FHIR IG analytics| Package | myhie.v4 |
| Resource Type | Questionnaire |
| Id | q-diabetic-audit.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Questionnaire",
"id": "q-diabetic-audit",
"url": "http://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-audit",
"title": "Diabetic Audit",
"status": "active",
"date": "2024-04-28T23:30:28.824077+00:00",
"item": [
{
"linkId": "dm",
"text": "Diabetes Details",
"type": "group",
"item": [
{
"linkId": "dm-dx-date",
"text": "Diabetes Diagnosis Date",
"type": "dateTime"
},
{
"linkId": "dm-dx-type",
"text": "Estimate/ Presumed",
"type": "boolean"
},
{
"linkId": "dm-type",
"text": "Diabetes Type",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/1651053999",
"code": "5A10",
"display": "Type 1"
}
},
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/119724091",
"code": "5A11",
"display": "Type 2"
}
},
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/119724091",
"code": "5A12",
"display": "Malnutrition-related"
}
},
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/381961554",
"code": "5A13",
"display": "Other specified type"
}
},
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/1697306310",
"code": "5A14",
"display": "Type unspecified"
}
}
]
},
{
"linkId": "dm-other",
"text": "If other specified type, please specify",
"type": "choice",
"enableWhen": [
{
"question": "dm-type",
"operator": "=",
"answerCoding": {
"system": "http://id.who.int/icd/entity/381961554",
"code": "5A13",
"display": "Other specified type"
}
}
],
"answerOption": [
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/1651053999",
"code": "5A13.0",
"display": "Diabetes mellitus due to genetic defects of beta cell function"
}
},
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/119724091",
"code": "5A13.1",
"display": "Diabetes mellitus due to genetic defects in insulin action"
}
},
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/381961554",
"code": "5A13.2",
"display": "Diabetes mellitus due to diseases of the exocrine pancreas"
}
},
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/1697306310",
"code": "5A13.3",
"display": "Diabetes mellitus due to endocrinopathies"
}
},
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/1697306310",
"code": "5A13.4",
"display": "Diabetes mellitus due to drug or chemical"
}
},
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/1697306310",
"code": "5A13.5",
"display": "Diabetes mellitus due to uncommon forms of immune-mediated diabetes"
}
},
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/1697306310",
"code": "5A13.6",
"display": "Diabetes mellitus due to other genetic syndromes"
}
},
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/1697306310",
"code": "5A13.7",
"display": "Diabetes mellitus due to clinically defined subtypes or syndromes"
}
},
{
"valueCoding": {
"system": "http://id.who.int/icd/entity/1697306310",
"code": "5A13.Y",
"display": "Diabetes mellitus due to other specified cause"
}
}
]
},
{
"linkId": "dm-age",
"text": "Diabetes Age",
"type": "dateTime"
}
]
},
{
"linkId": "complication",
"text": "Complications",
"type": "group",
"item": [
{
"linkId": "retinopathy",
"text": "Retinopathy",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Present"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "Absent"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "373068000",
"display": "Not Known"
}
}
],
"item": [
{
"linkId": "retinopathy-dx-date",
"text": "If Present, date of diagnosis",
"type": "dateTime"
},
{
"linkId": "retinopathy-dx-type",
"text": "Estimate/ Presumed",
"type": "boolean"
}
]
},
{
"linkId": "ihd",
"text": "Ischaemic heart disease (IHD)",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Present"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "Absent"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "373068000",
"display": "Not Known"
}
}
],
"item": [
{
"linkId": "ihd-dx-date",
"text": "If Present, date of diagnosis",
"type": "dateTime"
},
{
"linkId": "ihd-dx-type",
"text": "Estimate/ Presumed",
"type": "boolean"
}
]
},
{
"linkId": "cevd",
"text": "Cerebrovascular disease (ceVD)",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Present"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "Absent"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "373068000",
"display": "Not Known"
}
}
],
"item": [
{
"linkId": "cevd-dx-date",
"text": "If Present, date of diagnosis",
"type": "dateTime"
},
{
"linkId": "cevd-dx-type",
"text": "Estimate/ Presumed",
"type": "boolean"
}
]
},
{
"linkId": "nephropathy",
"text": "Nephropathy",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Present"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "Absent"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "373068000",
"display": "Not Known"
}
}
],
"item": [
{
"linkId": "nephropathy-dx-date",
"text": "If Present, date of diagnosis",
