{ "resourceType" : "Questionnaire", "id" : "EMM21-13", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire EMM21-13

\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeDescription & Constraints\"doco\"
\".\"\".\" EMM21_13QuestionnaireQuestionnairehttp://fhir.mn/fhir/Questionnaire/EMM21-13#0.1.0
\".\"\".\"\".\" general_examЕрөнхий үзлэг0..1group
\".\"\".\"\".\"\".\" general_conditionБиеийн ерөнхий байдал:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - general_condition ValueSet
\".\"\".\"\".\"\".\" consciousnessУхаан санаа:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - consciousness ValueSet
\".\"\".\"\".\"\".\" skin_mucosaАрьс салст:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - skin_mucosa ValueSet
\".\"\".\"\".\"\".\" skin_mucosa_abnormal_descХэвийн бус бол:0..1stringDefinition: Observation.value[x]
Enable When: skin_mucosa =
\".\"\".\"\".\" respiratory_examАмьсгалын эрхтэн тогтолцоо0..1group
\".\"\".\"\".\"\".\" resp_rateАмьсгал 1 минутад (удаа):0..1integerDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" lungs_auscultationЧагналтаар:0..*choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - lungs_auscultation ValueSet
\".\"\".\"\".\"\".\" breath_diminished_locАмьсгал сулавтар бол:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - breath_diminished_loc ValueSet
\".\"\".\"\".\" cvs_examЦусны эргэлтийн тогтолцоо0..1group
\".\"\".\"\".\"\".\" pulse_rate_cvsСудасны цохилт 1 минутад (удаа):0..1integerDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" pulse_volume_cvsХүчдэл дүүрэлт:0..1stringDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" heart_borders_cvsТогшилтоор Зүрхний хил:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - heart_borders_cvs ValueSet
\".\"\".\"\".\"\".\" heart_sounds_cvsЧагналтаар Зүрхний авиа:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - heart_sounds_cvs ValueSet
\".\"\".\"\".\"\".\" heart_rhythm_cvsХэм:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - heart_rhythm_cvs ValueSet
\".\"\".\"\".\"\".\" blood_pressure_sys_cvsБаруун талд Систолын даралт:0..1integerDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" blood_pressure_dia_cvsДиастолын даралт:0..1integerDefinition: Observation.value[x]
\".\"\".\"\".\" gi_examХоол шингээх эрхтэн тогтолцоо0..1group
\".\"\".\"\".\"\".\" tongueХэл:0..*choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - tongue ValueSet
\".\"\".\"\".\"\".\" abd_superficialХэвлийн үзлэг Өнгөц тэмтрэлтээр:0..*choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - abd_superficial ValueSet
\".\"\".\"\".\"\".\" abd_superficial_tenderness_locӨнгөц тэмтрэлтээр эмзэглэлтэй (байрлал):0..1stringDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" abd_deepГүн тэмтрэлтээр:0..*choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - abd_deep ValueSet
\".\"\".\"\".\"\".\" abd_deep_tenderness_locГүн тэмтрэлтээр эмзэглэлтэй (байрлал):0..1stringDefinition: Observation.value[x]
\".\"\".\"\".\" neuro_examМэдрэлийн тогтолцоо0..1group
\".\"\".\"\".\"\".\" hearingСонсох чадавх:0..*choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - hearing ValueSet
\".\"\".\"\".\"\".\" reflexesРефлексүүд:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - reflexes ValueSet
\".\"\".\"\".\" skin_lymph_examAрьс, тунгалгийн тогтолцоо:0..1textDefinition: Observation.value[x]
\".\"\".\"\".\" maxillofacial_examТОЛГОЙ ХҮЗҮҮ, ЭРҮҮ НҮҮРНИЙ НӨХӨН СЭРГЭЭХ МЭС ЗАСЛЫН ЭМЧИЙН ҮЗЛЭГ (St.localis)0..1group
\".\"\".\"\".\"\".\" local_status_descҮзлэгийн дэлгэрэнгүй:0..1textDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" nose_examХамрын үзлэг0..1group
\".\"\".\"\".\"\".\"\".\" nasal_breathingХамрын амьсгал:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - nasal_breathing ValueSet
\".\"\".\"\".\"\".\"\".\" external_nose_shapeГадна хамрын хэлбэр:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - external_nose_shape ValueSet
\".\"\".\"\".\"\".\"\".\" nose_palpationТэмтрэхэд:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - nose_palpation ValueSet
\".\"\".\"\".\"\".\"\".\" nasal_vestibuleХамрын үүдэвч:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - nasal_vestibule ValueSet
\".\"\".\"\".\"\".\"\".\" common_nasal_cavityЕрөнхий хөндий:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - common_nasal_cavity ValueSet
\".\"\".\"\".\"\".\"\".\" nasal_septumХамрын таславч:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - nasal_septum ValueSet
\".\"\".\"\".\"\".\"\".\" nasal_septum_otherБусад өөрчлөлттэй бол:0..1stringDefinition: Observation.value[x]
Enable When: nasal_septum =
\".\"\".\"\".\"\".\"\".\" nasal_mucosaХамрын салст бүрхүүл:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - nasal_mucosa ValueSet
\".\"\".\"\".\"\".\"\".\" turbinatesСамалдгууд:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - turbinates ValueSet
