{
  "description": "Hypertension Clerking Note",
  "_filename": "q-hpt-note.json",
  "package_name": "IdHIE.0v",
  "date": "2023-07-05T03:44:13.9017419+00:00",
  "meta": {
    "source": "#jS2dmFPeh8XPuhZs",
    "versionId": "3",
    "lastUpdated": "2023-07-03T12:51:08.149+08:00"
  },
  "publisher": null,
  "name": "QHptNoteA",
  "item": [ {
    "item": [ {
      "text": "Diabetes Mellitus",
      "type": "boolean",
      "linkId": "hpt-note.1.1"
    }, {
      "text": "Renal Disease",
      "type": "boolean",
      "linkId": "hpt-note.1.2"
    }, {
      "text": "Heart Failure",
      "type": "boolean",
      "linkId": "hpt-note.1.3"
    }, {
      "text": "Gout",
      "type": "boolean",
      "linkId": "hpt-note.1.4"
    }, {
      "text": "Concomitant Disease Remarks",
      "type": "text",
      "linkId": "hpt-note.1.5"
    } ],
    "text": "Concomitant Disease",
    "type": "group",
    "linkId": "hpt-note.1"
  }, {
    "item": [ {
      "text": "Any ward admissions for Hypertension Emergencies",
      "type": "boolean",
      "linkId": "hpt-note.2.1"
    }, {
      "text": "Any emergency department encounters",
      "type": "boolean",
      "linkId": "hpt-note.2.2"
    }, {
      "text": "Past Medical Admissions Remarks",
      "type": "text",
      "linkId": "hpt-note.2.3"
    } ],
    "text": "Past Medical Admissions for Hypertension",
    "type": "group",
    "linkId": "hpt-note.2"
  }, {
    "item": [ {
      "text": "Findings",
      "type": "text",
      "linkId": "hpt-note.3.1"
    } ],
    "text": "Medication Summary",
    "type": "group",
    "linkId": "hpt-note.3"
  }, {
    "item": [ {
      "text": "Starting Date of Smoking",
      "type": "dateTime",
      "linkId": "hpt-note.4.1"
    }, {
      "text": "How many cigarettes per day",
      "type": "integer",
      "linkId": "hpt-note.4.2"
    }, {
      "text": "Pack years of smoking (years)",
      "type": "integer",
      "linkId": "hpt-note.4.3"
    } ],
    "text": "Smoking History",
    "type": "group",
    "linkId": "hpt-note.4"
  }, {
    "item": [ {
      "text": "Findings",
      "type": "text",
      "linkId": "hpt-note.5.1"
    } ],
    "text": "Social History",
    "type": "group",
    "linkId": "hpt-note.5"
  }, {
    "item": [ {
      "text": "Findings",
      "type": "text",
      "linkId": "hpt-note.6.1"
    } ],
    "text": "Family History",
    "type": "group",
    "linkId": "hpt-note.6"
  }, {
    "item": [ {
      "text": "Visual Disturbances",
      "type": "boolean",
      "linkId": "hpt-note.7.1"
    }, {
      "text": "Chest pain",
      "type": "boolean",
      "linkId": "hpt-note.7.2"
    }, {
      "text": "Lower limb swellings",
      "type": "boolean",
      "linkId": "hpt-note.7.3"
    }, {
      "text": "Headache",
      "type": "boolean",
      "linkId": "hpt-note.7.4"
    }, {
      "text": "Vomiting",
      "type": "boolean",
      "linkId": "hpt-note.7.5"
    }, {
      "text": "Limb weakness",
      "type": "boolean",
      "linkId": "hpt-note.7.6"
    }, {
      "text": "Shortness of breath",
      "type": "boolean",
      "linkId": "hpt-note.7.7"
    }, {
      "text": "Symptoms Remarks",
      "type": "text",
      "linkId": "hpt-note.7.8"
    } ],
    "text": "Symptoms",
    "type": "group",
    "linkId": "hpt-note.7"
  }, {
    "item": [ {
      "text": "Findings",
      "type": "text",
      "linkId": "hpt-note.8.1"
    } ],
    "text": "History of Presenting Illness Summary",
    "type": "group",
    "linkId": "hpt-note.8"
  }, {
    "item": [ {
      "code": [ {
        "code": "8480-6",
        "system": "http://loinc.org",
        "display": "Systolic Blood Pressure"
      } ],
      "text": "Systolic Blood Pressure (mmHg)",
      "type": "quantity",
      "linkId": "hpt-note.9.1",
