Generated Narrative: Questionnaire q-tb-note LinkID Text Cardinality Type Description & Constraints QTbNote Questionnaire to guide tuberculosis clerking and documentation. Questionnaire http://fhir.hie.moh.gov.my/Questionnaire/q-tb-note#2.0.1 #xD; tb-note.1 Special Group 0..1 group #xD; tb-note.1.1 TB Contact 0..1 boolean #xD; tb-note.1.2 Pregnancy 0..1 boolean #xD; tb-note.1.3 Other Comorbids (e.g Diabetes Mellitus or Hypertension) 0..1 boolean #xD; tb-note.1.4 Immunocompromised (e.g. on Immunosupressants / HIV) 0..1 boolean #xD; tb-note.1.5 Special Group Remarks 0..1 text #xD; tb-note.2 Past Medical / Surgical History 0..1 group #xD; tb-note.2.1 Past Medical History 0..1 text #xD; tb-note.2.2 Past Surgical History 0..1 text #xD; tb-note.3 Medication History 0..1 group #xD; tb-note.3.1 Medication Details 0..1 text #xD; tb-note.4 Social and Family History 0..1 group #xD; tb-note.4.2 Social History 0..1 text #xD; tb-note.4.1 Family History 0..1 text #xD; tb-note.5 Symptoms 0..1 group #xD; tb-note.5.1 Cough 0..1 boolean #xD; tb-note.5.2 Fever 0..1 boolean #xD; tb-note.5.3 Night Sweats 0..1 boolean #xD; tb-note.5.4 Haemoptysis 0..1 boolean #xD; tb-note.5.5 Weight Loss 0..1 boolean #xD; tb-note.5.6 Chest Pain 0..1 boolean #xD; tb-note.5.7 Shortness of Breath 0..1 boolean #xD; tb-note.5.8 Lethargy 0..1 boolean #xD; tb-note.5.9 Symptoms Remark 0..1 text #xD; tb-note.6 History of Presenting Illness Summary 0..1 group #xD; tb-note.6.1 Findings 0..1 text #xD; tb-note.7 Vital Signs 0..1 group #xD; tb-note.7.1 Systolic Blood Pressure (mmHg) 0..1 quantity Initial Value: Quantity = ? mmHg #xD; tb-note.7.2 Diastolic Blood Pressure (mmHg) 0..1 quantity Enable When: tb-note.7.1 exists Initial Value: Quantity = ? mmHg #xD; tb-note.7.3 Heart Rate (/min) 0..1 quantity Initial Value: Quantity = ? /min #xD; tb-note.7.4 Body Temperature (°C) 0..1 quantity Initial Value: Quantity = ? °C #xD; tb-note.7.5 Oxygen Saturation (%) 0..1 quantity Initial Value: Quantity = ? % #xD; tb-note.7.6 Respiratory Rate (/min) 0..1 quantity Initial Value: Quantity = ? /min #xD; tb-note.7.7 Pain score 0..1 quantity #xD; tb-note.8 Physical Examination 0..1 group #xD; tb-note.8.1 Findings 0..1 text #xD; tb-note.9 Investigations / Special Test 0..1 group #xD; tb-note.9.1 Findings 0..1 text #xD; tb-note.10 Imaging 0..1 group #xD; tb-note.10.1 Chest X ray Intepretation 0..1 text #xD; tb-note.11 Diagnosis 0..1 group #xD; tb-note.11.1 Diagnosis 0..1 text #xD; tb-note.12 Management / Treatment 0..1 group #xD; tb-note.12.1 Management Summary 0..1 text #xD; tb-note.13 Notification of Infectious Disease 0..1 group #xD; tb-note.13.1 Spoken To 0..1 text #xD; tb-note.13.2 Time of Notification 0..1 dateTime #xD; tb-note.14 TCA Date 0..1 group #xD; tb-note.14.1 Date 0..1 dateTime #xD; tb-note.15 Referral 0..1 group #xD; tb-note.15.1 Reason for Referral 0..1 text #xD; tb-note.15.2 Spoken To 0..1 string #xD; tb-note.15.3 Time of Referral 0..1 dateTime #xD; Documentation for this format
http://www.hl7.org/Special/committees/ | https://www.mhn.asia/
Questionnaire to guide tuberculosis clerking and documentation.
Other Comorbids (e.g Diabetes Mellitus or Hypertension)
Immunocompromised (e.g. on Immunosupressants / HIV)