Package | myhie.v4-test |
Resource Type | Questionnaire |
Id | q-hajj-mbi |
FHIR Version | R4 |
Source | https://simplifier.net/resolve?scope=myhie.v4-test@0.0.1-alpha&canonical=http://fhir.hie.moh.gov.my/Questionnaire/q-hajj-mbi |
URL | http://fhir.hie.moh.gov.my/Questionnaire/q-hajj-mbi |
Version | 1.0.0 |
Status | active |
Date | 2024-01-12T07:01:56.2573632+00:00 |
Name | QHajjMbi |
Title | Saringan Modified Barthel Index (MBI) |
No resources found
No resources found
No narrative content found in resource
{ "resourceType": "Questionnaire", "id": "q-hajj-mbi", "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-hajj-mbi", "version": "1.0.0", "name": "QHajjMbi", "title": "Saringan Modified Barthel Index (MBI)", "status": "active", "date": "2024-01-12T07:01:56.2573632+00:00", "item": [ { "linkId": "1", "text": "Kebersihan diri", "type": "choice", "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "valueCoding": { "code": "08", "display": "Perlukan bantuan sepenuhnya" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 1 } ], "valueCoding": { "code": "09", "display": "Perlukan bantuan maksima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 3 } ], "valueCoding": { "code": "10", "display": "Perlukan bantuan sederhana" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 4 } ], "valueCoding": { "code": "11", "display": "Perlukan bantuan minima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 5 } ], "valueCoding": { "code": "12", "display": "Berdikari sepenuhnya" } } ] }, { "linkId": "2", "text": "Mandi", "type": "choice", "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "valueCoding": { "code": "08", "display": "Perlukan bantuan sepenuhnya" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 1 } ], "valueCoding": { "code": "09", "display": "Perlukan bantuan maksima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 3 } ], "valueCoding": { "code": "10", "display": "Perlukan bantuan sederhana" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 4 } ], "valueCoding": { "code": "11", "display": "Perlukakn bantuan minima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 5 } ], "valueCoding": { "code": "12", "display": "Berdikari sepenuhnya" } } ] }, { "linkId": "3", "text": "Kemahiran ke tandas (Toileting)", "type": "choice", "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "valueCoding": { "code": "08", "display": "Perlukan bantuan sepenuhnya" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 2 } ], "valueCoding": { "code": "09", "display": "Perlukan bantuan maksima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 5 } ], "valueCoding": { "code": "10", "display": "Perlukan bantuan sederhana" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 6 } ], "valueCoding": { "code": "11", "display": "Perlukan bantuan minima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 10 } ], "valueCoding": { "code": "12", "display": "Berdikari sepenuhnya" } } ] }, { "linkId": "4", "text": "Menaiki Tangga", "type": "choice", "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "valueCoding": { "code": "08", "display": "Perlukan bantuan sepenuhnya" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 2 } ], "valueCoding": { "code": "09", "display": "Perlukan bantuan maksima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 5 } ], "valueCoding": { "code": "10", "display": "Perlukan bantuan sederhana" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 6 } ], "valueCoding": { "code": "11", "display": "Perlukan bantuan minima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 10 } ], "valueCoding": { "code": "12", "display": "Berdikari sepenuhnya" } } ] }, { "linkId": "5", "text": "Memakai pakaian", "type": "choice", "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "valueCoding": { "code": "08", "display": "Perlukan bantuan sepenuhnya" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 2 } ], "valueCoding": { "code": "09", "display": "Perlukan bantuan maksima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 5 } ], "valueCoding": { "code": "10", "display": "Perlukan bantuan sederhana" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 6 } ], "valueCoding": { "code": "11", "display": "Perlukan bantuan minima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 10 } ], "valueCoding": { "code": "12", "display": "Berdikari sepenuhnya" } } ] }, { "linkId": "6", "text": "Makan & minum", "type": "choice", "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "valueCoding": { "display": "Perlukan bantuan sepenuhnya" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 2 } ], "valueCoding": { "display": "Perlukan bantuan maksima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 5 } ], "valueCoding": { "display": "Perlukan bantuan sederhana" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 6 } ], "valueCoding": { "display": "Perlukan bantuan minima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 10 } ], "valueCoding": { "display": "Berdikari sepenuhnya" } } ] }, { "linkId": "7", "text": "Kawalan pembuangan air kecil", "type": "choice", "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "valueCoding": { "code": "08", "display": "Perlukan bantuan sepenuhnya" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 2 } ], "valueCoding": { "code": "09", "display": "Perlukan bantuan maksima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 5 } ], "valueCoding": { "code": "10", "display": "Perlukan bantuan sederhana" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 6 } ], "valueCoding": { "code": "11", "display": "Perlukan bantuan minima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 10 } ], "valueCoding": { "code": "12", "display": "Berdikari sepenuhnya" } } ] }, { "linkId": "8", "text": "Kawalan pembuangan air besar", "type": "choice", "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "valueCoding": { "code": "08", "display": "Perlukan bantuan sepenuhnya" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 2 } ], "valueCoding": { "code": "09", "display": "Perlukan bantuan maksima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 5 } ], "valueCoding": { "code": "10", "display": "Perlukan bantuan sederhana" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 6 } ], "valueCoding": { "code": "11", "display": "Perlukan bantuan minima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 10 } ], "valueCoding": { "code": "12", "display": "Berdikari sepenuhnya" } } ] }, { "linkId": "9", "text": "Pemindahan ke kerusi / katil", "type": "choice", "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "valueCoding": { "code": "08", "display": "Perlukan bantuan sepenuhnya" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 3 } ], "valueCoding": { "code": "09", "display": "Perlukan bantuan maksima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 8 } ], "valueCoding": { "code": "10", "display": "Perlukan bantuan sederhana" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 12 } ], "valueCoding": { "code": "11", "display": "Perlukan bantuan minima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 15 } ], "valueCoding": { "code": "12", "display": "Berdikari sepenuhnya" } } ] }, { "linkId": "10", "text": "Pergerakkan", "type": "choice", "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "valueCoding": { "code": "08", "display": "Perlukan bantuan sepenuhnya" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 3 } ], "valueCoding": { "code": "09", "display": "Perlukan bantuan maksima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 8 } ], "valueCoding": { "code": "10", "display": "Perlukan bantuan sederhana" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 12 } ], "valueCoding": { "code": "11", "display": "Perlukan bantuan minima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 15 } ], "valueCoding": { "code": "12", "display": "Berdikari sepenuhnya" } } ] }, { "linkId": "11", "text": "Penggunaan kerusi roda (skor hanya jika pesakit perlu bantuan sepenuhnya untuk bergerak dan telah dilatih berkerusi roda)", "type": "choice", "answerOption": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 0 } ], "valueCoding": { "code": "08", "display": "Perlukan bantuan sepenuhnya" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 1 } ], "valueCoding": { "code": "09", "display": "Perlukan bantuan maksima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 3 } ], "valueCoding": { "code": "10", "display": "Perlukan bantuan sederhana" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 4 } ], "valueCoding": { "code": "11", "display": "Perlukan bantuan minima" } }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue", "valueDecimal": 4 } ], "valueCoding": { "code": "12", "display": "Berdikari sepenuhnya" } } ] }, { "linkId": "12", "text": "Jumlah markah", "type": "quantity" } ] }