      "initial": [ {
        "valueQuantity": {
          "code": "mm[Hg]",
          "unit": "mmHg",
          "system": "http://unitsofmeasure.org"
        }
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
        "valueInteger": 1
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
        "valueInteger": 300
      } ]
    }, {
      "code": [ {
        "code": "8462-4",
        "system": "http://loinc.org",
        "display": "Diastolic Blood Pressure"
      } ],
      "text": "Diastolic Blood Pressure (mmHg)",
      "type": "quantity",
      "linkId": "hpt-note.9.2",
      "initial": [ {
        "valueQuantity": {
          "code": "mm[Hg]",
          "unit": "mmHg",
          "system": "http://unitsofmeasure.org"
        }
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
        "valueInteger": 1
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
        "valueInteger": 250
      } ],
      "enableWhen": [ {
        "operator": "exists",
        "question": "hpt-note.9.1",
        "answerBoolean": true
      } ]
    }, {
      "text": "Heart Rate (/min)",
      "type": "quantity",
      "linkId": "hpt-note.9.9",
      "initial": [ {
        "valueQuantity": {
          "code": "/min",
          "unit": "per minute",
          "system": "http://unitsofmeasure.org"
        }
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
        "valueInteger": 0
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
        "valueInteger": 400
      } ]
    }, {
      "text": "Oxygen Saturation (%)",
      "type": "quantity",
      "linkId": "hpt-note.9.10",
      "initial": [ {
        "valueQuantity": {
          "code": "%",
          "unit": "%",
          "system": "http://unitsofmeasure.org"
        }
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
        "valueInteger": 0
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
        "valueInteger": 100
      } ]
    }, {
      "text": "Body Temperature (°C)",
      "type": "quantity",
      "linkId": "hpt-note.9.11",
      "initial": [ {
        "valueQuantity": {
          "code": "Cel",
          "unit": "°C",
          "system": "http://unitsofmeasure.org"
        }
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
        "valueInteger": 0
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
        "valueInteger": 100
      } ]
    }, {
      "text": "Pain score",
      "type": "quantity",
      "linkId": "hpt-note.9.12",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
        "valueInteger": 0
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
        "valueInteger": 10
      } ]
    }, {
      "text": "Respiratory Rate (/min)",
      "type": "quantity",
      "linkId": "hpt-note.9.13",
      "initial": [ {
        "valueQuantity": {
          "code": "/min",
          "unit": "per minute",
          "system": "http://unitsofmeasure.org"
        }
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
        "valueInteger": 0
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
        "valueInteger": 80
      } ]
    } ],
    "text": "Initial Vital Signs",
    "type": "group",
    "linkId": "hpt-note.9"
  }, {
    "item": [ {
      "code": [ {
        "code": "8480-6",
        "system": "http://loinc.org",
        "display": "Systolic Blood Pressure"
      } ],
      "text": "Systolic Blood Pressure Second Reading (mmHg)",
      "type": "quantity",
      "linkId": "hpt-note.10.1",
      "initial": [ {
        "valueQuantity": {
          "code": "mm[Hg]",
          "unit": "mmHg",
          "system": "http://unitsofmeasure.org"
        }
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
        "valueInteger": 1
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
