q-dengue-checklist
type: Questionnaire
node role: treeRoot
id:
  v: q-dengue-checklist
text:
  status:
    v: extensions
  div: Generated Narrative: Questionnaire q-dengue-checklist Structure LinkID Text Cardinality Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> QDengueChecklist Questionnaire for thorough assessment of a patient with dengue fever. Questionnaire http://fhir.hie.moh.gov.my/Questionnaire/q-dengue-checklist#2.0.1 #xD; dengue-cl.1 Recognition 0..1 group #xD; dengue-cl.1.1 Fever 0..1 boolean #xD; dengue-cl.1.2 Aches and Pain 0..1 boolean #xD; dengue-cl.1.3 Nausea and / or Vomitting 0..1 boolean #xD; dengue-cl.1.4 Rash 0..1 boolean #xD; dengue-cl.1.5 Leucopenia 0..1 boolean #xD; dengue-cl.1.6 Any Warning Signs 0..1 boolean #xD; dengue-cl.1.7 Remarks 0..1 text #xD; dengue-cl.2 Warning signs 0..1 group #xD; dengue-cl.2.1 Persistent Vomiting (3 or more than 3 times over the last 24 hours) 0..1 boolean #xD; dengue-cl.2.2 Persistent Diarrhea (3 or more than 3 times over the last 24 hours) 0..1 boolean #xD; dengue-cl.2.3 Any Abdominal Pain / Tenderness 0..1 boolean #xD; dengue-cl.2.4 Lethargy / Restlessness / Confusion 0..1 boolean #xD; dengue-cl.2.5 Tender Liver 0..1 boolean #xD; dengue-cl.2.6 Third Space Fluid Accumulation 0..1 boolean #xD; dengue-cl.2.7 Spontaneous Bleeding Tendencies 0..1 boolean #xD; dengue-cl.2.8 Raised HCT With Rapid Drop in Platelet. Male Age ≤ 60 : HCT >46 Male Age >60 : HCT > 42 Female All Ages : >40 0..1 boolean #xD; dengue-cl.2.9 Remarks 0..1 text #xD; dengue-cl.3 Other criteria 0..1 group #xD; dengue-cl.3.1 Syncope 0..1 boolean #xD; dengue-cl.3.2 Social factor 0..1 boolean #xD; dengue-cl.3.3 Remarks 0..1 text #xD; dengue-cl.4 Special Group 0..1 group #xD; dengue-cl.4.1 Obese 0..1 boolean #xD; dengue-cl.4.2 Pregnant 0..1 boolean #xD; dengue-cl.4.3 Heart failure / CKD / CLD 0..1 boolean #xD; dengue-cl.4.4 Diabetes Mellitus 0..1 boolean #xD; dengue-cl.4.5 Hypertension 0..1 boolean #xD; dengue-cl.4.6 IHD 0..1 boolean #xD; dengue-cl.4.7 COPD 0..1 boolean #xD; dengue-cl.4.8 Age > 65 0..1 boolean #xD; dengue-cl.4.9 …
url:
  v: http://fhir.hie.moh.gov.my/Questionnaire/q-dengue-checklist
version:
  v: 2.0.1
name:
  v: QDengueChecklist
title:
  v: Dengue Assessment Checklist
status:
  v: active
date:
  v: 2024-02-12T04:04:09.5621857+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 thorough assessment of a patient with dengue fever.
item:
  link id:
    v: dengue-cl.1
  text:
    v: Recognition
  type:
    v: group
  item:
    link id:
      v: dengue-cl.1.1
    text:
      v: Fever
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.1.2
    text:
      v: Aches and Pain
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.1.3
    text:
      v: Nausea and / or Vomitting
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.1.4
    text:
      v: Rash
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.1.5
    text:
      v: Leucopenia
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.1.6
    text:
      v: Any Warning Signs
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.1.7
    text:
      v: Remarks
    type:
      v: text
item:
  link id:
    v: dengue-cl.2
  text:
    v: Warning signs
  type:
    v: group
  item:
    link id:
      v: dengue-cl.2.1
    text:
      v: Persistent Vomiting (3 or more than 3 times over the last 24 hours)
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.2.2
    text:
      v: Persistent Diarrhea (3 or more than 3 times over the last 24 hours)
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.2.3
    text:
      v: Any Abdominal Pain / Tenderness
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.2.4
    text:
      v: Lethargy / Restlessness / Confusion
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.2.5
    text:
      v: Tender Liver
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.2.6
    text:
      v: Third Space Fluid Accumulation
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.2.7
    text:
      v: Spontaneous Bleeding Tendencies
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.2.8
    text:
      v: Raised HCT With Rapid Drop in Platelet. Male Age ≤ 60 : HCT >46 Male Age >60 : HCT > 42 Female All Ages : >40
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.2.9
    text:
      v: Remarks
    type:
      v: text
item:
  link id:
    v: dengue-cl.3
  text:
    v: Other criteria
  type:
    v: group
  item:
    link id:
      v: dengue-cl.3.1
    text:
      v: Syncope
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.3.2
    text:
      v: Social factor
    type:
      v: boolean
  item:
    link id:
      v: dengue-cl.3.3
    text:
      v: Remarks
    type:
      v: text
item:
  link id:
    v: dengue-cl.4
  text:
    v: Special Group
  type:
    v: group
  item:
    link id:
      v: dengue-cl.4.1
    text:
      v: Obese
    type:
      v: boolean

