q-diabetic-audit
type: Questionnaire
node role: treeRoot
id:
  v: q-diabetic-audit
text:
  status:
    v: extensions
  div: Generated Narrative: Questionnaire q-diabetic-audit Structure LinkID Text Cardinality Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> 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…
url:
  v: http://fhir.hie.moh.gov.my/Questionnaire/q-diabetic-audit
version:
  v: 2.0.1
name:
  v: QDiabeticAudit
title:
  v: Questionnaire Diabetic Audit
status:
  v: active
date:
  v: 2024-04-28T23:30:28.824077+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 Diabetic Audit data collection.
item:
  link id:
    v: dm
  text:
    v: Diabetes Details
  type:
    v: group
  item:
    link id:
      v: dm-dx-date
    text:
      v: Diabetes Diagnosis Date
    type:
      v: dateTime
  item:
    link id:
      v: dm-dx-type
    text:
      v: Estimate/ Presumed
    type:
      v: boolean
  item:
    link id:
      v: dm-type
    text:
      v: Diabetes Type
    type:
      v: choice
    answer option:
      value: Coding
    answer option:
      value: Coding
    answer option:
      value: Coding
    answer option:
      value: Coding
    answer option:
      value: Coding
  item:
    link id:
      v: dm-other
    text:
      v: If other specified type, please specify
    type:
      v: choice
    enable when:
      question:
        v: dm-type
      operator:
        v: =
      answer: Coding
    answer option:
      value: Coding
    answer option:
      value: Coding
    answer option:
      value: Coding
    answer option:
      value: Coding
    answer option:
      value: Coding
    answer option:
      value: Coding
    answer option:
      value: Coding
    answer option:
      value: Coding
    answer option:
      value: Coding
  item:
    link id:
      v: dm-age
    text:
      v: Diabetes Age
    type:
      v: dateTime
item:
  link id:
    v: complication
  text:
    v: Complications
  type:
    v: group
  item:
    link id:
      v: retinopathy
    text:
      v: Retinopathy
    type:
      v: choice
    answer option:
      value: Coding
        type: http://snomed.info/id/52101004
    answer option:
      value: Coding
        type: http://snomed.info/id/2667000
    answer option:
      value: Coding
        type: http://snomed.info/id/373068000
    item:
      link id:
        v: retinopathy-dx-date
      text:
        v: If Present, date of diagnosis
      type:
        v: dateTime
    item:
      link id:
        v: retinopathy-dx-type
      text:
        v: Estimate/ Presumed
      type:
        v: boolean
  item:
    link id:
      v: ihd
    text:
      v: Ischaemic heart disease (IHD)
    type:
      v: choice
    answer option:
      value: Coding
        type: http://snomed.info/id/52101004
    answer option:
      value: Coding
        type: http://snomed.info/id/2667000
    answer option:
      value: Coding
        type: http://snomed.info/id/373068000
    item:
      link id:
        v: ihd-dx-date
      text:
        v: If Present, date of diagnosis
      type:
        v: dateTime
    item:
      link id:
        v: ihd-dx-type
      text:
        v: Estimate/ Presumed
      type:
        v: boolean
  item:
    link id:
      v: cevd
    text:
      v: Cerebrovascular disease (ceVD)
    type:
      v: choice
    answer option:
      value: Coding
        type: http://snomed.info/id/52101004
    answer option:
      value: Coding
        type: http://snomed.info/id/2667000
    answer option:
      value: Coding
        type: http://snomed.info/id/373068000
    item:
      link id:
        v: cevd-dx-date
      text:
        v: If Present, date of diagnosis
      type:
        v: dateTime
    item:
      link id:
        v: cevd-dx-type

