Package | myhie.v4 |
Resource Type | Questionnaire |
Id | q-diabetic-audit |
FHIR Version | R4 |
Source | https://simplifier.net/resolve?scope=myhie.v4@1.0.0&canonical=http://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-audit |
URL | http://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-audit |
Status | active |
Date | 2024-03-01T02:25:07.0445554+00:00 |
Title | Diabetic Audit |
No resources found
No resources found
No narrative content found in resource
{ "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 } ] } ] } ] }