "text": "Lain-lain",
                    "answer":  [
                        {
                            "valueString": "Buta Warna"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-3.7",
            "text": "Status Imunisasi Ibu",
            "item":  [
                {
                    "linkId": "maternal-3.7.1",
                    "text": "Jenis/Dos vaksin",
                    "answer":  [
                        {
                            "valueString": "Tetanus/Toxoid"
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.7.2",
                    "text": "Tarikh suntikan",
                    "answer":  [
                        {
                            "valueDateTime": "2022-11-16T09:29:51.092Z"
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.7.3",
                    "text": "Batch No",
                    "answer":  [
                        {
                            "valueString": "1"
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.7.4",
                    "text": "Tarikh Luput",
                    "answer":  [
                        {
                            "valueDateTime": "2022-11-16T09:30:07.668Z"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-3.7",
            "text": "Status Imunisasi Ibu",
            "item":  [
                {
                    "linkId": "maternal-3.7.1",
                    "text": "Jenis/Dos vaksin",
                    "answer":  [
                        {
                            "valueString": "Covid-19"
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.7.2",
                    "text": "Tarikh suntikan",
                    "answer":  [
                        {
                            "valueDateTime": "2022-11-16T09:30:40.231Z"
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.7.3",
                    "text": "Batch No",
                    "answer":  [
                        {
                            "valueString": "2"
                        }
                    ]
                },
                {
                    "linkId": "maternal-3.7.4",
                    "text": "Tarikh Luput",
                    "answer":  [
                        {
                            "valueDateTime": "2022-11-16T09:30:46.725Z"
                        }
                    ]
                }
            ]
        }
    ]
}

4. Akuan Pengambilan Darah bagi Ujian Saringan Antenatal

Consent not stored in HIE

5. Penyakit/status yang disaring
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-maternal-05",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-05",
    "version": "1.0.0",
    "name": "QMaternal05",
    "title": "Penyakit/status yang disaring",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "item":  [
        {
            "linkId": "maternal-5.1",
            "text": "Kumpulan darah & Rhesus",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-5.1.1",
                    "text": "Tarikh diambil",
                    "type": "dateTime"
                },
                {
                    "linkId": "maternal-5.1.2",
                    "text": "Keputusan",
                    "type": "string"
                }
            ]
        },
        {
            "linkId": "maternal-5.2",
            "text": "Syphilis",
            "type": "group",
            "repeats": true,
            "item":  [
                {
                    "linkId": "maternal-5.2.1",
                    "text": "Tarikh diambil",
                    "type": "dateTime"
                },
                {
                    "linkId": "maternal-5.2.2",
                    "text": "Keputusan",
                    "type": "choice",
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "a1",
                                "display": "Positive"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "a2",
                                "display": "Negative"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "a3",
                                "display": "Pending"
                            }
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-5.3",
            "text": "HIV",
            "type": "group",
            "repeats": true,
            "item":  [
                {
                    "linkId": "maternal-5.3.1",
                    "text": "Tarikh diambil",
                    "type": "dateTime"
                },
                {
                    "linkId": "maternal-5.3.2",
                    "text": "Keputusan",
                    "type": "choice",
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "a1",
                                "display": "Positive"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "a2",
                                "display": "Negative"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "a3",
                                "display": "Pending"
                            }
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-5.4",
            "text": "Hepatitis B",
            "type": "group",
            "repeats": true,
            "item":  [
                {
                    "linkId": "maternal-5.4.1",
                    "text": "Tarikh diambil",
                    "type": "dateTime"
                },
                {
                    "linkId": "maternal-5.4.2",
                    "text": "Keputusan",
                    "type": "choice",
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "code": "a1",
                                "display": "Positive"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "a2",
                                "display": "Negative"
                            }
                        },
                        {
                            "valueCoding": {
                                "code": "a3",
                                "display": "Pending"
                            }
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-5.5",
            "text": "Malaria (BFMP)",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-5.5.1",
                    "text": "Tarikh diambil",
                    "type": "dateTime"
                },
                {
                    "linkId": "maternal-5.5.2",
                    "text": "Keputusan",
                    "type": "string"
                }
            ]
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-maternal-05",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
        ]
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-05",
    "status": "completed",
    "subject": {
        "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
    },
    "authored": "2022-11-16T03:56:06.596Z",
    "item":  [
        {
            "linkId": "maternal-5.1",
            "text": "Kumpulan darah & Rhesus",
            "item":  [
                {
                    "linkId": "maternal-5.1.1",
                    "text": "Tarikh diambil",
                    "answer":  [
                        {
                            "valueDateTime": "2022-11-06T06:21:30.609Z"
                        }
                    ]
                },
                {
                    "linkId": "maternal-5.1.2",
                    "text": "Keputusan",
                    "answer":  [
                        {
                            "valueString": "Negatif"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-5.2",
            "text": "Syphilis",
            "item":  [
                {
                    "linkId": "maternal-5.2.1",
                    "text": "Tarikh diambil",
                    "answer":  [
                        {
                            "valueDateTime": "2022-11-06T06:21:52.150Z"
                        }
                    ]
                },
                {
                    "linkId": "maternal-5.2.2",
                    "text": "Keputusan",
                    "answer":  [
                        {
                            "valueString": "Negatif"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-5.3",
            "text": "HIV",
            "item":  [
                {
                    "linkId": "maternal-5.3.1",
                    "text": "Tarikh diambil",
                    "answer":  [
                        {
                            "valueDateTime": "2022-11-06T06:22:19.917Z"
                        }
                    ]
                },
                {
                    "linkId": "maternal-5.3.2",
                    "text": "Keputusan",
                    "answer":  [
                        {
                            "valueString": "Negatif"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-5.4",
            "text": "Hepatitis B",
            "item":  [
                {
                    "linkId": "maternal-5.4.1",
                    "text": "Tarikh diambil",
                    "answer":  [
                        {
                            "valueDateTime": "2022-11-06T06:22:33.169Z"
                        }
                    ]
                },
                {
                    "linkId": "maternal-5.4.2",
                    "text": "Keputusan",
                    "answer":  [
                        {
                            "valueString": "Negatif"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-5.5",
            "text": "Malaria (BFMP)",
            "item":  [
                {
                    "linkId": "maternal-5.5.1",
                    "text": "Tarikh diambil",
                    "answer":  [
                        {
                            "valueDateTime": "2022-11-06T06:22:42.997Z"
                        }
                    ]
                },
                {
                    "linkId": "maternal-5.5.2",
                    "text": "Keputusan",
                    "answer":  [
                        {
                            "valueString": "Negatif"
                        }
                    ]
                }
            ]
        }
    ]
}

