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

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Resources that this resource uses

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Narrative

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Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "qr-tb-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-tb-note"
  },
  "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-tb-note",
  "status": "completed",
  "subject": {
    "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c"
  },
  "authored": "2023-04-27T00:20:14.414Z",
  "item": [
    {
      "linkId": "tb-note.1",
      "text": "Special Group",
      "item": [
        {
          "linkId": "tb-note.1.1",
          "text": "TB Contact",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "tb-note.1.2",
          "text": "Pregnancy",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "tb-note.1.3",
          "text": "Other comorbids (e.g Diabetes Mellitus or Hypertension)",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "tb-note.1.4",
          "text": "Immunocompromised (e.g. on immunosupressants / HIV)",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "tb-note.1.5",
          "text": "Special Group Remarks",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.2",
      "text": "Past Medical / Surgical History",
      "item": [
        {
          "linkId": "tb-note.2.1",
          "text": "Past Medical History",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        },
        {
          "linkId": "tb-note.2.2",
          "text": "Past Surgical History",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.3",
      "text": "Medication History",
      "item": [
        {
          "linkId": "tb-note.3.1",
          "text": "Medication Details",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.4",
      "text": "Social and Family History",
      "item": [
        {
          "linkId": "tb-note.4.2",
          "text": "Social History",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        },
        {
          "linkId": "tb-note.4.1",
          "text": "Family History",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.5",
      "text": "Symptoms",
      "item": [
        {
          "linkId": "tb-note.5.1",
          "text": "Cough",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "tb-note.5.2",
          "text": "Fever",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "tb-note.5.3",
          "text": "Night Sweats",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "tb-note.5.4",
          "text": "Haemoptysis",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "tb-note.5.5",
          "text": "Weight loss",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "tb-note.5.6",
          "text": "Chest pain",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "tb-note.5.7",
          "text": "Shortness of breath",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "tb-note.5.8",
          "text": "Lethargy",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "tb-note.5.9",
          "text": "Symptoms Remark",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.6",
      "text": "History of Presenting Illness Summary",
      "item": [
        {
          "linkId": "tb-note.6.1",
          "text": "Findings",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.7",
      "text": "Vital Signs",
      "item": [
        {
          "linkId": "tb-note.7.1",
          "text": "Systolic Blood Pressure (mmHg)",
          "answer": [
            {
              "valueQuantity": {
                "value": 120,
                "unit": "mmHg",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
              }
            }
          ]
        },
        {
          "linkId": "tb-note.7.2",
          "text": "Diastolic Blood Pressure (mmHg)",
          "answer": [
            {
              "valueQuantity": {
                "value": 70,
                "unit": "mmHg",
                "system": "http://unitsofmeasure.org",
                "code": "mm[Hg]"
              }
            }
          ]
        },
        {
          "linkId": "tb-note.7.3",
          "text": "Heart Rate (/min)",
          "answer": [
            {
              "valueQuantity": {
                "value": 66,
                "unit": "/min",
                "system": "http://unitsofmeasure.org",
                "code": "/min"
              }
            }
          ]
        },
        {
          "linkId": "tb-note.7.4",
          "text": "Body Temperature (°C)",
          "answer": [
            {
              "valueQuantity": {
                "value": 36.7,
                "unit": "°C",
                "system": "http://unitsofmeasure.org",
                "code": "Cel"
              }
            }
          ]
        },
        {
          "linkId": "tb-note.7.5",
          "text": "Oxygen Saturation (%)",
          "answer": [
            {
              "valueQuantity": {
                "value": 99,
                "unit": "%",
                "system": "http://unitsofmeasure.org",
                "code": "%"
              }
            }
          ]
        },
        {
          "linkId": "tb-note.7.6",
          "text": "Respiratory Rate (/min)",
          "answer": [
            {
              "valueQuantity": {
                "value": 66,
                "unit": "/min",
                "system": "http://unitsofmeasure.org",
                "code": "/min"
              }
            }
          ]
        },
        {
          "linkId": "tb-note.7.7",
          "text": "Pain score",
          "answer": [
            {
              "valueInteger": 2
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.8",
      "text": "Physical Examination",
      "item": [
        {
          "linkId": "tb-note.8.1",
          "text": "Findings",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.9",
      "text": "Investigations / Special Test",
      "item": [
        {
          "linkId": "tb-note.9.1",
          "text": "Findings",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.10",
      "text": "Imaging",
      "item": [
        {
          "linkId": "tb-note.10.1",
          "text": "Chest X ray Intepretation",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.11",
      "text": "Diagnosis",
      "item": [
        {
          "linkId": "tb-note.11.1",
          "text": "Diagnosis",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.12",
      "text": "Management / Treatment",
      "item": [
        {
          "linkId": "tb-note.12.1",
          "text": "Management Summary",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.13",
      "text": "Notification of Infectious Disease",
      "item": [
        {
          "linkId": "tb-note.13.1",
          "text": "Spoken To",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        },
        {
          "linkId": "tb-note.13.2",
          "text": "Time of Notification",
          "answer": [
            {
              "valueDateTime": "2023-06-13T08:37:27.230Z"
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.14",
      "text": "TCA Date",
      "item": [
        {
          "linkId": "tb-note.14.1",
          "text": "Date",
          "answer": [
            {
              "valueDateTime": "2023-06-26T08:37:29.780Z"
            }
          ]
        }
      ]
    },
    {
      "linkId": "tb-note.15",
      "text": "Referral",
      "item": [
        {
          "linkId": "tb-note.15.1",
          "text": "Reason for Referral",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        },
        {
          "linkId": "tb-note.15.2",
          "text": "Spoken To",
          "answer": [
            {
              "valueString": "insert string here"
            }
          ]
        },
        {
          "linkId": "tb-note.15.3",
          "text": "Time of Referral",
          "answer": [
            {
              "valueDateTime": "2023-06-12T08:37:33.806Z"
            }
          ]
        }
      ]
    }
  ]
}