| Package | MyHIE.v4-test |
| Resource Type | Questionnaire |
| Id | q-maternal-18 |
| 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-18 |
| URL | http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-18 |
| Version | 1.0.0 |
| Status | active |
| Date | 2023-08-30T01:19:04.1804145+00:00 |
| Name | QMaternal18 |
| Title | Senarai Semak Risiko VTE Semasa Hamil dan Puerperium |
| 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. |
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FHIR{
"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": "2023-08-30T01:19:04.1804145+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
}
],
"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
}
],
"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
}
],
"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
}
],
"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
}
],
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "01",
"display": "BMI 30-39kg/m2 (VTE Score - 1)"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 1
}
],
"linkId": "maternal-18.2.5",
"code": [
{
"code": "maternal-18.2.5"
}
],
"prefix": "2.5",
"text": "Family history of VTE (VTE Score - 1)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 1
}
],
"linkId": "maternal-18.2.6",
"code": [
{
"code": "maternal-18.2.6"
}
],
"prefix": "2.6",
"text": "Low risk thrombophilia (VTE Score - 1)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 1
}
],
"linkId": "maternal-18.2.7",
"code": [
{
"code": "maternal-18.2.7"
}
],
"prefix": "2.7",
"text": "Current smoker >10 per day (VTE Score - 1)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 1
}
],
"linkId": "maternal-18.2.8",
"code": [
{
"code": "maternal-18.2.8"
}
],
"prefix": "2.8",
"text": "Gross varicose veins(VTE Score - 1)",
"type": "boolean"
}
]
},
{
"linkId": "maternal-18.3",
"code": [
{
"code": "maternal-18.3"
}
],
"prefix": "4",
"text": "Obstetric risk factors",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 2
}
],
"linkId": "maternal-18.3.1",
"code": [
{
"code": "maternal-18.3.1"
}
],
"prefix": "3.1",
"text": "Caesaren section (emergency & elective) (VTE Score - 2)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 1
}
],
"linkId": "maternal-18.3.2",
"code": [
{
"code": "maternal-18.3.2"
}
],
"prefix": "3.2",
"text": "Pre eclampsia (VTE Score - 1)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 1
}
],
"linkId": "maternal-18.3.3",
"code": [
{
"code": "maternal-18.3.3"
}
],
"prefix": "3.3",
"text": "IVF (1st trimester risk only) (VTE Score - 1)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 1
}
],
"linkId": "maternal-18.3.4",
"code": [
{
"code": "maternal-18.3.4"
}
],
"prefix": "3.4",
"text": "Rotational instrumental delivery (VTE Score - 1)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 1
}
],
"linkId": "maternal-18.3.5",
"code": [
{
"code": "maternal-18.3.5"
}
],
"prefix": "3.5",
"text": "PPH (>100mls) or requires blood transfusion (VTE Score - 1)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 1
}
],
"linkId": "maternal-18.3.6",
"code": [
{
"code": "maternal-18.3.6"
}
],
"prefix": "3.6",
"text": "Stillbirth (current) (VTE Score - 1)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 1
}
],
"linkId": "maternal-18.3.7",
"code": [
{
"code": "maternal-18.3.7"
}
],
"prefix": "3.7",
"text": "Prolonged labour (>24 hours) (VTE Score - 1)",
"type": "boolean"
}
]
},
{
"linkId": "maternal-18.4",
"code": [
{
"code": "maternal-18.4"
}
],
"prefix": "4",
"text": "Transient risk factors",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 4
}
],
"linkId": "maternal-18.4.1",
"code": [
{
"code": "maternal-18.4.1"
}
],
"prefix": "4.1",
"text": "Surgical procedures (excluding episiotomy, 1st & 2nd degree perineal repair, evacuation of products of conception) (VTE Score - 4)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 4
}
],
"linkId": "maternal-18.4.2",
"code": [
{
"code": "maternal-18.4.2"
}
],
"prefix": "4.2",
"text": "Hyperemesis gravidarum / OHSS (VTE Score - 4)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 1
}
],
"linkId": "maternal-18.4.3",
"code": [
{
"code": "maternal-18.4.3"
}
],
"prefix": "4.3",
"text": "Systemic/ Postpartum infection (VTE Score - 1)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 1
}
],
"linkId": "maternal-18.4.4",
"code": [
{
"code": "maternal-18.4.4"
}
],
"prefix": "4.4",
"text": "Immobility Dehydration/ Admission beyond 3 days (VTE Score - 1)",
"type": "boolean"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 1
}
],
"linkId": "maternal-18.4.5",
"code": [
{
"code": "maternal-18.4.5"
}
],
"prefix": "4.5",
"text": "Long distance travel (> 4hours) (VTE Score - 1)",
"type": "boolean"
}
]
},
{
"linkId": "maternal-18.5",
"code": [
{
"code": "maternal-18.5"
}
],
"prefix": "5",
"text": "Total score",
"type": "quantity"
}
]
}