7. Pemeriksaan Oleh Pegawai Perubatan dan Pegawai Pergigian
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-maternal-07",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-07",
    "version": "1.0.0",
    "name": "QMaternal07",
    "title": "Pemeriksaan Oleh Pegawai Perubatan dan Pegawai Pergigian",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "item":  [
        {
            "linkId": "maternal-7.1",
            "code":  [
                {
                    "code": "maternal-7.1"
                }
            ],
            "text": "Jenis Pemeriksaan",
            "type": "choice",
            "answerOption":  [
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core",
                        "code": "maternal-rme-1",
                        "display": "Routine Medical Exam 1 (RME 1)"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core",
                        "code": "maternal-rme-2",
                        "display": "Routine Medical Exam 2 (RME 2)"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core",
                        "code": "maternal-rme-add",
                        "display": "Additional Medical Exam"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core",
                        "code": "maternal-rme-dental",
                        "display": "Dental Routine Medical Exam"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-7.2",
            "text": "General",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-7.2.1",
                    "text": "Pink/Pallor",
                    "type": "string"
                },
                {
                    "linkId": "maternal-7.2.2",
                    "text": "Jaundice",
                    "type": "string"
                },
                {
                    "linkId": "maternal-7.2.3",
                    "text": "BP",
                    "type": "group",
                    "item":  [
                        {
                            "linkId": "maternal-7.2.3.1",
                            "text": "Systolic",
                            "type": "quantity"
                        },
                        {
                            "linkId": "maternal-7.2.3.2",
                            "text": "Diastolic",
                            "type": "quantity"
                        }
                    ]
                },
                {
                    "linkId": "maternal-7.2.4",
                    "text": "Pulse Rate",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-7.2.5",
                    "text": "Pulse Rhythm",
                    "type": "string"
                }
            ]
        },
        {
            "linkId": "maternal-7.3",
            "text": "Neck",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-7.3.1",
                    "text": "Swelling",
                    "type": "string"
                }
            ]
        },
        {
            "linkId": "maternal-7.4",
            "text": "CVS",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-7.4.1",
                    "text": "Clubbing",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-7.4.2",
                    "text": "JVP",
                    "type": "choice",
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "260399008",
                                "display": "Raised"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "17621005",
                                "display": "Normal"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-7.4.3",
                    "text": "Apex Beat",
                    "type": "choice",
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "17621005",
                                "display": "Normal"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "263739008",
                                "display": "Displaced"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-7.4.4",
                    "text": "Heart Sounds",
                    "type": "choice",
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "301132007",
                                "display": "Normal"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "123824001",
                                "display": "Abnormal"
                            }
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-7.5",
            "text": "Breast",
            "type": "choice",
            "answerOption":  [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "263654008",
                        "display": "Abnormal"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-7.6",
            "text": "Lungs",
            "type": "choice",
            "answerOption":  [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "263654008",
                        "display": "Abnormal"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-7.7",
            "text": "Abdomen",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-7.7.1",
                    "text": "SFH",
                    "type": "string"
                },
                {
                    "linkId": "maternal-7.7.2",
                    "text": "FHR",
                    "type": "quantity"
                }
            ]
        },
        {
            "linkId": "maternal-7.8",
            "text": "Lower limbs",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-7.8.1",
                    "text": "Oedema",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-7.8.2",
                    "text": "Calf tenderness",
                    "type": "boolean"
                }
            ]
        },
        {
            "linkId": "maternal-7.9",
            "text": "Catatan",
            "type": "text"
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-maternal-07",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
        ]
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-07",
    "status": "completed",
    "subject": {
        "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
    },
    "authored": "2022-11-23T00:42:29.983Z",
    "item":  [
        {
            "linkId": "maternal-7.1",
            "text": "Jenis Pemeriksaan",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/composition-event-my-core",
                        "code": "maternal-rme-1",
                        "display": "Routine Medical Exam 1 (RME 1)"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-7.2",
            "text": "General",
            "item":  [
                {
                    "linkId": "maternal-7.2.1",
                    "text": "Pink/Pallor",
                    "answer":  [
                        {
                            "valueString": "pink"
                        }
                    ]
                },
                {
                    "linkId": "maternal-7.2.2",
                    "text": "Jaundice",
                    "answer":  [
                        {
                            "valueString": "normal"
                        }
                    ]
                },
                {
                    "linkId": "maternal-7.2.3",
                    "text": "BP",
                    "item":  [
                        {
                            "linkId": "maternal-7.2.3.1",
                            "text": "Systolic",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 120
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-7.2.3.2",
                            "text": "Diastolic",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 90
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "maternal-7.2.4",
                    "text": "Pulse Rate",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 90
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-7.2.5",
                    "text": "Pulse Rhythm",
                    "answer":  [
                        {
                            "valueString": "regularly regular"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-7.3",
            "text": "Neck",
            "item":  [
                {
                    "linkId": "maternal-7.3.1",
                    "text": "Swelling",
                    "answer":  [
                        {
                            "valueString": "swelling over less left lower zone, not tethered to skin"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-7.4",
            "text": "CVS",
            "item":  [
                {
                    "linkId": "maternal-7.4.1",
                    "text": "Clubbing",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "maternal-7.4.2",
                    "text": "JVP",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "260399008",
                                "display": "Raised"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-7.4.3",
                    "text": "Apex Beat",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "263739008",
                                "display": "Displaced"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-7.4.4",
                    "text": "Heart Sounds",
                    "answer":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "123824001",
                                "display": "Abnormal"
                            }
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-7.5",
            "text": "Breast",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "17621005",
                        "display": "Normal"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-7.6",
            "text": "Lungs",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "263654008",
                        "display": "Abnormal"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-7.7",
            "text": "Abdomen",
            "item":  [
                {
                    "linkId": "maternal-7.7.1",
                    "text": "SFH",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 35
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-7.7.2",
                    "text": "FHR",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 200
                            }
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-7.8",
            "text": "Lower limbs",
            "item":  [
                {
                    "linkId": "maternal-7.8.1",
                    "text": "Oedema",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "maternal-7.8.2",
                    "text": "Calf tenderness",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "maternal-7.9",
            "text": "Catatan",
            "answer":  [
                {
                    "valueString": "Patient has multiple issues, need to be referral to hospital"
                }
            ]
        }
    ]
}

