q-maternal-17
type: Questionnaire
node role: treeRoot
id:
  v: q-maternal-17
text:
  status:
    v: extensions
  div: Generated Narrative: Questionnaire q-maternal-17 Structure LinkID Text Cardinality Type Flags Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> QMaternal17 Questionnaire recording the risk factors detected during antenatal checkups, which will determine the colour code assigned and action taken. Questionnaire http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-17#2.0.1 #xD; maternal-17.0 Trimester of Assessment 0..1 choice Options: 7 options #xD; maternal-17.2 Rumusan 0..1 choice Options: 5 options #xD; maternal-17.3 Senarai Semak Pengendalian Ibu Hamil (Kod Merah) 0..1 group #xD; maternal-17.3.1 Eclampsia 0..1 boolean #xD; maternal-17.3.2 Pre-eclampsia (tekanan darah tinggi dengan urin protein) 0..1 boolean #xD; maternal-17.3.3 Hypertensive crisis 0..1 boolean #xD; maternal-17.3.4 Penyakit jantung semasa mengandung, dengan tanda dan gejala (sesak nafas, berdebar-debar) 0..1 boolean #xD; maternal-17.3.5 Sesak nafas dan/ atau kadar pernafasan >22/min 0..1 boolean #xD; maternal-17.3.6 Pendarahan antepartum (termasuk keguguran) 0..1 boolean #xD; maternal-17.3.7 Denyutan jantung janin yang abnormal • FHR <110/min selepas 22/52 • FHR >160/min selepas 32/52 0..1 boolean #xD; maternal-17.3.8 Anemia dengan simptom pada mana-mana gestasi atau Hb ≤7g/dL 0..1 boolean #xD; maternal-17.3.9 Kontraksi rahim pramatang 0..1 boolean #xD; maternal-17.3.10 Keluar air ketuban tanpa kontraksi 0..1 boolean #xD; maternal-17.3.11 Sawan 0..1 boolean #xD; maternal-17.3.12 Demam dengan tanda-tanda sepsis (lesu, dehidrasi, tachycardia) 0..1 boolean #xD; maternal-17.3.13 Kes disyaki denggi (demam berserta sakit kepala, sakit sendi, sakit perut, muntah, cirit birit dan sebagainya) 0..1 boolean #xD; maternal-17.3.14 Gejala Deep Vein Thrombosis (DVT) dan/ atau Pulmonary Embolism 0..1 boolean #xD; maternal-17.3.15 Keinginan mencederakan / bunuh diri 0..1 boolean #xD; maternal-17.4 Senarai Semak Pengendalian Ibu Hamil (Kod Kuning) 0..1 group #xD; maternal-17.…
url:
  v: http://fhir.hie.moh.gov.my/Questionnaire/q-maternal-17
version:
  v: 2.0.1
name:
  v: QMaternal17
title:
  v: Questionnaire Sistem Kod Warna dan Senarai Semak Penjagaan Antenatal
status:
  v: active
date:
  v: 2024-02-12T04:04:09.5621857+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 recording the risk factors detected during antenatal checkups, which will determine the colour code assigned and action taken.
purpose:
  v: Penjagaan ibu adalah berdasarkan kepada kod warna berkenaan:-
item:
  link id:
    v: maternal-17.0
  code:
    code:
      v: maternal-17.0
  text:
    v: Trimester of Assessment
  type:
    v: choice
  answer option:
    value: Coding
      code:
        v: 00
      display:
        v: Trimester 1 (<12 weeks)
  answer option:
    value: Coding
      code:
        v: 01
      display:
        v: Trimester 2 (13-22 weeks)
  answer option:
    value: Coding
      code:
        v: 02
      display:
        v: Trimester 2 (23-27 weeks)
  answer option:
    value: Coding
      code:
        v: 03
      display:
        v: Trimester 3 (28-32 weeks)
  answer option:
    value: Coding
      code:
        v: 04
      display:
        v: Trimester 3 (33-36 weeks)
  answer option:
    value: Coding
      code:
        v: 05
      display:
        v: Trimester 3 (37-40 weeks)
  answer option:
    value: Coding
      code:
        v: 06
      display:
        v: Post-date (>40 weeks)
item:
  link id:
    v: maternal-17.2
  code:
    code:
      v: maternal-17.2
  text:
    v: Rumusan
  type:
    v: choice
  read only:
    v: true
  answer option:
    value: Coding
      type: http://snomed.info/id/386713009
      system:
        v: http://snomed.info/sct
      code:
        v: 386713009
      display:
        v: Merah
  answer option:
    value: Coding
      type: http://snomed.info/id/371244009
      system:
        v: http://snomed.info/sct
      code:
        v: 371244009
      display:
        v: Kuning
  answer option:
    value: Coding
      type: http://snomed.info/id/54662009
      system:
        v: http://snomed.info/sct
      code:
        v: 54662009
      display:
        v: Hijau
  answer option:
    value: Coding
      type: http://snomed.info/id/371251000
      system:
        v: http://snomed.info/sct
      code:
        v: 371251000
      display:
        v: Putih
  answer option:
    value: Coding
      type: http://snomed.info/id/310586008
      system:
        v: http://snomed.info/sct
      code:
        v: 310586008
      display:
        v: Putih (ABC)
item:
  link id:
    v: maternal-17.3
  code:
    code:
      v: maternal-17.3
  text:
    v: Senarai Semak Pengendalian Ibu Hamil (Kod Merah)
  type:
    v: group
  item:
    link id:
      v: maternal-17.3.1
    code:
      code:
        v: maternal-17.1
    text:
      v: Eclampsia
    type:
      v: boolean
  item:
    link id:
      v: maternal-17.3.2
    code:
      code:
        v: maternal-17.3.2
    text:
      v: Pre-eclampsia (tekanan darah tinggi dengan urin protein)
    type:
      v: boolean
  item:
    link id:
      v: maternal-17.3.3
    code:
      code:
        v: maternal-17.3.3
    text:
      v: Hypertensive crisis
    type:
      v: boolean
  item:
    link id:
      v: maternal-17.3.4
    code:
      code:
        v: maternal-17.3.4
    text:
      v: Penyakit jantung semasa mengandung, dengan tanda dan gejala (sesak nafas, berdebar-debar)
    type:
      v: boolean
  item:
    link id:
      v: maternal-17.3.5
    code:
      code:
        v: maternal-17.3.5

