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 Hypertension Audit

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

Questionnaire for Hypertension Audit data collection.

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. QHypertensionAuditQuestionnaire for Hypertension Audit data collection.Questionnairehttp://fhir.hie.moh.gov.my/Questionnaire/q-hypertension-audit#2.0.1
... hptLatest Clinical Update0..1group
.... hpt-clini-dateDate of clinic visit0..1dateTime
.... hpt-divisionDivision0..1choiceOptions: 2 options
.... hpt-districtDistrict0..1choiceOptions: 8 options
.... hpt-facilityHealth Facility0..1string
.... hpt-type-facilityType of Health Facility0..1choiceOptions: 4 options
.... hpt-type-treatmentType of treatment for Hypertension0..1choiceOptions: 2 options
... pePhysical examination at follow up visit0..1group
.... pe-sys-resultSystolic blood pressure0..1decimal
.... pe-dia-resultDiastolic blood pressure0..1decimal
.... pe-wt-resultWeight at follow up0..1decimal
.... pe-wc-resultWaist circumference at follow up0..1decimal
... comorbidPresence of co-morbidity & complications at follow up visit0..1group
.... dmDiabetes Mellitus0..1choiceOptions: 3 options
..... hpt-dx-dateIf Yes, date of diagnosis0..1dateTime
.... lipidDyslipidaemia0..1choiceOptions: 3 options
..... lipid-dx-dateIf Yes, date of diagnosis0..1dateTime
.... strokeStroke0..1choiceOptions: 3 options
..... stroke-dx-dateIf Yes, date of diagnosis0..1dateTime
.... renalRenal Failure0..1choiceOptions: 3 options
..... renal-dx-dateIf Yes, date of diagnosis0..1dateTime
.... cevdCardiovascular Disease0..1choiceOptions: 3 options
..... cevd-dx-dateIf Yes, date of diagnosis0..1dateTime
.... retinopathyHypertensive Retinopathy0..1choiceOptions: 3 options
..... retinopathy-dx-dateIf Present, date of diagnosis0..1dateTime
.... recordDate record updated0..1dateTime
... labLaboratory results at follow up0..1group
.... lab-tcTotal Cholesterol0..1boolean
..... lab-tc-resultLatest Result0..1decimal
..... lab-tc-sample-dateDate sample taken0..1dateTime
.... lab-tgTriglycerides (TG)0..1boolean
..... lab-tg-resultLatest Result0..1decimal
..... lab-tg-sample-dateDate sample taken0..1dateTime
.... lab-hdlHigh-Density Lipoprotein (HDL)0..1boolean
..... lab-hdl-resultLatest Result0..1decimal
..... lab-hdl-sample-dateDate sample taken0..1dateTime
.... lab-ldlLow-Density Lipoprotein (LDL)0..1boolean
..... lab-ldl-resultLatest Result0..1decimal
..... lab-ldl-sample-dateDate sample taken0..1dateTime
.... lab-creSerum Creatinine0..1boolean
..... lab-cre-resultLatest Result0..1decimal
..... lab-cre-sample-dateDate sample taken0..1dateTime
.... lab-umalbUrine Microalbumin0..1choiceOptions: 2 options
..... lab-umalb-sample-dateDate sample taken0..1dateTime
.... lab-fbgFasting Blood Glucose (FBG)0..1boolean
..... lab-fbg-resultLatest Result0..1decimal
..... lab-fbg-sample-dateDate sample taken0..1dateTime
... statusCurrent Status0..1choiceOptions: 4 options
.... status-died-dateDate died0..1dateEnable When: status =
.... status-lost-dateDate last visit0..1dateEnable When: status =
.... transferTransfer to KK/JPL or private facility0..1choiceEnable When: status =
Options: 2 options

doco Documentation for this format

Options Sets

Answer options for hpt-division

  • null#01 ("Kuching")
  • null#02 ("Samarahan")

Answer options for hpt-district

  • null#03 ("Kuching")
  • null#04 ("Bau")
  • null#05 ("Lundu")
  • null#06 ("Samarahan")
  • null#07 ("Asajaya")
  • null#08 ("Simunjan")
  • null#09 ("Sebuyau")
  • null#10 ("Gedong")

Answer options for hpt-type-facility

  • null#11 ("KK with FMS")
  • null#12 ("KK with MO")
  • null#13 ("KK without MO")
  • null#14 ("JPL Hospital")

Answer options for hpt-type-treatment

  • null#15 ("On Pharmacological treatment")
  • null#16 ("Not of Pharmacological treatment")

Answer options for dm

  • 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 stroke

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

Answer options for renal

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

Answer options for cevd

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

Answer options for retinopathy

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

Answer options for lab-umalb

  • http://snomed.info/sct#167582007 ("Positive")
  • http://snomed.info/sct#167583002 ("Negative")

Answer options for status

  • http://snomed.info/sct#438949009 ("Active")
  • http://snomed.info/sct#419099009 ("Died")
  • http://snomed.info/sct#410546004 ("Lost to Follow Up")
  • http://snomed.info/sct#413328008 ("Transfer Out")

Answer options for transfer

  • null#17 ("To another KK/JPL")
  • null#18 ("To private facility")