        "valueInteger": 300
      } ]
    }, {
      "code": [ {
        "code": "8462-4",
        "system": "http://loinc.org",
        "display": "Diastolic Blood Pressure"
      } ],
      "text": "Diastolic Blood Pressure Second Reading (mmHg)",
      "type": "quantity",
      "linkId": "hpt-note.10.2",
      "initial": [ {
        "valueQuantity": {
          "code": "mm[Hg]",
          "unit": "mmHg",
          "system": "http://unitsofmeasure.org"
        }
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
        "valueInteger": 1
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
        "valueInteger": 250
      } ],
      "enableWhen": [ {
        "operator": "exists",
        "question": "hpt-note.10.1",
        "answerBoolean": true
      } ]
    }, {
      "text": "Recorded Time",
      "type": "dateTime",
      "linkId": "hpt-note.10.3"
    } ],
    "text": "Blood Pressure Second Reading",
    "type": "group",
    "linkId": "hpt-note.10"
  }, {
    "item": [ {
      "code": [ {
        "code": "8480-6",
        "system": "http://loinc.org",
        "display": "Systolic Blood Pressure"
      } ],
      "text": "Systolic Blood Pressure Standing (mmHg)",
      "type": "quantity",
      "linkId": "hpt-note.11.1",
      "initial": [ {
        "valueQuantity": {
          "code": "mm[Hg]",
          "unit": "mmHg",
          "system": "http://unitsofmeasure.org"
        }
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
        "valueInteger": 1
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
        "valueInteger": 300
      } ]
    }, {
      "code": [ {
        "code": "8462-4",
        "system": "http://loinc.org",
        "display": "Diastolic Blood Pressure"
      } ],
      "text": "Diastolic Blood Pressure Standing (mmHg)",
      "type": "quantity",
      "linkId": "hpt-note.11.2",
      "initial": [ {
        "valueQuantity": {
          "code": "mm[Hg]",
          "unit": "mmHg",
          "system": "http://unitsofmeasure.org"
        }
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
        "valueInteger": 1
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
        "valueInteger": 250
      } ],
      "enableWhen": [ {
        "operator": "exists",
        "question": "hpt-note.11.1",
        "answerBoolean": true
      } ]
    }, {
      "text": "Recorded Time",
      "type": "dateTime",
      "linkId": "hpt-note.11.3"
    } ],
    "text": "Blood Pressure Standing",
    "type": "group",
    "linkId": "hpt-note.11"
  }, {
    "item": [ {
      "text": "Systolic Blood Pressure Seated (mmHg)",
      "type": "quantity",
      "linkId": "hpt-note.12.1",
      "initial": [ {
        "valueQuantity": {
          "code": "mm[Hg]",
          "unit": "mmHg",
          "system": "http://unitsofmeasure.org"
        }
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
        "valueInteger": 1
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
        "valueInteger": 300
      } ]
    }, {
      "code": [ {
        "code": "8462-4",
        "system": "http://loinc.org",
        "display": "Diastolic Blood Pressure"
      } ],
      "text": "Diastolic Blood Pressure Seated (mmHg)",
      "type": "quantity",
      "linkId": "hpt-note.12.2",
      "initial": [ {
        "valueQuantity": {
          "code": "mm[Hg]",
          "unit": "mmHg",
          "system": "http://unitsofmeasure.org"
        }
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
        "valueInteger": 1
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
        "valueInteger": 250
      } ],
      "enableWhen": [ {
        "operator": "exists",
        "question": "hpt-note.12.1",
        "answerBoolean": true
      } ]
    }, {
      "text": "Recorded Time",
      "type": "dateTime",
