FHIR IG analytics| Package | myhie.v4-test |
| Resource Type | QuestionnaireResponse |
| Id | qr-hpt-note.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "QuestionnaireResponse",
"id": "qr-hpt-note",
"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-hpt-note"
},
"questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-hpt-note",
"status": "completed",
"subject": {
"reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c"
},
"authored": "2023-04-27T00:20:14.414Z",
"item": [
{
"linkId": "hpt-note.1",
"text": "Concomitant Disease",
"item": [
{
"linkId": "hpt-note.1.1",
"text": "Diabetes Mellitus",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "hpt-note.1.2",
"text": "Renal Disease",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "hpt-note.1.3",
"text": "Heart Failure",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "hpt-note.1.4",
"text": "Gout",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "hpt-note.1.5",
"text": "Concomitant Disease Remarks",
"answer": [
{
"valueString": "enter string here"
}
]
}
]
},
{
"linkId": "hpt-note.2",
"text": "Past Medical Admissions for Hypertension",
"item": [
{
"linkId": "hpt-note.2.1",
"text": "Any ward admissions for Hypertension Emergencies",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "hpt-note.2.3",
"text": "Past Medical Admissions Remarks",
"answer": [
{
"valueString": "enter string here"
}
]
}
]
},
{
"linkId": "hpt-note.3",
"text": "Medication History",
"answer": [
{
"valueString": "enter string here"
}
]
},
{
"linkId": "hpt-note.4",
"text": "Smoking History",
"answer": [
{
"valueBoolean": true,
"item": [
{
"linkId": "hpt-note.4.1",
"text": "Starting Date of Smoking",
"answer": [
{
"valueDateTime": "2023-05-28T08:24:00.500Z"
}
]
},
{
"linkId": "hpt-note.4.2",
"text": "How many ciggarates per day",
"answer": [
{
"valueInteger": 12
}
]
},
{
"linkId": "hpt-note.4.3",
"text": "Pack years of smoking (years)",
"answer": [
{
"valueInteger": 12
}
]
}
]
}
]
},
{
"linkId": "hpt-note.5",
"text": "Social History",
"answer": [
{
"valueString": "enter string here"
}
]
},
{
"linkId": "hpt-note.6",
"text": "Family History",
"answer": [
{
"valueString": "enter string here"
}
]
},
{
"linkId": "hpt-note.7",
"text": "Symptoms",
"item": [
{
"linkId": "hpt-note.7.1",
"text": "Visual Disturbances",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "hpt-note.7.2",
"text": "Chest pain",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "hpt-note.7.3",
"text": "Lower limb swellings",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "hpt-note.7.4",
"text": "Headache",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "hpt-note.7.5",
"text": "Vomiting",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "hpt-note.7.6",
"text": "Limb weakness",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "hpt-note.7.7",
"text": "Shortness of breath",
"answer": [
{
"valueBoolean": true
}
]
},
{
"linkId": "hpt-note.7.8",
"text": "Symptoms Remarks",
"answer": [
{
"valueString": "enter string here"
}
]
}
]
},
{
"linkId": "hpt-note.8",
"text": "History of Presenting Illness Summary",
"answer": [
{
"valueString": "enter string here"
}
]
},
{
"linkId": "hpt-note.9",
"text": "Vital Signs",
"item": [
{
"linkId": "hpt-note.9.1",
"text": "BP on arrival systolic (mmHg)",
"answer": [
{
"valueInteger": 120
}
]
},
{
"linkId": "hpt-note.9.2",
"text": "BP on arrival diastolic (mmHg)",
"answer": [
{
"valueInteger": 70
}
]
},
{
"linkId": "hpt-note.9.3",
"text": "BP second reading systolic (mmHg)",
"answer": [
{
"valueInteger": 120
}
]
},
{
"linkId": "hpt-note.9.4",
"text": "BP second reading diastolic (mmHg)",
"answer": [
{
"valueInteger": 70
}
]
},
{
"linkId": "hpt-note.9.5",
"text": "BP systolic standing (mmHg)",
"answer": [
{
"valueInteger": 120
}
]
},
{
"linkId": "hpt-note.9.6",
"text": "BP diastolic standing (mmHg)",
"answer": [
{
"valueInteger": 70
}
]
},
{
