FHIR IG analytics| Package | myhie.v4 |
| Resource Type | QuestionnaireResponse |
| Id | qr-death-certificate.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "QuestionnaireResponse",
"id": "qr-death-certificate",
"meta": {
"source": "http://provider.hie.moh.gov.my",
"profile": [
"http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
]
},
"extension": [
{
"url": "http://fhir.hie.moh.gov.my/StructureDefinition/service-provider-my-core",
"valueReference": {
"reference": "Organization/11-05060009"
}
}
],
"questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-death-certificate",
"status": "completed",
"subject": {
"reference": "Patient/74c778d4-19a4-442e-8918-620733047fce"
},
"authored": "2024-01-22T12:02:00+08:00",
"author": {
"reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/19"
},
"item": [
{
"linkId": "death-date",
"text": "Date of death",
"answer": [
{
"valueDateTime": "2024-02-27T08:00:00+08:00"
}
]
},
{
"linkId": "medical",
"text": "Frame A: Medical data:Part 1 and 2",
"item": [
{
"linkId": "terminal-cod",
"text": "Terminal Cause of Death",
"answer": [
{
"valueReference": {
"reference": "Condition/ca7a7904-dd1f-457d-ba70-636d0dda079b",
"display": "Covid-19"
}
}
]
},
{
"linkId": "underlying-cod",
"text": "Underlying Cause of Death",
"answer": [
{
"valueReference": {
"reference": "Condition/f025dc3c-3b68-47d1-bf63-bfc0ec11adc3",
"identifier": {
"value": "1"
},
"display": "Respiratory Distress"
}
}
]
},
{
"linkId": "underlying-cod",
"text": "Underlying Cause of Death",
"answer": [
{
"valueReference": {
"reference": "Condition/97599303-f4ea-4a26-943f-124b739cf5f1",
"identifier": {
"value": "2"
},
"display": "Septic Shock"
}
}
]
},
{
"linkId": "underlying-condition",
"text": "Underlying Condition",
"answer": [
{
"valueReference": {
"reference": "Condition/d2614b55-9599-4dfd-b193-d6260d460248",
"display": "Hypertension"
}
}
]
}
]
},
{
"linkId": "medical-other",
"text": "Frame B: Other medical data",
"item": [
{
"linkId": "surgery",
"text": "Was surgery performed within the last 4 weeks?",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Yes"
},
"item": [
{
"linkId": "surgery-date",
"text": "If yes please specify date of surgery",
"answer": [
{
"valueDate": "2024-02-26"
}
]
},
{
"linkId": "surgery-reason",
"text": "If yes please specify reason for surgery (disease or condition)",
"answer": [
{
"valueString": "Breast Cancer"
}
]
},
{
"linkId": "surgery-autopsy-request",
"text": "Was an autopsy request",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Yes"
}
}
]
},
{
"linkId": "surgery-findings-used",
"text": "If yes, were the findings used in the certifcation?",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Yes"
}
}
]
}
]
}
]
},
{
"linkId": "manner",
"text": "Manner of death:",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "64572001",
"display": "Disease"
},
"item": [
{
"linkId": "manner-external",
"text": "If external cause or poisoning:",
"item": [
{
"linkId": "manner-external-injury-date",
"text": "Date of injury",
"answer": [
{
"valueDate": "2024-02-26"
}
]
},
{
"linkId": "manner-external-description",
"text": "Please describe how external cause occured (If poisoning please specify poisoning agent)",
"answer": [
{
"valueString": "Patient flew out of ambulance"
}
]
}
]
}
]
}
]
},
{
"linkId": "location",
"text": "Place of occurrence of the external cause:",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "74964007",
"display": "Other"
},
"item": [
{
"linkId": "location-other",
"text": "Other place (please specify)",
"answer": [
{
"valueString": "In space"
}
]
}
]
}
]
},
{
"linkId": "child",
"text": "Fetal or infant Death",
"item": [
{
"linkId": "child-multiple",
"text": "Multiple pregnancy",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Yes"
}
}
]
},
{
"linkId": "child-stillborn",
"text": "Stillborn?",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Yes"
}
}
]
},
{
"linkId": "child-hours-survived",
"text": "If death within 24h specify number of hours survived",
"answer": [
{
"valueTime": "16:40:29"
}
]
},
{
"linkId": "child-birth-weight",
"text": "Birth weight (in grams)",
"answer": [
{
"valueDecimal": 600
}
]
},
{
"linkId": "child-gestation",
"text": "Number of completed weeks of pregnancy",
"answer": [
{
"valueInteger": 27
}
]
},
{
"linkId": "child-mother-age",
"text": "Age of mother (years)",
"answer": [
{
"valueInteger": 32
}
]
},
{
"linkId": "child-mother-condition",
"text": "If death was perinatal, please state conditions of mother that affected the fetus and newborn",
"answer": [
{
"valueString": "She was a chain smoker and was a alcoholic"
}
]
}
]
},
{
"linkId": "pregnancy",
"text": "For women, was the deceased pregnant?",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Yes"
},
"item": [
{
"linkId": "pregnancy-time",
"text": "If yes specifically up to when was patient in pregnancy prior to death?",
"answer": [
{
"valueCoding": {
"code": "2",
"display": "Within 42 days before the death"
}
}
]
},
{
"linkId": "pregnancy-reason-death",
"text": "did the pregnancy contribute to the death",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "52101004",
"display": "Yes"
}
}
]
}
]
}
]
}
]
}
]
}