v: Sesak nafas dan/ atau kadar pernafasan >22/min

v: boolean

link id:
  v: maternal-17.3.6
code:
  code:
    v: maternal-17.3.6
text:
  v: Pendarahan antepartum (termasuk keguguran)
type:
  v: boolean

link id:
  v: maternal-17.3.7
code:
  code:
    v: maternal-17.3.7
text:
  v: Denyutan jantung janin yang abnormal • FHR <110/min selepas 22/52 • FHR >160/min selepas 32/52
type:
  v: boolean

link id:
  v: maternal-17.3.8
code:
  code:
    v: maternal-17.3.8
text:
  v: Anemia dengan simptom pada mana-mana gestasi atau Hb ≤7g/dL
type:
  v: boolean

link id:
  v: maternal-17.3.9
code:
  code:
    v: maternal-17.3.9
text:
  v: Kontraksi rahim pramatang
type:
  v: boolean

link id:
  v: maternal-17.3.10
code:
  code:
    v: maternal-17.3.10
text:
  v: Keluar air ketuban tanpa kontraksi
type:
  v: boolean

link id:
  v: maternal-17.3.11
code:
  code:
    v: maternal-17.3.11
text:
  v: Sawan
type:
  v: boolean

link id:
  v: maternal-17.3.12
code:
  code:
    v: maternal-17.3.12
text:
  v: Demam dengan tanda-tanda sepsis (lesu, dehidrasi, tachycardia)
type:
  v: boolean

link id:
  v: maternal-17.3.13
code:
  code:
    v: maternal-17.3.13
text:
  v: Kes disyaki denggi (demam berserta sakit kepala, sakit sendi, sakit perut, muntah, cirit birit dan sebagainya)
type:
  v: boolean

link id:
  v: maternal-17.3.14
code:
  code:
    v: maternal-17.3.14
text:
  v: Gejala Deep Vein Thrombosis (DVT) dan/ atau Pulmonary Embolism
type:
  v: boolean

link id:
  v: maternal-17.3.15
code:
  code:
    v: maternal-17.3.15
text:
  v: Keinginan mencederakan / bunuh diri
type:
  v: boolean

