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: Questionnaire Diabetic Audit

Official URL: http://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-audit Version: 2.0.1
Active as of 2024-04-28 Computable Name: QDiabeticAudit

Questionnaire for Diabetic Audit data collection.

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. QDiabeticAuditQuestionnaire for Diabetic Audit data collection.Questionnairehttp://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-audit#2.0.1
... dmDiabetes Details0..1group
.... dm-dx-dateDiabetes Diagnosis Date0..1dateTime
.... dm-dx-typeEstimate/ Presumed0..1boolean
.... dm-typeDiabetes Type0..1choiceOptions: 5 options
.... dm-otherIf other specified type, please specify0..1choiceEnable When: dm-type =
Options: 9 options
.... dm-ageDiabetes Age0..1dateTime
... complicationComplications0..1group
.... retinopathyRetinopathy0..1choiceOptions: 3 options
..... retinopathy-dx-dateIf Present, date of diagnosis0..1dateTime
..... retinopathy-dx-typeEstimate/ Presumed0..1boolean
.... ihdIschaemic heart disease (IHD)0..1choiceOptions: 3 options
..... ihd-dx-dateIf Present, date of diagnosis0..1dateTime
..... ihd-dx-typeEstimate/ Presumed0..1boolean
.... cevdCerebrovascular disease (ceVD)0..1choiceOptions: 3 options
..... cevd-dx-dateIf Present, date of diagnosis0..1dateTime
..... cevd-dx-typeEstimate/ Presumed0..1boolean
.... nephropathyNephropathy0..1choiceOptions: 3 options
..... nephropathy-dx-dateIf Present, date of diagnosis0..1dateTime
..... nephropathy-dx-typeEstimate/ Presumed0..1boolean
.... dfuDiabetic foot ulcer0..1choiceOptions: 3 options
..... dfu-dx-dateIf Present, date of diagnosis0..1dateTime
..... dfu-dx-typeEstimate/ Presumed0..1boolean
.... amputationAmputation0..1choiceOptions: 3 options
..... amputation-dx-dateIf Present, date of diagnosis0..1dateTime
..... amputation-dx-typeEstimate/ Presumed0..1boolean
... comorbidConcomitant Co-morbidity0..1group
.... hptHypertension0..1choiceOptions: 3 options
..... hpt-dx-dateIf Yes, date of diagnosis0..1dateTime
..... hpt-dx-typeEstimate/ Presumed0..1boolean
.... lipidDyslipidaemia0..1choiceOptions: 3 options
..... lipid-dx-dateIf Yes, date of diagnosis0..1dateTime
..... lipid-dx-typeEstimate/ Presumed0..1boolean
.... smokingSmoking Status0..1choiceOptions: 3 options
... obsClinical Observations0..1group
.... obs-htHeight0..1boolean
..... obs-ht-resultLatest Result0..1decimal
.... obs-wtWeight0..1boolean
..... obs-wt-resultLatest Result0..1decimal
..... obs-wt-result-dateDate of Latest Result0..1dateTime
.... obs-wcWaist Circumference0..1boolean
..... obs-wc-resultLatest Result0..1decimal
..... obs-wc-result-dateDate of Latest Result0..1dateTime
.... obs-bmiBody Mass Index (BMI)0..1boolean
..... obs-bmi-resultLatest Result0..1decimal
..... obs-bmi-result-dateDate of Latest Result0..1dateTime
.... obs-bpBlood Pressure0..1boolean
..... obs-bp-sys-resultSystolic0..1decimal
..... obs-bp-dia-resultDiastolic0..1decimal
..... obs-bp-result-dateDate of Latest Result0..1dateTime
... pePhysical Examination0..1group
.... pe-fundusFundus examination0..1boolean
..... pe-fundus-outcomeExamination Outcome0..1choiceOptions: 2 options
..... pe-fundus-dateDate of Latest Examination0..1dateTime
.... pe-footFoot examination0..1boolean
..... pe-foot-outcomeExamination Outcome0..1choiceOptions: 2 options
..... pe-foot-dateDate of Latest Examination0..1dateTime
.... pe-ecgElectrocardiogram (ECG)0..1boolean
..... pe-ecg-outcomeExamination Outcome0..1choiceOptions: 2 options
..... pe-ecg-dateDate of Latest Examination0..1dateTime