v: 5A10

v: Type 1

v: 5A11

v: Type 2

v: 5A12

v: Malnutrition-related

v: 5A13

v: Other specified type

v: 5A14

v: Type unspecified

v: 5A13

v: Other specified type

v: 5A13.0

v: Diabetes mellitus due to genetic defects of beta cell function

v: 5A13.1

v: Diabetes mellitus due to genetic defects in insulin action

v: 5A13.2

v: Diabetes mellitus due to diseases of the exocrine pancreas

v: 5A13.3

v: Diabetes mellitus due to endocrinopathies

v: 5A13.4

v: Diabetes mellitus due to drug or chemical

v: 5A13.5

v: Diabetes mellitus due to uncommon forms of immune-mediated diabetes

v: 5A13.6

v: Diabetes mellitus due to other genetic syndromes

v: 5A13.7

v: Diabetes mellitus due to clinically defined subtypes or syndromes

v: 5A13.Y

v: Diabetes mellitus due to other specified cause

v: 52101004

v: Present

v: 2667000

v: Absent

v: 373068000

v: Not Known

v: 52101004

v: Present

v: 2667000

v: Absent

v: 373068000

v: Not Known

v: 52101004

v: Present

v: 2667000

v: Absent

v: 373068000

v: Not Known

v: Estimate/ Presumed

v: boolean

link id:
  v: nephropathy
text:
  v: Nephropathy
type:
  v: choice
answer option:
  value: Coding
    type: http://snomed.info/id/52101004
    system:
      v: http://snomed.info/sct
    code:
      v: 52101004
    display:
      v: Present
answer option:
  value: Coding
    type: http://snomed.info/id/2667000
    system:
      v: http://snomed.info/sct
    code:
      v: 2667000
    display:
      v: Absent
answer option:
  value: Coding
    type: http://snomed.info/id/373068000
    system:
      v: http://snomed.info/sct
    code:
      v: 373068000
    display:
      v: Not Known
item:
  link id:
    v: nephropathy-dx-date
  text:
    v: If Present, date of diagnosis
  type:
    v: dateTime
item:
  link id:
    v: nephropathy-dx-type
  text:
    v: Estimate/ Presumed
  type:
    v: boolean

link id:
  v: dfu
text:
  v: Diabetic foot ulcer
type:
  v: choice
answer option:
  value: Coding
    type: http://snomed.info/id/52101004
    system:
      v: http://snomed.info/sct
    code:
      v: 52101004
    display:
      v: Present
answer option:
  value: Coding
    type: http://snomed.info/id/2667000
    system:
      v: http://snomed.info/sct
    code:
      v: 2667000
    display:
      v: Absent
answer option:
  value: Coding
    type: http://snomed.info/id/373068000
    system:
      v: http://snomed.info/sct
    code:
      v: 373068000
    display:
      v: Not Known
item:
  link id:
    v: dfu-dx-date
  text:
    v: If Present, date of diagnosis
  type:
    v: dateTime
item:
  link id:
    v: dfu-dx-type
  text:
    v: Estimate/ Presumed
  type:
    v: boolean

link id:
  v: amputation
text:
  v: Amputation
type:
  v: choice
answer option:
  value: Coding
    type: http://snomed.info/id/52101004
    system:
      v: http://snomed.info/sct
    code:
      v: 52101004
    display:
      v: Present
answer option:
  value: Coding
    type: http://snomed.info/id/2667000
    system:
      v: http://snomed.info/sct
    code:
      v: 2667000
    display:
      v: Absent
answer option:
  value: Coding
    type: http://snomed.info/id/373068000
    system:
      v: http://snomed.info/sct
    code:
      v: 373068000
    display:
      v: Not Known
item:
  link id:
    v: amputation-dx-date
  text:
    v: If Present, date of diagnosis
  type:
    v: dateTime
item:
  link id:
    v: amputation-dx-type
  text:
    v: Estimate/ Presumed
  type:
    v: boolean