link id:
  v: maternal-17.4
code:
  code:
    v: maternal-17.4
text:
  v: Senarai Semak Pengendalian Ibu Hamil (Kod Kuning)
type:
  v: group
item:
  link id:
    v: maternal-17.4.1
  code:
    code:
      v: maternal-17.4.1
  text:
    v: Ibu HIV positif
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.2
  code:
    code:
      v: maternal-17.4.2
  text:
    v: Ibu Hepatitis B positif
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.3
  code:
    code:
      v: maternal-17.4.3
  text:
    v: Ibu Tuberkulosis/ Malaria/ Syphilis
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.4
  code:
    code:
      v: maternal-17.4.4
  text:
    v: Tekanan darah >140/90 - <160/100mmHg tanpa/dengan urin protein
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.5
  code:
    code:
      v: maternal-17.4.5
  text:
    v: Tekanan darah tinggi (140/90mmHg) dengan urin protein
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.6
  code:
    code:
      v: maternal-17.4.6
  text:
    v: Ibu diabetes dengan rawatan dan/ atau komplikasi
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.7
  code:
    code:
      v: maternal-17.4.7
  text:
    v: **Pergerakan janin kurang semasa kandungan ≥32 minggu dengan faktor risiko
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.8
  code:
    code:
      v: maternal-17.4.8
  text:
    v: Kandungan melebihi 7 hari dari EDD
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.9
  code:
    code:
      v: maternal-17.4.9
  text:
    v: Ibu dengan masalah perubatan yang memerlukan rawatan bersama di hospital
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.10
  code:
    code:
      v: maternal-17.4.10
  text:
    v: Ibu tunggal atau ibu remaja (<20 tahun)
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.11
  code:
    code:
      v: maternal-17.4.11
  text:
    v: Ibu berumur ≥40 tahun
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.12
  code:
    code:
      v: maternal-17.4.12
  text:
    v: Hemoglobin 7 - <9g/dL dan asymptomatic
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.13
  code:
    code:
      v: maternal-17.4.13
  text:
    v: Placenta previa tanpa pendarahan
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.14
  code:
    code:
      v: maternal-17.4.14
  text:
    v: Maternal pyrexia ≥38˚C atau >3 hari
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.15
  code:
    code:
      v: maternal-17.4.15
  text:
    v: Penyakit jantung tanpa gejala
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.16
  code:
    code:
      v: maternal-17.4.16
  text:
    v: *Ketagihan dadah/ rokok/ alkohol
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.17
  code:
    code:
      v: maternal-17.4.17
  text:
    v: Skor risiko antenatal Venous Thromboembolism (VTE) ≥3
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.18
  code:
    code:
      v: maternal-17.4.18
  text:
    v: Kandungan kembar
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.19
  code:
    code:
      v: maternal-17.4.19
  text:
    v: Masalah kesihatan mental
  type:
    v: boolean
item:
  link id:
    v: maternal-17.4.20

