| Package | MyHIE.v4-test |
| Resource Type | Questionnaire |
| Id | nhsi-my-core |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=MyHIE.v4-test@2.1.0-alpha&canonical=http://fhir.hie.moh.gov.my/Questionnaire/nhsi-my-core |
| URL | http://fhir.hie.moh.gov.my/Questionnaire/nhsi-my-core |
| Version | 1.0.0 |
| Status | active |
| Date | 2023-01-11T06:43:11.5383741+00:00 |
| Name | NHSI |
| Title | Malaysia National Health Screening |
No resources found
No resources found
No narrative content found in resource
FHIR{
"resourceType": "Questionnaire",
"id": "nhsi-my-core",
"meta": {
"versionId": "1",
"lastUpdated": "2022-08-03T03:26:09.844+00:00",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Questionnaire"
]
},
"url": "http://fhir.hie.moh.gov.my/Questionnaire/nhsi-my-core",
"version": "1.0.0",
"name": "NHSI",
"title": "Malaysia National Health Screening",
"status": "active",
"experimental": true,
"date": "2023-01-11T06:43:11.5383741+00:00",
"item": [
{
"linkId": "1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "User Demographic"
}
],
"text": "User Demographic",
"type": "group",
"required": false,
"item": [
{
"linkId": "1.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.1",
"display": "Name"
}
],
"text": "Name",
"type": "string",
"required": false
},
{
"linkId": "1.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.2",
"display": "MySejahtera ID"
}
],
"text": "MySejahtera ID",
"type": "string",
"required": false
},
{
"linkId": "1.3",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.3",
"display": "Contact Number"
}
],
"text": "Contact Number",
"type": "string",
"required": false,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help",
"display": "Help-Button"
}
],
"text": "Help-Button"
}
}
],
"linkId": "1.3_helpText",
"text": "Must be valid phone number with +60 at start",
"type": "display"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "1.4",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.4",
"display": "Type of Identification"
}
],
"text": "Type of Identification",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Ic Numbers"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Passport Number"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Others"
}
}
]
},
{
"linkId": "1.5",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.5",
"display": "IC Number/Passport"
}
],
"text": "IC Number/Passport",
"type": "string",
"required": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "1.6",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.6",
"display": "Gender"
}
],
"text": "Gender",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "male",
"display": "Male"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "female",
"display": "Female"
}
},
{
"valueCoding": {
"system": "http://hl7.org/fhir/administrative-gender",
"code": "other",
"display": "Others"
}
}
]
},
{
"linkId": "1.7",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.7",
"display": "Nationality"
}
],
"text": "Nationality",
"type": "string",
"required": false
},
{
"linkId": "1.8",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.8",
"display": "Address"
}
],
"text": "Address",
"type": "string",
"required": false
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "1.9",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.9",
"display": "Occupation"
}
],
"text": "Occupation",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Manager"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Professional"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Technician and Associate Professional"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Clerical Support Worker"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "05",
"display": "Services and Sales Worker"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "06",
"display": "Skilled Agricultural, Forestry, Livestock and Fishery Worker"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "07",
"display": "Craft and related Trades Worker"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "08",
"display": "Plant and Machine Operators and Assembler"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "09",
"display": "Elementary Worker"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "10",
"display": "Armed Forces Occupation"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "11",
"display": "Unemployed"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "1.10",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.10",
"display": "Ethnicity"
}
],
"text": "Ethnicity",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Malay"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Chinese"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Indian"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Bumiputera Sabah"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "05",
"display": "Bumiputera Sarawak"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "06",
"display": "Orang Asli"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "07",
"display": "Others"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "1.11",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.11",
"display": "Special Category of Population"
}
],
"text": "Special Category of Population",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Not Applicable"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "High Risk/ Vulnerable Individuals"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Person with Disabilities"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Individuals from old folks/ caretaker home"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "1.12",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.12",
"display": "Industry"
}
],
"text": "Industry",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Accomodations"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Advertising & Market Research"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Agriculture"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Architectural and Landscape Activities"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "05",
"display": "Arts, entertainment & recreation"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "06",
"display": "Business services"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "07",
"display": "Community, social & personal services"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "08",
"display": "Construction"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "09",
"display": "Education"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "10",
"display": "Electricity, gas, steam & air conditioning supply"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "11",
"display": "Finance"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "12",
"display": "Fishing & aquaculture"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "13",
"display": "Food & beverage"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "14",
"display": "Forestry & logging"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "15",
"display": "Goverment services"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "16",
"display": "Healthcare"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "17",
"display": "Information & communication"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "18",
"display": "Insurance"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "19",
"display": "Legal & accounting activities manufacturing"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "20",
"display": "Mining & quarrying"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "21",
"display": "Owner occupied dwelling"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "22",
"display": "Petroleum & natural gas extraction"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "23",
"display": "Postal & courier activities"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "24",
"display": "Real estate"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "25",
