HL7® FHIR® Malaysia Core (MY Core) Implementation Guide
2.0.1 - ci-build

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

Questionnaire: Dengue Assessment Checklist

Official URL: http://fhir.hie.moh.gov.my/Questionnaire/q-dengue-checklist Version: 2.0.1
Active as of 2024-02-12 Computable Name: QDengueChecklist

Questionnaire for thorough assessment of a patient with dengue fever.

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. QDengueChecklistQuestionnaire for thorough assessment of a patient with dengue fever.Questionnairehttp://fhir.hie.moh.gov.my/Questionnaire/q-dengue-checklist#2.0.1
... dengue-cl.1Recognition0..1group
.... dengue-cl.1.1Fever0..1boolean
.... dengue-cl.1.2Aches and Pain0..1boolean
.... dengue-cl.1.3Nausea and / or Vomitting0..1boolean
.... dengue-cl.1.4Rash0..1boolean
.... dengue-cl.1.5Leucopenia0..1boolean
.... dengue-cl.1.6Any Warning Signs0..1boolean
.... dengue-cl.1.7Remarks0..1text
... dengue-cl.2Warning signs0..1group
.... dengue-cl.2.1Persistent Vomiting (3 or more than 3 times over the last 24 hours)0..1boolean
.... dengue-cl.2.2Persistent Diarrhea (3 or more than 3 times over the last 24 hours)0..1boolean
.... dengue-cl.2.3Any Abdominal Pain / Tenderness0..1boolean
.... dengue-cl.2.4Lethargy / Restlessness / Confusion0..1boolean
.... dengue-cl.2.5Tender Liver0..1boolean
.... dengue-cl.2.6Third Space Fluid Accumulation0..1boolean
.... dengue-cl.2.7Spontaneous Bleeding Tendencies0..1boolean
.... dengue-cl.2.8Raised HCT With Rapid Drop in Platelet. Male Age ≤ 60 : HCT >46 Male Age >60 : HCT > 42 Female All Ages : >400..1boolean
.... dengue-cl.2.9Remarks0..1text
... dengue-cl.3Other criteria0..1group
.... dengue-cl.3.1Syncope0..1boolean
.... dengue-cl.3.2Social factor0..1boolean
.... dengue-cl.3.3Remarks0..1text
... dengue-cl.4Special Group0..1group
.... dengue-cl.4.1Obese0..1boolean
.... dengue-cl.4.2Pregnant0..1boolean
.... dengue-cl.4.3Heart failure / CKD / CLD0..1boolean
.... dengue-cl.4.4Diabetes Mellitus0..1boolean
.... dengue-cl.4.5Hypertension0..1boolean
.... dengue-cl.4.6IHD0..1boolean
.... dengue-cl.4.7COPD0..1boolean
.... dengue-cl.4.8Age > 650..1boolean
.... dengue-cl.4.9Remarks0..1text
... dengue-cl.5Physical Examination and Vital Signs0..1group
.... dengue-cl.5.1Physical Examination Findings0..1text
.... dengue-cl.5.2Systolic Blood Pressure (mmHg)0..1quantityInitial Value: Quantity = ? mmHg
.... dengue-cl.5.3Diastolic Blood Pressure (mmHg)0..1quantityEnable When: dengue-cl.5.2 exists
Initial Value: Quantity = ? mmHg
.... dengue-cl.5.4Heart Rate (/min)0..1quantityInitial Value: Quantity = ? /min
.... dengue-cl.5.5Body Temperature (°C)0..1quantityInitial Value: Quantity = ? °C
.... dengue-cl.5.6Oxygen Saturation (%)0..1quantityInitial Value: Quantity = ? %
.... dengue-cl.5.7Respiratory Rate (/min)0..1quantityInitial Value: Quantity = ? /min
.... dengue-cl.5.8Pain Score0..1quantity
... dengue-cl.6Blood Investigation0..1group
.... dengue-cl.6.1White Cell Counts0..1quantity
.... dengue-cl.6.2Hb0..1quantity
.... dengue-cl.6.3HCT0..1quantity
.... dengue-cl.6.4Platelet0..1quantity
.... dengue-cl.6.5Dengue Point of Care Checklist (Combo / Rapid Checklist)0..1quantity
... dengue-cl.7Severe Dengue0..1group
.... dengue-cl.7.1Hypotension SBP <90 or MAP <60 or SBP Drop > 40mmHg From Known Baseline0..1boolean
.... dengue-cl.7.2Shock Index: HR > SBP or Abnormal CCTVR0..1boolean
.... dengue-cl.7.3Third Space Fluid Accumulation With Respiratory Distress0..1boolean
.... dengue-cl.7.4Altered Concious Level0..1boolean
.... dengue-cl.7.5Any bleed GI / Non Mucosal And Non Cutaneous / Non Physiological0..1boolean
.... dengue-cl.7.6Specific Organ Dysfunction0..1boolean
.... dengue-cl.7.7Remarks0..1text
... dengue-cl.8Onset of Illness0..1group
.... dengue-cl.8,1Fever Onset0..1dateTime
.... dengue-cl.8.2Critical Phase Onset0..1dateTime
... dengue-cl.9Phase of Illness0..1choiceOptions: 3 options
... dengue-cl.10Diagnosis0..1choiceOptions: 3 options
... dengue-cl.11Management0..1group
.... dengue-cl.11.1Management / Plans0..1text

doco Documentation for this format

Options Sets

Answer options for dengue-cl.9

  • null#01 ("Febrile")
  • null#02 ("Critical")
  • null#03 ("Recovery")

Answer options for dengue-cl.10

  • null#01 ("Dengue Fever Without Warning Signs")
  • null#02 ("Dengue Fever With Warning Signs")
  • null#03 ("Severe Dengue")