q-death-certificate
type: Questionnaire
node role: treeRoot
id:
  v: q-death-certificate
text:
  status:
    v: extensions
  div: Generated Narrative: Questionnaire q-death-certificate Structure LinkID Text Cardinality Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> QDeathCertificate Questionnaire for filling the Death Certificate form. Questionnaire http://fhir.hie.moh.gov.my/Questionnaire/q-death-certificate#2.0.1 #xD; death-date Date of death 0..1 dateTime #xD; medical Frame A: Medical data:Part 1 and 2 0..1 group #xD; terminal-cod Terminal Cause of Death 0..1 reference #xD; underlying-cod Underlying Cause of Death 0..* reference #xD; underlying-condition Underlying Condition 0..1 reference #xD; medical-other Frame B: Other medical data 0..1 group #xD; surgery Was surgery performed within the last 4 weeks? 0..1 choice Options: 3 options #xD; surgery-date If yes please specify date of surgery 0..1 date Enable When: surgery = #xD; surgery-reason If yes please specify reason for surgery (disease or condition) 0..1 text Enable When: surgery = #xD; surgery-autopsy-request Was an autopsy request 0..1 choice Options: 3 options #xD; surgery-findings-used If yes, were the findings used in the certifcation? 0..1 choice Enable When: surgery-autopsy-request = Options: 3 options #xD; manner Manner of death: 0..1 choice Options: 9 options #xD; manner-external If external cause or poisoning: 0..1 group #xD; manner-external-injury-date Date of injury 0..1 date #xD; manner-external-description Please describe how external cause occured (If poisoning please specify poisoning agent) 0..1 text #xD; location Place of occurrence of the external cause: 0..1 choice Options: 10 options #xD; location-other Other place (please specify) 0..1 text Enable When: location = #xD; child Fetal or infant Death 0..1 group #xD; child-multiple Multiple pregnancy 0..1 choice Options: 3 options #xD; child-stillborn Stillborn? 0..1 choice Options: 3 options #xD; child-hours-survived If death within 24h specify number of hours survived 0..1 time #xD; child-birth-weight Birth weight (i…
url:
  v: http://fhir.hie.moh.gov.my/Questionnaire/q-death-certificate
version:
  v: 2.0.1
name:
  v: QDeathCertificate
title:
  v: Questionnaire Death Certificate
status:
  v: active
date:
  v: 2024-03-01T02:25:07.0445554+00:00
publisher:
  v: MHNexus Sdn Bhd
contact:
  name:
    v: MHNexus Sdn Bhd
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/ | https://www.mhn.asia/
  telecom:
    system:
      v: email
description:
  v: Questionnaire for filling the Death Certificate form.
item:
  link id:
    v: death-date
  text:
    v: Date of death
  type:
    v: dateTime
item:
  link id:
    v: medical
  text:
    v: Frame A: Medical data:Part 1 and 2
  type:
    v: group
  item:
    link id:
      v: terminal-cod
    text:
      v: Terminal Cause of Death
    type:
      v: reference
  item:
    link id:
      v: underlying-cod
    text:
      v: Underlying Cause of Death
    type:
      v: reference
    repeats:
      v: true
  item:
    link id:
      v: underlying-condition
    text:
      v: Underlying Condition
    type:
      v: reference
item:
  link id:
    v: medical-other
  text:
    v: Frame B: Other medical data
  type:
    v: group
  item:
    link id:
      v: surgery
    text:
      v: Was surgery performed within the last 4 weeks?
    type:
      v: choice
    answer option:
      value: Coding
        type: http://snomed.info/id/52101004
    answer option:
      value: Coding
        type: http://snomed.info/id/2667000
    answer option:
      value: Coding
        type: http://snomed.info/id/373068000
    item:
      link id:
        v: surgery-date
      text:
        v: If yes please specify date of surgery
      type:
        v: date
      enable when:
        answer: Coding
    item:
      link id:
        v: surgery-reason
      text:
        v: If yes please specify reason for surgery (disease or condition)
      type:
        v: text
      enable when:
        answer: Coding
    item:
      link id:
        v: surgery-autopsy-request
      text:
        v: Was an autopsy request
      type:
        v: choice
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
    item:
      link id:
        v: surgery-findings-used
      text:
        v: If yes, were the findings used in the certifcation?
      type:
        v: choice
      enable when:
        answer: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
  item:
    link id:
      v: manner
    text:
      v: Manner of death:
    type:
      v: choice
    answer option:
      value: Coding
        type: http://snomed.info/id/64572001
    answer option:
      value: Coding
        type: http://snomed.info/id/55566008
    answer option:
      value: Coding
        type: http://snomed.info/id/418420002
    answer option:
      value: Coding
        type: http://snomed.info/id/52684005
    answer option:
      value: Coding
        type: http://snomed.info/id/418635006
    answer option:
      value: Coding
        type: http://snomed.info/id/418781000
    answer option:
      value: Coding
        type: http://snomed.info/id/65037004
    answer option:
      value: Coding
        type: http://snomed.info/id/716348004
    answer option:
      value: Coding
        type: http://snomed.info/id/373068000
    item:
      link id:
        v: manner-external
      text:
        v: If external cause or poisoning:
      type:
        v: group
  item:
    link id:
      v: location
    text:
      v: Place of occurrence of the external cause:
    type:
      v: choice
    answer option:
      value: Coding
        type: http://snomed.info/id/876879006
    answer option:
      value: Coding
        type: http://snomed.info/id/105530003
    answer option:
      value: Coding
        type: http://snomed.info/id/257698009
    answer option:
      value: Coding
        type: http://snomed.info/id/257704009
    answer option:
      value: Coding
        type: http://snomed.info/id/257710009