\".\"\".\"\".\"\".\"\".\" nasal_meatusХамрын жим:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - nasal_meatus ValueSet
\".\"\".\"\".\"\".\"\".\" nasal_discharge_typeЯлгадас:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - nasal_discharge_type ValueSet
\".\"\".\"\".\"\".\"\".\" nasal_discharge_pathoЭмгэг шинжтэй бол:0..*choiceDefinition: Observation.value[x]
Enable When: nasal_discharge_type =
Value Set: EMM21_13 - nasal_discharge_patho ValueSet
\".\"\".\"\".\"\".\" ear_examБаруун, зүүн чих0..1group
\".\"\".\"\".\"\".\"\".\" external_ear_shapeГадна чихний хэлбэр:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - external_ear_shape ValueSet
\".\"\".\"\".\"\".\"\".\" ear_palpationТэмтрэхэд:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - ear_palpation ValueSet
\".\"\".\"\".\"\".\"\".\" mastoid_processХөхлөг сэртэн:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - mastoid_process ValueSet
\".\"\".\"\".\"\".\"\".\" external_auditory_canalЧихний гадна суваг:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - external_auditory_canal ValueSet
\".\"\".\"\".\"\".\"\".\" auditory_canal_patencyЧихний сувгийн чөлөөтэй байдал:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - auditory_canal_patency ValueSet
\".\"\".\"\".\"\".\"\".\" ear_dischargeЯлгадас:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - ear_discharge ValueSet
\".\"\".\"\".\"\".\"\".\" canal_wallsСувгийн хана:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - canal_walls ValueSet
\".\"\".\"\".\"\".\"\".\" canal_walls_bulging_descАль хана цүлхийсэн:0..1stringDefinition: Observation.value[x]
Enable When: canal_walls =
\".\"\".\"\".\"\".\" oral_cavityАмны хөндий0..1group
\".\"\".\"\".\"\".\"\".\" mouth_openingАм ангайлт:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - mouth_opening ValueSet
\".\"\".\"\".\"\".\"\".\" uvulaХүүхэн хэл:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - uvula ValueSet
\".\"\".\"\".\"\".\"\".\" soft_palateЗөөлөн тагнай:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - soft_palate ValueSet
\".\"\".\"\".\"\".\"\".\" palatine_tonsilsТагнайн гүйлс:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - palatine_tonsils ValueSet
\".\"\".\"\".\"\".\"\".\" pharyngeal_wallЗалгиурын хажуу хана:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - pharyngeal_wall ValueSet
\".\"\".\"\".\"\".\"\".\" valleculaШувтан хонхрын байдал:0..1choiceDefinition: Observation.value[x]
Value Set: EMM21_13 - vallecula ValueSet
\".\"\".\"\".\"\".\" regional_lymph_nodesБүсийн лимфийн булчирхайн байдал:0..1textDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" imaging_diagnosticsДүрс оношилгоо:0..1textDefinition: Observation.value[x]
\".\"\".\"\".\" preliminary_diagnosisКЛИНИКИЙН УРЬДЧИЛСАН ОНОШ0..1group
\".\"\".\"\".\"\".\" prelim_diag_iaI a. Ноцтой хүндрэл:0..1stringDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" prelim_diag_ibI b. Хүндрэл:0..1stringDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" prelim_diag_icI c. Хүндрэл:0..1stringDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" prelim_diag_idI d. Үндсэн өвчин:0..1stringDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" prelim_diag_iiII Бусад өвчин:0..1stringDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" differential_diagnosisЯлган оношлох эмгэгүүд ба хам шинжүүд:0..1textDefinition: Condition.code
\".\"\".\"\".\"\".\" planned_testsХийгдэх шинжилгээ:0..1textDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" urgent_treatmentЯаралтай хийгдэх эмчилгээ:0..1textDefinition: Procedure.code
\".\"\".\"\".\" signaturesБаталгааны хэсэг0..1group
\".\"\".\"\".\"\".\" attending_doc_signatureЭмчлэгч эмчийн код, тоон гарын үсэг:0..1stringDefinition: Observation.value[x]
\".\"\".\"\".\"\".\" record_dateОгноо:0..1dateDefinition: Encounter.period.start

\"doco\" Documentation for this format
" }, "url" : "http://fhir.mn/fhir/Questionnaire/EMM21-13", "version" : "0.1.0", "name" : "EMM21_13Questionnaire", "title" : "ЭММ-21.13 Эрүү нүүрний мэс заслын эмчийн үзлэг", "status" : "active", "subjectType" : ["Patient"], "date" : "2026-09-08T10:09:36+08:00", "publisher" : "Эрүүл мэндийн хөгжлийн төв (Health Development Center, Mongolia)", "contact" : [{ "name" : "Эрүүл мэндийн хөгжлийн төв (Health Development Center, Mongolia)", "telecom" : [{ "system" : "url", "value" : "https://hdc.gov.mn" }] }, { "name" : "Эрүүл мэндийн хөгжлийн төв (Health Development Center)", "telecom" : [{ "system" : "url", "value" : "https://hdc.gov.mn" }] }], "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "MN" }] }], "item" : [{ "linkId" : "general_exam", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "general_exam" }], "text" : "Ерөнхий үзлэг", "type" : "group", "item" : [{ "linkId" : "general_condition", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "general_condition" }], "text" : "Биеийн ерөнхий байдал:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-general-condition" }, { "linkId" : "consciousness", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "consciousness" }], "text" : "Ухаан санаа:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-consciousness" }, { "linkId" : "skin_mucosa", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "skin_mucosa" }], "text" : "Арьс салст:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-skin-mucosa" }, { "linkId" : "skin_mucosa_abnormal_desc", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "skin_mucosa_abnormal_desc" }], "text" : "Хэвийн бус бол:", "type" : "string", "enableWhen" : [{ "question" : "skin_mucosa", "operator" : "=", "answerCoding" : { "code" : "abnormal" } }] }] }, { "linkId" : "respiratory_exam", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "respiratory_exam" }], "text" : "Амьсгалын эрхтэн тогтолцоо", "type" : "group", "item" : [{ "linkId" : "resp_rate", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "resp_rate" }], "text" : "Амьсгал 1 минутад (удаа):", "type" : "integer" }, { "linkId" : "lungs_auscultation", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "lungs_auscultation" }], "text" : "Чагналтаар:", "type" : "choice", "repeats" : true, "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-lungs-auscultation" }, { "linkId" : "breath_diminished_loc", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "breath_diminished_loc" }], "text" : "Амьсгал сулавтар бол:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-breath-diminished-loc" }] }, { "linkId" : "cvs_exam", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "cvs_exam" }], "text" : "Цусны эргэлтийн тогтолцоо", "type" : "group", "item" : [{ "linkId" : "pulse_rate_cvs", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "pulse_rate_cvs" }], "text" : "Судасны цохилт 1 минутад (удаа):", "type" : "integer" }, { "linkId" : "pulse_volume_cvs", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "pulse_volume_cvs" }], "text" : "Хүчдэл дүүрэлт:", "type" : "string" }, { "linkId" : "heart_borders_cvs", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "heart_borders_cvs" }], "text" : "Тогшилтоор Зүрхний хил:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-heart-borders-cvs" }, { "linkId" : "heart_sounds_cvs", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "heart_sounds_cvs" }], "text" : "Чагналтаар Зүрхний авиа:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-heart-sounds-cvs" }, { "linkId" : "heart_rhythm_cvs", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "heart_rhythm_cvs" }], "text" : "Хэм:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-heart-rhythm-cvs" }, { "linkId" : "blood_pressure_sys_cvs", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "blood_pressure_sys_cvs" }], "text" : "Баруун талд Систолын даралт:", "type" : "integer" }, { "linkId" : "blood_pressure_dia_cvs", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "blood_pressure_dia_cvs" }], "text" : "Диастолын даралт:", "type" : "integer" }] }, { "linkId" : "gi_exam", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "gi_exam" }], "text" : "Хоол шингээх эрхтэн тогтолцоо", "type" : "group", "item" : [{ "linkId" : "tongue", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "tongue" }], "text" : "Хэл:", "type" : "choice", "repeats" : true, "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-tongue" }, { "linkId" : "abd_superficial", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "abd_superficial" }], "text" : "Хэвлийн үзлэг Өнгөц тэмтрэлтээр:", "type" : "choice", "repeats" : true, "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-abd-superficial" }, { "linkId" : "abd_superficial_tenderness_loc", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "abd_superficial_tenderness_loc" }], "text" : "Өнгөц тэмтрэлтээр эмзэглэлтэй (байрлал):", "type" : "string" }, { "linkId" : "abd_deep", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "abd_deep" }], "text" : "Гүн тэмтрэлтээр:", "type" : "choice", "repeats" : true, "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-abd-deep" }, { "linkId" : "abd_deep_tenderness_loc", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "abd_deep_tenderness_loc" }], "text" : "Гүн тэмтрэлтээр эмзэглэлтэй (байрлал):", "type" : "string" }] }, { "linkId" : "neuro_exam", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "neuro_exam" }], "text" : "Мэдрэлийн тогтолцоо", "type" : "group", "item" : [{ "linkId" : "hearing", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "hearing" }], "text" : "Сонсох