Generated Narrative: Questionnaire q-death-certificate Structure LinkID Text Cardinality Type Description & Constraints 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 (in grams) 0..1 decimal #xD; child-gestation Number of completed weeks of pregnancy 0..1 integer #xD; child-mother-age Age of mother (years) 0..1 integer #xD; child-mother-condition If death was perinatal, please state conditions of mother that affected the fetus and newborn 0..1 text #xD; pregnancy For women, was the deceased pregnant? 0..1 choice Options: 3 options #xD; pregnancy-time If yes specifically up to when was patient in pregnancy prior to death? 0..1 choice Enable When: pregnancy = Options: 4 options #xD; pregnancy-reason-death did the pregnancy contribute to the death 0..1 choice Enable When: pregnancy = Options: 3 options #xD; Documentation for this format Options Sets Answer options for surgery http://snomed.info/sct#52101004 ("Yes") http://snomed.info/sct#2667000 ("No") http://snomed.info/sct#373068000 ("Unknown") Answer options for surgery-autopsy-request http://snomed.info/sct#52101004 ("Yes") http://snomed.info/sct#2667000 ("No") http://snomed.info/sct#373068000 ("Unknown") Answer options for surgery-findings-used http://snomed.info/sct#52101004 ("Yes") http://snomed.info/sct#2667000 ("No") http://snomed.info/sct#373068000 ("Unknown") Answer options for manner http://snomed.info/sct#64572001 ("Disease") http://snomed.info/sct#55566008 ("Accident") http://snomed.info/sct#418420002 ("Intentional self harm") http://snomed.info/sct#52684005 ("Assault") http://snomed.info/sct#418635006 ("Legal intervention") http://snomed.info/sct#418781000 ("War") http://snomed.info/sct#65037004 ("Could not be determined") http://snomed.info/sct#716348004 ("Pending investigation") http://snomed.info/sct#373068000 ("Unknown") Answer options for location http://snomed.info/sct#876879006 ("At home") http://snomed.info/sct#105530003 ("Residential institution") http://snomed.info/sct#257698009 ("School, other institution, public administrative area") http://snomed.info/sct#257704009 ("Sports and athletics area") http://snomed.info/sct#257710009 ("Street and highway") http://snomed.info/sct#284443006 ("Trade and service area") http://snomed.info/sct#75414001 ("Industrial and construction area") http://snomed.info/sct#257609008 ("Farm") http://snomed.info/sct#74964007 ("Other") http://snomed.info/sct#373068000 ("Unknown") Answer options for child-multiple http://snomed.info/sct#52101004 ("Yes") http://snomed.info/sct#2667000 ("No") http://snomed.info/sct#373068000 ("Unknown") Answer options for child-stillborn http://snomed.info/sct#52101004 ("Yes") http://snomed.info/sct#2667000 ("No") http://snomed.info/sct#373068000 ("Unknown") Answer options for pregnancy http://snomed.info/sct#52101004 ("Yes") http://snomed.info/sct#2667000 ("No") http://snomed.info/sct#373068000 ("Unknown") Answer options for pregnancy-time null#1 ("At time of death") null#2 ("Within 42 days before the death") null#3 ("Between 42 days up to 1 year before death") http://snomed.info/sct#373068000 ("Unknown") Answer options for pregnancy-reason-death http://snomed.info/sct#52101004 ("Yes") http://snomed.info/sct#2667000 ("No") http://snomed.info/sct#373068000 ("Unknown")
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Questionnaire for filling the Death Certificate form.
Was surgery performed within the last 4 weeks?
If yes please specify reason for surgery (disease or condition)
If yes, were the findings used in the certifcation?
Please describe how external cause occured (If poisoning please specify poisoning agent)
Place of occurrence of the external cause:
School, other institution, public administrative area
If death within 24h specify number of hours survived
If death was perinatal, please state conditions of mother that affected the fetus and newborn
If yes specifically up to when was patient in pregnancy prior to death?
Between 42 days up to 1 year before death
did the pregnancy contribute to the death