| Package | IdHIE.0v |
| Resource Type | Questionnaire |
| Id | saiful |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=IdHIE.0v@0.0.1&canonical=http://fhir.hie.moh.gov.my/Questionnaire/saiful-my-core |
| URL | http://fhir.hie.moh.gov.my/Questionnaire/saiful-my-core |
| Status | active |
| Date | 2023-03-30T22:48:32.9749675+00:00 |
| Name | Saiful |
| Title | Malaysia National Health Screening |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Questionnaire",
"id": "saiful",
"meta": {
"source": "http://provider.hie.moh.gov.my",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Questionnaire"
]
},
"url": "http://fhir.hie.moh.gov.my/Questionnaire/saiful-my-core",
"name": "Saiful",
"title": "Malaysia National Health Screening",
"status": "active",
"experimental": true,
"date": "2023-03-30T22:48:32.9749675+00:00",
"item": [
{
"linkId": "1",
"text": "User Demographic",
"type": "reference",
"required": false
},
{
"linkId": "2",
"text": "Assessments",
"type": "group",
"required": false,
"item": [
{
"linkId": "2.1",
"text": "Does the patient have any family history?",
"type": "boolean",
"required": false,
"item": [
{
"linkId": "2.1.1",
"text": "If yes:",
"type": "reference",
"required": false
}
]
},
{
"linkId": "2.2",
"text": "Does the patient have any medical history?",
"type": "reference",
"required": false
}
]
},
{
"linkId": "3",
"text": "Mental Health Assessments",
"type": "reference",
"required": false
},
{
"linkId": "4",
"text": "Lifestyle Health Assessment",
"type": "group",
"required": false,
"item": [
{
"linkId": "4.1",
"text": "Alcohol consumption",
"type": "reference",
"required": false
},
{
"linkId": "4.2",
"text": "Smoking Status",
"type": "reference",
"required": false
}
]
},
{
"linkId": "5",
"text": "Clinical Parameters",
"type": "group",
"required": false,
"item": [
{
"linkId": "5.1",
"code": [
{
"system": "http://loinc.org",
"code": "8302-2",
"display": "Anthropometry: Height"
}
],
"text": "Anthropometry: Height",
"type": "reference",
"required": false
},
{
"linkId": "5.2",
"code": [
{
"system": "http://loinc.org",
"code": "8306-3",
"display": "Anthropometry: Weight"
}
],
"text": "Anthropometry: Weight",
"type": "reference",
"required": false
},
{
"linkId": "5.3",
"code": [
{
"system": "http://loinc.org",
"code": "8280-0",
"display": "Anthropometry: Waistline"
}
],
"text": "Anthropometry: Waistline",
"type": "reference",
"required": false
},
{
"linkId": "5.4",
"code": [
{
"system": "http://loinc.org",
"code": "39156-5",
"display": "BMI"
}
],
"text": "BMI Outcome",
"type": "reference",
"required": false
},
{
"linkId": "5.6",
"code": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Vital Signs: Blood Pressure (systolic)"
}
],
"text": "Vital Signs: Blood Pressure (systolic)",
"type": "reference",
"required": false
},
{
"linkId": "5.7",
"code": [
{
"system": "http://loinc.org",
"code": "8462-4",
"display": "Vital Signs: Blood Pressure (diastolic)"
}
],
"text": "Vital Signs: Blood Pressure (diastolic)",
"type": "reference",
"required": false
},
{
"linkId": "5.8",
"code": [
{
"system": "http://loinc.org",
"code": "8867-4",
"display": "Vital Signs: Pulse Rate"
}
],
"text": "Vital Signs: Pulse Rate",
"type": "reference",
"required": false
},
{
"linkId": "5.09",
"text": "Point of Care Testing: Blood Glucose",
"type": "group",
"required": false,
"item": [
{
"linkId": "5.09.1",
"code": [
{
"system": "http://snomed.info/sct",
"code": "271062006",
"display": "Fasting"
}
],
"text": "Fasting",
"type": "reference",
"required": false
},
{
"linkId": "5.09.2",
"code": [
{
"system": "http://snomed.info/sct",
"code": "271061004",
"display": "Random"
}
],
"text": "Random",
"type": "reference",
"required": false
}
]
},
{
"linkId": "5.10",
"code": [
{
"system": "http://loinc.org",
"code": "57698-3",
"display": "Lipid panel - Serum or Plasma"
}
],
"text": "Point of Care Testing: Blood Cholesterol",
"type": "reference",
"required": false
}
]
},
{
"linkId": "6",
"text": "Advanced Health Screening (Optional)",
"type": "group",
"required": false,
"item": [
{
"linkId": "6.1",
"text": "Cardiovascular",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Chest Pain"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Ankle Swelling"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Shortness of breath"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Intermittent claudication"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "Orthopnoea"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "06",
"display": "Cough with or without sputum"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "07",
"display": "Palpitation"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "08",
"display": "Nocturnal dyspnoea"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "09",
"display": "Haemoptysis"
}
}
]
},
{
"linkId": "6.2",
"text": "Gastrointestinal",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abdominal pain"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Nausea and/or vomiting"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Bowel pattern and any changes"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Dyspepsia"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "Degree of appetide"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "06",
"display": "Cough with or without sputum"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "07",
"display": "Dysphagia"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "08",
"display": "Weight loss or gain"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "09",
"display": "Haemoptyis"
}
}
]
},
{
"linkId": "6.3",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "6.3",
"display": "Genitourinary"
}
],
"text": "Genitourinary",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Haematuria"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Dysuria"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Menstual irregularity - women"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Nocturia"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "Frequency"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "06",