"display": "Scientific engineering activities & technical testing/ analysis"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "26",
"display": "Security & investigation activities"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "27",
"display": "Security & investigation activities"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "28",
"display": "Transportation & storage"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "29",
"display": "Unemployed"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "30",
"display": "Utilities services"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "31",
"display": "Veterinary activities"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "32",
"display": "Wholesale & retail trade services"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "33",
"display": "Water supply, sewerage & waste management"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "1.13",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.13",
"display": "Comorbidities Present"
}
],
"text": "Comorbidities Present",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "385432009",
"display": "Not Applicable"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "73211009",
"display": "Diabetes Mellitus"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "38341003",
"display": "Hypertension"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "56265001",
"display": "Heart Disease"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "195967001",
"display": "Asthma"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "363346000",
"display": "Cancer"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "413839001",
"display": "Chronic Lung Disease"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "90708001",
"display": "Kidney Disease"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "235856003",
"display": "Liver Disease"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "230690007",
"display": "Stroke"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "370388006",
"display": "Immunocompromised"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "414916001",
"display": "Obesity"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "64779008",
"display": "Bleeding Tendency"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "39579001",
"display": "History of Severe Allergic Reaction"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "74964007",
"display": "Others"
}
}
]
},
{
"linkId": "1.14",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.14",
"display": "Last Screening Date"
}
],
"text": "Last Screening Date",
"type": "group",
"required": false,
"item": [
{
"linkId": "1.14.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.14.1",
"display": "Has the patient performed health screening before?"
}
],
"text": "Has the patient performed health screening before?",
"type": "boolean",
"required": false
},
{
"linkId": "1.14.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "1.14.2",
"display": "If Yes:"
}
],
"text": "If Yes:",
"type": "date",
"required": false
}
]
}
]
},
{
"linkId": "2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Assessments"
}
],
"text": "Assessments",
"type": "group",
"required": false,
"item": [
{
"linkId": "2.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "2.1",
"display": "Does the patient have any family history?"
}
],
"text": "Does the patient have any family history?",
"type": "boolean",
"required": false,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "2.1.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "2.1.1",
"display": "If yes:"
}
],
"text": "If yes:",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "38341003",
"display": "Hypertension"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "73211009",
"display": "Diabetes Mellitus"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "13644009",
"display": "Hypercholesterolemia"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "56265001",
"display": "Coronary Heart Disease"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "230690007",
"display": "Stroke"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "709044004",
"display": "Chronic Kidney Disease"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "363346000",
"display": "Cancer"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "26636000",
"display": "Sudden Death"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "74732009",
"display": "Mental Illness"
}
}
]
}
]
},
{
"linkId": "2.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "2.2",
"display": "Does the patient have any medical history?"
},
{
"code": "2.2",
"display": "Does the patient have any medical history?"
}
],
"text": "Does the patient have any medical history?",
"type": "boolean",
"required": false,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "2.2.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "2.2.1",
"display": "If yes:"
},
{
"code": "2.2.1",
"display": "If yes:"
}
],
"text": "If yes:",
"type": "choice",
"required": false,
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "38341003",
"display": "Hypertension"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "73211009",
"display": "Diabetes Mellitus"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "13644009",
"display": "Hypercholesterolemia"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "56265001",
"display": "Coronary Heart Disease"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "230690007",
"display": "Stroke"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "709044004",
"display": "Chronic Kidney Disease"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "363346000",
"display": "Cancer"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "195967001",
"display": "Asthma"
}
}
]
}
]
}
]
},
{
"linkId": "3",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Mental Health Assessments"
}
],
"text": "Mental Health Assessments",
"type": "group",
"required": false,
"item": [
{
"linkId": "3.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3.1",
"display": "In the past 2 weeks, how often does this patient:"
}
],
"text": "In the past 2 weeks, how often does this patient:",
"type": "group",
"required": false,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "3.1.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3.1.1",
"display": "Felt Down, depressed or hopeless"
}
],
"text": "Felt Down, depressed or hopeless",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Not At All"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Several Days"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "> 7 days"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Almost everyday"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "3.1.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3.1.2",
"display": "Little interest to do things"
}
],
"text": "Little interest to do things",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Not At All"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Several Days"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "> 7 days"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Almost everyday"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "3.1.3",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3.1.3",
"display": "Trouble falling asleep/staying asleep or sleeping too much"
}
],
"text": "Trouble falling asleep/staying asleep or sleeping too much",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Not At All"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Several Days"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "> 7 days"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Almost everyday"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "3.1.4",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3.1.4",
"display": "Felt tired or having little energy"
}
],
"text": "Felt tired or having little energy",
"type": "choice",