"type": "dateTime"
},
{
"linkId": "nephropathy-dx-type",
"text": "Estimate/ Presumed",
"type": "boolean"
}
]
},
{
"linkId": "dfu",
"text": "Diabetic foot ulcer",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Present"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "Absent"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "373068000",
"display": "Not Known"
}
}
],
"item": [
{
"linkId": "dfu-dx-date",
"text": "If Present, date of diagnosis",
"type": "dateTime"
},
{
"linkId": "dfu-dx-type",
"text": "Estimate/ Presumed",
"type": "boolean"
}
]
},
{
"linkId": "amputation",
"text": "Amputation",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Present"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "Absent"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "373068000",
"display": "Not Known"
}
}
],
"item": [
{
"linkId": "amputation-dx-date",
"text": "If Present, date of diagnosis",
"type": "dateTime"
},
{
"linkId": "amputation-dx-type",
"text": "Estimate/ Presumed",
"type": "boolean"
}
]
}
]
},
{
"linkId": "comorbid",
"text": "Concomitant Co-morbidity",
"type": "group",
"item": [
{
"linkId": "hpt",
"text": "Hypertension",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "373068000",
"display": "Not Known"
}
}
],
"item": [
{
"linkId": "hpt-dx-date",
"text": "If Yes, date of diagnosis",
"type": "dateTime"
},
{
"linkId": "hpt-dx-type",
"text": "Estimate/ Presumed",
"type": "boolean"
}
]
},
{
"linkId": "lipid",
"text": "Dyslipidaemia",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "373068000",
"display": "Not Known"
}
}
],
"item": [
{
"linkId": "lipid-dx-date",
"text": "If Yes, date of diagnosis",
"type": "dateTime"
},
{
"linkId": "lipid-dx-type",
"text": "Estimate/ Presumed",
"type": "boolean"
}
]
},
{
"linkId": "smoking",
"text": "Smoking Status",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "373068000",
"display": "Not Known"
}
}
]
}
]
},
{
"linkId": "obs",
"text": "Clinical Observations",
"type": "group",
"item": [
{
"linkId": "obs-ht",
"text": "Height",
"type": "boolean",
"item": [
{
"linkId": "obs-ht-result",
"text": "Latest Result",
"type": "decimal"
}
]
},
{
"linkId": "obs-wt",
"text": "Weight",
"type": "boolean",
"item": [
{
"linkId": "obs-wt-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "obs-wt-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
},
{
"linkId": "obs-wc",
"text": "Waist Circumference",
"type": "boolean",
"item": [
{
"linkId": "obs-wc-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "obs-wc-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
},
{
"linkId": "obs-bmi",
"text": "Body Mass Index (BMI)",
"type": "boolean",
"item": [
{
"linkId": "obs-bmi-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "obs-bmi-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
},
{
"linkId": "obs-bp",
"text": "Blood Pressure",
"type": "boolean",
"item": [
{
"linkId": "obs-bp-sys-result",
"text": "Systolic",
"type": "decimal"
},
{
"linkId": "obs-bp-dia-result",
"text": "Diastolic",
"type": "decimal"
},
{
"linkId": "obs-bp-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
}
]
},
{
"linkId": "pe",
"text": "Physical Examination",
"type": "group",
"item": [
{
"linkId": "pe-fundus",
"text": "Fundus examination",
"type": "boolean",
"item": [
{
"linkId": "pe-fundus-outcome",
"text": "Examination Outcome",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Abnormal"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "Normal"
}
}
]
},
{
"linkId": "pe-fundus-date",
"text": "Date of Latest Examination",
"type": "dateTime"
}
]
},
{
"linkId": "pe-foot",
"text": "Foot examination",
"type": "boolean",
"item": [
{
"linkId": "pe-foot-outcome",
"text": "Examination Outcome",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Abnormal"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "Normal"
}
}
]
},
{
"linkId": "pe-foot-date",
"text": "Date of Latest Examination",
"type": "dateTime"
}
]
},
{
"linkId": "pe-ecg",
"text": "Electrocardiogram (ECG)",
"type": "boolean",
"item": [
{
"linkId": "pe-ecg-outcome",
"text": "Examination Outcome",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Abnormal"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "Normal"
}
}
]
},
{
"linkId": "pe-ecg-date",
"text": "Date of Latest Examination",
"type": "dateTime"
}
]
},
{
"linkId": "pe-ed",
"text": "Erectile Dysfunction",
"type": "boolean",
"item": [
{
"linkId": "pe-ed-outcome",
"text": "Examination Outcome",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Abnormal"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "2667000",
"display": "Normal"
}
}
]
},
{
"linkId": "pe-ed-date",
"text": "Date of Latest Examination",
"type": "dateTime"
}
]
},
{
"linkId": "pe-mo",
"text": "Seen by a Medical Officer (MO) at least once in a year",
"type": "boolean"
}
]
},
{
"linkId": "lab",
"text": "Laboratory",
"type": "group",
"item": [
