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FHIR IG Statistics: Questionnaire/q-diabetic-audit

Packagemyhie.v4
Resource TypeQuestionnaire
Idq-diabetic-audit
FHIR VersionR4
Sourcehttps://simplifier.net/resolve?scope=myhie.v4@1.0.0&canonical=http://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-audit
URLhttp://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-audit
Statusactive
Date2024-03-01T02:25:07.0445554+00:00
TitleDiabetic Audit

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Source

{
  "resourceType": "Questionnaire",
  "id": "q-diabetic-audit",
  "meta": {
    "versionId": "12",
    "lastUpdated": "2024-01-31T16:02:25.793+08:00",
    "source": "#90OyY2Ik2JmDxv9T"
  },
  "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-audit",
  "title": "Diabetic Audit",
  "status": "active",
  "date": "2024-03-01T02:25:07.0445554+00:00",
  "item": [
    {
      "linkId": "1",
      "text": "Komplikasi",
      "type": "group",
      "item": [
        {
          "linkId": "1.1",
          "text": "Retinopati",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "1.2",
          "text": "Ischaemic heart disease",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "1.3",
          "text": "Cerebrovascular disease",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "1.4",
          "text": "Nefropati",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "1.5",
          "text": "Diabetic foot ilcer",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "1.6",
          "text": "Amputasi",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Concomitant Co-morbodity",
      "type": "group",
      "item": [
        {
          "linkId": "2.1",
          "text": "Hipertensi",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "2.2",
          "text": "Dyslipidaemia",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        }
      ]
    },
    {
      "linkId": "3",
      "text": "Diabetic medications",
      "type": "group",
      "item": [
        {
          "linkId": "3.1",
          "text": "Biguanides (e.g metformin)",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "3.2",
          "text": "Sulphonylureas (e.g gibenclamide)",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "3.3",
          "text": "α-glucosidase inhibitors (acarbose)",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "3.4",
          "text": "Meglitinides (e.g repaglinide)",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "3.5",
          "text": "Glitazones (e.g rosiglitazones",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "3.6",
          "text": "Lain-lain",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ],
          "item": [
            {
              "linkId": "3.6.1",
              "text": "Nyatakan jika lain-lain",
              "type": "string",
              "enableWhen": [
                {
                  "question": "3.6",
                  "operator": "=",
                  "answerBoolean": true
                }
              ],
              "repeats": true
            }
          ]
        }
      ]
    },
    {
      "linkId": "4",
      "text": "Anti-platelets",
      "type": "group",
      "item": [
        {
          "linkId": "4.1",
          "text": "Acetylsalicylate acid",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "4.2",
          "text": "Ticlopidine",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "4.3",
          "text": "Lain-lain",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ],
          "item": [
            {
              "linkId": "4.3.1",
              "text": "Nyatakan jika lain-lain",
              "type": "string",
              "enableWhen": [
                {
                  "question": "4.3",
                  "operator": "=",
                  "answerBoolean": true
                }
              ],
              "repeats": true
            }
          ]
        }
      ]
    },
    {
      "linkId": "5",
      "text": "Anti-hypertensives",
      "type": "group",
      "item": [
        {
          "linkId": "5.1",
          "text": "ACE-inhibitor",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "5.2",
          "text": "ARB",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "5.3",
          "text": "Beta-blockers",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "5.4",
          "text": "Calcium channel blockers",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "5.5",
          "text": "Diuretics",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "5.6",
          "text": "Alpha-blockers",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "5.7",
          "text": "Centrally acting",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "5.8",
          "text": "Lain-lain",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ],
          "item": [
            {
              "linkId": "5.8.1",
              "text": "Nyatakan jika lain-lain",
              "type": "string",
              "enableWhen": [
                {
                  "question": "5.8",
                  "operator": "=",
                  "answerBoolean": true
                }
              ],
              "repeats": true
            }
          ]
        }
      ]
    },
    {
      "linkId": "6",
      "text": "Lipid-lowering agents",
      "type": "group",
      "item": [
        {
          "linkId": "6.1",
          "text": "Statin",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "6.2",
          "text": "Fibrate",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "6.3",
          "text": "Lain-lain",
          "type": "boolean",
          "initial": [
            {
              "valueBoolean": false
            }
          ],
          "item": [
            {
              "linkId": "6.3.1",
              "text": "Nyatakan jika lain-lain",
              "type": "string",
              "enableWhen": [
                {
                  "question": "6.3",
                  "operator": "=",
                  "answerBoolean": true
                }
              ],
              "repeats": true
            }
          ]
        }
      ]
    },
    {
      "linkId": "7",
      "text": "Kriteria",
      "type": "group",
      "item": [
        {
          "linkId": "7.1",
          "text": "Tinggi",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.2",
          "text": "Berat badan",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.3",
          "text": "Ukut lilit pinggang",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.4",
          "text": "Indeks jisim tubuh (BMI)",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.5",
          "text": "Tekanan darah",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.6",
          "text": "Ujian RBS",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.7",
          "text": "Ujian FBS",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.8",
          "text": "Ujian 2HPP",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.9",
          "text": "Ujian HbA1c",
          "type": "decimal"
        },
        {
          "linkId": "7.10.1",
          "text": "Serum kolesterol: Total",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.10.2",
          "text": "Serum kolesterol: TG",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.10.3",
          "text": "Serum kolesterol: HDL",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.10.4",
          "text": "Serum kolesterol: LDL",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.11",
          "text": "Kreatinin",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.12",
          "text": "Ujian urin mikroalbumin",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.13",
          "text": "Ujian urin protin",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.14",
          "text": "Pemeriksaan fundus",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.15",
          "text": "Pemeriksaan kaki",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.16",
          "text": "Ujian ECG",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        },
        {
          "linkId": "7.17",
          "text": "Saringan untuk Erectile Dysfunction",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "398166005",
                "display": "Performed"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "262008008",
                "display": "Not performed"
              },
              "initialSelected": true
            }
          ]
        }
      ]
    }
  ]
}