8. Senarai Semak Kriteria Untuk Ujian Saringan OGTT
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-maternal-08",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-08",
    "version": "1.0.0",
    "name": "QMaternal08",
    "title": "Senarai Semak Kriteria Untuk Ujian Saringan OGTT",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "item":  [
        {
            "linkId": "maternal-8.1",
            "text": "BMI >27 kg/m2",
            "type": "boolean"
        },
        {
            "linkId": "maternal-8.2",
            "text": "Sejarah Gestational Diabetes Mellitus (GDM)",
            "type": "boolean"
        },
        {
            "linkId": "maternal-8.3",
            "text": "Sejarah keluarga terdekat dengan diabetes",
            "type": "boolean"
        },
        {
            "linkId": "maternal-8.4",
            "text": "Sejarah melahirkan bayi macrosomia (berat bayi ≥4 kg)",
            "type": "boolean"
        },
        {
            "linkId": "maternal-8.5",
            "text": "Bad Obstetric History: Sejarah kelahiran IUD/ Stillbirth, kecacatan kongenital (contoh : neural tube defects, cardiac defects), shoulder dystocia",
            "type": "boolean"
        },
        {
            "linkId": "maternal-8.6",
            "text": "Glycosuria ≥ 2 kali",
            "type": "boolean"
        },
        {
            "linkId": "maternal-8.7",
            "text": "Masalah obstetrik sekarang (Hypertensive disease in pregnancy, Polyhdramnios, menerima rawatan Corticosteriods)",
            "type": "boolean"
        },
        {
            "linkId": "maternal-8.8",
            "text": "Umur ≥25 tahun (walaupun tanpa faktor risiko GDM yang lain)",
            "type": "boolean"
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-maternal-08",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
        ]
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-08",
    "status": "completed",
    "subject": {
        "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
    },
    "authored": "2022-11-23T00:42:29.983Z",
    "item":  [
        {
            "linkId": "maternal-8.1",
            "text": " BMI >27 kg/m2",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        },
        {
            "linkId": "maternal-8.2",
            "text": " Sejarah Gestational Diabetes Mellitus (GDM)",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        },
        {
            "linkId": "maternal-8.3",
            "text": "Sejarah keluarga terdekat dengan diabetes",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        },
        {
            "linkId": "maternal-8.4",
            "text": " Sejarah melahirkan bayi macrosomia (berat bayi ≥4 kg)",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        },
        {
            "linkId": "maternal-8.5",
            "text": "Bad Obstetric History: Sejarah kelahiran IUD/ Stillbirth, kecacatan kongenital (contoh : neural tube defects, cardiac defects), shoulder dystocia",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        },
        {
            "linkId": "maternal-8.6",
            "text": "Glycosuria ≥ 2 kali",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        },
        {
            "linkId": "maternal-8.7",
            "text": "Masalah obstetrik sekarang (Hypertensive disease in pregnancy, Polyhdramnios, menerima rawatan Corticosteriods)",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        },
        {
            "linkId": "maternal-8.maternal-8",
            "text": "Umur ≥25 tahun (walaupun tanpa faktor risiko GDM yang lain)",
            "answer":  [
                {
                    "valueBoolean": true
                }
            ]
        }
    ]
}