чадавх:", "type" : "choice", "repeats" : true, "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-hearing" }, { "linkId" : "reflexes", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "reflexes" }], "text" : "Рефлексүүд:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-reflexes" }] }, { "linkId" : "skin_lymph_exam", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "skin_lymph_exam" }], "text" : "Aрьс, тунгалгийн тогтолцоо:", "type" : "text" }, { "linkId" : "maxillofacial_exam", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "maxillofacial_exam" }], "text" : "ТОЛГОЙ ХҮЗҮҮ, ЭРҮҮ НҮҮРНИЙ НӨХӨН СЭРГЭЭХ МЭС ЗАСЛЫН ЭМЧИЙН ҮЗЛЭГ (St.localis)", "type" : "group", "item" : [{ "linkId" : "local_status_desc", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "local_status_desc" }], "text" : "Үзлэгийн дэлгэрэнгүй:", "type" : "text" }, { "linkId" : "nose_exam", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "nose_exam" }], "text" : "Хамрын үзлэг", "type" : "group", "item" : [{ "linkId" : "nasal_breathing", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "nasal_breathing" }], "text" : "Хамрын амьсгал:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-nasal-breathing" }, { "linkId" : "external_nose_shape", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "external_nose_shape" }], "text" : "Гадна хамрын хэлбэр:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-external-nose-shape" }, { "linkId" : "nose_palpation", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "nose_palpation" }], "text" : "Тэмтрэхэд:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-nose-palpation" }, { "linkId" : "nasal_vestibule", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "nasal_vestibule" }], "text" : "Хамрын үүдэвч:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-nasal-vestibule" }, { "linkId" : "common_nasal_cavity", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "common_nasal_cavity" }], "text" : "Ерөнхий хөндий:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-common-nasal-cavity" }, { "linkId" : "nasal_septum", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "nasal_septum" }], "text" : "Хамрын таславч:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-nasal-septum" }, { "linkId" : "nasal_septum_other", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "nasal_septum_other" }], "text" : "Бусад өөрчлөлттэй бол:", "type" : "string", "enableWhen" : [{ "question" : "nasal_septum", "operator" : "=", "answerCoding" : { "code" : "other" } }] }, { "linkId" : "nasal_mucosa", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "nasal_mucosa" }], "text" : "Хамрын салст бүрхүүл:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-nasal-mucosa" }, { "linkId" : "turbinates", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "turbinates" }], "text" : "Самалдгууд:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-turbinates" }, { "linkId" : "nasal_meatus", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "nasal_meatus" }], "text" : "Хамрын жим:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-nasal-meatus" }, { "linkId" : "nasal_discharge_type", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "nasal_discharge_type" }], "text" : "Ялгадас:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-nasal-discharge-type" }, { "linkId" : "nasal_discharge_patho", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "nasal_discharge_patho" }], "text" : "Эмгэг шинжтэй бол:", "type" : "choice", "enableWhen" : [{ "question" : "nasal_discharge_type", "operator" : "=", "answerCoding" : { "code" : "pathological" } }], "repeats" : true, "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-nasal-discharge-patho" }] }, { "linkId" : "ear_exam", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "ear_exam" }], "text" : "Баруун, зүүн чих", "type" : "group", "item" : [{ "linkId" : "external_ear_shape", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "external_ear_shape" }], "text" : "Гадна чихний хэлбэр:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-external-ear-shape" }, { "linkId" : "ear_palpation", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "ear_palpation" }], "text" : "Тэмтрэхэд:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-ear-palpation" }, { "linkId" : "mastoid_process", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "mastoid_process" }], "text" : "Хөхлөг сэртэн:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-mastoid-process" }, { "linkId" : "external_auditory_canal", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "external_auditory_canal" }], "text" : "Чихний гадна суваг:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-external-auditory-canal" }, { "linkId" : "auditory_canal_patency", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "auditory_canal_patency" }], "text" : "Чихний сувгийн чөлөөтэй