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Packagemyhie.v4-test
Resource TypeQuestionnaireResponse
Idqr-hpt-note.json
FHIR VersionR4

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Narrative

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Source1

{
  "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"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}