9. Keputusan Ujian OGTT
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-maternal-09",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-09",
    "version": "1.0.0",
    "name": "QMaternal09",
    "title": "Keputusan Ujian OGTT",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "item":  [
        {
            "linkId": "maternal-9.1",
            "text": "Keputusan Ujian OGTT",
            "type": "group",
            "repeats": true,
            "item":  [
                {
                    "linkId": "maternal-9.1.1",
                    "text": "Tarikh",
                    "type": "dateTime"
                },
                {
                    "linkId": "maternal-9.1.2",
                    "text": "POG",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-9.1.3",
                    "text": "Fasting Blood Sugar",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-9.1.4",
                    "text": "2H Postprandial",
                    "type": "quantity"
                }
            ]
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-maternal-09",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
        ]
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-09",
    "status": "completed",
    "subject": {
        "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
    },
    "authored": "2022-11-16T03:56:06.596Z",
    "item":  [
        {
            "linkId": "maternal-9.1",
            "text": "Tarikh",
            "answer":  [
                {
                    "valueDateTime": "2022-11-16T00:54:04.078Z"
                }
            ]
        },
        {
            "linkId": "maternal-9.2",
            "text": "POG",
            "answer":  [
                {
                    "valueQuantity": {
                        "value": 12
                    }
                }
            ]
        },
        {
            "linkId": "maternal-9.3",
            "text": "Fasting Blood Sugar",
            "answer":  [
                {
                    "valueQuantity": {
                        "value": 12
                    }
                }
            ]
        },
        {
            "linkId": "maternal-9.4",
            "text": "2H Postprandial",
            "answer":  [
                {
                    "valueQuantity": {
                        "value": 12
                    }
                }
            ]
        }
    ]
}

10. Pemantauan Paras Gula Dalam Darah
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-maternal-10",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-10",
    "version": "1.0.0",
    "name": "QMaternal10",
    "title": "Pemantauan Paras Gula Dalam Darah",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "item":  [
        {
            "linkId": "maternal-10.1",
            "text": "Pemantauan Paras Gula Dalam Darah",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-10.1.1",
                    "text": "Tarikh",
                    "type": "dateTime"
                },
                {
                    "linkId": "maternal-10.1.2",
                    "text": "Pre Breakfast",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-10.1.3",
                    "text": "2 Hours Post Breakfast",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-10.1.4",
                    "text": "Pre Lunch",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-10.1.5",
                    "text": "2 Hours Post Lunch",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-10.1.6",
                    "text": "Pre Dinner",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-10.1.7",
                    "text": "2 Hours Post Dinner",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-10.1.8",
                    "text": "Pre Bed",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-10.1.9",
                    "text": "Catatan",
                    "type": "string"
                }
            ]
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-maternal-10",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
        ]
    },
    "identifier": {
        "system": "http://fhir.hie.moh.gov.my/sid/template-section",
        "value": "qr-maternal-10"
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-10",
    "status": "completed",
    "subject": {
        "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c"
    },
    "authored": "2023-04-27T00:20:14.414Z",
    "author": {
        "reference": "PractitionerRole/08a661a4-2855-47e9-8e2e-cbb43f785ecf/_history/3"
    },
    "item":  [
        {
            "linkId": "maternal-10.1",
            "text": "Pemantauan Paras Gula Dalam Darah",
            "item":  [
                {
                    "linkId": "maternal-10.1.1",
                    "text": "Tarikh",
                    "answer":  [
                        {
                            "valueDateTime": "2023-06-07T05:12:37.828Z"
                        }
                    ]
                },
                {
                    "linkId": "maternal-10.1.2",
                    "text": "Pre Breakfast",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 7.2
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-10.1.3",
                    "text": "2 Hours Post Breakfast",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 6.1
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-10.1.4",
                    "text": "Pre Lunch",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 6.2
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-10.1.5",
                    "text": "2 Hours Post Lunch",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 5
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal- 10.1.6",
                    "text": "Pre Dinner",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 4.9
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal- 10.1.7",
                    "text": "2 Hours Post Dinner",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 3.2
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-10.1.8",
                    "text": "Pre Bed",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 2
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-10.1.6",
                    "text": "Catatan",
                    "answer":  [
                        {
                            "valueString": "enter string here"
                        }
                    ]
                }
            ]
        }
    ]
}

