| Package | MyHIE.v4-test |
| Resource Type | Questionnaire |
| Id | q-child-3-4m |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=MyHIE.v4-test@2.1.0-alpha&canonical=http://fhir.hie.moh.gov.my/Questionnaire/q-child-3-4m |
| URL | http://fhir.hie.moh.gov.my/Questionnaire/q-child-3-4m |
| Version | 1.0.0 |
| Status | active |
| Date | 2023-08-30T06:43:50.5035753+00:00 |
| Name | QChild3-4m |
| Title | Lawatan Umur 3 & 4 Bulan |
No resources found
No resources found
No narrative content found in resource
FHIR{
"resourceType": "Questionnaire",
"id": "q-child-3-4m",
"url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-3-4m",
"version": "1.0.0",
"name": "QChild3-4m",
"title": "Lawatan Umur 3 & 4 Bulan",
"status": "active",
"date": "2023-08-30T06:43:50.5035753+00:00",
"item": [
{
"linkId": "child-3-4m.0",
"text": "Lawatan",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"code": "00",
"display": "3 bulan"
}
},
{
"valueCoding": {
"code": "01",
"display": "4 bulan"
}
}
]
},
{
"linkId": "child-3-4m.1",
"text": "Tarikh lawatan",
"type": "dateTime"
},
{
"linkId": "child-3-4m.2",
"text": "Umur semasa lawatan",
"type": "quantity",
"initial": [
{
"valueQuantity": {
"unit": "day",
"system": "http://unitsofmeasure.org",
"code": "d"
}
}
]
},
{
"linkId": "child-3-4m.3",
"text": "Aktiviti",
"type": "group",
"item": [
{
"linkId": "child-3-4m.3.1",
"text": "Berat (kg)",
"type": "quantity",
"item": [
{
"linkId": "child-3-4m.3.1.1",
"text": "Catatan (Normal/KBB/KBBT/MP)",
"type": "string"
}
]
},
{
"linkId": "child-3-4m.3.2",
"text": "Panjang (cm)",
"type": "quantity",
"item": [
{
"linkId": "child-3-4m.3.2.1",
"text": "Catatan (Normal/B/BT/ME)",
"type": "string"
}
]
},
{
"linkId": "child-3-4m.3.3",
"text": "BMI (kg/m2) \nNota: Ambil BMI pada umur 4 bulan sekiranya ada MP/B/BT)",
"type": "quantity",
"item": [
{
"linkId": "child-3-4m.3.3.1",
"text": "Catatan (Normal/MP/B/BT)",
"type": "string"
}
]
},
{
"linkId": "child-3-4m.3.4",
"text": "Lilitan kepala (cm)",
"type": "quantity",
"item": [
{
"linkId": "child-3-4m.3.4.1",
"text": "Catatan",
"type": "string"
}
]
},
{
"linkId": "child-3-4m.3.5",
"text": "Pemeriksaan fizikal",
"type": "string",
"item": [
{
"linkId": "child-3-4m.3.5.1",
"text": "Catatan",
"type": "string"
}
]
},
{
"linkId": "child-3-4m.3.6",
"text": "Tindakbalas",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "55561003",
"display": "Aktif"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "73425007",
"display": "Tidak aktif"
}
}
],
"item": [
{
"linkId": "child-3-4m.3.6.1",
"text": "Catatan",
"type": "string"
}
]
},
{
"linkId": "child-3-4m.3.7",
"text": "Jaundis",
"type": "string",
"item": [
{
"linkId": "child-3-4m.3.7.1",
"text": "Catatan",
"type": "string"
}
]
},
{
"linkId": "child-3-4m.3.8",
"text": "Penilaian penyusuan",
"type": "string",
"item": [
{
"linkId": "child-3-4m.3.8.1",
"text": "Catatan",
"type": "string"
}
]
},
{
"linkId": "child-3-4m.3.9",
"text": "Imunisasi (Rujuk Jadual dan Rekod Imunisasi) - Parut BCG",
"type": "string",
"item": [
{
"linkId": "child-3-4m.3.9.1",
"text": "Catatan",
"type": "string"
}
]
}
]
},
{
"linkId": "child-3-4m.4",
"text": "Perkara yang membimbangkan ibu bapa/penjaga",
"type": "text"
},
{
"linkId": "child-3-4m.5",
"text": "Senarai Semak Perkembangan Umur 3 bulan (sila semak terlebih dahulu apa yang ibubapa/penjaga tulis): Tandakan pada ruangan yang berkenaan",
"type": "group",
"item": [
{
"linkId": "child-3-4m.5.1",
"text": "Leher bayi tegak apabila didukung?",
"type": "boolean"
},
{
"linkId": "child-3-4m.5.2",
"text": "Bayi menggerakkan semua anggota dengan baik? (Perhatikan)",
"type": "boolean"
},
{
"linkId": "child-3-4m.5.3",
"text": "Bayi berkukur atau mengekek? (cooing/ squealing)",
"type": "boolean"
},
{
"linkId": "child-3-4m.5.4",
"text": "Bayi terkejut pada bunyi kuat",
"type": "boolean"
},
{
"linkId": "child-3-4m.5.5",
"text": "Bayi membalas dengan senyuman?",
"type": "boolean"
},
{
"linkId": "child-3-4m.5.6",
"text": "Bayi memandang muka anda?",
"type": "boolean"
}
]
},
{
"linkId": "child-3-4m.6",
"text": "Jika ada 'tidak' pada senarai semak perkembangan umur 3 bulan, rujuk Pegawai Perubatan/FMS/Pakar Pediatrik dan isikan maklumat di bawah.",
"type": "group",
"item": [
{
"linkId": "child-3-4m.6.1",
"text": "Tarikh Temujanji",
"type": "dateTime"
},
{
"linkId": "child-3-4m.6.2",
"text": "Tempat Rujukan",
"type": "string"
},
{
"linkId": "child-3-4m.6.3",
"text": "Tujuan Rujukan",
"type": "string"
},
{
"linkId": "child-3-4m.6.4",
"text": "Jika ada 'tidak' pada senarai semak, Jalankan penilaian perkembangan mengguna Carta Denver",
"type": "boolean"
},
{
"linkId": "child-3-4m.6.5",
"text": "Jika ada 'tidak' pada senarai semak, Lakukan simulasi awal",
"type": "boolean"
}
]
},
{
"linkId": "child-3-4m.7",
"text": "Bimbingan Awal Tandakan selepas nasihat diberi. (Rujuk Panduan Ibubapa/ Penjaga)",
"type": "group",
"item": [
{
"linkId": "child-3-4m.7.1",
"text": "Luangkan masa untuk bermain dan berbual dengan anak.",
"type": "boolean"
},
{
"linkId": "child-3-4m.7.2",
"text": "Gunakan kerusi keselamatan kanak-kanak yang sesuai",
"type": "boolean"
},
{
"linkId": "child-3-4m.remark",
"text": "Remark",
"type": "text"
}
]
}
]
}