| Package | MyHIE.v4-test |
| Resource Type | Questionnaire |
| Id | q-maternal-23 |
| 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-23 |
| URL | http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-23 |
| Version | 1.0.0 |
| Status | active |
| Date | 2023-10-10T06:43:07.0592733+00:00 |
| Name | QMaternal23 |
| Title | Perihal Kelahiran (Diisi oleh Penyambut Kelahiran) |
No resources found
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No narrative content found in resource
FHIR{
"resourceType": "Questionnaire",
"id": "q-maternal-23",
"meta": {
"versionId": "5",
"lastUpdated": "2023-06-15T14:31:13.206+08:00",
"source": "#fKLxLvjnzIIgwxLT",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Questionnaire"
]
},
"url": "http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-23",
"version": "1.0.0",
"name": "QMaternal23",
"title": "Perihal Kelahiran (Diisi oleh Penyambut Kelahiran)",
"status": "active",
"date": "2023-10-10T06:43:07.0592733+00:00",
"item": [
{
"linkId": "maternal-23.1",
"text": "Perihal Ibu",
"type": "group",
"item": [
{
"linkId": "maternal-23.1.1",
"text": "Tempat Kelahiran",
"type": "string"
},
{
"linkId": "maternal-23.1.2",
"text": "Disambut oleh",
"type": "string"
},
{
"linkId": "maternal-23.1.3",
"text": "Tarikh lahir dan masa",
"type": "dateTime"
},
{
"linkId": "maternal-23.1.4",
"text": "Suntikan",
"type": "group",
"item": [
{
"linkId": "maternal-23.1.4.1",
"text": "Syntometrin",
"type": "boolean"
},
{
"linkId": "maternal-23.1.4.2",
"text": "Syntocinon",
"type": "boolean"
}
]
},
{
"linkId": "maternal-23.1.5",
"text": "Placenta",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "00",
"display": "Lengkap"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "01",
"display": "Tidak Lengkap"
}
}
]
},
{
"linkId": "maternal-23.1.6",
"text": "Berat Placenta",
"type": "quantity"
},
{
"linkId": "maternal-23.1.7",
"text": "Cara Kelahiran",
"type": "group",
"item": [
{
"linkId": "maternal-23.1.7.1",
"text": "Spontaneous Vagina Delivery",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "00",
"display": "Cephalic"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "01",
"display": "Breech"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "02",
"display": "Assisted Breech"
}
}
]
},
{
"linkId": "maternal-23.1.7.2",
"text": "Instrumental Delivery",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "00",
"display": "Forcep"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "01",
"display": "Vacuum"
}
}
]
},
{
"linkId": "maternal-23.1.7.3",
"text": "Indication",
"type": "string"
},
{
"linkId": "maternal-23.1.7.4",
"text": "Caesarean",
"type": "group",
"item": [
{
"linkId": "maternal-23.1.7.4.1",
"text": "Urgency",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "00",
"display": "Elective"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "01",
"display": "Emergency"
}
}
]
},
{
"linkId": "maternal-23.1.7.4.2",
"text": "Method",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "03",
"display": "LSCS"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "04",
"display": "Classical"
}
}
]
},
{
"linkId": "maternal-23.1.7.4.3",
"text": "Indications",
"type": "string"
}
]
}
]
},
{
"linkId": "maternal-23.1.8",
"text": "Komplikasi Semasa Bersalin",
"type": "group",
"item": [
{
"linkId": "maternal-23.1.8.1",
"text": "Post Partum Hemorhrhage (PPH)",
"type": "boolean"
},
{
"linkId": "maternal-23.1.8.2",
"text": "Retained Placenta",
"type": "boolean"
},
{
"linkId": "maternal-23.1.8.3",
