FHIR IG analytics| Package | myhie.v4 |
| Resource Type | QuestionnaireResponse |
| Id | qr-dengue-checklist.json |
| FHIR Version | R4 |
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No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "QuestionnaireResponse",
"id": "qr-dengue-checklist",
"meta": {
"source": "http://provider.hie.moh.gov.my",
"profile": [
"http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
]
},
"identifier": {
"system": "http://fhir.hie.moh.gov.my/sid/template-section",
"value": "qr-dengue-checklist"
},
"questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-dengue-checklist",
"status": "completed",
"subject": {
"reference": "Patient/93fd2974-8652-489e-a75e-e5a489796f77"
},
"authored": "2023-04-27T00:20:14.414Z",
"item": [
{
"linkId": "dengue-cl.1",
"text": "Recognition",
"item": [
{
"linkId": "dengue-cl.1.1",
"text": "Fever",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.1.2",
"text": "Aches and pain",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.1.3",
"text": "Nausea and / or vomitting",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.1.4",
"text": "Rash",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.1.5",
"text": "Leucopenia",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.1.6",
"text": "Any warning signs",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.1.7",
"text": "Remarks",
"answer": [
{
"valueString": "insert string here"
}
]
}
]
},
{
"linkId": "dengue-cl.2",
"text": "Warning signs",
"item": [
{
"linkId": "dengue-cl.2.1",
"text": "Persistent vomiting (3 or more than 3 times over the last 24 hours)",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.2.2",
"text": "Persistent diarrhea (3 or more than 3 times over the last 24 hours)",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.2.3",
"text": "Any abdominal pain / tenderness",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.2.4",
"text": "Lethargy / Restlessness / Confusion",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.2.5",
"text": "Tender liver",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.2.6",
"text": "Third space fluid accumulation",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.2.7",
"text": "Spontaneous bleeding tendencies",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.2.8",
"text": "Raised HCT with rapid drop in platelet. \nMale age ≤ 60 : HCT >46 \nMale age >60 : HCT > 42 \nFemale all ages : >40",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.2.9",
"text": "Remarks",
"answer": [
{
"valueString": "insert string here"
}
]
}
]
},
{
"linkId": "dengue-cl.3",
"text": "Other criteria",
"item": [
{
"linkId": "dengue-cl.3.1",
"text": "Syncope",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.3.2",
"text": "Social factor",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.3.3",
"text": "Remarks",
"answer": [
{
"valueString": "insert string here"
}
]
}
]
},
{
"linkId": "dengue-cl.4",
"text": "Special Group",
"item": [
{
"linkId": "dengue-cl.4.1",
"text": "Obese",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.4.2",
"text": "Pregnant",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.4.3",
"text": "Heart failure /CKD / CLD",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.4.4",
"text": "Diabetes Mellitus",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.4.5",
"text": "Hypertension",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.4.6",
"text": "IHD",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.4.7",
"text": "COPD",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.4.8",
"text": "Age > 65",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.4.9",
"text": "Remarks",
"answer": [
{
"valueString": "insert string here"
}
]
}
]
},
{
"linkId": "dengue-cl.5",
"text": "Physical Examination and Vital signs",
"item": [
{
"linkId": "dengue-cl.5.1",
"text": "Physical Examination findings",
"answer": [
{
"valueString": "insert string here"
}
]
},
{
"linkId": "dengue-cl.5.2",
"text": "Systolic Blood Pressure (mmHg)",
"answer": [
{
"valueQuantity": {
"value": 12,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}
]
},
{
"linkId": "dengue-cl.5.3",
"text": "Diastolic Blood Pressure (mmHg)",
"answer": [
{
"valueQuantity": {
"value": 12,
"unit": "mmHg",
"system": "http://unitsofmeasure.org",
"code": "mm[Hg]"
}
}
]
},
{
"linkId": "dengue-cl.5.4",
"text": "Heart Rate (/min)",
"answer": [
{
"valueQuantity": {
"value": 12,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
}
]
},
{
"linkId": "dengue-cl.5.5",
"text": "Body Temperature (°C)",
"answer": [
{
"valueQuantity": {
"value": 12,
"unit": "°C",
"system": "http://unitsofmeasure.org",
"code": "Cel"
}
}
]
},
{
"linkId": "dengue-cl.5.6",
"text": "Oxygen Saturation (%)",
"answer": [
{
"valueQuantity": {
"value": 12,
"unit": "%",
"system": "http://unitsofmeasure.org",
"code": "%"
}
}
]
},
{
"linkId": "dengue-cl.5.7",
"text": "Respiratory Rate (/min)",
"answer": [
{
"valueQuantity": {
"value": 12,
"unit": "/min",
"system": "http://unitsofmeasure.org",
"code": "/min"
}
}
]
},
{
"linkId": "dengue-cl.5.8",
"text": "Pain score"
}
]
},
{
"linkId": "dengue-cl.6",
"text": "Blood investigation",
"item": [
{
"linkId": "dengue-cl.6.1",
"text": "White cell counts",
"answer": [
{
"valueString": "insert string here"
}
]
},
{
"linkId": "dengue-cl.6.2",
"text": "Hb",
"answer": [
{
"valueString": "insert string here"
}
]
},
{
"linkId": "dengue-cl.6.3",
"text": "HCT",
"answer": [
{
"valueString": "inseinsert string herert string here"
}
]
},
{
"linkId": "dengue-cl.6.4",
"text": "Platelet",
"answer": [
{
"valueString": "insert string here"
}
]
},
{
"linkId": "dengue-cl.6.5",
"text": "Dengue Point of Care checklist (Combo/Rapid checklist)",
"answer": [
{
"valueString": "insert string here"
}
]
}
]
},
{
"linkId": "dengue-cl.7",
"text": "Severe Dengue",
"item": [
{
"linkId": "dengue-cl.7.1",
"text": "Hypotension SBP <90 or MAP <60 or SBP drop > 40mmHg from known baseline",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.7.2",
"text": "Shock Index: HR > SBP or abnormal CCTVR",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.7.3",
"text": "Third Space fluid accumulation with respiratory distress",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.7.4",
"text": "Altered concious level",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.7.5",
"text": "Any bleed GI / non mucosal and non cutaneous / non physiological",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.7.6",
"text": "Specific organ dysfunction",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "dengue-cl.7.7",
"text": "Remarks",
"answer": [
{
"valueString": "insert string here"
}
]
}
]
},
{
"linkId": "dengue-cl.8",
"text": "Onset of illness",
"item": [
{
"linkId": "dengue-cl.8,1",
"text": "Fever onset",
"answer": [
{
"valueDateTime": "2023-06-26T02:23:10.392Z"
}
]
},
{
"linkId": "dengue-cl.8.2",
"text": "Critical phase onset",
"answer": [
{
"valueDateTime": "2023-06-12T02:23:11.621Z"
}
]
}
]
},
{
"linkId": "dengue-cl.9",
"text": "Phase of illness",
"answer": [
{
"valueCoding": {
"code": "02",
"display": "Critical"
}
}
]
},
{
"linkId": "dengue-cl.10",
"text": "Diagnosis",
"answer": [
{
"valueCoding": {
"code": "01",
"display": "Dengue fever without warning signs"
}
}
]
},
{
"linkId": "dengue-cl.11",
"text": "Management",
"item": [
{
"linkId": "dengue-cl.11.1",
"text": "Management/Plans",
"answer": [
{
"valueString": "insert string here"
}
]
}
]
}
]
}