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Packagemyhie.v4-test
Resource TypeQuestionnaireResponse
Idqr-maternal-28.json
FHIR VersionR4

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Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "qr-maternal-28",
  "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-maternal-28",
  "status": "completed",
  "subject": {
    "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
  },
  "authored": "2022-11-16T03:56:06.596Z",
  "author": {
    "reference": "Practitioner/3d431987-df04-4018-9af3-d9928cac031f"
  },
  "identifier": {
    "system": "http://fhir.hie.moh.gov.my/sid/template-section",
    "value": "qr-maternal-28"
  },
  "item": [
    {
      "linkId": "maternal-28.0",
      "text": "Hari Postnatal",
      "answer": [
        {
          "valueQuantity": {
            "value": 12,
            "unit": "12"
          }
        }
      ]
    },
    {
      "linkId": "maternal-28.1",
      "text": "Rumusan",
      "answer": [
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "386713009",
            "display": "Merah"
          }
        }
      ]
    },
    {
      "linkId": "maternal-28.2",
      "text": "Kod Merah",
      "item": [
        {
          "linkId": "maternal-28.2.1",
          "text": "Eclampsia",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.2.2",
          "text": "Pre-eclampsia yang teruk (BP >140/90mmHg, proteinuria) \n Simptomatik: \n – sakit kepala, pening, kabur penglihatan, sakit   epigastrik, mual",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.2.3",
          "text": "PPH( Post partum haemorrhage)",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.2.4",
          "text": "Retained placenta/ Product of conception",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.2.5",
          "text": "Masalah kencing/ urinary:",
          "item": [
            {
              "linkId": "maternal-28.2.5.1",
              "text": "Tidak boleh kencing (Acute urinary retention)",
              "answer": [
                {
                  "valueBoolean": false
                }
              ]
            },
            {
              "linkId": "maternal-28.2.5.2",
              "text": "Incontinence",
              "answer": [
                {
                  "valueBoolean": false
                }
              ]
            }
          ]
        },
        {
          "linkId": "maternal-28.2.6",
          "text": "Ibu penghidap penyakit jantung bersalin di rumah",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.2.7",
          "text": "Ibu Rhesus negatif bersalin di rumah",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.2.8",
          "text": "Tanda dan simptom deep vein thrombosis/  pulmonary embolism:",
          "item": [
            {
              "linkId": "maternal-28.2.8.1",
              "text": "Susah bernafas",
              "answer": [
                {
                  "valueBoolean": true
                }
              ]
            },
            {
              "linkId": "maternal-28.2.8.2",
              "text": "Sakit/ bengkak betis (calf tenderness/ swelling)",
              "answer": [
                {
                  "valueBoolean": false
                }
              ]
            },
            {
              "linkId": "maternal-28.2.8.3",
              "text": "Sakit dada",
              "answer": [
                {
                  "valueBoolean": true
                }
              ]
            },
            {
              "linkId": "maternal-28.2.8.4",
              "text": "Kemerahan/ keradangan kaki(redness/  inflammation of lower limbs)",
              "answer": [
                {
                  "valueBoolean": false
                }
              ]
            }
          ]
        },
        {
          "linkId": "maternal-28.2.9",
          "text": "Hematoma di bahagian luka episiotomi/  pembedahan caesarean",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.2.10",
          "text": "Anemia yang teruk (Hb <7g/dL)",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.2.11",
          "text": "Anemia Hb <9g/dL dengan tanda-tanda seperti sesak nafas, berdebar-debar, pucat, mudah letih dan pitam",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.2.12",
          "text": "Simptom respiratori: \n - Sesak nafas,  \n - Batuk berdarah berpanjangan,  \n - Serangan asma",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.2.13",
          "text": "Puerperal Sepsis: Demam, lokia berbau busuk/ luar biasa",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.2.14",
          "text": "Keinginan ingin mencederakan/membunuh  diri",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        }
      ]
    },
    {
      "linkId": "maternal-28.3",
      "text": "Kod Kuning",
      "item": [
        {
          "linkId": "maternal-28.3.1",
          "text": "BP >140/90mmHg, asimptomatik, tiada proteinuria",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.3.2",
          "text": "Sebarang simptom yang membimbangkan contoh: loya dan muntah, sakit kepala",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.3.3",
          "text": "Jangkitan (wound breakdown)/ di bahagian  luka episiotomi/ pembedahan caesaeran",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.3.4",
          "text": "Demam ≥ 37.5 º C",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.3.5",
          "text": "Keadaan obstetric bagi kes bersalin di rumah: \n - Kematian perinatal, \n - Berat badan bayi <2.5kg atau >3.5kg",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.3.6",
          "text": "Rahim yang tidak mengecut  (subinvolution of uterus)",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.3.7",
          "text": "Ibu yang menunjukkan tanda-tanda : \n - Psikiatrik (eg.murung,emosi tidak stabil) \n - Kecacatan mental atau fizikal \n - Keganasan rumah tangga/ sosial",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.3.8",
          "text": "Masalah penyusuan susu ibu: \n - Bengkak payudara \n - Puting luka \n - Puting merekah",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.3.9",
          "text": "Masalah kencing \n - Kencing kerap (frequency) \n - Sakit kencing (dysuria)",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.3.10",
          "text": "Rujukan dengan Temujanji Haemoglobin <9g/dL asimptomatik",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        },
        {
          "linkId": "maternal-28.3.11",
          "text": "Rujukan dengan Temujanji Masalah perubatan yang  baru dikesan/keciciran - Contoh: SLE, Diabetes Mellitus , HIV  positif , Hepatitis B positif ,penyakit buah  pinggang semasa mengandung, sel darah  abnormal (blood dyscrasias), syphilis yang  belum dirawat",
          "answer": [
            {
              "valueBoolean": false
            }
          ]
        }
      ]
    }
  ]
}