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Packagemyhie.v4
Resource TypeQuestionnaireResponse
Idqr-diabetic-registry.json
FHIR VersionR4

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Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "qr-diabetic-registry",
  "meta": {
    "source": "http://provider.hie.moh.gov.my",
    "profile": [
      "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
    ]
  },
  "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-registry",
  "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"
  },
  "extension": [
    {
      "url": "http://fhir.hie.moh.gov.my/StructureDefinition/service-provider-my-core",
      "valueReference": {
        "reference": "Organization/11-05060009"
      }
    }
  ],
  "item": [
    {
      "linkId": "dm",
      "text": "Diabetes Details",
      "item": [
        {
          "answer": [
            {
              "valueDateTime": "2024-02-14T01:33:12.050Z"
            }
          ],
          "linkId": "dm-dx-date",
          "text": "Diabetes Diagnosis Date"
        },
        {
          "answer": [
            {
              "valueBoolean": true
            }
          ],
          "linkId": "dm-dx-type",
          "text": "Estimate/ Presumed"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://id.who.int/icd/entity/381961554",
                "code": "5A13",
                "display": "Other specified type"
              }
            }
          ],
          "linkId": "dm-type",
          "text": "Diabetes Type"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://id.who.int/icd/entity/119724091",
                "code": "5A13.1",
                "display": "Diabetes mellitus due to genetic defects in insulin action"
              }
            }
          ],
          "linkId": "dm-other",
          "text": "If other specified type, please specify"
        },
        {
          "answer": [
            {
              "valueDateTime": "2024-02-14T01:33:12.000Z"
            }
          ],
          "linkId": "dm-age",
          "text": "Diabetes Age"
        }
      ]
    },
    {
      "linkId": "complication",
      "text": "Complications",
      "item": [
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "52101004",
                "display": "Present"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-02-14T01:33:12.000Z"
                    }
                  ],
                  "linkId": "retinopathy-dx-date",
                  "text": "If Present, date of diagnosis"
                },
                {
                  "answer": [
                    {
                      "valueBoolean": false
                    }
                  ],
                  "linkId": "retinopathy-dx-type",
                  "text": "Estimate/ Presumed"
                }
              ]
            }
          ],
          "linkId": "retinopathy",
          "text": "Retinopathy"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "2667000",
                "display": "Absent"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-02-14T01:33:12.000Z"
                    }
                  ],
                  "linkId": "ihd-dx-date",
                  "text": "If Present, date of diagnosis"
                },
                {
                  "answer": [
                    {
                      "valueBoolean": true
                    }
                  ],
                  "linkId": "ihd-dx-type",
                  "text": "Estimate/ Presumed"
                }
              ]
            }
          ],
          "linkId": "ihd",
          "text": "Ischaemic heart disease (IHD)"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373068000",
                "display": "Not Known"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-02-14T01:33:12.000Z"
                    }
                  ],
                  "linkId": "cevd-dx-date",
                  "text": "If Present, date of diagnosis"
                },
                {
                  "answer": [
                    {
                      "valueBoolean": false
                    }
                  ],
                  "linkId": "cevd-dx-type",
                  "text": "Estimate/ Presumed"
                }
              ]
            }
          ],
          "linkId": "cevd",
          "text": "Cerebrovascular disease (ceVD)"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "52101004",
                "display": "Present"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-02-14T01:33:12.000Z"
                    }
                  ],
                  "linkId": "nephropathy-dx-date",
                  "text": "If Present, date of diagnosis"
                },
                {
                  "answer": [
                    {
                      "valueBoolean": true
                    }
                  ],
                  "linkId": "nephropathy-dx-type",
                  "text": "Estimate/ Presumed"
                }
              ]
            }
          ],
          "linkId": "nephropathy",
          "text": "Nephropathy"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "2667000",
                "display": "Absent"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-02-14T01:33:12.000Z"
                    }
                  ],
                  "linkId": "dfu-dx-date",
                  "text": "If Present, date of diagnosis"
                },
                {
                  "answer": [
                    {
