| Package | MyHIE.v4-test |
| Resource Type | Questionnaire |
| Id | q-maternal-03 |
| 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-maternal-03 |
| URL | http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-03 |
| Version | 1.0.0 |
| Status | active |
| Date | 2023-09-06T01:16:51.2403952+00:00 |
| Name | QMaternal03 |
| Title | Riwayat Kesihatan Ibu Dan Keluarga |
No resources found
No resources found
No narrative content found in resource
FHIR{
"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": "2023-09-06T01:16:51.2403952+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"
}
]
}
]
}