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Packagemyhie.v4
Resource TypeQuestionnaireResponse
Idqr-hypertension-audit.json
FHIR VersionR4

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Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "qr-hypertension-audit",
  "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-hypertension-audit",
  "status": "completed",
  "subject": {
    "reference": "Patient/74c778d4-19a4-442e-8918-620733047fce"
  },
  "authored": "2024-03-04T16:35:00+08:00",
  "author": {
    "reference": "PractitionerRole/b9797173-7e15-4fc3-8f85-d58627935956/_history/19"
  },
  "item": [
    {
      "linkId": "hpt",
      "text": "Latest Clinical Update",
      "item": [
        {
          "answer": [
            {
              "valueDateTime": "2024-03-07T01:27:24.016Z"
            }
          ],
          "linkId": "hpt-clinic-date",
          "text": "Date of clinic visit"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "code": "01",
                "display": "Kuching"
              }
            }
          ],
          "linkId": "hpt-division",
          "text": "Division"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "code": "04",
                "display": "Bau"
              }
            }
          ],
          "linkId": "hpt-district",
          "text": "District"
        },
        {
          "answer": [
            {
              "valueString": "KKIA Bau"
            }
          ],
          "linkId": "hpt-facility",
          "text": "Health Facility"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "code": "12",
                "display": "KK with MO"
              }
            }
          ],
          "linkId": "hpt-type-facility",
          "text": "Type of Health Facility"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "code": "15",
                "display": "On Pharmacological treatment"
              }
            }
          ],
          "linkId": "hpt-type-treatment",
          "text": "Type of treatment for Hypertension"
        }
      ]
    },
    {
      "linkId": "pe",
      "text": "Physical examination at follow up visit",
      "item": [
        {
          "answer": [
            {
              "valueDecimal": 140
            }
          ],
          "linkId": "pe-sys-result",
          "text": "Systolic blood pressure"
        },
        {
          "answer": [
            {
              "valueDecimal": 90
            }
          ],
          "linkId": "pe-dia-result",
          "text": "Diastolic blood pressure"
        },
        {
          "answer": [
            {
              "valueDecimal": 60
            }
          ],
          "linkId": "pe-wt-result",
          "text": "Weight at follow up"
        },
        {
          "answer": [
            {
              "valueDecimal": 100
            }
          ],
          "linkId": "pe-wc-result",
          "text": "Waist circumference at follow up"
        }
      ]
    },
    {
      "linkId": "comorbid",
      "text": "Presence of co-morbidity & complications at follow up visit",
      "item": [
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "52101004",
                "display": "Yes"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-03-07T01:28:09.478Z"
                    }
                  ],
                  "linkId": "hpt-dx-date",
                  "text": "If Yes, date of diagnosis"
                }
              ]
            }
          ],
          "linkId": "dm",
          "text": "Diabetes Mellitus"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "52101004",
                "display": "Yes"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-03-07T01:28:26.533Z"
                    }
                  ],
                  "linkId": "lipid-dx-date",
                  "text": "If Yes, date of diagnosis"
                }
              ]
            }
          ],
          "linkId": "lipid",
          "text": "Dyslipidaemia"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "52101004",
                "display": "Yes"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-03-07T01:28:37.556Z"
                    }
                  ],
                  "linkId": "stroke-dx-date",
                  "text": "If Yes, date of diagnosis"
                }
              ]
            }
          ],
          "linkId": "stroke",
          "text": "Stroke"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "52101004",
                "display": "Yes"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-03-07T01:28:45.067Z"
                    }
                  ],
                  "linkId": "renal-dx-date",
                  "text": "If Yes, date of diagnosis"
                }
              ]
            }
          ],
          "linkId": "renal",
          "text": "Renal Failure"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "52101004",
                "display": "Yes"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-03-07T01:28:59.187Z"
                    }
                  ],
                  "linkId": "cevd-dx-date",
                  "text": "If Yes, date of diagnosis"
                }
              ]
            }
          ],
          "linkId": "cevd",
          "text": "Cardiovascular Disease"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "52101004",
                "display": "Yes"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-03-07T01:29:06.402Z"