11. Pemantauan Tekanan Darah
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-maternal-11",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-11",
    "version": "1.0",
    "name": "QMaternal11",
    "title": "Pemantauan Tekanan Darah",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "item":  [
        {
            "linkId": "maternal-11.1",
            "text": "Pemantauan Tekanan Darah",
            "type": "group",
            "repeats": true,
            "item":  [
                {
                    "linkId": "maternal-11.1.1",
                    "text": "Tarikh",
                    "type": "date"
                },
                {
                    "linkId": "maternal-11.1.2",
                    "text": "Masa",
                    "type": "time"
                },
                {
                    "linkId": "maternal-11.1.3",
                    "text": "Simptom",
                    "type": "text"
                },
                {
                    "linkId": "maternal-11.1.4",
                    "text": "Tekanan Darah",
                    "type": "group",
                    "item":  [
                        {
                            "linkId": "maternal-11.1.4.1",
                            "text": "Sistolik",
                            "type": "quantity"
                        },
                        {
                            "linkId": "maternal-11.1.4.2",
                            "text": "Diastolik",
                            "type": "quantity"
                        }
                    ]
                },
                {
                    "linkId": "maternal-11.1.5",
                    "text": "Denyutan Jantung Janin",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-11.1.6",
                    "text": "Urin Protein",
                    "type": "choice",
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "167273002",
                                "display": "Not Detected"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "167274008",
                                "display": "Trace"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "167275009",
                                "display": "1+"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "167276005",
                                "display": "2+"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "167277001",
                                "display": "3+"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "167278006",
                                "display": "4+"
                            }
                        }
                    ]
                }
            ]
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-maternal-11",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
        ]
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-11",
    "status": "completed",
    "subject": {
        "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
    },
    "authored": "2022-11-16T03:56:06.596Z",
    "item":  [
        {
            "linkId": "maternal-11.1",
            "text": "Pemantauan Tekanan Darah",
            "item":  [
                {
                    "linkId": "maternal-11.1.1",
                    "text": "Tarikh",
                    "answer":  [
                        {
                            "valueDate": "2022-11-15"
                        }
                    ]
                },
                {
                    "linkId": "maternal-11.1.2",
                    "text": "Masa",
                    "answer":  [
                        {
                            "valueTime": "14:00:50"
                        }
                    ]
                },
                {
                    "linkId": "maternal-11.1.3",
                    "text": "Simptom",
                    "answer":  [
                        {
                            "valueString": "Pitam"
                        }
                    ]
                },
                {
                    "linkId": "maternal-11.1.4",
                    "text": "Tekanan Darah",
                    "item":  [
                        {
                            "linkId": "maternal-11.1.4.1",
                            "text": "Sistolik",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 130
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-11.1.4.2",
                            "text": "Diastolik",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 80
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "maternal-11.1.5",
                    "text": "Denyutan Jantung Janin",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 110
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-11.1.6",
                    "text": "Urin Protein",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 3
                            }
                        }
                    ]
                }
            ]
        }
    ]
}