link id:
  v: comorbid
text:
  v: Concomitant Co-morbidity
type:
  v: group
item:
  link id:
    v: hpt
  text:
    v: Hypertension
  type:
    v: choice
  answer option:
    value: Coding
      type: http://snomed.info/id/52101004
      system:
        v: http://snomed.info/sct
      code:
        v: 52101004
      display:
        v: Yes
  answer option:
    value: Coding
      type: http://snomed.info/id/2667000
      system:
        v: http://snomed.info/sct
      code:
        v: 2667000
      display:
        v: No
  answer option:
    value: Coding
      type: http://snomed.info/id/373068000
      system:
        v: http://snomed.info/sct
      code:
        v: 373068000
      display:
        v: Not Known
  item:
    link id:
      v: hpt-dx-date
    text:
      v: If Yes, date of diagnosis
    type:
      v: dateTime
  item:
    link id:
      v: hpt-dx-type
    text:
      v: Estimate/ Presumed
    type:
      v: boolean
item:
  link id:
    v: lipid
  text:
    v: Dyslipidaemia
  type:
    v: choice
  answer option:
    value: Coding
      type: http://snomed.info/id/52101004
      system:
        v: http://snomed.info/sct
      code:
        v: 52101004
      display:
        v: Yes
  answer option:
    value: Coding
      type: http://snomed.info/id/2667000
      system:
        v: http://snomed.info/sct
      code:
        v: 2667000
      display:
        v: No
  answer option:
    value: Coding
      type: http://snomed.info/id/373068000
      system:
        v: http://snomed.info/sct
      code:
        v: 373068000
      display:
        v: Not Known
  item:
    link id:
      v: lipid-dx-date
    text:
      v: If Yes, date of diagnosis
    type:
      v: dateTime
  item:
    link id:
      v: lipid-dx-type
    text:
      v: Estimate/ Presumed
    type:
      v: boolean
item:
  link id:
    v: smoking
  text:
    v: Smoking Status
  type:
    v: choice
  answer option:
    value: Coding
      type: http://snomed.info/id/52101004
      system:
        v: http://snomed.info/sct
      code:
        v: 52101004
      display:
        v: Yes
  answer option:
    value: Coding
      type: http://snomed.info/id/2667000
      system:
        v: http://snomed.info/sct
      code:
        v: 2667000
      display:
        v: No
  answer option:
    value: Coding
      type: http://snomed.info/id/373068000
      system:
        v: http://snomed.info/sct
      code:
        v: 373068000
      display:
        v: Not Known

link id:
  v: obs
text:
  v: Clinical Observations
type:
  v: group
item:
  link id:
    v: obs-ht
  text:
    v: Height
  type:
    v: boolean
  item:
    link id:
      v: obs-ht-result
    text:
      v: Latest Result
    type:
      v: decimal
item:
  link id:
    v: obs-wt
  text:
    v: Weight
  type:
    v: boolean
  item:
    link id:
      v: obs-wt-result
    text:
      v: Latest Result
    type:
      v: decimal
  item:
    link id:
      v: obs-wt-result-date
    text:
      v: Date of Latest Result
    type:
      v: dateTime
item:
  link id:
    v: obs-wc
  text:
    v: Waist Circumference
  type:
    v: boolean
  item:
    link id:
      v: obs-wc-result
    text:
      v: Latest Result
    type:
      v: decimal
  item:
    link id:
      v: obs-wc-result-date
    text:
      v: Date of Latest Result
    type:
      v: dateTime
item:
  link id:
    v: obs-bmi
  text:
    v: Body Mass Index (BMI)
  type:
    v: boolean
  item:
    link id:
      v: obs-bmi-result
    text:
      v: Latest Result
    type:
      v: decimal
  item:
    link id:
      v: obs-bmi-result-date
    text:
      v: Date of Latest Result
    type:
      v: dateTime
item:
  link id:
    v: obs-bp
  text:
    v: Blood Pressure
  type:
    v: boolean
  item:
    link id:
      v: obs-bp-sys-result
    text:
      v: Systolic
    type:
      v: decimal
  item:
    link id:
      v: obs-bp-dia-result
    text:
      v: Diastolic
    type:
      v: decimal
  item:
    link id:
      v: obs-bp-result-date
    text:
      v: Date of Latest Result
    type:
      v: dateTime

