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Packagemyhie.v4-test
Resource TypeQuestionnaireResponse
Idqr-child-madd.json
FHIR VersionR4

Resources that use this resource

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Resources that this resource uses

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Narrative

No narrative content found in resource


Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "qr-child-madd",
  "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-child-madd"
  },
  "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-madd",
  "status": "completed",
  "subject": {
    "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c"
  },
  "authored": "2023-04-27T00:20:14.414Z",
  "item": [
    {
      "linkId": "child-madd.1",
      "text": "Past Medical/Surgical History",
      "answer": [
        {
          "valueString": "insert string here"
        }
      ]
    },
    {
      "linkId": "child-madd.2",
      "text": "Medication History",
      "answer": [
        {
          "valueString": "insert string here"
        }
      ]
    },
    {
      "linkId": "child-madd.3",
      "text": "Social and Family History",
      "answer": [
        {
          "valueString": "insert string here"
        }
      ]
    },
    {
      "linkId": "child-madd.4",
      "text": "History of Presenting Illness Summary",
      "answer": [
        {
          "valueString": "insert string here"
        }
      ]
    },
    {
      "linkId": "child-madd.5",
      "text": "Vital Signs",
      "item": [
        {
          "linkId": "child-madd.5.1",
          "text": "Systolic Blood Pressure (mmHg)",
          "answer": [
            {
              "valueQuantity": {
                "value": 120,
                "unit": "mmHg",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
              }
            }
          ]
        },
        {
          "linkId": "child-madd.5.2",
          "text": "Diastolic Blood Pressure (mmHg)",
          "answer": [
            {
              "valueQuantity": {
                "value": 70,
                "unit": "mmHg",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
              }
            }
          ]
        },
        {
          "linkId": "child-madd.5.3",
          "text": "Heart Rate (/min)",
          "answer": [
            {
              "valueQuantity": {
                "value": 11,
                "unit": "/min",
                "system": "http://unitsofmeasure.org",
                "code": "/min"
              }
            }
          ]
        },
        {
          "linkId": "child-madd.5.4",
          "text": "Body Temperature (°C)",
          "answer": [
            {
              "valueQuantity": {
                "value": 36.7,
                "unit": "°C",
                "system": "http://unitsofmeasure.org",
                "code": "Cel"
              }
            }
          ]
        },
        {
          "linkId": "child-madd.5.5",
          "text": "Oxygen Saturation (%)",
          "answer": [
            {
              "valueQuantity": {
                "value": 99,
                "unit": "%",
                "system": "http://unitsofmeasure.org",
                "code": "%"
              }
            }
          ]
        },
        {
          "linkId": "child-madd.5.6",
          "text": "Respiratory Rate (/min)",
          "answer": [
            {
              "valueQuantity": {
                "value": 33,
                "unit": "/min",
                "system": "http://unitsofmeasure.org",
                "code": "/min"
              }
            }
          ]
        },
        {
          "linkId": "child-madd.5.7",
          "text": "Pain score",
          "answer": [
            {
              "valueInteger": 2
            }
          ]
        }
      ]
    },
    {
      "linkId": "child-madd.6",
      "text": "Physical Examination Summary",
      "answer": [
        {
          "valueString": "insert string here"
        }
      ]
    },
    {
      "linkId": "child-madd.7",
      "text": "Investigations / Special Test",
      "answer": [
        {
          "valueString": "insert string here"
        }
      ]
    },
    {
      "linkId": "child-madd.8",
      "text": "Diagnosis",
      "answer": [
        {
          "valueString": "insert string here"
        }
      ]
    },
    {
      "linkId": "child-madd.9",
      "text": "Management/Treatment Summary",
      "answer": [
        {
          "valueString": "insert string here"
        }
      ]
    },
    {
      "linkId": "child-madd.10",
      "text": "TCA Date",
      "answer": [
        {
          "valueDateTime": "2023-06-12T04:20:25.349Z"
        }
      ]
    },
    {
      "linkId": "child-madd.11",
      "text": "Referral",
      "answer": [
        {
          "valueBoolean": true,
          "item": [
            {
              "linkId": "child-madd.11.1",
              "text": "Referral Indication",
              "answer": [
                {
                  "valueString": "insert string here"
                }
              ]
            },
            {
              "linkId": "child-madd.11.2",
              "text": "Spoken To:",
              "answer": [
                {
                  "valueString": "insert string here"
                }
              ]
            },
            {
              "linkId": "child-madd.11.3",
              "text": "Time of Referral",
              "answer": [
                {
                  "valueDateTime": "2023-06-12T04:20:31.039Z"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}