{
"linkId": "lab-rbg",
"text": "Random Blood Glucose (RBG)",
"type": "boolean",
"item": [
{
"linkId": "lab-rbg-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "lab-rbg-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
},
{
"linkId": "lab-fbg",
"text": "Fasting Blood Glucose (FBG)",
"type": "boolean",
"item": [
{
"linkId": "lab-fbg-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "lab-fbg-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
},
{
"linkId": "lab-2hpp",
"text": "2-Hour Post Prandial (2HPP)",
"type": "boolean",
"item": [
{
"linkId": "lab-2hpp-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "lab-2hpp-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
},
{
"linkId": "lab-hba1c",
"text": "HbA1c",
"type": "boolean",
"item": [
{
"linkId": "lab-hba1c-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "lab-hba1c-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
},
{
"linkId": "lab-tc",
"text": "Total Cholesterol",
"type": "boolean",
"item": [
{
"linkId": "lab-tc-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "lab-tc-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
},
{
"linkId": "lab-tg",
"text": "Triglycerides (TG)",
"type": "boolean",
"item": [
{
"linkId": "lab-tg-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "lab-tg-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
},
{
"linkId": "lab-hdl",
"text": "High-Density Lipoprotein (HDL)",
"type": "boolean",
"item": [
{
"linkId": "lab-hdl-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "lab-hdl-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
},
{
"linkId": "lab-ldl",
"text": "Low-Density Lipoprotein (LDL)",
"type": "boolean",
"item": [
{
"linkId": "lab-ldl-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "lab-ldl-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
},
{
"linkId": "lab-cre",
"text": "Serum Creatinine",
"type": "boolean",
"item": [
{
"linkId": "lab-cre-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "lab-cre-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
},
{
"linkId": "lab-umalb",
"text": "Urine Microalbumin",
"type": "boolean",
"item": [
{
"linkId": "lab-umalb-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "lab-umalb-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
},
{
"linkId": "lab-upro",
"text": "Urine Protein",
"type": "boolean",
"item": [
{
"linkId": "lab-upro-result",
"text": "Latest Result",
"type": "string"
},
{
"linkId": "lab-upro-result-date",
"text": "Date of Latest Result",
"type": "dateTime"
}
]
}
]
},
{
"linkId": "dm-med",
"text": "Anti-Diabetic Drugs",
"type": "group",
"item": [
{
"linkId": "dm-med-biguanides",
"text": "Biguanides",
"type": "boolean"
},
{
"linkId": "dm-med-sulphonylureas",
"text": "Sulphonylureas",
"type": "boolean"
},
{
"linkId": "dm-med-agi",
"text": "α-glucosidase inhibitors",
"type": "boolean"
},
{
"linkId": "dm-med-meglitinides",
"text": "Meglitinides",
"type": "boolean"
},
{
"linkId": "dm-med-glitazones",
"text": "Glitazones",
"type": "boolean"
},
{
"linkId": "dm-med-other",
"text": "Other",
"type": "boolean",
"initial": [
{
"valueBoolean": false
}
],
"item": [
{
"linkId": "dm-med-other-details",
"text": "If other, please specify",
"type": "string",
"enableWhen": [
{
"question": "dm-med-other",
"operator": "=",
"answerBoolean": true
}
],
"repeats": true
}
]
}
]
},
{
"linkId": "hpt-med",
"text": "Anti-hypertensives Drugs",
"type": "group",
"item": [
{
"linkId": "hpt-med-ace",
"text": "ACE-inhibitor",
"type": "boolean"
},
{
"linkId": "hpt-med-arb",
"text": "Angiotensin II Receptor Blockers (ARB)",
"type": "boolean"
},
{
"linkId": "hpt-med-bb",
"text": "Beta-blockers",
"type": "boolean"
},
{
"linkId": "hpt-med-ccb",
"text": "Calcium channel blockers",
"type": "boolean"
},
{
"linkId": "hpt-med-diuretics",
"text": "Diuretics",
"type": "boolean"
},
{
"linkId": "hpt-med-ab",
"text": "Alpha-blockers",
"type": "boolean"
},
{
"linkId": "hpt-med-ca",
"text": "Centrally acting",
"type": "boolean"
},
{
"linkId": "hpt-med-other",
"text": "Other",
"type": "boolean",
"initial": [
{
"valueBoolean": false
}
],
"item": [
{
"linkId": "hpt-med-other-details",
"text": "If other, please specify",
"type": "string",
"enableWhen": [
{
"question": "hpt-med-other",
"operator": "=",
"answerBoolean": true
}
],
"repeats": true
}
]
}
]
},
{
"linkId": "lipid-med",
"text": "Lipid-Lowering Agents",
"type": "group",
"item": [
{
"linkId": "lipid-med-statin",
"text": "Statin",
"type": "boolean"
},
{
"linkId": "lipid-med-fibrate",
"text": "Fibrate",
"type": "boolean"
},
{
"linkId": "lipid-med-other",
"text": "Other",
"type": "boolean",
"initial": [
{
"valueBoolean": false
}
],
"item": [
{
"linkId": "lipid-med-other-details",
"text": "If other, please specify",
"type": "string",
"enableWhen": [
{
"question": "lipid-med-other",
"operator": "=",
"answerBoolean": true
}
],
"repeats": true
}
]
}
]
}
]
}