code:
  v: maternal-17.4.20

v: BMI >40kgm/2

v: boolean

link id:
  v: maternal-17.5
code:
  code:
    v: maternal-17.5
text:
  v: Senarai Semak Pengendalian Ibu Hamil (Kod Hijau)
type:
  v: group
item:
  link id:
    v: maternal-17.5.1
  code:
    code:
      v: maternal-17.5.1
  text:
    v: Rh negatif
  type:
    v: boolean
item:
  link id:
    v: maternal-17.5.2
  code:
    code:
      v: maternal-17.5.2
  text:
    v: Berat badan ibu sebelum mengandung atau ketika booking <45kg
  type:
    v: boolean
item:
  link id:
    v: maternal-17.5.3
  code:
    code:
      v: maternal-17.5.3
  text:
    v: Obes (≥30.0kg/m²)
  type:
    v: boolean
item:
  link id:
    v: maternal-17.5.4
  code:
    code:
      v: maternal-17.5.4
  text:
    v: Pertambahan berat badan yang mendadak (>2 kg dalam seminggu)
  type:
    v: boolean
item:
  link id:
    v: maternal-17.5.5
  code:
    code:
      v: maternal-17.5.5
  text:
    v: Berat badan statik atau menurun (dalam tempoh sebulan)
  type:
    v: boolean
item:
  link id:
    v: maternal-17.5.6
  code:
    code:
      v: maternal-17.5.6
  text:
    v: Masalah perubatan semasa
  type:
    v: boolean
item:
  link id:
    v: maternal-17.5.7
  code:
    code:
      v: maternal-17.5.7
  text:
    v: Masalah ginekologi yang lalu (fibroid, cyst, pembedahan)
  type:
    v: boolean
item:
  link id:
    v: maternal-17.5.8
  code:
    code:
      v: maternal-17.5.8
  text:
    v: LNMP yang tidak pasti
  type:
    v: boolean
item:
  link id:
    v: maternal-17.5.9
  code:
    code:
      v: maternal-17.5.9
  text:
    v: 3 kali keguguran yang berturutan
  type:
    v: boolean
item:
  link id:
    v: maternal-17.5.10
  code:
    code:
      v: maternal-17.5.10
  text:
    v: Sejarah obstetrik yang lalu
  type:
    v: group
  item:
    link id:
      v: maternal-17.5.10.1
    code:
      code:
        v: maternal-17.5.10.1
    text:
      v: Pembedahan caesarean
    type:
      v: boolean
  item:
    link id:
      v: maternal-17.5.10.2
    code:
      code:
        v: maternal-17.5.10.2
    text:
      v: PIH/ eclampsia/ diabetes
    type:
      v: boolean
  item:
    link id:
      v: maternal-17.5.10.3
    code:
      code:
        v: maternal-17.5.10.3
    text:
      v: Kematian perinatal
    type:
      v: boolean
  item:
    link id:
      v: maternal-17.5.10.4
    code:
      code:
        v: maternal-17.5.10.4
    text:
      v: Bayi dengan berat lahir <2.5kg atau >4kg
    type:
      v: boolean
  item:
    link id:
      v: maternal-17.5.10.5
    code:
      code:
        v: maternal-17.5.10.5
    text:
      v: Luka perineum 3rd degree dan 4th degree
    type:
      v: boolean
  item:
    link id:
      v: maternal-17.5.10.6
    code:
      code:
        v: maternal-17.5.10.6
    text:
      v: Retained placenta
    type:
      v: boolean
  item:
    link id:
      v: maternal-17.5.10.7
    code:
      code:
        v: maternal-17.5.10.7
    text:
      v: Post partum haemorrhage
    type:
      v: boolean
  item:
    link id:
      v: maternal-17.5.10.8
    code:
      code:
        v: maternal-17.5.10.8
    text:
      v: Kelahiran instrumental
    type:
      v: boolean
item:
  link id:
    v: maternal-17.5.11
  code:
    code:
      v: maternal-17.5.11
  text:
    v: Pergerakan janin kurang semasa kandungan ≥32 minggu
  type:
    v: boolean
item:
  link id:
    v: maternal-17.5.12

code:
  v: maternal-17.5.12

v: Tekanan darah 140/90 mmHg tanpa urin protein

v: boolean

link id:
  v: maternal-17.5.13
code:
  code:
    v: maternal-17.5.13
text:
  v: Hemoglobin 9 - <11g/dL
type:
  v: boolean

link id:
  v: maternal-17.5.14
code:
  code:
    v: maternal-17.5.14
text:
  v: Glukosuria 2 kali
type:
  v: boolean

link id:
  v: maternal-17.5.15
code:
  code:
    v: maternal-17.5.15
text:
  v: Air kencing mempunyai protein ≥1+
type:
  v: boolean

link id:
  v: maternal-17.5.16
code:
  code:
    v: maternal-17.5.16
text:
  v: Tinggi rahim (SFH) tidak sejajar dengan jangkamasa kandungan +/- 3cm
type:
  v: boolean

link id:
  v: maternal-17.5.17
code:
  code:
    v: maternal-17.5.17
text:
  v: Breech/ Oblique/ Tranverse dengan tiada tanda sakit bersalin pada 36 minggu kehamilan
type:
  v: boolean

link id:
  v: maternal-17.5.18
code:
  code:
    v: maternal-17.5.18
text:
  v: Kepala bayi tinggi (Head not engaged) semasa kandungan 37 minggu bagi primigravida
type:
  v: boolean

link id:
  v: maternal-17.5.19
code:
  code:
    v: maternal-17.5.19
text:
  v: Ibu GDM dengan kawalan diet tanpa komplikasi
type:
  v: boolean

