Generated Narrative: Questionnaire q-diabetic-audit Structure LinkID Text Cardinality Type Description & Constraints QDiabeticAudit Questionnaire for Diabetic Audit data collection. Questionnaire http://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-audit#2.0.1 #xD; dm Diabetes Details 0..1 group #xD; dm-dx-date Diabetes Diagnosis Date 0..1 dateTime #xD; dm-dx-type Estimate/ Presumed 0..1 boolean #xD; dm-type Diabetes Type 0..1 choice Options: 5 options #xD; dm-other If other specified type, please specify 0..1 choice Enable When: dm-type = Options: 9 options #xD; dm-age Diabetes Age 0..1 dateTime #xD; complication Complications 0..1 group #xD; retinopathy Retinopathy 0..1 choice Options: 3 options #xD; retinopathy-dx-date If Present, date of diagnosis 0..1 dateTime #xD; retinopathy-dx-type Estimate/ Presumed 0..1 boolean #xD; ihd Ischaemic heart disease (IHD) 0..1 choice Options: 3 options #xD; ihd-dx-date If Present, date of diagnosis 0..1 dateTime #xD; ihd-dx-type Estimate/ Presumed 0..1 boolean #xD; cevd Cerebrovascular disease (ceVD) 0..1 choice Options: 3 options #xD; cevd-dx-date If Present, date of diagnosis 0..1 dateTime #xD; cevd-dx-type Estimate/ Presumed 0..1 boolean #xD; nephropathy Nephropathy 0..1 choice Options: 3 options #xD; nephropathy-dx-date If Present, date of diagnosis 0..1 dateTime #xD; nephropathy-dx-type Estimate/ Presumed 0..1 boolean #xD; dfu Diabetic foot ulcer 0..1 choice Options: 3 options #xD; dfu-dx-date If Present, date of diagnosis 0..1 dateTime #xD; dfu-dx-type Estimate/ Presumed 0..1 boolean #xD; amputation Amputation 0..1 choice Options: 3 options #xD; amputation-dx-date If Present, date of diagnosis 0..1 dateTime #xD; amputation-dx-type Estimate/ Presumed 0..1 boolean #xD; comorbid Concomitant Co-morbidity 0..1 group #xD; hpt Hypertension 0..1 choice Options: 3 options #xD; hpt-dx-date If Yes, date of diagnosis 0..1 dateTime #xD; hpt-dx-type Estimate/ Presumed 0..1 boolean #xD; lipid Dyslipidaemia 0..1 choice Options: 3 options #xD; lipid-dx-date If Yes, date of diagnosis 0..1 dateTime #xD; lipid-dx-type Estimate/ Presumed 0..1 boolean #xD; smoking Smoking Status 0..1 choice Options: 3 options #xD; obs Clinical Observations 0..1 group #xD; obs-ht Height 0..1 boolean #xD; obs-ht-result Latest Result 0..1 decimal #xD; obs-wt Weight 0..1 boolean #xD; obs-wt-result Latest Result 0..1 decimal #xD; obs-wt-result-date Date of Latest Result 0..1 dateTime #xD; obs-wc Waist Circumference 0..1 boolean #xD; obs-wc-result Latest Result 0..1 decimal #xD; obs-wc-result-date Date of Latest Result 0..1 dateTime #xD; obs-bmi Body Mass Index (BMI) 0..1 boolean #xD; obs-bmi-result Latest Result 0..1 decimal #xD; obs-bmi-result-date Date of Latest Result 0..1 dateTime #xD; obs-bp Blood Pressure 0..1 boolean #xD; obs-bp-sys-result Systolic 0..1 decimal #xD; obs-bp-dia-result Diastolic 0..1 decimal #xD; obs-bp-result-date Date of Latest Result 0..1 dateTime #xD; pe Physical Examination 0..1 group #xD; pe-fundus Fundus examination 0..1 boolean #xD; pe-fundus-outcome Examination Outcome 0..1 choice Options: 2 options #xD; pe-fundus-date Date of Latest Examination 0..1 dateTime #xD; pe-foot Foot examination 0..1 boolean #xD; pe-foot-outcome Examination Outcome 0..1 choice Options: 2 options #xD; pe-foot-date Date of Latest Examination 0..1 dateTime #xD; pe-ecg Electrocardiogram (ECG) 0..1 boolean #xD; pe-ecg-outcome Examination Outcome 0..1 choice Options: 2 options #xD; pe-ecg-date Date of Latest Examination 0..1 dateTime #xD; pe-ed Erectile Dysfunction 0..1 boolean #xD; pe-ed-outcome Examination Outcome 0..1 choice Options: 2 options #xD; pe-ed-date Date of Latest Examination 0..1 dateTime #xD; pe-mo Seen by a Medical Officer (MO) at least once in a year 0..1 boolean #xD; lab