      "linkId": "hpt-note.12.3"
    } ],
    "text": "Blood Pressure Seated",
    "type": "group",
    "linkId": "hpt-note.12"
  }, {
    "item": [ {
      "text": "Findings",
      "type": "text",
      "linkId": "hpt-note.13.1"
    } ],
    "text": "Central Nervous System Examinations",
    "type": "group",
    "linkId": "hpt-note.13"
  }, {
    "item": [ {
      "text": "Findings",
      "type": "text",
      "linkId": "hpt-note.14.1"
    } ],
    "text": "Eye Examination",
    "type": "group",
    "linkId": "hpt-note.14"
  }, {
    "item": [ {
      "text": "Findings",
      "type": "text",
      "linkId": "hpt-note.15.1"
    } ],
    "text": "Cranial Nerves Examination",
    "type": "group",
    "linkId": "hpt-note.15"
  }, {
    "item": [ {
      "text": "Findings",
      "type": "text",
      "linkId": "hpt-note.16.1"
    } ],
    "text": "Cardiac Examination",
    "type": "group",
    "linkId": "hpt-note.16"
  }, {
    "item": [ {
      "text": "Findings",
      "type": "text",
      "linkId": "hpt-note.17.1"
    } ],
    "text": "General Endocrine Examination",
    "type": "group",
    "linkId": "hpt-note.17"
  }, {
    "item": [ {
      "text": "Findings",
      "type": "text",
      "linkId": "hpt-note.18.1"
    } ],
    "text": "Abdominal Examination",
    "type": "group",
    "linkId": "hpt-note.18"
  }, {
    "item": [ {
      "text": "Findings",
      "type": "text",
      "linkId": "hpt-note.19.1"
    } ],
    "text": "Respiratory Examination",
    "type": "group",
    "linkId": "hpt-note.19"
  }, {
    "item": [ {
      "text": "Findings",
      "type": "text",
      "linkId": "hpt-note.20.1"
    } ],
    "text": "General Examination Findings Summary",
    "type": "group",
    "linkId": "hpt-note.20"
  }, {
    "item": [ {
      "text": "Fundoscopy",
      "type": "text",
      "linkId": "hpt-note.21.1"
    }, {
      "text": "Fundoscopy",
      "type": "text",
      "linkId": "hpt-note.21.2"
    }, {
      "text": "US KUB Findings",
      "type": "text",
      "linkId": "hpt-note.21.3"
    }, {
      "text": "CT Scan Findings",
      "type": "text",
      "linkId": "hpt-note.21.4"
    }, {
      "text": "Xray Findings",
      "type": "text",
      "linkId": "hpt-note.21.5"
    }, {
      "text": "General Investigations / Summary",
      "type": "text",
      "linkId": "hpt-note.21.6"
    } ],
    "text": "Investigations / Special Test",
    "type": "group",
    "linkId": "hpt-note.21"
  }, {
    "item": [ {
      "text": "Diagnosis",
      "type": "text",
      "linkId": "hpt-note.22.1"
    } ],
    "text": "Diagnosis",
    "type": "group",
    "linkId": "hpt-note.22"
  }, {
    "item": [ {
      "text": "Management Summary",
      "type": "text",
      "linkId": "hpt-note.23.1"
    } ],
    "text": "Management / Treatment",
    "type": "group",
    "linkId": "hpt-note.23"
  }, {
    "item": [ {
      "text": "Date",
      "type": "dateTime",
      "linkId": "hpt-note.24.1"
    } ],
    "text": "TCA Date",
    "type": "group",
    "linkId": "hpt-note.24"
  }, {
    "item": [ {
      "text": "Reason for Referral",
      "type": "text",
      "linkId": "hpt-note.25.1"
    }, {
      "text": "Spoken To",
      "type": "string",
      "linkId": "hpt-note.25.2"
    }, {
      "text": "Time of Referral made",
      "type": "dateTime",
      "linkId": "hpt-note.25.3"
    } ],
    "text": "Referral",
    "type": "group",
    "linkId": "hpt-note.25"
  } ],
  "type": null,
  "experimental": null,
  "resourceType": "Questionnaire",
  "title": "Hypertension Clerking Note",
  "package_version": "0.0.1",
  "status": "active",
  "id": "d25becd2-049a-48b3-81be-5d3506ae5a92",
  "kind": null,
  "url": "http://fhir.hie.moh.gov.id/Questionnaire/q-hpt-note",
  "version": "1.0.0"
}