| Package | myhie.v4 |
| Resource Type | Questionnaire |
| Id | q-diabetic-checklist |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=myhie.v4@1.0.0&canonical=http://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-checklist |
| URL | http://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-checklist |
| Status | active |
| Date | 2024-03-01T02:25:07.0445554+00:00 |
| Title | Diabetic Checklist |
No resources found
No resources found
No narrative content found in resource
FHIR{
"resourceType": "Questionnaire",
"id": "q-diabetic-checklist",
"url": "http://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-checklist",
"title": "Diabetic Checklist",
"status": "active",
"date": "2024-03-01T02:25:07.0445554+00:00",
"item": [
{
"linkId": "1",
"code": [
{
"system": "http://loinc.org",
"code": "29544-4",
"display": "Physical findings"
}
],
"text": "Physical Examination",
"type": "group",
"item": [
{
"linkId": "1.1",
"code": [
{
"system": "http://loinc.org",
"code": "29463-7",
"display": "Weight"
}
],
"text": "Weight",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
},
{
"linkId": "1.2",
"code": [
{
"system": "http://loinc.org",
"code": "8280-0",
"display": "Waist Circumference"
}
],
"text": "Waist circumference",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
},
{
"linkId": "1.3",
"code": [
{
"system": "http://loinc.org",
"code": "39156-5",
"display": "BMI"
}
],
"text": "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"
}
}
]
},
{
"linkId": "1.4",
"code": [
{
"system": "http://loinc.org",
"code": "35094-2",
"display": "Blood pressure"
}
],
"text": "Blood Pressure",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
},
{
"linkId": "1.5",
"code": [
{
"system": "http://loinc.org",
"code": "LP7218-3",
"display": "Eye"
}
],
"text": "Eye",
"type": "group",
"item": [
{
"linkId": "1.5.1",
"code": [
{
"system": "http://loinc.org",
"code": "98497-1",
"display": "Visual acuity"
}
],
"text": "Visual acuity",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
},
{
"linkId": "1.5.2",
"code": [
{
"system": "http://loinc.org",
"code": "LP149841-1",
"display": "Ophthalmoscopy"
}
],
"text": "Fundoscopy/Fundus camera",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
}
]
},
{
"linkId": "1.6",
"code": [
{
"system": "http://loinc.org",
"code": "46051-9",
"display": "Foot problems and care Set"
}
],
"text": "Feet",
"type": "string",
"item": [
{
"linkId": "1.6.1",
"code": [
{
"system": "http://loinc.org",
"code": "77194-9",
"display": "Ankle-brachial index"
}
],
"text": "Pulses/ABI",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
},
{
"linkId": "1.6.2",
"code": [
{
"system": "http://loinc.org",
"code": "LP185984-4",
"display": "Peripheral sensory neuropathy grade"
}
],
"text": "Neuropathy",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
}
]
},
{
"linkId": "1.7",
"code": [
{
"system": "http://loinc.org",
"code": "34045-5",
"display": "Oral evaluation exam"
}
],
"text": "Dental check-up",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
},
{
"linkId": "1.8",
"code": [
{
"system": "http://loinc.org",
"code": "11524-6",
"display": "EKG study"
}
],
"text": "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"
}
}
]
}
]
},
{
"linkId": "2",
"code": [
{
"system": "http://loinc.org",
"code": "22032-7",
"display": "Lab tests Narrative"
}
],
"text": "Laboratory investigation",
"type": "group",
"item": [
{
"linkId": "2.1",
"code": [
{
"system": "http://loinc.org",
"code": "2345-7",
"display": "Glucose [Mass/volume] in Serum or Plasma"
}
],
"text": "Plasma glucose",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
},
{
"linkId": "2.2",
"code": [
{
"system": "http://loinc.org",
"code": "4548-4",
"display": "Hemoglobin A1c/Hemoglobin.total in Blood"
}
],
"text": "HbA1c",
"type": "decimal"
},
{
"linkId": "2.3",
"code": [
{
"system": "http://loinc.org",
"code": "24331-1",
"display": "Lipid 1996 panel - Serum or Plasma"
}
],
"text": "Lipid profile",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
},
{
"linkId": "2.4",
"code": [
{
"system": "http://loinc.org",
"code": "24362-6",
"display": "Renal function 2000 panel - Serum or Plasma"
},
{
"system": "http://loinc.org",
"code": "2160-0",
"display": "Creatinine [Mass/volume] in Serum or Plasma"
}
],
"text": "Creatinine/BUSE + eGFR",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
},
{
"linkId": "2.5",
"code": [
{
"system": "http://loinc.org",
"code": "24325-3",
"display": "Hepatic function 2000 panel - Serum or Plasma"
}
],
"text": "LFT (AST, ALT)",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
},
{
"linkId": "2.6",
"code": [
{
"system": "http://loinc.org",
"code": "24356-8",
"display": "Urinalysis complete panel - Urine"
}
],
"text": "Urine microscopy",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
},
{
"linkId": "2.7",
"code": [
{
"system": "http://loinc.org",
"code": "58431-8",
"display": "Microalbumin panel - 24 hour Urine"
}
],
"text": "Urine albumin/microalbumin/spot morning urinary ACR",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398166005",
"display": "Performed"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "262008008",
"display": "Not performed"
}
}
]
}
]
}
]
}