.... pe-edErectile Dysfunction0..1boolean
..... pe-ed-outcomeExamination Outcome0..1choiceOptions: 2 options
..... pe-ed-dateDate of Latest Examination0..1dateTime
.... pe-moSeen by a Medical Officer (MO) at least once in a year0..1boolean
... labLaboratory0..1group
.... lab-rbgRandom Blood Glucose (RBG)0..1boolean
..... lab-rbg-resultLatest Result0..1decimal
..... lab-rbg-result-dateDate of Latest Result0..1dateTime
.... lab-fbgFasting Blood Glucose (FBG)0..1boolean
..... lab-fbg-resultLatest Result0..1decimal
..... lab-fbg-result-dateDate of Latest Result0..1dateTime
.... lab-2hpp2-Hour Post Prandial (2HPP)0..1boolean
..... lab-2hpp-resultLatest Result0..1decimal
..... lab-2hpp-result-dateDate of Latest Result0..1dateTime
.... lab-hba1cHbA1c0..1boolean
..... lab-hba1c-resultLatest Result0..1decimal
..... lab-hba1c-result-dateDate of Latest Result0..1dateTime
.... lab-tcTotal Cholesterol0..1boolean
..... lab-tc-resultLatest Result0..1decimal
..... lab-tc-result-dateDate of Latest Result0..1dateTime
.... lab-tgTriglycerides (TG)0..1boolean
..... lab-tg-resultLatest Result0..1decimal
..... lab-tg-result-dateDate of Latest Result0..1dateTime
.... lab-hdlHigh-Density Lipoprotein (HDL)0..1boolean
..... lab-hdl-resultLatest Result0..1decimal
..... lab-hdl-result-dateDate of Latest Result0..1dateTime
.... lab-ldlLow-Density Lipoprotein (LDL)0..1boolean
..... lab-ldl-resultLatest Result0..1decimal
..... lab-ldl-result-dateDate of Latest Result0..1dateTime
.... lab-creSerum Creatinine0..1boolean
..... lab-cre-resultLatest Result0..1decimal
..... lab-cre-result-dateDate of Latest Result0..1dateTime
.... lab-umalbUrine Microalbumin0..1boolean
..... lab-umalb-resultLatest Result0..1decimal
..... lab-umalb-result-dateDate of Latest Result0..1dateTime
.... lab-uproUrine Protein0..1boolean
..... lab-upro-resultLatest Result0..1string
..... lab-upro-result-dateDate of Latest Result0..1dateTime
... dm-medAnti-Diabetic Drugs0..1group
.... dm-med-biguanidesBiguanides0..1boolean
.... dm-med-sulphonylureasSulphonylureas0..1boolean
.... dm-med-agiα-glucosidase inhibitors0..1boolean
.... dm-med-meglitinidesMeglitinides0..1boolean
.... dm-med-glitazonesGlitazones0..1boolean
.... dm-med-otherOther0..1booleanInitial Value: boolean = false
..... dm-med-other-detailsIf other, please specify0..*stringEnable When: dm-med-other =
... hpt-medAnti-hypertensives Drugs0..1group
.... hpt-med-aceACE-inhibitor0..1boolean
.... hpt-med-arbAngiotensin II Receptor Blockers (ARB)0..1boolean
.... hpt-med-bbBeta-blockers0..1boolean
.... hpt-med-ccbCalcium channel blockers0..1boolean
.... hpt-med-diureticsDiuretics0..1boolean
.... hpt-med-abAlpha-blockers0..1boolean
.... hpt-med-caCentrally acting0..1boolean
.... hpt-med-otherOther0..1booleanInitial Value: boolean = false
..... hpt-med-other-detailsIf other, please specify0..*stringEnable When: hpt-med-other =
... lipid-medLipid-Lowering Agents0..1group
.... lipid-med-statinStatin0..1boolean
.... lipid-med-fibrateFibrate0..1boolean
.... lipid-med-otherOther0..1booleanInitial Value: boolean = false
..... lipid-med-other-detailsIf other, please specify0..*stringEnable When: lipid-med-other =

doco Documentation for this format

Options Sets

Answer options for dm-type

  • http://id.who.int/icd/release/11/mms#5A10 ("Type 1")
  • http://id.who.int/icd/release/11/mms#5A11 ("Type 2")
  • http://id.who.int/icd/release/11/mms#5A12 ("Malnutrition-related")
  • http://id.who.int/icd/release/11/mms#5A13 ("Other specified type")
  • http://id.who.int/icd/release/11/mms#5A14 ("Type unspecified")