                      "valueBoolean": false
                    }
                  ],
                  "linkId": "dfu-dx-type",
                  "text": "Estimate/ Presumed"
                }
              ]
            }
          ],
          "linkId": "dfu",
          "text": "Diabetic foot ulcer"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373068000",
                "display": "Not Known"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-02-14T01:33:12.000Z"
                    }
                  ],
                  "linkId": "amputation-dx-date",
                  "text": "If Present, date of diagnosis"
                },
                {
                  "answer": [
                    {
                      "valueBoolean": true
                    }
                  ],
                  "linkId": "amputation-dx-type",
                  "text": "Estimate/ Presumed"
                }
              ]
            }
          ],
          "linkId": "amputation",
          "text": "Amputation"
        }
      ]
    },
    {
      "linkId": "comorbid",
      "text": "Concomitant Co-morbidity",
      "item": [
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "52101004",
                "display": "Yes"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-02-14T01:33:12.000Z"
                    }
                  ],
                  "linkId": "hpt-dx-date",
                  "text": "If Yes, date of diagnosis"
                },
                {
                  "answer": [
                    {
                      "valueBoolean": false
                    }
                  ],
                  "linkId": "hpt-dx-type",
                  "text": "Estimate/ Presumed"
                }
              ]
            }
          ],
          "linkId": "hpt",
          "text": "Hypertension"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "2667000",
                "display": "No"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-02-14T01:33:12.000Z"
                    }
                  ],
                  "linkId": "lipid-dx-date",
                  "text": "If Yes, date of diagnosis"
                },
                {
                  "answer": [
                    {
                      "valueBoolean": true
                    }
                  ],
                  "linkId": "lipid-dx-type",
                  "text": "Estimate/ Presumed"
                }
              ]
            }
          ],
          "linkId": "lipid",
          "text": "Dyslipidaemia"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "373068000",
                "display": "Not Known"
              }
            }
          ],
          "linkId": "smoking",
          "text": "Smoking Status"
        }
      ]
    },
    {
      "linkId": "service",
      "text": "Services",
      "item": [
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "52101004",
                "display": "Yes"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-02-14T01:33:12.000Z"
                    }
                  ],
                  "linkId": "mnt-date",
                  "text": "If Yes, date seen by Dietitian"
                }
              ]
            }
          ],
          "linkId": "mnt",
          "text": "Medical Nutrition Therapy (MNT)"
        }
      ]
    },
    {
      "linkId": "monitor",
      "text": "Monitoring",
      "item": [
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "2667000",
                "display": "No"
              }
            }
          ],
          "linkId": "smbg",
          "text": "Self-Monitoring of Blood Glucose (SMBG)"
        }
      ]
    },
    {
      "linkId": "fup",
      "text": "Follow-Up Details",
      "item": [
        {
          "answer": [
            {
              "valueCoding": {
                "code": "2",
                "display": "Loss to follow-up"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-02-14T01:33:12.000Z"
                    }
                  ],
                  "linkId": "fup-last-date",
                  "text": "Last visit date"
                },
                {
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "1",
                        "display": "Transferred care (government)"
                      }
                    }
                  ],
                  "linkId": "fup-loss-reason",
                  "text": "Reason loss to follow-up"
                }
              ]
            }
          ],
          "linkId": "fup-status",
          "text": "Follow-up status"
        }
      ]
    },
    {
      "linkId": "death",
      "text": "Deceased Status",
      "item": [
        {
          "answer": [
            {
              "valueBoolean": true,
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-02-14T01:33:12.000Z"
                    }
                  ],
                  "linkId": "death-date",
                  "text": "Deceased date"
                },
                {
                  "answer": [
                    {
                      "valueCoding": {
                        "code": "1",
                        "display": "Related to Diabetes"
                      }
                    }
                  ],
                  "linkId": "death-reason",
                  "text": "Cause of death"
                }
              ]
            }
          ],
          "linkId": "death-status",
          "text": "Deceased status"
        }
      ]
    }
  ]
}