"required": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Not At All"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Several Days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "> 7 days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Almost everyday"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "3.1.5",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3.1.5",
"display": "Had poor appetite or over eating"
}
],
"text": "Had poor appetite or over eating",
"type": "choice",
"required": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Not At All"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Several Days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "> 7 days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Almost everyday"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "3.1.6",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3.1.6",
"display": "Felt bad about himself/herself, felt like a failure or he/she has let his/her family down"
}
],
"text": "Felt bad about himself/herself, felt like a failure or he/she has let his/her family down",
"type": "choice",
"required": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Not At All"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Several Days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "> 7 days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Almost everyday"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "3.1.7",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3.1.7",
"display": "Trouble concentrating (e.g. watching television or reading newspaper)"
}
],
"text": "Trouble concentrating (e.g. watching television or reading newspaper)",
"type": "choice",
"required": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Not At All"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Several Days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "> 7 days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Almost everyday"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "3.1.8",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3.1.8",
"display": "Moved slowly or fidgeted excessively that is noticeable by people around him/her"
}
],
"text": "Moved slowly or fidgeted excessively that is noticeable by people around him/her",
"type": "choice",
"required": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Not At All"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Several Days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "> 7 days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Almost everyday"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "3.1.9",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3.1.9",
"display": "Had thoughts that he/she would be better dead, or hurting yourself"
}
],
"text": "Had thoughts that he/she would be better dead, or hurting yourself",
"type": "choice",
"required": false,
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Not At All"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Several Days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "> 7 days"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Almost everyday"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "3.1.10",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3.1.10",
"display": "Total Mental Health Test Score"
}
],
"text": "Total Mental Health Test Score",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "0-4 : None-minimal depression"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "5-9 : Mild Depression"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "10-14 : Moderate Depression"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "15-19 :Moderate severe depression"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "20-27 : Severe Depression"
}
}
]
}
]
},
{
"linkId": "3.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3.2",
"display": "In the last 2 weeks, indicate how difficult these problems made it for this patient"
},
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3,2",
"display": "In the last 2 weeks, indicate how difficult these problems made it for this patient"
}
],
"text": "In the last 2 weeks, indicate how difficult these problems made it for this patient",
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"required": false,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "3.2.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "3.2.1",
"display": "Do your work, take care of things at home, or get along with others"
}
],
"text": "Do your work, take care of things at home, or get along with others",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Not Difficult"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Somewhat difficult"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Very difficult"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
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}
}
]
}
]
}
]
},
{
"linkId": "4",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Lifestyle Health Assessment"
}
],
"text": "Lifestyle Health Assessment",
"type": "group",
"required": false,
"item": [
{
"linkId": "4.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.1",
"display": "Alcohol consumption"
}
],
"text": "Alcohol consumption",
"type": "group",
"required": false,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "4.1.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.1.1",
"display": "How often do you consume alcohol?"
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],
"text": "How often do you consume alcohol?",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Never"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Once a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "2-4 times a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "2-3 times week"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "> 4 times a weeks"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "4.1.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.1.2",
"display": "How many alcoholic beverages do you consume in a day?"
}
],
"text": "How many alcoholic beverages do you consume in a day?",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "<2"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "3-4"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "5-6"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "7-9"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": ">10"
}
}
]
},
{
"linkId": "4.1.3",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.1.3",
"display": "How often within the last year,"
}
],
"text": "How often within the last year,",
"type": "group",
"required": false,
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "4.1.3.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.1.3.1",
"display": "Do you consume 6 or more drink in a day?"
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],
"text": "Do you consume 6 or more drink in a day?",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Never"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "< Once a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Once a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Weekly"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Almost daily"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "4.1.3.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.1.3.2",
"display": "Were you not able to stop drinking once started?"
}
],
"text": "Were you not able to stop drinking once started?",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Never"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "< Once a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Once a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Weekly"
}
},
{
"valueCoding": {
"code": "04",
"display": "Almost daily"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "4.1.3.3",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.1.3.3",
"display": "Were you not able to perform normal activities due to drinking?"