12. Pemantauan Profil Pre-Eclampsia
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-maternal-12",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-12",
    "name": "QMaternal12",
    "title": "Pemantauan Profil Pre-Eclampsia",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "item":  [
        {
            "linkId": "maternal-12.1",
            "text": "Pemantauan Profil Pre-Eclampsia",
            "type": "group",
            "repeats": true,
            "item":  [
                {
                    "linkId": "maternal-12.1.1",
                    "text": "Tarikh",
                    "type": "date"
                },
                {
                    "linkId": "maternal-12.1.2",
                    "text": "POA/POG",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-12.1.3",
                    "text": "Tekanan Darah (BP)",
                    "type": "group",
                    "item":  [
                        {
                            "linkId": "maternal-12.1.3.1",
                            "text": "Sistolik",
                            "type": "quantity",
                            "initial":  [
                                {
                                    "valueQuantity": {
                                        "unit": "mmHg",
                                        "system": "http://unitsofmeasure.org",
                                        "code": "mm[Hg]"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-12.1.3.2",
                            "text": "Diastolik",
                            "type": "quantity",
                            "initial":  [
                                {
                                    "valueQuantity": {
                                        "unit": "mmHg",
                                        "system": "http://unitsofmeasure.org",
                                        "code": "mm[Hg]"
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.4",
                    "text": "Proteinuria",
                    "type": "choice",
                    "answerOption":  [
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "167273002",
                                "display": "Not Detected"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "167274008",
                                "display": "Trace"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "167275009",
                                "display": "1+"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "167276005",
                                "display": "2+"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "167277001",
                                "display": "3+"
                            }
                        },
                        {
                            "valueCoding": {
                                "system": "http://snomed.info/sct",
                                "code": "167278006",
                                "display": "4+"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.5",
                    "text": "Urea",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmol/L",
                                "system": "http://unitsofmeasure.org",
                                "code": "mmol/L"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.6",
                    "text": "Creatinine",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "umol/L",
                                "system": "http://unitsofmeasure.org",
                                "code": "umol/L"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.7",
                    "text": "Uric Acid",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmol/L",
                                "system": "http://unitsofmeasure.org",
                                "code": "mmol/L"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.8",
                    "text": "Hemoglobin",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "g/dL",
                                "system": "http://unitsofmeasure.org",
                                "code": "g/dL"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.9",
                    "text": "Platelet",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "10*3/uL",
                                "system": "http://unitsofmeasure.org",
                                "code": "10*3/uL"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.10",
                    "text": "AST",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "IU/L",
                                "system": "http://unitsofmeasure.org",
                                "code": "[IU]/L"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.11",
                    "text": "ALT",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "IU/L",
                                "system": "http://unitsofmeasure.org",
                                "code": "[IU]/L"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.12",
                    "text": "Nama Pemeriksa",
                    "type": "string"
                },
                {
                    "linkId": "maternal-12.1.13",
                    "text": "Masa",
                    "type": "dateTime"
                }
            ]
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-maternal-12",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
        ]
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-12",
    "status": "completed",
    "subject": {
        "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
    },
    "authored": "2022-11-16T03:56:06.596Z",
    "item":  [
        {
            "linkId": "maternal-12.1",
            "text": "Pemantauan Profil Pre-Eclampsia",
            "item":  [
                {
                    "linkId": "maternal-12.1.1",
                    "text": "Tarikh",
                    "answer":  [
                        {
                            "valueDate": "2023-02-22"
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.2",
                    "text": "POA/POG",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 2,
                                "unit": "week",
                                "system": "http://unitsofmeasure.org",
                                "code": "wk"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.3",
                    "text": "Tekanan Darah (BP)",
                    "item":  [
                        {
                            "linkId": "maternal-12.1.3.1",
                            "text": "Sistolik",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 120,
                                        "unit": "mmHg",
                                        "system": "http://unitsofmeasure.org",
                                        "code": "mm[Hg]"
                                    }
                                }
                            ]
                        },
                        {
                            "linkId": "maternal-12.1.3.2",
                            "text": "Diastolik",
                            "answer":  [
                                {
                                    "valueQuantity": {
                                        "value": 80,
                                        "unit": "mmHg",
                                        "system": "http://unitsofmeasure.org",
                                        "code": "mm[Hg]"
                                    }
                                }
                            ]
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.4",
                    "text": "Proteinuria",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 150,
                                "unit": "g/day",
                                "system": "http://unitsofmeasure.org",
                                "code": "g/d"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.5",
                    "text": "Urea",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 40,
                                "unit": "g/mmol",
                                "system": "http://unitsofmeasure.org",
                                "code": "g/mmol"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.6",
                    "text": "Creatinine",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 4,
                                "unit": "umol/L",
                                "system": "http://unitsofmeasure.org",
                                "code": "umol/L"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.7",
                    "text": "Uric Acid",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 3,
                                "unit": "mg/dL",
                                "system": "http://unitsofmeasure.org",
                                "code": "mg/dL"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.8",
                    "text": "Hemoglobin",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 12,
                                "unit": "g/dL",
                                "system": "http://unitsofmeasure.org",
                                "code": "g/dL"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.9",
                    "text": "Platelet",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 260,
                                "unit": "10*3/uL",
                                "system": "http://unitsofmeasure.org",
                                "code": "10*3/uL"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.10",
                    "text": "AST",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 23,
                                "unit": "U/L",
                                "system": "http://unitsofmeasure.org",
                                "code": "U/L"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.11",
                    "text": "ALT",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 23,
                                "unit": "U/L",
                                "system": "http://unitsofmeasure.org",
                                "code": "U/L"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-12.1.12",
                    "text": "Nama Pemeriksa",
                    "answer":  [
                        {
                            "valueString": "Jannah"
                        }
                    ]
                }
            ]
        }
    ]
}

