| Package | myhie.v4 |
| Resource Type | Questionnaire |
| Id | q-hypertension-audit |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=myhie.v4@1.0.0&canonical=http://fhir.hie.moh.gov.my/Questionnaire/q-hypertension-audit |
| URL | http://fhir.hie.moh.gov.my/Questionnaire/q-hypertension-audit |
| Status | active |
| Date | 2024-04-28T23:30:28.824077+00:00 |
| Title | Hypertension Audit |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Questionnaire",
"id": "q-hypertension-audit",
"url": "http://fhir.hie.moh.gov.my/Questionnaire/q-hypertension-audit",
"title": "Hypertension Audit",
"status": "active",
"date": "2024-04-28T23:30:28.824077+00:00",
"item": [
{
"linkId": "hpt",
"text": "Latest Clinical Update",
"type": "group",
"item": [
{
"linkId": "hpt-clini-date",
"text": "Date of clinic visit",
"type": "dateTime"
},
{
"linkId": "hpt-division",
"text": "Division",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"code": "01",
"display": "Kuching"
}
},
{
"valueCoding": {
"code": "02",
"display": "Samarahan"
}
}
]
},
{
"linkId": "hpt-district",
"text": "District",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"code": "03",
"display": "Kuching"
}
},
{
"valueCoding": {
"code": "04",
"display": "Bau"
}
},
{
"valueCoding": {
"code": "05",
"display": "Lundu"
}
},
{
"valueCoding": {
"code": "06",
"display": "Samarahan"
}
},
{
"valueCoding": {
"code": "07",
"display": "Asajaya"
}
},
{
"valueCoding": {
"code": "08",
"display": "Simunjan"
}
},
{
"valueCoding": {
"code": "09",
"display": "Sebuyau"
}
},
{
"valueCoding": {
"code": "10",
"display": "Gedong"
}
}
]
},
{
"linkId": "hpt-facility",
"text": "Health Facility",
"type": "string"
},
{
"linkId": "hpt-type-facility",
"text": "Type of Health Facility",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"code": "11",
"display": "KK with FMS"
}
},
{
"valueCoding": {
"code": "12",
"display": "KK with MO"
}
},
{
"valueCoding": {
"code": "13",
"display": "KK without MO"
}
},
{
"valueCoding": {
"code": "14",
"display": "JPL Hospital"
}
}
]
},
{
"linkId": "hpt-type-treatment",
"text": "Type of treatment for Hypertension",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"code": "15",
"display": "On Pharmacological treatment"
}
},
{
"valueCoding": {
"code": "16",
"display": "Not of Pharmacological treatment"
}
}
]
}
]
},
{
"linkId": "pe",
"text": "Physical examination at follow up visit",
"type": "group",
"item": [
{
"linkId": "pe-sys-result",
"text": "Systolic blood pressure",
"type": "decimal"
},
{
"linkId": "pe-dia-result",
"text": "Diastolic blood pressure",
"type": "decimal"
},
{
"linkId": "pe-wt-result",
"text": "Weight at follow up",
"type": "decimal"
},
{
"linkId": "pe-wc-result",
"text": "Waist circumference at follow up",
"type": "decimal"
}
]
},
{
"linkId": "comorbid",
"text": "Presence of co-morbidity & complications at follow up visit",
"type": "group",
"item": [
{
"linkId": "dm",
"text": "Diabetes Mellitus",
"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": "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": "stroke",
"text": "Stroke",
"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": "stroke-dx-date",
"text": "If Yes, date of diagnosis",
"type": "dateTime"
}
]
},
{
"linkId": "renal",
"text": "Renal Failure",
"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": "renal-dx-date",
"text": "If Yes, date of diagnosis",
"type": "dateTime"
}
]
},
{
"linkId": "cevd",
"text": "Cardiovascular Disease",
"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": "cevd-dx-date",
"text": "If Yes, date of diagnosis",
"type": "dateTime"
}
]
},
{
"linkId": "retinopathy",
"text": "Hypertensive Retinopathy",
"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": "retinopathy-dx-date",
"text": "If Present, date of diagnosis",
"type": "dateTime"
}
]
},
{
"linkId": "record",
"text": "Date record updated",
"type": "dateTime"
}
]
},
{
"linkId": "lab",
"text": "Laboratory results at follow up",
"type": "group",
"item": [
{
"linkId": "lab-tc",
"text": "Total Cholesterol",
"type": "boolean",
"item": [
{
"linkId": "lab-tc-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "lab-tc-sample-date",
"text": "Date sample taken",
"type": "dateTime"
}
]
},
{
"linkId": "lab-tg",
"text": "Triglycerides (TG)",
"type": "boolean",
"item": [
{
"linkId": "lab-tg-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "lab-tg-sample-date",
"text": "Date sample taken",
"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-sample-date",
"text": "Date sample taken",
"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-sample-date",
"text": "Date sample taken",
"type": "dateTime"
}
]
},
{
"linkId": "lab-cre",
"text": "Serum Creatinine",
"type": "boolean",
"item": [
{
"linkId": "lab-cre-result",
"text": "Latest Result",
"type": "decimal"
},
{
"linkId": "lab-cre-sample-date",
"text": "Date sample taken",
"type": "dateTime"
}
]
},
{
"linkId": "lab-umalb",
"text": "Urine Microalbumin",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "167582007",
"display": "Positive"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "167583002",
"display": "Negative"
}
}
],
"item": [
{
"linkId": "lab-umalb-sample-date",
"text": "Date sample taken",
"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-sample-date",
"text": "Date sample taken",
"type": "dateTime"
}
]
}
]
},
{
"linkId": "status",
"text": "Current Status",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "438949009",
"display": "Active"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "419099009",
"display": "Died"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "410546004",
"display": "Lost to Follow Up"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "413328008",
"display": "Transfer Out"
}
}
],
"item": [
{
"linkId": "status-died-date",
"text": "Date died",
"type": "date",
"enableWhen": [
{
"question": "status",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "419099009",
"display": "Died"
}
}
]
},
{
"linkId": "status-lost-date",
"text": "Date last visit",
"type": "date",
"enableWhen": [
{
"question": "status",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "410546004",
"display": "Lost to Follow Up"
}
}
]
},
{
"linkId": "transfer",
"text": "Transfer to KK/JPL or private facility",
"type": "choice",
"enableWhen": [
{
"question": "status",
"operator": "=",
"answerCoding": {
"system": "http://snomed.info/sct",
"code": "413328008",
"display": "Transfer Out"
}
}
],
"answerOption": [
{
"valueCoding": {
"code": "17",
"display": "To another KK/JPL"
}
},
{
"valueCoding": {
"code": "18",
"display": "To private facility"
}
}
]
}
]
}
]
}