| Package | IdHIE.0v |
| Type | Questionnaire |
| Id | Id |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=IdHIE.0v@0.0.1&canonical=http://fhir.hie.moh.gov.my/Questionnaire/questionnaire-dass-21 |
| Url | http://fhir.hie.moh.gov.my/Questionnaire/questionnaire-dass-21 |
| Status | active |
| Date | 2023-03-30T22:48:32.9749675+00:00 |
| Title | Depression Anxiety and Stress Scale 21 (DASS-21) |
| Experimental | False |
| Authority | hl7 |
| Description | Please read each statement and choose the answer that indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement |
| Purpose | The DASS-21 is the short form of the DASS-42, a self-report scale designed to measure the negative emotional states of depression, anxiety and stress. |
No resources found
No resources found
FHIR{
"resourceType" : "Questionnaire",
"id" : "questionnaire-dass-21",
"meta" : {
"source" : "http://provider.hie.moh.gov.my",
"profile" : [
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]
},
"url" : "http://fhir.hie.moh.gov.my/Questionnaire/questionnaire-dass-21",
"title" : "Depression Anxiety and Stress Scale 21 (DASS-21)",
"status" : "active",
"date" : "2023-03-30T22:48:32.9749675+00:00",
"description" : "Please read each statement and choose the answer that indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement",
"useContext" : [
{
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"display" : "Workflow Setting"
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],
"item" : [
{
"linkId" : "01",
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{
"code" : "stress"
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],
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"text" : "I found it hard to wind down",
"type" : "choice",
"required" : true,
"answerOption" : [
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"code" : "anxiety"
}
],
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"text" : "I was aware of dryness of my mouth",
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"required" : true,
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},
{
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],
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]
},
{
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"code" : [
{
"code" : "anxiety"
}
],
"prefix" : "04",
"text" : "I experienced breathing difficulty (eg, excessively rapid breathing, breathlessness in the absence of physical exertion)",
"type" : "choice",
"required" : true,
"answerOption" : [
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"valueCoding" : {
"code" : "0",
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},
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},
{
"linkId" : "05",
"code" : [
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"code" : "depression"
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],
"prefix" : "05",
"text" : "I found it difficult to work up the initiative to do things",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"code" : "0",
"display" : "Never"
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},
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},
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]
},
{
"linkId" : "06",
"code" : [
{
"code" : "stress"
}
],
"prefix" : "06",
"text" : "I tended to over-react to situations",
"type" : "choice",
"required" : true,
"answerOption" : [
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"valueCoding" : {
"code" : "0",
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},
{
"linkId" : "07",
"code" : [
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"code" : "anxiety"
}
],
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"text" : "I experienced trembling (eg, in the hands)",
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]
},
{
"linkId" : "08",
"code" : [
{
"code" : "stress"
}
],
"prefix" : "08",
"text" : "I felt that I was using a lot of nervous energy",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"code" : "0",
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},
{
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]
},
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"code" : "anxiety"
}
],
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"text" : "I was worried about situations in which I might panic and make a fool of myself",
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},
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"linkId" : "10",
"code" : [
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"code" : "depression"
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],
"prefix" : "10",
"text" : "I felt that I had nothing to look forward to",
"type" : "choice",
"required" : true,
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},
{
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},
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},
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"linkId" : "11",
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"code" : "stress"