13. Pemantauan Peningkatan Berat Badan Ibu Antenatal
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-maternal-13",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-13",
    "version": "1.0.0",
    "name": "QMaternal13",
    "title": "Pemantauan Peningkatan Berat Badan Ibu Antenatal",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "item":  [
        {
            "linkId": "maternal-13.1",
            "text": "Tinggi",
            "type": "quantity"
        },
        {
            "linkId": "maternal-13.2",
            "text": "Berat Ibu Sebelum Hamil",
            "type": "quantity"
        },
        {
            "linkId": "maternal-13.3",
            "text": "Nilai BMI Sebelum Hamil",
            "type": "quantity"
        },
        {
            "linkId": "maternal-13.4",
            "text": "Status BMI Sebelum Hamil",
            "type": "choice",
            "answerOption":  [
                {
                    "valueCoding": {
                        "code": "310252000",
                        "display": "Kurang Berat Badan (BMI < 20)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "35425004",
                        "display": "Normal (BMI 20 -24)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "162863004",
                        "display": "Lebih Berat Badan (BMI 25 - 29)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "162864005",
                        "display": "Obese (BMI > 30)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "408512008",
                        "display": "Extreme Obese (BMI > 40)"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-13.5",
            "text": "Jadual Berat Badan Sepanjang Kehamilan",
            "type": "group",
            "repeats": true,
            "item":  [
                {
                    "linkId": "maternal-13.5.1",
                    "text": "Tarikh Lawatan",
                    "type": "dateTime"
                },
                {
                    "linkId": "maternal-13.5.2",
                    "text": "Minggu Gestasi",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-13.5.3",
                    "text": "Berat Badan (kg)",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-13.5.4",
                    "text": "Peningkatan Berat Badan (kg)",
                    "type": "quantity"
                },
                {
                    "linkId": "maternal-13.5.5",
                    "text": "Kadar Peningkatan Berat Badan (kg)/ minggu",
                    "type": "quantity"
                }
            ]
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-maternal-13",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
        ]
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-13",
    "status": "completed",
    "subject": {
        "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
    },
    "authored": "2022-11-16T03:56:06.596Z",
    "item":  [
        {
            "linkId": "maternal-13.1",
            "text": "Tinggi",
            "answer":  [
                {
                    "valueQuantity": {
                        "value": 165,
                        "unit": "meter",
                        "system": "http://unitsofmeasure.org",
                        "code": "m"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-13.2",
            "text": "Berat Ibu Sebelum Hamil",
            "answer":  [
                {
                    "valueQuantity": {
                        "value": 50,
                        "unit": "kilogram",
                        "system": "http://unitsofmeasure.org",
                        "code": "kg"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-13.3",
            "text": "Nilai BMI Sebelum Hamil",
            "answer":  [
                {
                    "valueQuantity": {
                        "value": 20,
                        "unit": "kilogram per square meter",
                        "system": "http://unitsofmeasure.org",
                        "code": "kg/m2"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-13.4",
            "text": "Status BMI Sebelum Hamil",
            "answer":  [
                {
                    "valueCoding": {
                        "code": "35425004",
                        "display": "Normal (BMI 20 -24)"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-13.5",
            "text": "Jadual Berat Badan Sepanjang Kehamilan",
            "item":  [
                {
                    "linkId": "maternal-13.5.1",
                    "text": "Tarikh Lawatan",
                    "answer":  [
                        {
                            "valueDateTime": "2022-11-30T07:58:42.817Z"
                        }
                    ]
                },
                {
                    "linkId": "maternal-13.5.2",
                    "text": "Minggu Gestasi",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 3
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-13.5.3",
                    "text": "Berat Badan (kg)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 52,
                                "unit": "kilogram",
                                "system": "http://unitsofmeasure.org",
                                "code": "kg"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-13.5.4",
                    "text": "Peningkatan Berat Badan (kg)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 2,
                                "unit": "kilogram",
                                "system": "http://unitsofmeasure.org",
                                "code": "kg"
                            }
                        }
                    ]
                },
                {
                    "linkId": "maternal-13.5.5",
                    "text": "Kadar Peningkatan Berat Badan (kg)/ minggu",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 2
                            }
                        }
                    ]
                }
            ]
        }
    ]
}