"display": "Urethral discharge - men"
}
}
]
},
{
"linkId": "6.4",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "6.4",
"display": "Locomotor"
}
],
"text": "Locomotor",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Joint pain"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Change in mobility"
}
}
]
},
{
"linkId": "6.5",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "6.5",
"display": "Neurological"
}
],
"text": "Neurological",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Seizures"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Eyesight"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Transient loss of function (vision, speech, sight)"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Collapses"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "Hearing"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "06",
"display": "Paresthesia"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "07",
"display": "Dizziness"
}
}
]
},
{
"linkId": "6.6",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "6.6",
"display": "ENT Symptoms"
}
],
"text": "ENT Symptoms",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Hearing loss/tinnitus"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Epistaxis"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Snoring"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Otalgia"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "Dysphonia"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "06",
"display": "Trismus"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "07",
"display": "Facial pain"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "08",
"display": "Dysphagia"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "09",
"display": "Neck swelling"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "10",
"display": "Persistent nasal discharge"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "11",
"display": "Odynophagia"
}
}
]
},
{
"linkId": "6.7",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "6.7",
"display": "Dermatology"
}
],
"text": "Dermatology",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Rashes"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Skin color changes"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Ulcers"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Skin lesions"
}
}
]
}
]
},
{
"linkId": "7",
"text": "Advanced Systemic Examination (Optional)",
"type": "group",
"required": false,
"item": [
{
"linkId": "7.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.1",
"display": "General Appearance"
}
],
"text": "General Appearance",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.1.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.1.1",
"display": "If Abnormal:"
}
],
"text": "If Abnormal:",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Ill-looking"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Dehydrated"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Cachexic"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Abnormal gait"
}
}
]
}
]
},
{
"linkId": "7.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.2",
"display": "Hands and Arms:"
}
],
"text": "Hands and Arms:",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.2.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.2.1",
"display": "If Abnormal:"
}
],
"text": "If Abnormal:",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Clubbing"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Koilonychia"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Leuchonychia"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Palmar erythema"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "Dupuytren’s contracture"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "06",
"display": "Cyanosis"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "07",
"display": "Tremors"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "08",
"display": "Finger Clubbing"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "09",
"display": "Spider Naevi"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "10",
"display": "Bruising"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "11",
"display": "Muscle wasting"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "12",
"display": "Scratch Marks"
}
}
]
}
]
},
{
"linkId": "7.3",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.3",
"display": "Head, Ears, Eyes, Nose and Throat"
}
],
"text": "Head, Ears, Eyes, Nose and Throat",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.3.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.3.1",
"display": "If Abnormal:"
}
],
"text": "If Abnormal:",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Bleeding"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Discharges"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Abnormal Breath"
}
}
]
}
]
},
{
"linkId": "7.4",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.4",
"display": "Eyes:"
}
],
"text": "Eyes:",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.4.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.4.1",
"display": "If Abnormal (Conjuntival):"
}
],
"text": "If Abnormal (Conjuntival):",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"display": "Pallor"
}
}
]
},
{
"linkId": "7.4.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.4.2",
"display": "If Abnormal (Sclera):"
}
],
"text": "If Abnormal (Sclera):",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Jaundice"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Iritis"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Hemorrhage"
}
}
]
},
{
"linkId": "7.4.3",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.4.3",
"display": "If Abnormal (Cornea):"
}
],