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"prefix" : "11",
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"code" : "stress"
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"code" : "2",
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},
{
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},
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"linkId" : "13",
"code" : [
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"code" : "depression"
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"prefix" : "13",
"text" : "I felt down-hearted and blue",
"type" : "choice",
"required" : true,
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},
{
"valueCoding" : {
"code" : "2",
"display" : "Often"
}
},
{
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"code" : "3",
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]
},
{
"linkId" : "14",
"code" : [
{
"code" : "stress"
}
],
"prefix" : "14",
"text" : "I was intolerant of anything that kept me from getting on with what I was doing",
"type" : "choice",
"required" : true,
"answerOption" : [
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},
{
"valueCoding" : {
"code" : "2",
"display" : "Often"
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},
{
"linkId" : "15",
"code" : [
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"code" : "anxiety"
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"prefix" : "15",
"text" : "I felt I was close to panic",
"type" : "choice",
"required" : true,
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{
"valueCoding" : {
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},
{
"valueCoding" : {
"code" : "2",
"display" : "Often"
}
},
{
"valueCoding" : {
"code" : "3",
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}
]
},
{
"linkId" : "16",
"code" : [
{
"code" : "depression"
}
],
"prefix" : "16",
"text" : "I was unable to become enthusiastic about anything",
"type" : "choice",
"required" : true,
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"code" : "1",
"display" : "Sometimes"
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},
{
"valueCoding" : {
"code" : "2",
"display" : "Often"
}
},
{
"valueCoding" : {
"code" : "3",
"display" : "Almost Always"
}
}
]
},
{
"linkId" : "17",
"code" : [
{
"code" : "depression"
}
],
"prefix" : "17",
"text" : "I felt I wasn’t worth much as a person",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"code" : "0",
"display" : "Never"
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},
{
"valueCoding" : {
"code" : "1",
"display" : "Sometimes"
}
},
{
"valueCoding" : {
"code" : "2",
"display" : "Often"
}
},
{
"valueCoding" : {
"code" : "3",
"display" : "Almost Always"
}
}
]
},
{
"linkId" : "18",
"code" : [
{
"code" : "stress"
}
],
"prefix" : "18",
"text" : "I felt that I was rather touchy",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"code" : "0",
"display" : "Never"
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},
{
"valueCoding" : {
"code" : "1",
"display" : "Sometimes"
}
},
{
"valueCoding" : {
"code" : "2",
"display" : "Often"
}
},
{
"valueCoding" : {
"code" : "3",
"display" : "Almost Always"
}
}
]
},
{
"linkId" : "19",
"code" : [
{
"code" : "anxiety"
}
],
"prefix" : "19",
"text" : "I was aware of the action of my heart in the absence of physical exertion (eg, sense of heart rate increase, heart missing a beat)",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"code" : "0",
"display" : "Never"
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},
{
"valueCoding" : {
"code" : "1",
"display" : "Sometimes"
}
},
{
"valueCoding" : {
"code" : "2",
"display" : "Often"
}
},
{
"valueCoding" : {
"code" : "3",
"display" : "Almost Always"
}
}
]
},
{
"linkId" : "20",
"code" : [
{
"code" : "anxiety"
}
],
"prefix" : "20",
"text" : "I felt scared without any good reason",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"code" : "0",
"display" : "Never"
}
},
{
"valueCoding" : {
"code" : "1",
"display" : "Sometimes"
}
},
{
"valueCoding" : {
"code" : "2",
"display" : "Often"
}
},
{
"valueCoding" : {
"code" : "3",
"display" : "Almost Always"
}
}
]
},
{
"linkId" : "21",
"code" : [
{
"code" : "depression"
}
],
"prefix" : "21",
"text" : "I felt that life was meaningless",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"code" : "0",
"display" : "Never"
}
},
{
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},
{
"valueCoding" : {
"code" : "2",
"display" : "Often"
}
},
{
"valueCoding" : {
"code" : "3",
"display" : "Almost Always"
}
}
]
},
{
"linkId" : "22",
"code" : [
{
"code" : "stress-score"
}
],
"prefix" : "22",
"text" : "Stress Score",
"type" : "integer",
"required" : true,
"readOnly" : true
},
{
"linkId" : "23",
"code" : [
{
"code" : "anxiety-score"
}
],
"prefix" : "23",
"text" : "Anxiety Score",
"type" : "integer",
"required" : true,
"readOnly" : true
},
{
"linkId" : "24",
"code" : [
{
"code" : "depression-score"
}
],
"prefix" : "24",
"text" : "Depression Score",
"type" : "integer",
"required" : true,
"readOnly" : true
}
],
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.