}
],
"text": "Were you not able to perform normal activities due to drinking?",
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"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Never"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "< Once a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Once a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Weekly"
}
},
{
"valueCoding": {
"code": "04",
"display": "Almost daily"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "4.1.3.4",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.1.3.4",
"display": "You needed to drink first thing in the morning to get going after a heavy drinking session?"
}
],
"text": "You needed to drink first thing in the morning to get going after a heavy drinking session?",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Never"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "< Once a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Once a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Weekly"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Almost daily"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "4.1.3.5",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.1.3.5",
"display": "That you felt guilt or remorse after drinking?"
}
],
"text": "That you felt guilt or remorse after drinking?",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Never"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "< Once a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Once a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Weekly"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Almost daily"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "4.1.3.6",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.1.3.6",
"display": "Were you unable to remember what happened the night before due to drinking?"
}
],
"text": "Were you unable to remember what happened the night before due to drinking?",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Never"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "< Once a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Once a month"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Weekly"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Almost daily"
}
}
]
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "4.1.4",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.1.4",
"display": "Have you or someone else been injured because of your drinking?"
}
],
"text": "Have you or someone else been injured because of your drinking?",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Yes, but not last year"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Yes, during last year"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "4.1.5",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.1.5",
"display": "Has a relative, friend, doctor, been concerned about your drinking habits?"
}
],
"text": "Has a relative, friend, doctor, been concerned about your drinking habits?",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "No"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Yes, but not last year"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Yes, during last year"
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}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
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],
"text": "Drop down"
}
}
],
"linkId": "4.1.6",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.1.6",
"display": "Total Alcohol Consumption Test Score"
}
],
"text": "Total Alcohol Consumption Test Score",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "1-7 Low Risk"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "8-12 Moderate Risk"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": ">13 High Risk"
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}
]
}
]
},
{
"linkId": "4.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.2",
"display": "Smoking Status"
}
],
"text": "Smoking Status",
"type": "group",
"required": false,
"item": [
{
"linkId": "4.2.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.2.1",
"display": "Does the patient smoke?"
}
],
"text": "Does the patient smoke?",
"type": "boolean",
"required": false
},
{
"linkId": "4.2.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.2.2",
"display": "Cigarettes per Day"
}
],
"text": "Cigarettes per Day",
"type": "integer",
"required": false
},
{
"linkId": "4.2.3",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.2.3",
"display": "Years of Smoking"
}
],
"text": "Years of Smoking",
"type": "integer",
"required": false
},
{
"linkId": "4.2.4",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "4.2.4",
"display": "Total pack-years"
}
],
"text": "Total pack-years",
"type": "quantity",
"required": false
}
]
}
]
},
{
"linkId": "5",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "05",
"display": "Clinical Parameters"
}
],
"text": "Clinical Parameters",
"type": "group",
"required": false,
"item": [
{
"extension": [
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"valueCoding": {
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"valueCoding": {
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"valueCoding": {
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},
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},
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"valueCoding": {
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"valueCoding": {
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},
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"linkId": "2775452197874",
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{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.6.2"
}
],
"text": "If Abnormal, Gums:",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Gingvitis"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Hyperthropic gums"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Ulcer"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Others"
}
}
]
},
{
"linkId": "9937565309207",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.6.3"
}
],
"text": "If Abnormal, Tongue:",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Athropic glossitis Thrush"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Macroglossia"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Cyanosis"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Leukplakia"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "05",
"display": "Others"
}
}
]
}
]
},
{
"linkId": "681882410657",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.7"
}
],
"text": "Ears, Nose, Throat",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "1009194092473",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.7.1"
}
],
"text": "If Abnormal, Ears:",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Bleeding"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Discharges"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Impacted earwax"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Perforated tympanic membrane"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "05",
"display": "Microtia"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "06",
"display": "Low set ears"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "07",
"display": "Foreign body"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "08",
"display": "Others"
}
}
]
},
{
"linkId": "5071830545688",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.7.2"
}
],
"text": "If Abnormal, Nose:",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Epistaxis"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Discharges"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Deviated nasal septum"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Turbinate hyperthropy"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "05",
"display": "Foreign body"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "06",
"display": "Others"
}
}
]
},
{
"linkId": "1032584307566",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.7.3"
}
],
"text": "If Abnormal, Throat:",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Injected tonsil"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Hyperthropic tonsil"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Deviated uvula"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "White plaque"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "05",