"text": "If Abnormal (Cornea):",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Kaiser Fleischer’s ring (Wilson Disease)"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Xanthelasma"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Protruded eyeballs"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Periorbital edema"
}
}
]
}
]
},
{
"linkId": "7.5",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.5",
"display": "Fundoscopy"
}
],
"text": "Fundoscopy",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.5.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.5.1",
"display": "If Abnormal:"
}
],
"text": "If Abnormal:",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Absence of red reflex"
}
}
]
},
{
"linkId": "7.5.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.5.2",
"display": "Optic Disc"
}
],
"text": "Optic Disc",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Swollen"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Pale"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Cup-Disc Ratio > 0.5"
}
}
]
},
{
"linkId": "7.5.3",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.5.3",
"display": "Retina"
}
],
"text": "Retina",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Arteriolar narrowing"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Arteriovenous nicking"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Cotton-wool spots"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Exudates"
}
}
]
},
{
"linkId": "7.5.4",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.5.4",
"display": "Macula"
}
],
"text": "Macula",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Exudates"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Pigmented"
}
}
]
}
]
},
{
"linkId": "7.6",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.6",
"display": "Snellen Eye Chart Score:"
}
],
"text": "Snellen Eye Chart Score:",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.6.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.6.1",
"display": "If Abnormal (Right Eye):"
}
],
"text": "If Abnormal (Right Eye):",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "60/6"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "36/6"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "24/6"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "18/6"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "12/6"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "06",
"display": "9/6"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "07",
"display": "6/6"
}
}
]
},
{
"linkId": "7.6.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.6.2",
"display": "If Abnormal (Left Eye):"
}
],
"text": "If Abnormal (Left Eye):",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "60/6"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "36/6"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "24/6"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "18/6"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "12/6"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "06",
"display": "9/6"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "07",
"display": "6/6"
}
}
]
}
]
},
{
"linkId": "7.7",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.7",
"display": "Lips:"
}
],
"text": "Lips:",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.7.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.7.1",
"display": "If Abnormal (Lips):"
}
],
"text": "If Abnormal (Lips):",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Angular Stomatitis"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Ulceritis"
}
}
]
},
{
"linkId": "7.7.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.7.2",
"display": "If Abnormal (Gums)"
}
],
"text": "If Abnormal (Gums)",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Gingivitis"
}
}
]
}
]
},
{
"linkId": "7.8",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.8",
"display": "Tongue:"
}
],
"text": "Tongue:",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.8.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.8.1",
"display": "If Abnormal:"
}
],
"text": "If Abnormal:",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Atrophic"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "glossitis"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Thrush"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Leukoplakia"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "Tonsils"
}
}
]
}
]
},
{
"linkId": "7.9",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.9",
"display": "Neck"
}
],
"text": "Neck",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.9.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.9.1",
"display": "If Abnormal:"
}
],
"text": "If Abnormal:",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Lymphadenopathy"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Neck mass"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Skin lesion"
}
}
]
}
]
},
{
"linkId": "7.10",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.10",
"display": "Cardiorespiratory Examination"
}
],
"text": "Cardiorespiratory Examination",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.10.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.10.1",
"display": "If Abnormal:"
}
],
"text": "If Abnormal:",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Chest deformities"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Raised JVP"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Tracheal Deviation"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Displaced apex beat"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "Peripheal edema"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "06",
"display": "Breath sound (Reduce air entry/Crepitations/Rhonci)"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "07",
"display": "Heart sound (Murmur/Additional Heart Sound)"
}
}
]
}
]
},
{
"linkId": "7.11",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.11",
"display": "Abdominal Examination"