link id:
  v: dengue-cl.4.2
text:
  v: Pregnant
type:
  v: boolean

link id:
  v: dengue-cl.4.3
text:
  v: Heart failure / CKD / CLD
type:
  v: boolean

link id:
  v: dengue-cl.4.4
text:
  v: Diabetes Mellitus
type:
  v: boolean

link id:
  v: dengue-cl.4.5
text:
  v: Hypertension
type:
  v: boolean

link id:
  v: dengue-cl.4.6
text:
  v: IHD
type:
  v: boolean

link id:
  v: dengue-cl.4.7
text:
  v: COPD
type:
  v: boolean

link id:
  v: dengue-cl.4.8
text:
  v: Age > 65
type:
  v: boolean

link id:
  v: dengue-cl.4.9
text:
  v: Remarks
type:
  v: text

link id:
  v: dengue-cl.5
text:
  v: Physical Examination and Vital Signs
type:
  v: group
item:
  link id:
    v: dengue-cl.5.1
  text:
    v: Physical Examination Findings
  type:
    v: text
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/minValue
    value: integer
      v: 1
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/maxValue
    value: integer
      v: 300
  link id:
    v: dengue-cl.5.2
  code: https://loinc.org/rdf/8480-6
    system:
      v: http://loinc.org
    code:
      v: 8480-6
    display:
      v: Systolic Blood Pressure
  text:
    v: Systolic Blood Pressure (mmHg)
  type:
    v: quantity
  initial:
    value: Quantity
      unit:
        v: mmHg
      system:
        v: http://unitsofmeasure.org
      code:
        v: mm[Hg]
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/minValue
    value: integer
      v: 1
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/maxValue
    value: integer
      v: 250
  link id:
    v: dengue-cl.5.3
  code: https://loinc.org/rdf/8462-4
    system:
      v: http://loinc.org
    code:
      v: 8462-4
    display:
      v: Diastolic Blood Pressure
  text:
    v: Diastolic Blood Pressure (mmHg)
  type:
    v: quantity
  enable when:
    question:
      v: dengue-cl.5.2
    operator:
      v: exists
    answer: boolean
      v: true
  initial:
    value: Quantity
      unit:
        v: mmHg
      system:
        v: http://unitsofmeasure.org
      code:
        v: mm[Hg]
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/minValue-my-core
    value: integer
      v: 0
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/maxValue-my-core
    value: integer
      v: 400
  link id:
    v: dengue-cl.5.4
  text:
    v: Heart Rate (/min)
  type:
    v: quantity
  initial:
    value: Quantity
      unit:
        v: /min
      system:
        v: http://unitsofmeasure.org
      code:
        v: /min
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/minValue-my-core
    value: integer
      v: 0
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/maxValue-my-core
    value: integer
      v: 100
  link id:
    v: dengue-cl.5.5
  text:
    v: Body Temperature (°C)
  type:
    v: quantity
  initial:
    value: Quantity
      unit:
        v: °C
      system:
        v: http://unitsofmeasure.org
      code:
        v: Cel
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/minValue-my-core
    value: integer
      v: 0
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/maxValue-my-core
    value: integer
      v: 100
  link id:
    v: dengue-cl.5.6
  text:
    v: Oxygen Saturation (%)
  type:
    v: quantity
  initial:
    value: Quantity
      unit:
        v: %
      system:
        v: http://unitsofmeasure.org
      code:
        v: %
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/minValue-my-core
    value: integer
      v: 0
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/maxValue-my-core
    value: integer
      v: 80
  link id:
    v: dengue-cl.5.7
  text:
    v: Respiratory Rate (/min)
  type:
    v: quantity
  initial:
    value: Quantity
      unit:
        v: /min
      system:
        v: http://unitsofmeasure.org
      code:
        v: /min
item:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/minValue
    value: integer
      v: 0
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/maxValue
    value: integer
      v: 10
  link id:
    v: dengue-cl.5.8
  text:
    v: Pain Score
  type:
    v: quantity