"display": "Others"
}
}
]
}
]
},
{
"linkId": "1760871504781",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.8"
}
],
"text": "Eyes",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "2830264276824",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.8.1"
}
],
"text": "If Abnormal, General:",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Discharge"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Squint"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Xanthelasma"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Ptosis"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "05",
"display": "Periorbital edema"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "06",
"display": "Exopthalmos"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "07",
"display": "Lump"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "08",
"display": "Pterygium"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "09",
"display": "Ectropion/Entropion"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "10",
"display": "Dry eyes"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "11",
"display": "Foreign Bodies"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "12",
"display": "Others"
}
}
]
},
{
"linkId": "9200420167241",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.8.2"
}
],
"text": "If Abnormal, Conjunctiva:",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Pallor"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Injected Conjunctival"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Hemorrhage"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Others"
}
}
]
},
{
"linkId": "3896132461914",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.8.3"
}
],
"text": "If Abnormal, Cornea:",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Arcus"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Kaiser Fleischer's ring (Wilson Disease)"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Others"
}
}
]
}
]
},
{
"linkId": "4541398644599",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.9"
}
],
"text": "Fundoscopy",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "00",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Abnormal"
}
}
],
"item": [
{
"linkId": "4508425091768",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.9.1"
}
],
"text": "If Abnormal, General:",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Absence of reflex"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Others"
}
}
]
},
{
"linkId": "3275429148998",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.9.2"
}
],
"text": "If Abnormal, Optic Disc",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Swollen"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Pale"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Cup-Disc Ratio >0.5"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Others"
}
}
]
},
{
"linkId": "87716190119",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.9.3"
}
],
"text": "If Abnormal, Retina:",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Arteriolar narrowing"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Arteriovenous nicking"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Cotton-wool spots"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "Exudates"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "05",
"display": "Hemorrhages"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "06",
"display": "Others"
}
}
]
},
{
"linkId": "1106310017866",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.9.4"
}
],
"text": "If Abnormal, Macula:",
"type": "choice",
"repeats": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Exudates"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Pigmented"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "Others"
}
}
]
}
]
},
{
"linkId": "7802596122190",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.10"
}
],
"text": "Ishihara Chart:",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "Abnormal"
}
}
]
},
{
"linkId": "1772552914755",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.11"
}
],
"text": "Snellen Eye Chart Score",
"type": "group",
"item": [
{
"linkId": "5634044053426",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.11.1"
}
],
"text": "Snellen Eye Chart Right eye With Lens",
"type": "choice",
"repeats": false,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "6/60"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "6/36"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "6/24"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "6/18"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "05",
"display": "6/12"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "06",
"display": "6/9"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "07",
"display": "6/6"
}
}
]
},
{
"linkId": "6868904614360",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.11.2"
}
],
"text": "Snellen Eye Chart Right eye Without Lens",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "6/60"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "6/36"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "6/24"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "6/18"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "05",
"display": "6/12"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "06",
"display": "6/9"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "07",
"display": "6/6"
}
}
]
},
{
"linkId": "9535262095025",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "7.11.3"
}
],
"text": "Snellen Eye Chart Left eye With Lens",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "01",
"display": "6/60"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "02",
"display": "6/36"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "03",
"display": "6/24"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "04",
"display": "6/18"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "05",
"display": "6/12"
}
},
{
"valueCoding": {
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{
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{
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},
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},
{
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},
{
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},
{
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{
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{
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{
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{
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"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "35",
"display": "T. ATROVASTATIN 20MG"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "46",
"display": "T. SIMVASTATIN 10MG"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "37",
"display": "T. SIMVASTATIN 40MG"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "38",
"display": "T. WARFARIN 1MG"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "39",
"display": "T. WARFARIN 2MG"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "40",
"display": "T. WARFARIN 5MG"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "41",
"display": "T. OMEPRAZOLE 20MG"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "42",
"display": "T. RANITIDINE 150MG"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "43",
"display": "T. BENZHEXOL 2MG"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "44",
"display": "T. NEUROBION"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "45",
"display": "T. ZINCOFER"
}
}
]
}
]
}
]
},
{
"linkId": "11",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "11",
"display": "Verified by"
},
{
"code": "11",
"display": "Verified by"
}
],
"text": "Verified by",
"type": "group",
"required": false,
"item": [
{
"linkId": "11.1",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "11.1",
"display": "Officer incharge"
}
],
"text": "Officer incharge",
"type": "string",
"required": false
},
{
"linkId": "11.2",
"code": [
{
"system": "http://fhir.hie.moh.gov.my/CodeSystem/nhsi-my-core",
"code": "11.2",
"display": "Registration Number/ IC number"
}
],
"text": "Registration Number/ IC number",
"type": "string",
"required": false
}
]
}
]
}