"linkId": "hpt-note.9.7",
"text": "BP systolic seated (mmHg)",
"answer": [
{
"valueInteger": 120
}
]
},
{
"linkId": "hpt-note.9.8",
"text": "BP diastolic seated (mmHg)",
"answer": [
{
"valueInteger": 70
}
]
},
{
"linkId": "hpt-note.9.9",
"text": "Heart Rate (bpm)",
"answer": [
{
"valueInteger": 99
}
]
},
{
"linkId": "hpt-note.9.10",
"text": "SPo2 (%)",
"answer": [
{
"valueInteger": 99
}
]
},
{
"linkId": "hpt-note.9.11",
"text": "Temperature (Degrees Celcius)",
"answer": [
{
"valueDecimal": 36.87
}
]
},
{
"linkId": "hpt-note.9.12",
"text": "Pain score",
"answer": [
{
"valueInteger": 2
}
]
},
{
"linkId": "hpt-note.9.13",
"text": "CCTVR",
"answer": [
{
"valueString": "enter string here"
}
]
}
]
},
{
"linkId": "hpt-note.10",
"text": "Central Nervous System Examinations (Normal Findings)",
"answer": [
{
"valueBoolean": true,
"item": [
{
"linkId": "hpt-note.10.1",
"text": "Findings",
"answer": [
{
"valueString": "enter string here"
}
]
}
]
}
]
},
{
"linkId": "hpt-note.11",
"text": "Eye Examination (Normal Findings)",
"answer": [
{
"valueBoolean": true,
"item": [
{
"linkId": "hpt-note.11.1",
"text": "Findings",
"answer": [
{
"valueString": "enter string here"
}
]
}
]
}
]
},
{
"linkId": "hpt-note.12",
"text": "Cranial Nerves Examination (Normal findings)",
"answer": [
{
"valueBoolean": true,
"item": [
{
"linkId": "hpt-note.12.1",
"text": "Findings",
"answer": [
{
"valueString": "enter string here"
}
]
}
]
}
]
},
{
"linkId": "hpt-note.13",
"text": "Cardiac Examination (Normal Findings)",
"answer": [
{
"valueBoolean": true,
"item": [
{
"linkId": "hpt-note.13.1",
"text": "Findings",
"answer": [
{
"valueString": "enter string here"
}
]
}
]
}
]
},
{
"linkId": "hpt-note.14",
"text": "General Endocrine Examination (Normal Findings)",
"answer": [
{
"valueBoolean": true,
"item": [
{
"linkId": "hpt-note.14.1",
"text": "Findings",
"answer": [
{
"valueString": "enter string here"
}
]
}
]
}
]
},
{
"linkId": "hpt-note.15",
"text": "Abdominal Examination (Normal Findings)",
"answer": [
{
"valueBoolean": true,
"item": [
{
"linkId": "hpt-note.15.1",
"text": "Findings",
"answer": [
{
"valueString": "enter string here"
}
]
}
]
}
]
},
{
"linkId": "hpt-note.16",
"text": "Respiratory Examination ( Normal Findings)",
"answer": [
{
"valueBoolean": true,
"item": [
{
"linkId": "hpt-note.16.1",
"text": "Findings",
"answer": [
{
"valueString": "enter string here"
}
]
}
]
}
]
},
{
"linkId": "hpt-note.17",
"text": "General Examination Findings Summary",
"answer": [
{
"valueString": "enter string here"
}
]
},
{
"linkId": "hpt-note.18",
"text": "Investigations / Special Test",
"answer": [
{
"valueString": "enter string here",
"item": [
{
"linkId": "hpt-note.18.1",
"text": "Fundoscopy",
"answer": [
{
"valueString": "enter string here"
}
]
},
{
"linkId": "hpt-note.18.2",
"text": "US KUB Findings",
"answer": [
{
"valueString": "enter string here"
}
]
},
{
"linkId": "hpt-note.18.3",
"text": "CT Scan Findings",
"answer": [
{
"valueString": "enter string here"
}
]
},
{
"linkId": "hpt-note.18.4",
"text": "Xray Findings",
"answer": [
{
"valueString": "enter string here"
}
]
}
]
}
]
},
{
"linkId": "hpt-note.19",
"text": "Diagnosis",
"answer": [
{
"valueString": "enter string here"
}
]
},
{
"linkId": "hpt-note.20",
"text": "Management/Treatment Summary",
"answer": [
{
"valueString": "enter string here"
}
]
},
{
"linkId": "hpt-note.21",
"text": "TCA Date",
"answer": [
{
"valueDateTime": "2023-05-28T08:24:52.474Z"
}
]
},
{
"linkId": "hpt-note.22",
"text": "Referral",
"answer": [
{
"valueBoolean": true,
"item": [
{
"linkId": "hpt-note.22.1",
"text": "Reason for Referral",
"answer": [
{
"valueString": "enter string here"
}
]
},
{
"linkId": "hpt-note.22.2",
"text": "Spoken To:",
"answer": [
{
"valueString": "enter string here"
}
]
},
{
"linkId": "hpt-note.22.3",
"text": "Time of Referral made",
"answer": [
{
"valueDateTime": "2023-05-07T08:24:55.409Z"
}
]
}
]
}
]
}
]
}