"text": "Parineal Tear",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "00",
"display": "1st Degree"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "01",
"display": "2nd Degree"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "02",
"display": "3rd Degree"
}
}
]
},
{
"linkId": "maternal-23.1.8.4",
"text": "Lain-lain",
"type": "string"
}
]
},
{
"linkId": "maternal-23.1.9",
"text": "Permulaan Penyusuan Susu Ibu dan Sentuhan Kulit ke Kulit (Diisi oleh Hospital)",
"type": "group",
"item": [
{
"linkId": "maternal-23.1.9.1",
"text": "Bayi diberikan kepada ibu sejurus selepas bersalin",
"type": "boolean"
},
{
"linkId": "maternal-23.1.9.2",
"text": "Sekiranya bayi tidak diberikan kepada ibu sejurus selepas bersalin, nyatakan sebab",
"type": "string"
},
{
"linkId": "maternal-23.1.9.3",
"text": "Ibu dan bayi menerima sentuhan kulit ke kulit selama 1 jam",
"type": "boolean"
},
{
"linkId": "maternal-23.1.9.4",
"text": "Sekiranya ibu dan bayi tidak menerima sentuhan kulit ke kulit selama 1 jam, nyatakan sebab",
"type": "string"
}
]
}
]
},
{
"linkId": "maternal-23.2",
"text": "Perihal Bayi",
"type": "group",
"item": [
{
"linkId": "maternal-23.2.1",
"text": "Berat Lahir",
"type": "quantity"
},
{
"linkId": "maternal-23.2.2",
"text": "Jantina",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "male",
"display": "Male"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "female",
"display": "Female"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "other",
"display": "Undertermined"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "unknown",
"display": "Unknown"
}
}
]
},
{
"linkId": "maternal-23.2.3",
"text": "Ukuran Panjang",
"type": "quantity"
},
{
"linkId": "maternal-23.2.4",
"text": "Lilitan Kepala",
"type": "quantity"
},
{
"linkId": "maternal-23.2.5",
"text": "Lilitan Dada",
"type": "quantity"
},
{
"linkId": "maternal-23.2.6",
"text": "Keadaan Bayi",
"type": "group",
"item": [
{
"linkId": "maternal-23.2.6.1",
"text": "Keadaan",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "18",
"display": "Lahir hidup"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/maternal-record-my-core",
"code": "19",
"display": "Lahir mati"
}
}
]
},
{
"linkId": "maternal-23.2.6.2",
"text": "Skor Apgar 1 minit",
"type": "integer"
},
{
"linkId": "maternal-23.2.6.3",
"text": "Skor Apgar 5 minit",
"type": "integer"
},
{
"linkId": "maternal-23.2.6.4",
"text": "Abnormaliti Kongenital",
"type": "boolean"
},
{
"linkId": "maternal-23.2.6.5",
"text": "Jika ada abnormaliti, nyatakan",
"type": "string"
},
{
"linkId": "maternal-23.2.6.6",
"text": "Suntikan Vit K diberi",
"type": "boolean",
"item": [
{
"linkId": "maternal-23.2.6.6.1",
"text": "Tarikh",
"type": "date"
},
{
"linkId": "maternal-23.2.6.6.2",
"text": "Masa",
"type": "time"
},
{
"linkId": "maternal-23.2.6.6.3",
"text": "Diberi oleh",
"type": "string"
}
]
},
{
"linkId": "maternal-23.2.6.7",
"text": "Suntikan Hepatitis B dos 1 diberi",
"type": "boolean",
"item": [
{
"linkId": "maternal-23.2.6.7.1",
"text": "Tarikh",
"type": "date"
},
{
"linkId": "maternal-23.2.6.7.2",
"text": "Masa",
"type": "time"
},
{
"linkId": "maternal-23.2.6.7.3",
"text": "Diberikan oleh",
"type": "string"
},
{
"linkId": "maternal-23.2.6.7.4",
"text": "No Batch",
"type": "string"
},
{
"linkId": "maternal-23.2.6.7.5",
"text": "Tarikh Luput",
"type": "dateTime"
}
]
},
{
"linkId": "maternal-23.2.6.8",
"text": "Tarikh diambil G6PD",
"type": "dateTime"
},
{
"linkId": "maternal-23.2.6.9",
"text": "Tarikh diambil saringan conginetal hypothyodism (T4/TSH)",
"type": "dateTime"
}
]
}
]
}
]
}