v: 52101004

v: Yes

v: 2667000

v: No

v: 373068000

v: Unknown

v: surgery

v: =

Coding
type: http://snomed.info/id/52101004
system:
  v: http://snomed.info/sct
code:
  v: 52101004
display:
  v: Yes

v: surgery

v: =

Coding
type: http://snomed.info/id/52101004
system:
  v: http://snomed.info/sct
code:
  v: 52101004
display:
  v: Yes

Coding
type: http://snomed.info/id/52101004
system:
  v: http://snomed.info/sct
code:
  v: 52101004
display:
  v: Yes

Coding
type: http://snomed.info/id/2667000
system:
  v: http://snomed.info/sct
code:
  v: 2667000
display:
  v: No

Coding
type: http://snomed.info/id/373068000
system:
  v: http://snomed.info/sct
code:
  v: 373068000
display:
  v: Unknown

v: surgery-autopsy-request

v: =

Coding
type: http://snomed.info/id/52101004
system:
  v: http://snomed.info/sct
code:
  v: 52101004
display:
  v: Yes

Coding
type: http://snomed.info/id/52101004
system:
  v: http://snomed.info/sct
code:
  v: 52101004
display:
  v: Yes

Coding
type: http://snomed.info/id/2667000
system:
  v: http://snomed.info/sct
code:
  v: 2667000
display:
  v: No

Coding
type: http://snomed.info/id/373068000
system:
  v: http://snomed.info/sct
code:
  v: 373068000
display:
  v: Unknown

v: 64572001

v: Disease

v: 55566008

v: Accident

v: 418420002

v: Intentional self harm

v: 52684005

v: Assault

v: 418635006

v: Legal intervention

v: 418781000

v: War

v: 65037004

v: Could not be determined

v: 716348004

v: Pending investigation

v: 373068000

v: Unknown

v: manner-external-injury-date

v: Date of injury

v: date

v: manner-external-description

v: Please describe how external cause occured (If poisoning please specify poisoning agent)

v: text

v: 876879006

v: At home

v: 105530003

v: Residential institution

v: 257698009

v: School, other institution, public administrative area

v: 257704009

v: Sports and athletics area

v: 257710009

v: Street and highway

value: Coding
  type: http://snomed.info/id/284443006
  system:
    v: http://snomed.info/sct
  code:
    v: 284443006
  display:
    v: Trade and service area

value: Coding
  type: http://snomed.info/id/75414001
  system:
    v: http://snomed.info/sct
  code:
    v: 75414001
  display:
    v: Industrial and construction area

value: Coding
  type: http://snomed.info/id/257609008
  system:
    v: http://snomed.info/sct
  code:
    v: 257609008
  display:
    v: Farm

value: Coding
  type: http://snomed.info/id/74964007
  system:
    v: http://snomed.info/sct
  code:
    v: 74964007
  display:
    v: Other

value: Coding
  type: http://snomed.info/id/373068000
  system:
    v: http://snomed.info/sct
  code:
    v: 373068000
  display:
    v: Unknown

link id:
  v: location-other
text:
  v: Other place (please specify)
type:
  v: text
enable when:
  question:
    v: location
  operator:
    v: =
  answer: Coding
    type: http://snomed.info/id/74964007
    system:
      v: http://snomed.info/sct
    code:
      v: 74964007
    display:
      v: Other

