| Package | MyHIE.v4-test |
| Resource Type | Questionnaire |
| Id | q-hpt-note |
| 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-hpt-note |
| URL | http://fhir.hie.moh.gov.my/Questionnaire/q-hpt-note |
| Version | 1.0.0 |
| Status | active |
| Date | 2023-09-01T03:32:09.231284+00:00 |
| Name | QHptNoteA |
| Title | Hypertension Clerking Note |
| Description | Hypertension Clerking Note |
No resources found
No resources found
No narrative content found in resource
FHIR{
"resourceType": "Questionnaire",
"id": "q-hpt-note",
"url": "http://fhir.hie.moh.gov.my/Questionnaire/q-hpt-note",
"version": "1.0.0",
"name": "QHptNoteA",
"title": "Hypertension Clerking Note",
"status": "active",
"date": "2023-09-01T03:32:09.231284+00:00",
"description": "Hypertension Clerking Note",
"item": [
{
"linkId": "hpt-note.1",
"text": "Concomitant Disease",
"type": "group",
"item": [
{
"linkId": "hpt-note.1.1",
"text": "Diabetes Mellitus",
"type": "boolean"
},
{
"linkId": "hpt-note.1.2",
"text": "Renal Disease",
"type": "boolean"
},
{
"linkId": "hpt-note.1.3",
"text": "Heart Failure",
"type": "boolean"
},
{
"linkId": "hpt-note.1.4",
"text": "Gout",
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},
{
"linkId": "hpt-note.1.5",
"text": "Concomitant Disease Remarks",
"type": "text"
}
]
},
{
"linkId": "hpt-note.2",
"text": "Past Medical Admissions for Hypertension",
"type": "group",
"item": [
{
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"text": "Any Ward Admissions For Hypertension Emergencies",
"type": "boolean"
},
{
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"text": "Any Emergency Department Encounters",
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{
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"text": "Past Medical Admissions Remarks",
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{
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"linkId": "hpt-note.3.1",
"text": "Findings",
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}
]
},
{
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"text": "Smoking History",
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"item": [
{
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"text": "Starting Date of Smoking",
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{
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"text": "How Many Cigarettes Per Day",
"type": "integer"
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{
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"text": "Pack Years of Smoking (years)",
"type": "integer"
}
]
},
{
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"text": "Social History",
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"item": [
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"text": "Findings",
"type": "text"
}
]
},
{
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"text": "Family History",
"type": "group",
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"linkId": "hpt-note.6.1",
"text": "Findings",
"type": "text"
}
]
},
{
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"text": "Symptoms",
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"item": [
{
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"text": "Visual Disturbances",
"type": "boolean"
},
{
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"text": "Chest Pain",
"type": "boolean"
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{
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"text": "Lower Limb Swellings",
"type": "boolean"
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{
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"text": "Headache",
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{
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"text": "Vomiting",
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{
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"text": "Limb Weakness",
"type": "boolean"
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{
"linkId": "hpt-note.7.7",
"text": "Shortness of Breath",
"type": "boolean"
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{
"linkId": "hpt-note.7.8",
"text": "Symptoms Remarks",
"type": "text"
}
]
},
{
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"text": "History of Presenting Illness Summary",
"type": "group",
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{
"linkId": "hpt-note.8.1",
"text": "Findings",
"type": "text"
}
]
},
{
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"text": "Initial Vital Signs",
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"item": [
{
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"valueInteger": 1
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{
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"linkId": "hpt-note.9.1",
"code": [
{
"system": "http://loinc.org",
"code": "8480-6",
"display": "Systolic Blood Pressure"
}
],
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"system": "http://unitsofmeasure.org",
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"code": "8462-4",
"display": "Diastolic Blood Pressure"
}
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{
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{
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"valueInteger": 400
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],
"linkId": "hpt-note.9.9",
"text": "Heart Rate (/min)",
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{
"valueQuantity": {
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"system": "http://unitsofmeasure.org",
"code": "/min"
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{
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{
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"valueInteger": 100
}
],
"linkId": "hpt-note.9.10",
"text": "Oxygen Saturation (%)",
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"linkId": "hpt-note.9.11",
"code": [
{
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"code": "8310-5",
"display": "Body Temperature"
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"text": "Body Temperature (°C)",
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"code": "Cel"
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"text": "Pain score",
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{
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"text": "Respiratory Rate (/min)",
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{
"linkId": "hpt-note.10",
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{
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{
"linkId": "hpt-note.11",
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{
"linkId": "hpt-note.12",
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},
{
"linkId": "hpt-note.13",
"text": "Central Nervous System Examinations",
"type": "group",
"item": [
{
"linkId": "hpt-note.13.1",
"text": "Findings",
"type": "text"
}
]
},
{
"linkId": "hpt-note.14",
"text": "Eye Examination",
"type": "group",
"item": [
{
"linkId": "hpt-note.14.1",
"text": "Findings",
"type": "text"
}
]
},
{
"linkId": "hpt-note.15",
"text": "Cranial Nerves Examination",
"type": "group",
"item": [
{
"linkId": "hpt-note.15.1",
"text": "Findings",
"type": "text"
}
]
},
{
"linkId": "hpt-note.16",
"text": "Cardiac Examination",
"type": "group",
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"linkId": "hpt-note.16.1",
"text": "Findings",
"type": "text"
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]
},
{
"linkId": "hpt-note.17",
"text": "General Endocrine Examination",
"type": "group",
"item": [
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"linkId": "hpt-note.17.1",
"text": "Findings",
"type": "text"
}
]
},
{
"linkId": "hpt-note.18",
"text": "Abdominal Examination",
"type": "group",
"item": [
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"linkId": "hpt-note.18.1",
"text": "Findings",
"type": "text"
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},
{
"linkId": "hpt-note.19",
"text": "Respiratory Examination",
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"linkId": "hpt-note.19.1",
"text": "Findings",
"type": "text"
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]
},
{
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"text": "General Examination Findings Summary",
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"linkId": "hpt-note.20.1",
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"type": "text"
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{
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"text": "Fundoscopy",
"type": "text"
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{
"linkId": "hpt-note.21.2",
"text": "US KUB Findings",
"type": "text"
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{
"linkId": "hpt-note.21.3",
"text": "CT Scan Findings",
"type": "text"
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{
"linkId": "hpt-note.21.4",
"text": "Xray Findings",
"type": "text"
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{
"linkId": "hpt-note.21.5",
"text": "General Investigations / Summary",
"type": "text"
}
]
},
{
"linkId": "hpt-note.22",
"text": "Diagnosis",
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"linkId": "hpt-note.22.1",
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]
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{
"linkId": "hpt-note.23",
"text": "Management / Treatment",
"type": "group",
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{
"linkId": "hpt-note.23.1",
"text": "Management Summary",
"type": "text"
}
]
},
{
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"text": "TCA Date",
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"text": "Date",
"type": "dateTime"
}
]
},
{
"linkId": "hpt-note.25",
"text": "Referral",
"type": "group",
"item": [
{
"linkId": "hpt-note.25.1",
"text": "Reason for Referral",
"type": "text"
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{
"linkId": "hpt-note.25.2",
"text": "Spoken To",
"type": "string"
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{
"linkId": "hpt-note.25.3",
"text": "Time of Referral made",
"type": "dateTime"
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]
}
]
}