link id:
  v: pe
text:
  v: Physical Examination
type:
  v: group
item:
  link id:
    v: pe-fundus
  text:
    v: Fundus examination
  type:
    v: boolean
  item:
    link id:
      v: pe-fundus-outcome
    text:
      v: Examination Outcome
    type:
      v: choice
    answer option:
      value: Coding
        type: http://snomed.info/id/52101004
    answer option:
      value: Coding
        type: http://snomed.info/id/2667000
  item:
    link id:
      v: pe-fundus-date
    text:
      v: Date of Latest Examination
    type:
      v: dateTime
item:
  link id:
    v: pe-foot
  text:
    v: Foot examination
  type:
    v: boolean
  item:
    link id:
      v: pe-foot-outcome
    text:
      v: Examination Outcome
    type:
      v: choice
    answer option:
      value: Coding
        type: http://snomed.info/id/52101004
    answer option:
      value: Coding
        type: http://snomed.info/id/2667000
  item:
    link id:
      v: pe-foot-date
    text:
      v: Date of Latest Examination
    type:
      v: dateTime
item:
  link id:
    v: pe-ecg
  text:
    v: Electrocardiogram (ECG)
  type:
    v: boolean
  item:
    link id:
      v: pe-ecg-outcome
    text:
      v: Examination Outcome
    type:
      v: choice
    answer option:
      value: Coding
        type: http://snomed.info/id/52101004
    answer option:
      value: Coding
        type: http://snomed.info/id/2667000
  item:
    link id:
      v: pe-ecg-date
    text:
      v: Date of Latest Examination
    type:
      v: dateTime
item:
  link id:
    v: pe-ed
  text:
    v: Erectile Dysfunction
  type:
    v: boolean
  item:
    link id:
      v: pe-ed-outcome
    text:
      v: Examination Outcome
    type:
      v: choice
    answer option:
      value: Coding
        type: http://snomed.info/id/52101004
    answer option:
      value: Coding
        type: http://snomed.info/id/2667000
  item:
    link id:
      v: pe-ed-date
    text:
      v: Date of Latest Examination
    type:
      v: dateTime
item:
  link id:
    v: pe-mo
  text:
    v: Seen by a Medical Officer (MO) at least once in a year
  type:
    v: boolean

v: 52101004

v: Abnormal

v: 2667000

v: Normal

v: 52101004

v: Abnormal

v: 2667000

v: Normal

v: 52101004

v: Abnormal

v: 2667000

v: Normal

v: 52101004

v: Abnormal

v: 2667000

v: Normal

link id:
  v: lab
text:
  v: Laboratory
type:
  v: group
item:
  link id:
    v: lab-rbg
  text:
    v: Random Blood Glucose (RBG)
  type:
    v: boolean
  item:
    link id:
      v: lab-rbg-result
    text:
      v: Latest Result
    type:
      v: decimal
  item:
    link id:
      v: lab-rbg-result-date
    text:
      v: Date of Latest Result
    type:
      v: dateTime
item:
  link id:
    v: lab-fbg
  text:
    v: Fasting Blood Glucose (FBG)
  type:
    v: boolean
  item:
    link id:
      v: lab-fbg-result
    text:
      v: Latest Result
    type:
      v: decimal
  item:
    link id:
      v: lab-fbg-result-date
    text:
      v: Date of Latest Result
    type:
      v: dateTime
item:
  link id:
    v: lab-2hpp
  text:
    v: 2-Hour Post Prandial (2HPP)
  type:
    v: boolean
  item:
    link id:
      v: lab-2hpp-result
    text:
      v: Latest Result
    type:
      v: decimal
  item:
    link id:
      v: lab-2hpp-result-date
    text:
      v: Date of Latest Result
    type:
      v: dateTime
item:
  link id:
    v: lab-hba1c
  text:
    v: HbA1c
  type:
    v: boolean
  item:
    link id:
      v: lab-hba1c-result
    text:
      v: Latest Result
    type:
      v: decimal
  item:
    link id:
      v: lab-hba1c-result-date
    text:
      v: Date of Latest Result
    type:
      v: dateTime
item:
  link id:
    v: lab-tc
  text:
    v: Total Cholesterol
  type:
    v: boolean
  item:
    link id:
      v: lab-tc-result
    text:
      v: Latest Result
    type:
      v: decimal
  item:
    link id:
      v: lab-tc-result-date
    text:
      v: Date of Latest Result
    type:
      v: dateTime
item:
  link id:
    v: lab-tg
  text:
    v: Triglycerides (TG)
  type:
    v: boolean
  item:
    link id:
      v: lab-tg-result
    text:
      v: Latest Result
    type:
      v: decimal
  item:
    link id:
      v: lab-tg-result-date
    text:
      v: Date of Latest Result
    type:
      v: dateTime
item:
  link id:
    v: lab-hdl
  text:
    v: High-Density Lipoprotein (HDL)
  type:
    v: boolean
  item:
    link id:
      v: lab-hdl-result
    text:
      v: Latest Result
    type:
      v: decimal
  item:
    link id:
      v: lab-hdl-result-date
    text:
      v: Date of Latest Result
    type:
      v: dateTime
item:
  link id:
    v: lab-ldl
  text:
    v: Low-Density Lipoprotein (LDL)
  type:
    v: boolean
  item:
    link id:
      v: lab-ldl-result
    text:
      v: Latest Result
    type:
      v: decimal
  item:
    link id:
      v: lab-ldl-result-date
    text:
      v: Date of Latest Result
    type:
      v: dateTime
item:
  link id:
    v: lab-cre
  text:
    v: Serum Creatinine
  type:
    v: boolean
  item:
    link id:
      v: lab-cre-result
    text:
      v: Latest Result
    type:
      v: decimal
  item:
    link id:
      v: lab-cre-result-date
    text:
      v: Date of Latest Result
    type:
      v: dateTime
item:
  link id:
    v: lab-umalb
  text:
    v: Urine Microalbumin
  type:
    v: boolean