link id:
  v: maternal-17.5.20
code:
  code:
    v: maternal-17.5.20
text:
  v: Ibu berumur 36 - 39 tahun
type:
  v: boolean

link id:
  v: maternal-17.5.21
code:
  code:
    v: maternal-17.5.21
text:
  v: Primigravida/pseudoprimigravida
type:
  v: boolean

link id:
  v: maternal-17.5.22
code:
  code:
    v: maternal-17.5.22
text:
  v: Grandmultipara ≥5
type:
  v: boolean

link id:
  v: maternal-17.5.23
code:
  code:
    v: maternal-17.5.23
text:
  v: Jarak kelahiran <2 tahun atau melebihi 5 tahun
type:
  v: boolean

link id:
  v: maternal-17.5.24
code:
  code:
    v: maternal-17.5.24
text:
  v: Ketinggian ibu <145cm
type:
  v: boolean

link id:
  v: maternal-17.6
code:
  code:
    v: maternal-17.6
text:
  v: Senarai Semak Pengendalian Ibu Hamil (Kod Putih)
type:
  v: group
enable when:
  question:
    v: maternal-17.3
  operator:
    v: exists
  answer: boolean
    v: false
enable when:
  question:
    v: maternal-17.4
  operator:
    v: exists
  answer: boolean
    v: false
enable when:
  question:
    v: maternal-17.5
  operator:
    v: exists
  answer: boolean
    v: false
enable behavior:
  v: all
item:
  link id:
    v: maternal-17.6.1
  code:
    code:
      v: maternal-17.6.1
  text:
    v: Gravida 2 – 5 (tidak termasuk pseudoprimigravida)
  type:
    v: boolean
item:
  link id:
    v: maternal-17.6.2
  code:
    code:
      v: maternal-17.6.2
  text:
    v: Tiada masalah obstetrik lalu dan semasa
  type:
    v: boolean
item:
  link id:
    v: maternal-17.6.3
  code:
    code:
      v: maternal-17.6.3
  text:
    v: Tiada masalah perubatan yang lalu dan semasa
  type:
    v: boolean
item:
  link id:
    v: maternal-17.6.4
  code:
    code:
      v: maternal-17.6.4
  text:
    v: Ibu berumur 20 - 35 tahun
  type:
    v: boolean
item:
  link id:
    v: maternal-17.6.5
  code:
    code:
      v: maternal-17.6.5
  text:
    v: Ibu berkahwin dan mempunyai sokongan keluarga
  type:
    v: boolean

link id:
  v: maternal-17.7
code:
  code:
    v: maternal-17.7
text:
  v: Kriteria Untuk Bersalin Di ABC/ Rumah
type:
  v: group
enable when:
  question:
    v: maternal-17.6
  operator:
    v: exists
  answer: boolean
    v: true
item:
  link id:
    v: maternal-17.7.1
  code:
    code:
      v: maternal-17.7.1
  text:
    v: Gravida 2 – 5 (tidak termasuk pseudoprimigravida)
  type:
    v: boolean
item:
  link id:
    v: maternal-17.7.2
  code:
    code:
      v: maternal-17.7.2
  text:
    v: Tiada masalah obstetrik lalu dan semasa
  type:
    v: boolean
item:
  link id:
    v: maternal-17.7.3
  code:
    code:
      v: maternal-17.7.3
  text:
    v: Tiada masalah perubatan yang lalu dan semasa
  type:
    v: boolean
item:
  link id:
    v: maternal-17.7.4
  code:
    code:
      v: maternal-17.7.4
  text:
    v: Ibu berumur 20 - 35 tahun
  type:
    v: boolean
item:
  link id:
    v: maternal-17.7.5
  code:
    code:
      v: maternal-17.7.5
  text:
    v: Ibu berkahwin dan mempunyai sokongan keluarga
  type:
    v: boolean
item:
  link id:
    v: maternal-17.7.6
  code:
    code:
      v: maternal-17.7.6
  text:
    v: POA 37-40 minggu
  type:
    v: boolean
item:
  link id:
    v: maternal-17.7.7
  code:
    code:
      v: maternal-17.7.7
  text:
    v: Anggaran berat bayi 2.5-3.5kg
  type:
    v: boolean
item:
  link id:
    v: maternal-17.7.8
  code:
    code:
      v: maternal-17.7.8
  text:
    v: Persekitaran rumah ibu sesuai
  type:
    v: boolean