байдал:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-auditory-canal-patency" }, { "linkId" : "ear_discharge", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "ear_discharge" }], "text" : "Ялгадас:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-ear-discharge" }, { "linkId" : "canal_walls", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "canal_walls" }], "text" : "Сувгийн хана:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-canal-walls" }, { "linkId" : "canal_walls_bulging_desc", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "canal_walls_bulging_desc" }], "text" : "Аль хана цүлхийсэн:", "type" : "string", "enableWhen" : [{ "question" : "canal_walls", "operator" : "=", "answerCoding" : { "code" : "bulging" } }] }] }, { "linkId" : "oral_cavity", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "oral_cavity" }], "text" : "Амны хөндий", "type" : "group", "item" : [{ "linkId" : "mouth_opening", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "mouth_opening" }], "text" : "Ам ангайлт:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-mouth-opening" }, { "linkId" : "uvula", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "uvula" }], "text" : "Хүүхэн хэл:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-uvula" }, { "linkId" : "soft_palate", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "soft_palate" }], "text" : "Зөөлөн тагнай:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-soft-palate" }, { "linkId" : "palatine_tonsils", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "palatine_tonsils" }], "text" : "Тагнайн гүйлс:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-palatine-tonsils" }, { "linkId" : "pharyngeal_wall", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "pharyngeal_wall" }], "text" : "Залгиурын хажуу хана:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-pharyngeal-wall" }, { "linkId" : "vallecula", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "vallecula" }], "text" : "Шувтан хонхрын байдал:", "type" : "choice", "answerValueSet" : "http://fhir.mn/fhir/ValueSet/valueset-emm21-13-vallecula" }] }, { "linkId" : "regional_lymph_nodes", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "regional_lymph_nodes" }], "text" : "Бүсийн лимфийн булчирхайн байдал:", "type" : "text" }, { "linkId" : "imaging_diagnostics", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "imaging_diagnostics" }], "text" : "Дүрс оношилгоо:", "type" : "text" }] }, { "linkId" : "preliminary_diagnosis", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "preliminary_diagnosis" }], "text" : "КЛИНИКИЙН УРЬДЧИЛСАН ОНОШ", "type" : "group", "item" : [{ "linkId" : "prelim_diag_ia", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "prelim_diag_ia" }], "text" : "I a. Ноцтой хүндрэл:", "type" : "string" }, { "linkId" : "prelim_diag_ib", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "prelim_diag_ib" }], "text" : "I b. Хүндрэл:", "type" : "string" }, { "linkId" : "prelim_diag_ic", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "prelim_diag_ic" }], "text" : "I c. Хүндрэл:", "type" : "string" }, { "linkId" : "prelim_diag_id", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "prelim_diag_id" }], "text" : "I d. Үндсэн өвчин:", "type" : "string" }, { "linkId" : "prelim_diag_ii", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "prelim_diag_ii" }], "text" : "II Бусад өвчин:", "type" : "string" }, { "linkId" : "differential_diagnosis", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-condition#Condition.code", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "differential_diagnosis" }], "text" : "Ялган оношлох эмгэгүүд ба хам шинжүүд:", "type" : "text" }, { "linkId" : "planned_tests", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "planned_tests" }], "text" : "Хийгдэх шинжилгээ:", "type" : "text" }, { "linkId" : "urgent_treatment", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-procedure#Procedure.code", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "urgent_treatment" }], "text" : "Яаралтай хийгдэх эмчилгээ:", "type" : "text" }] }, { "linkId" : "signatures", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "signatures" }], "text" : "Баталгааны хэсэг", "type" : "group", "item" : [{ "linkId" : "attending_doc_signature", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-observation#Observation.value[x]", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "attending_doc_signature" }], "text" : "Эмчлэгч эмчийн код, тоон гарын үсэг:", "type" : "string" }, { "linkId" : "record_date", "definition" : "http://fhir.mn/fhir/StructureDefinition/mn-core-encounter#Encounter.period.start", "code" : [{ "system" : "http://fhir.mn/CodeSystem/snomed-mn", "code" : "record_date" }], "text" : "Огноо:", "type" : "date" }] }] }