Answer options for dm-other

  • http://id.who.int/icd/release/11/mms#5A13.0 ("Diabetes mellitus due to genetic defects of beta cell function")
  • http://id.who.int/icd/release/11/mms#5A13.1 ("Diabetes mellitus due to genetic defects in insulin action")
  • http://id.who.int/icd/release/11/mms#5A13.2 ("Diabetes mellitus due to diseases of the exocrine pancreas")
  • http://id.who.int/icd/release/11/mms#5A13.3 ("Diabetes mellitus due to endocrinopathies")
  • http://id.who.int/icd/release/11/mms#5A13.4 ("Diabetes mellitus due to drug or chemical")
  • http://id.who.int/icd/release/11/mms#5A13.5 ("Diabetes mellitus due to uncommon forms of immune-mediated diabetes")
  • http://id.who.int/icd/release/11/mms#5A13.6 ("Diabetes mellitus due to other genetic syndromes")
  • http://id.who.int/icd/release/11/mms#5A13.7 ("Diabetes mellitus due to clinically defined subtypes or syndromes")
  • http://id.who.int/icd/release/11/mms#5A13.Y ("Diabetes mellitus due to other specified cause")

Answer options for retinopathy

  • http://snomed.info/sct#52101004 ("Present")
  • http://snomed.info/sct#2667000 ("Absent")
  • http://snomed.info/sct#373068000 ("Not Known")

Answer options for ihd

  • http://snomed.info/sct#52101004 ("Present")
  • http://snomed.info/sct#2667000 ("Absent")
  • http://snomed.info/sct#373068000 ("Not Known")

Answer options for cevd

  • http://snomed.info/sct#52101004 ("Present")
  • http://snomed.info/sct#2667000 ("Absent")
  • http://snomed.info/sct#373068000 ("Not Known")

Answer options for nephropathy

  • http://snomed.info/sct#52101004 ("Present")
  • http://snomed.info/sct#2667000 ("Absent")
  • http://snomed.info/sct#373068000 ("Not Known")

Answer options for dfu

  • http://snomed.info/sct#52101004 ("Present")
  • http://snomed.info/sct#2667000 ("Absent")
  • http://snomed.info/sct#373068000 ("Not Known")

Answer options for amputation

  • http://snomed.info/sct#52101004 ("Present")
  • http://snomed.info/sct#2667000 ("Absent")
  • http://snomed.info/sct#373068000 ("Not Known")

Answer options for hpt

  • http://snomed.info/sct#52101004 ("Yes")
  • http://snomed.info/sct#2667000 ("No")
  • http://snomed.info/sct#373068000 ("Not Known")

Answer options for lipid

  • http://snomed.info/sct#52101004 ("Yes")
  • http://snomed.info/sct#2667000 ("No")
  • http://snomed.info/sct#373068000 ("Not Known")

Answer options for smoking

  • http://snomed.info/sct#52101004 ("Yes")
  • http://snomed.info/sct#2667000 ("No")
  • http://snomed.info/sct#373068000 ("Not Known")

Answer options for pe-fundus-outcome

  • http://snomed.info/sct#52101004 ("Abnormal")
  • http://snomed.info/sct#2667000 ("Normal")

Answer options for pe-foot-outcome

  • http://snomed.info/sct#52101004 ("Abnormal")
  • http://snomed.info/sct#2667000 ("Normal")

Answer options for pe-ecg-outcome

  • http://snomed.info/sct#52101004 ("Abnormal")
  • http://snomed.info/sct#2667000 ("Normal")

Answer options for pe-ed-outcome

  • http://snomed.info/sct#52101004 ("Abnormal")
  • http://snomed.info/sct#2667000 ("Normal")