link id:
  v: child
text:
  v: Fetal or infant Death
type:
  v: group
item:
  link id:
    v: child-multiple
  text:
    v: Multiple pregnancy
  type:
    v: choice
  answer option:
    value: Coding
      type: http://snomed.info/id/52101004
      system:
        v: http://snomed.info/sct
      code:
        v: 52101004
      display:
        v: Yes
  answer option:
    value: Coding
      type: http://snomed.info/id/2667000
      system:
        v: http://snomed.info/sct
      code:
        v: 2667000
      display:
        v: No
  answer option:
    value: Coding
      type: http://snomed.info/id/373068000
      system:
        v: http://snomed.info/sct
      code:
        v: 373068000
      display:
        v: Unknown
item:
  link id:
    v: child-stillborn
  text:
    v: Stillborn?
  type:
    v: choice
  answer option:
    value: Coding
      type: http://snomed.info/id/52101004
      system:
        v: http://snomed.info/sct
      code:
        v: 52101004
      display:
        v: Yes
  answer option:
    value: Coding
      type: http://snomed.info/id/2667000
      system:
        v: http://snomed.info/sct
      code:
        v: 2667000
      display:
        v: No
  answer option:
    value: Coding
      type: http://snomed.info/id/373068000
      system:
        v: http://snomed.info/sct
      code:
        v: 373068000
      display:
        v: Unknown
item:
  link id:
    v: child-hours-survived
  text:
    v: If death within 24h specify number of hours survived
  type:
    v: time
item:
  link id:
    v: child-birth-weight
  text:
    v: Birth weight (in grams)
  type:
    v: decimal
item:
  link id:
    v: child-gestation
  text:
    v: Number of completed weeks of pregnancy
  type:
    v: integer
item:
  link id:
    v: child-mother-age
  text:
    v: Age of mother (years)
  type:
    v: integer
item:
  link id:
    v: child-mother-condition
  text:
    v: If death was perinatal, please state conditions of mother that affected the fetus and newborn
  type:
    v: text

link id:
  v: pregnancy
text:
  v: For women, was the deceased pregnant?
type:
  v: choice
answer option:
  value: Coding
    type: http://snomed.info/id/52101004
    system:
      v: http://snomed.info/sct
    code:
      v: 52101004
    display:
      v: Yes
answer option:
  value: Coding
    type: http://snomed.info/id/2667000
    system:
      v: http://snomed.info/sct
    code:
      v: 2667000
    display:
      v: No
answer option:
  value: Coding
    type: http://snomed.info/id/373068000
    system:
      v: http://snomed.info/sct
    code:
      v: 373068000
    display:
      v: Unknown
item:
  link id:
    v: pregnancy-time
  text:
    v: If yes specifically up to when was patient in pregnancy prior to death?
  type:
    v: choice
  enable when:
    question:
      v: pregnancy
    operator:
      v: =
    answer: Coding
      type: http://snomed.info/id/52101004
      system:
        v: http://snomed.info/sct
      code:
        v: 52101004
      display:
        v: Yes
  answer option:
    value: Coding
      code:
        v: 1
      display:
        v: At time of death
  answer option:
    value: Coding
      code:
        v: 2
      display:
        v: Within 42 days before the death
  answer option:
    value: Coding
      code:
        v: 3
      display:
        v: Between 42 days up to 1 year before death
  answer option:
    value: Coding
      type: http://snomed.info/id/373068000
      system:
        v: http://snomed.info/sct
      code:
        v: 373068000
      display:
        v: Unknown
item:
  link id:
    v: pregnancy-reason-death
  text:
    v: did the pregnancy contribute to the death
  type:
    v: choice
  enable when:
    question:
      v: pregnancy
    operator:
      v: =
    answer: Coding
      type: http://snomed.info/id/52101004
      system:
        v: http://snomed.info/sct
      code:
        v: 52101004
      display:
        v: Yes
  answer option:
    value: Coding
      type: http://snomed.info/id/52101004
      system:
        v: http://snomed.info/sct
      code:
        v: 52101004
      display:
        v: Yes
  answer option:
    value: Coding
      type: http://snomed.info/id/2667000
      system:
        v: http://snomed.info/sct
      code:
        v: 2667000
      display:
        v: No
  answer option:
    value: Coding
      type: http://snomed.info/id/373068000
      system:
        v: http://snomed.info/sct
      code:
        v: 373068000
      display:
        v: Unknown