Laboratory 0..1 group #xD; lab-rbg Random Blood Glucose (RBG) 0..1 boolean #xD; lab-rbg-result Latest Result 0..1 decimal #xD; lab-rbg-result-date Date of Latest Result 0..1 dateTime #xD; lab-fbg Fasting Blood Glucose (FBG) 0..1 boolean #xD; lab-fbg-result Latest Result 0..1 decimal #xD; lab-fbg-result-date Date of Latest Result 0..1 dateTime #xD; lab-2hpp 2-Hour Post Prandial (2HPP) 0..1 boolean #xD; lab-2hpp-result Latest Result 0..1 decimal #xD; lab-2hpp-result-date Date of Latest Result 0..1 dateTime #xD; lab-hba1c HbA1c 0..1 boolean #xD; lab-hba1c-result Latest Result 0..1 decimal #xD; lab-hba1c-result-date Date of Latest Result 0..1 dateTime #xD; lab-tc Total Cholesterol 0..1 boolean #xD; lab-tc-result Latest Result 0..1 decimal #xD; lab-tc-result-date Date of Latest Result 0..1 dateTime #xD; lab-tg Triglycerides (TG) 0..1 boolean #xD; lab-tg-result Latest Result 0..1 decimal #xD; lab-tg-result-date Date of Latest Result 0..1 dateTime #xD; lab-hdl High-Density Lipoprotein (HDL) 0..1 boolean #xD; lab-hdl-result Latest Result 0..1 decimal #xD; lab-hdl-result-date Date of Latest Result 0..1 dateTime #xD; lab-ldl Low-Density Lipoprotein (LDL) 0..1 boolean #xD; lab-ldl-result Latest Result 0..1 decimal #xD; lab-ldl-result-date Date of Latest Result 0..1 dateTime #xD; lab-cre Serum Creatinine 0..1 boolean #xD; lab-cre-result Latest Result 0..1 decimal #xD; lab-cre-result-date Date of Latest Result 0..1 dateTime #xD; lab-umalb Urine Microalbumin 0..1 boolean #xD; lab-umalb-result Latest Result 0..1 decimal #xD; lab-umalb-result-date Date of Latest Result 0..1 dateTime #xD; lab-upro Urine Protein 0..1 boolean #xD; lab-upro-result Latest Result 0..1 string #xD; lab-upro-result-date Date of Latest Result 0..1 dateTime #xD; dm-med Anti-Diabetic Drugs 0..1 group #xD; dm-med-biguanides Biguanides 0..1 boolean #xD; dm-med-sulphonylureas Sulphonylureas 0..1 boolean #xD; dm-med-agi α-glucosidase inhibitors 0..1 boolean #xD; dm-med-meglitinides Meglitinides 0..1 boolean #xD; dm-med-glitazones Glitazones 0..1 boolean #xD; dm-med-other Other 0..1 boolean Initial Value: boolean = false #xD; dm-med-other-details If other, please specify 0..* string Enable When: dm-med-other = #xD; hpt-med Anti-hypertensives Drugs 0..1 group #xD; hpt-med-ace ACE-inhibitor 0..1 boolean #xD; hpt-med-arb Angiotensin II Receptor Blockers (ARB) 0..1 boolean #xD; hpt-med-bb Beta-blockers 0..1 boolean #xD; hpt-med-ccb Calcium channel blockers 0..1 boolean #xD; hpt-med-diuretics Diuretics 0..1 boolean #xD; hpt-med-ab Alpha-blockers 0..1 boolean #xD; hpt-med-ca Centrally acting 0..1 boolean #xD; hpt-med-other Other 0..1 boolean Initial Value: boolean = false #xD; hpt-med-other-details If other, please specify 0..* string Enable When: hpt-med-other = #xD; lipid-med Lipid-Lowering Agents 0..1 group #xD; lipid-med-statin Statin 0..1 boolean #xD; lipid-med-fibrate Fibrate 0..1 boolean #xD; lipid-med-other Other 0..1 boolean Initial Value: boolean = false #xD; lipid-med-other-details If other, please specify 0..* string Enable When: lipid-med-other = #xD; 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")
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Questionnaire for Diabetic Audit data collection.
Diabetes mellitus due to genetic defects of beta cell function
Diabetes mellitus due to genetic defects in insulin action
Diabetes mellitus due to diseases of the exocrine pancreas
Diabetes mellitus due to endocrinopathies
Diabetes mellitus due to drug or chemical
Diabetes mellitus due to uncommon forms of immune-mediated diabetes
Diabetes mellitus due to other genetic syndromes
Diabetes mellitus due to clinically defined subtypes or syndromes
Diabetes mellitus due to other specified cause
Seen by a Medical Officer (MO) at least once in a year