}
],
"text": "Abdominal Examination",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.11.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.11.1",
"display": "If Abnormal:"
}
],
"text": "If Abnormal:",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Scars"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Distension"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Prominent Veins"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Striae"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "Bruises"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "06",
"display": "Pigmentation"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "07",
"display": "Visible Peristalsis"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "08",
"display": "Mass"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "09",
"display": "Bowel Sound (Reduce/Absence/Hyperactive)"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "10",
"display": "Bruits"
}
}
]
}
]
},
{
"linkId": "7.12",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.12",
"display": "Genital Examination"
}
],
"text": "Genital Examination",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.12.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.12.1",
"display": "If Abnormal:"
}
],
"text": "If Abnormal:",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Skin lesion"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Bleeding"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Discharges"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Anal fissure"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "Anal fistula"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "06",
"display": "External hemorrhoid, Prolapse (Uterovaginal (F)/ Rectal)"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "07",
"display": "Stools (Melena/Hematochezia)"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "08",
"display": "Mass"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "09",
"display": "Enlarged Prostate"
}
}
]
}
]
},
{
"linkId": "7.13",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.13",
"display": "Musculoskeletal Examination"
}
],
"text": "Musculoskeletal Examination",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.13.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.13.1",
"display": "If Abnormal:"
}
],
"text": "If Abnormal:",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Muscle wasting"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Swelling"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Skin changes"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Scars"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "Deformities"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "06",
"display": "Range of movement"
}
}
]
}
]
},
{
"linkId": "7.14",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.14",
"display": "Neurological Examination"
}
],
"text": "Neurological Examination",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "7.14.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "7.14.1",
"display": "If Abnormal:"
}
],
"text": "If Abnormal:",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Muscle Tone (Hypertonia/Hypotonia)"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Muscle Power (Score from 0-5)"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Reflexes (Hyperreflex/Hyporeflex)"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Babinski (Present/Absent)"
}
}
]
}
]
}
]
},
{
"linkId": "8",
"text": "Further Investigations",
"type": "group",
"required": false,
"item": [
{
"linkId": "8.1",
"code": [
{
"system": "http://hl7.org/fhir/StructureDefinition/Questionnaire",
"code": "8.1",
"display": "Urine dipstick"
}
],
"text": "Urine dipstick",
"type": "string",
"required": false
},
{
"linkId": "8.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "8.2",
"display": "Urine FEME"
}
],
"text": "Urine FEME",
"type": "string",
"required": false
},
{
"linkId": "8.3",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "8.3",
"display": "ECG"
}
],
"text": "ECG",
"type": "string",
"required": false
},
{
"linkId": "8.4",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "8.4",
"display": "Haemoglobin"
}
],
"text": "Haemoglobin",
"type": "string",
"required": false
}
]
},
{
"linkId": "9",
"text": "Diagnosis",
"type": "group",
"required": false,
"item": [
{
"linkId": "9.1",
"text": "Normal Healthy individual?",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "00",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "At risk"
}
}
]
},
{
"linkId": "9.2",
"text": "Diagnosis",
"type": "reference",
"required": false,
"repeats": true
}
]
},
{
"linkId": "10",
"text": "Management",
"type": "group",
"required": false,
"item": [
{
"linkId": "10.1",
"text": "General management",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "01",
"display": "Dietary advice"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "02",
"display": "Smoking cessation"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "03",
"display": "Physiotherapy"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "04",
"display": "Physical activity advice"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "05",
"display": "Alcohol cessation"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
"code": "06",
"display": "Referral"
}
}
]
},
{
"linkId": "10.2",
"text": "Doctor’s notes",
"type": "text",
"required": false
},
{
"linkId": "10.3",
"text": "Prescription",
"type": "group",
"required": false,
"item": [
{
"linkId": "10.3.1",
"text": "Any medication prescribed?",
"type": "reference",
"required": false,
"repeats": true
}
]
}
]
},
{
"linkId": "11",
"text": "Verified by",
"type": "group",
"required": false,
"item": [
{
"linkId": "11.1",
"text": "Officer incharge",
"type": "string",
"required": false
},
{
"linkId": "11.2",
"text": "Registration Number/ IC number",
"type": "string",
"required": false
}
]
}
]
}