Generated Narrative: Questionnaire q-hpt-note LinkID Text Cardinality Type Description & Constraints QHptNote Hypertension Clerking Note Questionnaire http://fhir.hie.moh.gov.my/Questionnaire/q-hpt-note#2.0.1 #xD; hpt-note.1 Concomitant Disease 0..1 group #xD; hpt-note.1.1 Diabetes Mellitus 0..1 boolean #xD; hpt-note.1.2 Renal Disease 0..1 boolean #xD; hpt-note.1.3 Heart Failure 0..1 boolean #xD; hpt-note.1.4 Gout 0..1 boolean #xD; hpt-note.1.5 Concomitant Disease Remarks 0..1 text #xD; hpt-note.2 Past Medical Admissions for Hypertension 0..1 group #xD; hpt-note.2.1 Any Ward Admissions For Hypertension Emergencies 0..1 boolean #xD; hpt-note.2.2 Any Emergency Department Encounters 0..1 boolean #xD; hpt-note.2.3 Past Medical Admissions Remarks 0..1 text #xD; hpt-note.3 Medication Summary 0..1 group #xD; hpt-note.3.1 Findings 0..1 text #xD; hpt-note.4 Smoking History 0..1 group #xD; hpt-note.4.1 Starting Date of Smoking 0..1 date #xD; hpt-note.4.2 How Many Cigarettes Per Day 0..1 integer #xD; hpt-note.4.3 Pack Years of Smoking (years) 0..1 integer #xD; hpt-note.5 Social History 0..1 group #xD; hpt-note.5.1 Findings 0..1 text #xD; hpt-note.6 Family History 0..1 group #xD; hpt-note.6.1 Findings 0..1 text #xD; hpt-note.7 Symptoms 0..1 group #xD; hpt-note.7.1 Visual Disturbances 0..1 boolean #xD; hpt-note.7.2 Chest Pain 0..1 boolean #xD; hpt-note.7.3 Lower Limb Swellings 0..1 boolean #xD; hpt-note.7.4 Headache 0..1 boolean #xD; hpt-note.7.5 Vomiting 0..1 boolean #xD; hpt-note.7.6 Limb Weakness 0..1 boolean #xD; hpt-note.7.7 Shortness of Breath 0..1 boolean #xD; hpt-note.7.8 Symptoms Remarks 0..1 text #xD; hpt-note.8 History of Presenting Illness Summary 0..1 group #xD; hpt-note.8.1 Findings 0..1 text #xD; hpt-note.9 Initial Vital Signs 0..1 group #xD; hpt-note.9.1 Systolic Blood Pressure (mmHg) 0..1 quantity Initial Value: Quantity = ? mmHg #xD; hpt-note.9.2 Diastolic Blood Pressure (mmHg) 0..1 quantity Enable When: hpt-note.9.1 exists Initial Value: Quantity = ? mmHg #xD; hpt-note.9.9 Heart Rate (/min) 0..1 quantity Initial Value: Quantity = ? per minute #xD; hpt-note.9.10 Oxygen Saturation (%) 0..1 quantity Initial Value: Quantity = ? % #xD; hpt-note.9.11 Body Temperature (°C) 0..1 quantity Initial Value: Quantity = ? °C #xD; hpt-note.9.12 Pain score 0..1 quantity #xD; hpt-note.9.13 Respiratory Rate (/min) 0..1 quantity Initial Value: Quantity = ? per minute #xD; hpt-note.10 Blood Pressure Second Reading 0..1 group #xD; hpt-note.10.1 Systolic Blood Pressure Second Reading (mmHg) 0..1 quantity Initial Value: Quantity = ? mmHg #xD; hpt-note.10.2 Diastolic Blood Pressure Second Reading (mmHg) 0..1 quantity Enable When: hpt-note.10.1 exists Initial Value: Quantity = ? mmHg #xD; hpt-note.10.3 Recorded Time 0..1 dateTime #xD; hpt-note.11 Blood Pressure Standing 0..1 group #xD; hpt-note.11.1 Systolic Blood Pressure Standing (mmHg) 0..1 quantity Initial Value: Quantity = ? mmHg #xD; hpt-note.11.2 Diastolic Blood Pressure Standing (mmHg) 0..1 quantity Enable When: hpt-note.11.1 exists Initial Value: Quantity = ? mmHg #xD; hpt-note.11.3 Recorded Time 0..1 dateTime #xD; hpt-note.12 Blood Pressure Seated 0..1 group #xD; hpt-note.12.1 Systolic Blood Pressure Seated (mmHg) 0..1 quantity Initial Value: Quantity = ? mmHg #xD; hpt-note.12.2 Diastolic Blood Pressure Seated (mmHg) 0..1 quantity Enable When: hpt-note.12.1 exists Initial Value: Quantity = ? mmHg #xD; hpt-note.12.3 Recorded Time 0..1 dateTime #xD; hpt-note.13 Central Nervous System Examinations 0..1 group #xD; hpt-note.13.1 Findings 0..1 text #xD; hpt-note.14 Eye Examination 0..1 group #xD; hpt-note.14.1 Findings 0..1 text #xD; hpt-note.15 Cranial Nerves Examination 0..1 group #xD; hpt-note.15.1 Findings 0..1 text #xD; hpt-note.16 Cardiac Examination 0..1 group #xD; hpt-note.16.1 Findings 0..1 text #xD; hpt-note.17 General Endocrine Examination 0..1 group #xD; hpt-note.17.1 Findings 0..1 text #xD; hpt-note.18 Abdominal Examination 0..1 group #xD; hpt-note.18.1 Findings 0..1 text #xD; hpt-note.19 Respiratory Examination 0..1 group #xD; hpt-note.19.1 Findings 0..1 text #xD; hpt-note.20 General Examination Findings Summary 0..1 group #xD; hpt-note.20.1 Findings 0..1 text #xD; hpt-note.21 Investigations / Special Test 0..1 group #xD; hpt-note.21.1 Fundoscopy 0..1 text #xD; hpt-note.21.2 US KUB Findings 0..1 text #xD; hpt-note.21.3 CT Scan Findings 0..1 text #xD; hpt-note.21.4 Xray Findings 0..1 text #xD; hpt-note.21.5 General Investigations / Summary 0..1 text #xD; hpt-note.22 Diagnosis 0..1 group #xD; hpt-note.22.1 Diagnosis 0..1 text #xD; hpt-note.23 Management / Treatment 0..1 group #xD; hpt-note.23.1 Management Summary 0..1 text #xD; hpt-note.24 TCA Date 0..1 group #xD; hpt-note.24.1 Date 0..1 dateTime #xD; hpt-note.25 Referral 0..1 group #xD; hpt-note.25.1 Reason for Referral 0..1 text #xD; hpt-note.25.2 Spoken To 0..1 string #xD; hpt-note.25.3 Time of Referral made 0..1 dateTime #xD; Documentation for this format
Questionnaire Hypertension Clerking Note
http://www.hl7.org/Special/committees/ | https://www.mhn.asia/
Past Medical Admissions for Hypertension
Any Ward Admissions For Hypertension Emergencies
Systolic Blood Pressure Second Reading (mmHg)
Diastolic Blood Pressure Second Reading (mmHg)
Diastolic Blood Pressure Standing (mmHg)