link id:
  v: lab-umalb-result
text:
  v: Latest Result
type:
  v: decimal

link id:
  v: lab-umalb-result-date
text:
  v: Date of Latest Result
type:
  v: dateTime

link id:
  v: lab-upro
text:
  v: Urine Protein
type:
  v: boolean
item:
  link id:
    v: lab-upro-result
  text:
    v: Latest Result
  type:
    v: string
item:
  link id:
    v: lab-upro-result-date
  text:
    v: Date of Latest Result
  type:
    v: dateTime

link id:
  v: dm-med
text:
  v: Anti-Diabetic Drugs
type:
  v: group
item:
  link id:
    v: dm-med-biguanides
  text:
    v: Biguanides
  type:
    v: boolean
item:
  link id:
    v: dm-med-sulphonylureas
  text:
    v: Sulphonylureas
  type:
    v: boolean
item:
  link id:
    v: dm-med-agi
  text:
    v: α-glucosidase inhibitors
  type:
    v: boolean
item:
  link id:
    v: dm-med-meglitinides
  text:
    v: Meglitinides
  type:
    v: boolean
item:
  link id:
    v: dm-med-glitazones
  text:
    v: Glitazones
  type:
    v: boolean
item:
  link id:
    v: dm-med-other
  text:
    v: Other
  type:
    v: boolean
  initial:
    value: boolean
      v: false
  item:
    link id:
      v: dm-med-other-details
    text:
      v: If other, please specify
    type:
      v: string
    enable when:
      question:
        v: dm-med-other
      operator:
        v: =
      answer: boolean
        v: true
    repeats:
      v: true

link id:
  v: hpt-med
text:
  v: Anti-hypertensives Drugs
type:
  v: group
item:
  link id:
    v: hpt-med-ace
  text:
    v: ACE-inhibitor
  type:
    v: boolean
item:
  link id:
    v: hpt-med-arb
  text:
    v: Angiotensin II Receptor Blockers (ARB)
  type:
    v: boolean
item:
  link id:
    v: hpt-med-bb
  text:
    v: Beta-blockers
  type:
    v: boolean
item:
  link id:
    v: hpt-med-ccb
  text:
    v: Calcium channel blockers
  type:
    v: boolean
item:
  link id:
    v: hpt-med-diuretics
  text:
    v: Diuretics
  type:
    v: boolean
item:
  link id:
    v: hpt-med-ab
  text:
    v: Alpha-blockers
  type:
    v: boolean
item:
  link id:
    v: hpt-med-ca
  text:
    v: Centrally acting
  type:
    v: boolean
item:
  link id:
    v: hpt-med-other
  text:
    v: Other
  type:
    v: boolean
  initial:
    value: boolean
      v: false
  item:
    link id:
      v: hpt-med-other-details
    text:
      v: If other, please specify
    type:
      v: string
    enable when:
      question:
        v: hpt-med-other
      operator:
        v: =
      answer: boolean
        v: true
    repeats:
      v: true

link id:
  v: lipid-med
text:
  v: Lipid-Lowering Agents
type:
  v: group
item:
  link id:
    v: lipid-med-statin
  text:
    v: Statin
  type:
    v: boolean
item:
  link id:
    v: lipid-med-fibrate
  text:
    v: Fibrate
  type:
    v: boolean
item:
  link id:
    v: lipid-med-other
  text:
    v: Other
  type:
    v: boolean
  initial:
    value: boolean
      v: false
  item:
    link id:
      v: lipid-med-other-details
    text:
      v: If other, please specify
    type:
      v: string
    enable when:
      question:
        v: lipid-med-other
      operator:
        v: =
      answer: boolean
        v: true
    repeats:
      v: true