14. Hb monitoring

Store and displayed from Obstetric Hb (MY Core) record

15. Keputusan Pemeriksaan Ultrasound

Store and displayed from Obstetric Us (MY Core) record

16. Fetal Growth Chart

Store and displayed from Foetal Kick (MY Core) record

17. Sistem Kod Warna dan Senarai Semak Penjagaan Antenatal
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-maternal-17",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-17",
    "version": "1.0.0",
    "name": "QMaternal17",
    "title": "Sistem Kod Warna dan Senarai Semak Penjagaan Antenatal",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "description": "Sistem ini menggunakan empat kod warna. Penentuan kod warna ini adalah berdasarkan kepada penilaian faktor risiko ibu semasa lawatan ke klinik/ rumah",
    "purpose": "Penjagaan ibu adalah berdasarkan kepada kod warna berkenaan:-",
    "item":  [
        {
            "linkId": "maternal-17.0",
            "code":  [
                {
                    "code": "maternal-17.0"
                }
            ],
            "text": "Trimester of Assessment",
            "type": "choice",
            "answerOption":  [
                {
                    "valueCoding": {
                        "code": "00",
                        "display": "Trimester 1 (<12 weeks)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "01",
                        "display": "Trimester 2 (13-22 weeks)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "02",
                        "display": "Trimester 2 (23-27 weeks)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "03",
                        "display": "Trimester 3 (28-32 weeks)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "04",
                        "display": "Trimester 3 (33-36 weeks)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "05",
                        "display": "Trimester 3 (37-40 weeks)"
                    }
                },
                {
                    "valueCoding": {
                        "code": "06",
                        "display": "Post-date (>40 weeks)"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-17.2",
            "code":  [
                {
                    "code": "maternal-17.2"
                }
            ],
            "text": "Rumusan",
            "type": "choice",
            "readOnly": true,
            "answerOption":  [
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "386713009",
                        "display": "Merah"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "371244009",
                        "display": "Kuning"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "54662009",
                        "display": "Hijau"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "371251000",
                        "display": "Putih"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://snomed.info/sct",
                        "code": "310586008",
                        "display": "Putih (ABC)"
                    }
                }
            ]
        },
        {
            "linkId": "maternal-17.3",
            "code":  [
                {
                    "code": "maternal-17.3"
                }
            ],
            "text": "Senarai Semak Pengendalian Ibu Hamil (Kod Merah)",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-17.3.1",
                    "code":  [
                        {
                            "code": "maternal-17.1"
                        }
                    ],
                    "text": "Eclampsia",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.2",
                    "code":  [
                        {
                            "code": "maternal-17.3.2"
                        }
                    ],
                    "text": "Pre-eclampsia (tekanan darah tinggi dengan urin protein)",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.3",
                    "code":  [
                        {
                            "code": "maternal-17.3.3"
                        }
                    ],
                    "text": "Hypertensive crisis",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.4",
                    "code":  [
                        {
                            "code": "maternal-17.3.4"
                        }
                    ],
                    "text": "Penyakit jantung semasa mengandung, dengan tanda dan gejala (sesak nafas, berdebar-debar)",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.5",
                    "code":  [
                        {
                            "code": "maternal-17.3.5"
                        }
                    ],
                    "text": "Sesak nafas dan/ atau kadar pernafasan >22/min",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.6",
                    "code":  [
                        {
                            "code": "maternal-17.3.6"
                        }
                    ],
                    "text": "Pendarahan antepartum (termasuk keguguran)",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.7",
                    "code":  [
                        {
                            "code": "maternal-17.3.7"
                        }
                    ],
                    "text": "Denyutan jantung janin yang abnormal \n • FHR <110/min selepas 22/52 \n • FHR >160/min selepas 32/52",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.8",
                    "code":  [
                        {
                            "code": "maternal-17.3.8"
                        }
                    ],
                    "text": "Anemia dengan simptom pada mana-mana gestasi atau Hb ≤7g/dL",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.9",
                    "code":  [
                        {
                            "code": "maternal-17.3.9"
                        }
                    ],
                    "text": "Kontraksi rahim pramatang",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.10",
                    "code":  [
                        {
                            "code": "maternal-17.3.10"
                        }
                    ],
                    "text": "Keluar air ketuban tanpa kontraksi",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.11",
                    "code":  [
                        {
                            "code": "maternal-17.3.11"
                        }
                    ],
                    "text": "Sawan",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.12",
                    "code":  [
                        {
                            "code": "maternal-17.3.12"
                        }
                    ],
                    "text": "Demam dengan tanda-tanda sepsis (lesu, dehidrasi, tachycardia)",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.13",
                    "code":  [
                        {
                            "code": "maternal-17.3.13"
                        }
                    ],
                    "text": "Kes disyaki denggi (demam berserta sakit kepala, sakit sendi, sakit perut, muntah, cirit birit dan sebagainya)",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.14",
                    "code":  [
                        {
                            "code": "maternal-17.3.14"
                        }
                    ],
                    "text": "Gejala Deep Vein Thrombosis (DVT) dan/ atau Pulmonary Embolism",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.3.15",
                    "code":  [
                        {
                            "code": "maternal-17.3.15"
                        }
                    ],
                    "text": "Keinginan mencederakan / bunuh diri",
                    "type": "boolean"
                }
            ]
        },
        {
            "linkId": "maternal-17.4",
            "code":  [
                {
                    "code": "maternal-17.4"
                }
            ],
            "text": "Senarai Semak Pengendalian Ibu Hamil (Kod Kuning)",
            "type": "group",
            "item":  [
                {
                    "linkId": "maternal-17.4.1",
                    "code":  [
                        {
                            "code": "maternal-17.4.1"
                        }
                    ],
                    "text": "Ibu HIV positif",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.4.2",
                    "code":  [
                        {
                            "code": "maternal-17.4.2"
                        }
                    ],
                    "text": "Ibu Hepatitis B positif",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.4.3",
                    "code":  [
                        {
                            "code": "maternal-17.4.3"
                        }
                    ],
                    "text": "Ibu Tuberkulosis/ Malaria/ Syphilis",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.4.4",
                    "code":  [
                        {
                            "code": "maternal-17.4.4"
                        }
                    ],
                    "text": "Tekanan darah >140/90 - <160/100mmHg tanpa/dengan urin protein",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.4.5",
                    "code":  [
                        {
                            "code": "maternal-17.4.5"
                        }
                    ],
                    "text": "Tekanan darah tinggi (140/90mmHg) dengan urin protein",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.4.6",
                    "code":  [
                        {
                            "code": "maternal-17.4.6"
                        }
                    ],
                    "text": "Ibu diabetes dengan rawatan dan/ atau komplikasi",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.4.7",
                    "code":  [
                        {
                            "code": "maternal-17.4.7"
                        }
                    ],
                    "text": "**Pergerakan janin kurang semasa kandungan ≥32 minggu dengan faktor risiko",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.4.8",
                    "code":  [
                        {
                            "code": "maternal-17.4.8"
                        }
                    ],
                    "text": "Kandungan melebihi 7 hari dari EDD",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.4.9",
                    "code":  [
                        {
                            "code": "maternal-17.4.9"
                        }
                    ],
                    "text": "Ibu dengan masalah perubatan yang memerlukan rawatan bersama di hospital",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.4.10",
                    "code":  [
                        {
                            "code": "maternal-17.4.10"
                        }
                    ],
                    "text": "Ibu tunggal atau ibu remaja (<20 tahun)",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.4.11",
                    "code":  [
                        {
                            "code": "maternal-17.4.11"
                        }
                    ],
                    "text": "Ibu berumur ≥40 tahun",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.4.12",
                    "code":  [
                        {
                            "code": "maternal-17.4.12"
                        }
                    ],
                    "text": "Hemoglobin 7 - <9g/dL dan asymptomatic",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.4.13",
                    "code":  [
                        {
                            "code": "maternal-17.4.13"
                        }
                    ],
                    "text": "Placenta previa tanpa pendarahan",
                    "type": "boolean"
                },
                {
                    "linkId": "maternal-17.4.14",
                    "code":  [
                        {
                            "code": "maternal-17.4.14"
                        }
                    ],
                    "text": "Maternal pyrexia ≥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"</