HL7® FHIR® Malaysia Core (MY Core) Implementation Guide - Local Development build (v2.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://fhir.hie.moh.gov.my/Questionnaire/q-death-certificate | Version: 2.0.1 | |||
| Active as of 2024-03-01 | Computable Name: QDeathCertificate | |||
Questionnaire for filling the Death Certificate form.
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
![]() | Questionnaire for filling the Death Certificate form. | Questionnaire | http://fhir.hie.moh.gov.my/Questionnaire/q-death-certificate#2.0.1 | |
![]() ![]() | Date of death | 0..1 | dateTime | |
![]() ![]() | Frame A: Medical data:Part 1 and 2 | 0..1 | group | |
![]() ![]() ![]() | Terminal Cause of Death | 0..1 | reference | |
![]() ![]() ![]() | Underlying Cause of Death | 0..* | reference | |
![]() ![]() ![]() | Underlying Condition | 0..1 | reference | |
![]() ![]() | Frame B: Other medical data | 0..1 | group | |
![]() ![]() ![]() | Was surgery performed within the last 4 weeks? | 0..1 | choice | Options: 3 options |
![]() ![]() ![]() ![]() | If yes please specify date of surgery | 0..1 | date | Enable When: surgery = |
![]() ![]() ![]() ![]() | If yes please specify reason for surgery (disease or condition) | 0..1 | text | Enable When: surgery = |
![]() ![]() ![]() ![]() | Was an autopsy request | 0..1 | choice | Options: 3 options |
![]() ![]() ![]() ![]() | If yes, were the findings used in the certifcation? | 0..1 | choice | Enable When: surgery-autopsy-request = Options: 3 options |
![]() ![]() ![]() | Manner of death: | 0..1 | choice | Options: 9 options |
![]() ![]() ![]() ![]() | If external cause or poisoning: | 0..1 | group | |
![]() ![]() ![]() ![]() ![]() | Date of injury | 0..1 | date | |
![]() ![]() ![]() ![]() ![]() | Please describe how external cause occured (If poisoning please specify poisoning agent) | 0..1 | text | |
![]() ![]() ![]() | Place of occurrence of the external cause: | 0..1 | choice | Options: 10 options |
![]() ![]() ![]() ![]() | Other place (please specify) | 0..1 | text | Enable When: location = |
![]() ![]() ![]() | Fetal or infant Death | 0..1 | group | |
![]() ![]() ![]() ![]() | Multiple pregnancy | 0..1 | choice | Options: 3 options |
![]() ![]() ![]() ![]() | Stillborn? | 0..1 | choice | Options: 3 options |
![]() ![]() ![]() ![]() | If death within 24h specify number of hours survived | 0..1 | time | |
![]() ![]() ![]() ![]() | Birth weight (in grams) | 0..1 | decimal | |
![]() ![]() ![]() ![]() | Number of completed weeks of pregnancy | 0..1 | integer | |
![]() ![]() ![]() ![]() | Age of mother (years) | 0..1 | integer | |
![]() ![]() ![]() ![]() | If death was perinatal, please state conditions of mother that affected the fetus and newborn | 0..1 | text | |
![]() ![]() ![]() | For women, was the deceased pregnant? | 0..1 | choice | Options: 3 options |
![]() ![]() ![]() ![]() | If yes specifically up to when was patient in pregnancy prior to death? | 0..1 | choice | Enable When: pregnancy = Options: 4 options |
![]() ![]() ![]() ![]() | did the pregnancy contribute to the death | 0..1 | choice | Enable When: pregnancy = Options: 3 options |
Options Sets
Answer options for surgery
Answer options for surgery-autopsy-request
Answer options for surgery-findings-used
Answer options for manner
Answer options for location
Answer options for child-multiple
Answer options for child-stillborn
Answer options for pregnancy
Answer options for pregnancy-time
Answer options for pregnancy-reason-death