                    }
                  ],
                  "linkId": "retinopathy-dx-date",
                  "text": "If Present, date of diagnosis"
                }
              ]
            }
          ],
          "linkId": "retinopathy",
          "text": "Hypertensive Retinopathy"
        },
        {
          "answer": [
            {
              "valueDateTime": "2024-03-07T01:29:11.514Z"
            }
          ],
          "linkId": "record",
          "text": "Date record updated"
        }
      ]
    },
    {
      "linkId": "lab",
      "text": "Laboratory results at follow up",
      "item": [
        {
          "answer": [
            {
              "valueBoolean": true,
              "item": [
                {
                  "answer": [
                    {
                      "valueDecimal": 200
                    }
                  ],
                  "linkId": "lab-tc-result",
                  "text": "Latest Result"
                },
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-03-05T01:29:35.276Z"
                    }
                  ],
                  "linkId": "lab-tc-sample-date",
                  "text": "Date sample taken"
                }
              ]
            }
          ],
          "linkId": "lab-tc",
          "text": "Total Cholesterol"
        },
        {
          "answer": [
            {
              "valueBoolean": true,
              "item": [
                {
                  "answer": [
                    {
                      "valueDecimal": 100
                    }
                  ],
                  "linkId": "lab-tg-result",
                  "text": "Latest Result"
                },
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-03-05T01:29:35.000Z"
                    }
                  ],
                  "linkId": "lab-tg-sample-date",
                  "text": "Date sample taken"
                }
              ]
            }
          ],
          "linkId": "lab-tg",
          "text": "Triglycerides (TG)"
        },
        {
          "answer": [
            {
              "valueBoolean": true,
              "item": [
                {
                  "answer": [
                    {
                      "valueDecimal": 50
                    }
                  ],
                  "linkId": "lab-hdl-result",
                  "text": "Latest Result"
                },
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-03-05T01:29:35.000Z"
                    }
                  ],
                  "linkId": "lab-hdl-sample-date",
                  "text": "Date sample taken"
                }
              ]
            }
          ],
          "linkId": "lab-hdl",
          "text": "High-Density Lipoprotein (HDL)"
        },
        {
          "answer": [
            {
              "valueBoolean": true,
              "item": [
                {
                  "answer": [
                    {
                      "valueDecimal": 60
                    }
                  ],
                  "linkId": "lab-cre-result",
                  "text": "Latest Result"
                },
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-03-05T01:29:35.000Z"
                    }
                  ],
                  "linkId": "lab-cre-sample-date",
                  "text": "Date sample taken"
                }
              ]
            }
          ],
          "linkId": "lab-cre",
          "text": "Serum Creatinine"
        },
        {
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "167582007",
                "display": "Positive"
              },
              "item": [
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-03-05T01:29:35.000Z"
                    }
                  ],
                  "linkId": "lab-umalb-sample-date",
                  "text": "Date sample taken"
                }
              ]
            }
          ],
          "linkId": "lab-umalb",
          "text": "Urine Microalbumin"
        },
        {
          "answer": [
            {
              "valueBoolean": true,
              "item": [
                {
                  "answer": [
                    {
                      "valueDecimal": 100
                    }
                  ],
                  "linkId": "lab-fbg-result",
                  "text": "Latest Result"
                },
                {
                  "answer": [
                    {
                      "valueDateTime": "2024-03-05T01:29:35.000Z"
                    }
                  ],
                  "linkId": "lab-fbg-sample-date",
                  "text": "Date sample taken"
                }
              ]
            }
          ],
          "linkId": "lab-fbg",
          "text": "Fasting Blood Glucose (FBG)"
        }
      ]
    },
    {
      "answer": [
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "413328008",
            "display": "Transfer Out"
          },
          "item": [
            {
              "answer": [
                {
                  "valueCoding": {
                    "code": "17",
                    "display": "To another KK/JPL"
                  }
                }
              ],
              "linkId": "transfer",
              "text": "Transfer to KK/JPL or private facility"
            }
          ]
        }
      ],
      "linkId": "status",
      "text": "Current Status"
    }
  ]
}