link id:
  v: dengue-cl.6
text:
  v: Blood Investigation
type:
  v: group
item:
  link id:
    v: dengue-cl.6.1
  text:
    v: White Cell Counts
  type:
    v: quantity
item:
  link id:
    v: dengue-cl.6.2
  text:
    v: Hb
  type:
    v: quantity
item:
  link id:
    v: dengue-cl.6.3
  text:
    v: HCT
  type:
    v: quantity
item:
  link id:
    v: dengue-cl.6.4
  text:
    v: Platelet
  type:
    v: quantity
item:
  link id:
    v: dengue-cl.6.5
  text:
    v: Dengue Point of Care Checklist (Combo / Rapid Checklist)
  type:
    v: quantity

link id:
  v: dengue-cl.7
text:
  v: Severe Dengue
type:
  v: group
item:
  link id:
    v: dengue-cl.7.1
  text:
    v: Hypotension SBP <90 or MAP <60 or SBP Drop > 40mmHg From Known Baseline
  type:
    v: boolean
item:
  link id:
    v: dengue-cl.7.2
  text:
    v: Shock Index: HR > SBP or Abnormal CCTVR
  type:
    v: boolean
item:
  link id:
    v: dengue-cl.7.3
  text:
    v: Third Space Fluid Accumulation With Respiratory Distress
  type:
    v: boolean
item:
  link id:
    v: dengue-cl.7.4
  text:
    v: Altered Concious Level
  type:
    v: boolean
item:
  link id:
    v: dengue-cl.7.5
  text:
    v: Any bleed GI / Non Mucosal And Non Cutaneous / Non Physiological
  type:
    v: boolean
item:
  link id:
    v: dengue-cl.7.6
  text:
    v: Specific Organ Dysfunction
  type:
    v: boolean
item:
  link id:
    v: dengue-cl.7.7
  text:
    v: Remarks
  type:
    v: text

link id:
  v: dengue-cl.8
text:
  v: Onset of Illness
type:
  v: group
item:
  link id:
    v: dengue-cl.8,1
  text:
    v: Fever Onset
  type:
    v: dateTime
item:
  link id:
    v: dengue-cl.8.2
  text:
    v: Critical Phase Onset
  type:
    v: dateTime

link id:
  v: dengue-cl.9
text:
  v: Phase of Illness
type:
  v: choice
answer option:
  value: Coding
    code:
      v: 01
    display:
      v: Febrile
answer option:
  value: Coding
    code:
      v: 02
    display:
      v: Critical
answer option:
  value: Coding
    code:
      v: 03
    display:
      v: Recovery

link id:
  v: dengue-cl.10
text:
  v: Diagnosis
type:
  v: choice
answer option:
  value: Coding
    code:
      v: 01
    display:
      v: Dengue Fever Without Warning Signs
answer option:
  value: Coding
    code:
      v: 02
    display:
      v: Dengue Fever With Warning Signs
answer option:
  value: Coding
    code:
      v: 03
    display:
      v: Severe Dengue

link id:
  v: dengue-cl.11
text:
  v: Management
type:
  v: group
item:
  link id:
    v: dengue-cl.11.1
  text:
    v: Management / Plans
  type:
    v: text