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FHIR IG Statistics: Questionnaire/saiful

PackageIdHIE.0v
Resource TypeQuestionnaire
Idsaiful
FHIR VersionR4
Sourcehttps://simplifier.net/resolve?scope=IdHIE.0v@0.0.1&canonical=http://fhir.hie.moh.gov.my/Questionnaire/saiful-my-core
URLhttp://fhir.hie.moh.gov.my/Questionnaire/saiful-my-core
Statusactive
Date2023-03-30T22:48:32.9749675+00:00
NameSaiful
TitleMalaysia National Health Screening

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source

{
  "resourceType": "Questionnaire",
  "id": "saiful",
  "meta": {
    "source": "http://provider.hie.moh.gov.my",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/Questionnaire"
    ]
  },
  "url": "http://fhir.hie.moh.gov.my/Questionnaire/saiful-my-core",
  "name": "Saiful",
  "title": "Malaysia National Health Screening",
  "status": "active",
  "experimental": true,
  "date": "2023-03-30T22:48:32.9749675+00:00",
  "item": [
    {
      "linkId": "1",
      "text": "User Demographic",
      "type": "reference",
      "required": false
    },
    {
      "linkId": "2",
      "text": "Assessments",
      "type": "group",
      "required": false,
      "item": [
        {
          "linkId": "2.1",
          "text": "Does the patient have any family history?",
          "type": "boolean",
          "required": false,
          "item": [
            {
              "linkId": "2.1.1",
              "text": "If yes:",
              "type": "reference",
              "required": false
            }
          ]
        },
        {
          "linkId": "2.2",
          "text": "Does the patient have any medical history?",
          "type": "reference",
          "required": false
        }
      ]
    },
    {
      "linkId": "3",
      "text": "Mental Health Assessments",
      "type": "reference",
      "required": false
    },
    {
      "linkId": "4",
      "text": "Lifestyle Health Assessment",
      "type": "group",
      "required": false,
      "item": [
        {
          "linkId": "4.1",
          "text": "Alcohol consumption",
          "type": "reference",
          "required": false
        },
        {
          "linkId": "4.2",
          "text": "Smoking Status",
          "type": "reference",
          "required": false
        }
      ]
    },
    {
      "linkId": "5",
      "text": "Clinical Parameters",
      "type": "group",
      "required": false,
      "item": [
        {
          "linkId": "5.1",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "8302-2",
              "display": "Anthropometry: Height"
            }
          ],
          "text": "Anthropometry: Height",
          "type": "reference",
          "required": false
        },
        {
          "linkId": "5.2",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "8306-3",
              "display": "Anthropometry: Weight"
            }
          ],
          "text": "Anthropometry: Weight",
          "type": "reference",
          "required": false
        },
        {
          "linkId": "5.3",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "8280-0",
              "display": "Anthropometry: Waistline"
            }
          ],
          "text": "Anthropometry: Waistline",
          "type": "reference",
          "required": false
        },
        {
          "linkId": "5.4",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "39156-5",
              "display": "BMI"
            }
          ],
          "text": "BMI Outcome",
          "type": "reference",
          "required": false
        },
        {
          "linkId": "5.6",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "8480-6",
              "display": "Vital Signs: Blood Pressure (systolic)"
            }
          ],
          "text": "Vital Signs: Blood Pressure (systolic)",
          "type": "reference",
          "required": false
        },
        {
          "linkId": "5.7",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "8462-4",
              "display": "Vital Signs: Blood Pressure (diastolic)"
            }
          ],
          "text": "Vital Signs: Blood Pressure (diastolic)",
          "type": "reference",
          "required": false
        },
        {
          "linkId": "5.8",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "8867-4",
              "display": "Vital Signs: Pulse Rate"
            }
          ],
          "text": "Vital Signs: Pulse Rate",
          "type": "reference",
          "required": false
        },
        {
          "linkId": "5.09",
          "text": "Point of Care Testing: Blood Glucose",
          "type": "group",
          "required": false,
          "item": [
            {
              "linkId": "5.09.1",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "271062006",
                  "display": "Fasting"
                }
              ],
              "text": "Fasting",
              "type": "reference",
              "required": false
            },
            {
              "linkId": "5.09.2",
              "code": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "271061004",
                  "display": "Random"
                }
              ],
              "text": "Random",
              "type": "reference",
              "required": false
            }
          ]
        },
        {
          "linkId": "5.10",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "57698-3",
              "display": "Lipid panel - Serum or Plasma"
            }
          ],
          "text": "Point of Care Testing: Blood Cholesterol",
          "type": "reference",
          "required": false
        }
      ]
    },
    {
      "linkId": "6",
      "text": "Advanced Health Screening (Optional)",
      "type": "group",
      "required": false,
      "item": [
        {
          "linkId": "6.1",
          "text": "Cardiovascular",
          "type": "choice",
          "required": false,
          "repeats": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "01",
                "display": "Chest Pain"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "02",
                "display": "Ankle Swelling"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "03",
                "display": "Shortness of breath"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "04",
                "display": "Intermittent claudication"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "05",
                "display": "Orthopnoea"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "06",
                "display": "Cough with or without sputum"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "07",
                "display": "Palpitation"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "08",
                "display": "Nocturnal dyspnoea"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "09",
                "display": "Haemoptysis"
              }
            }
          ]
        },
        {
          "linkId": "6.2",
          "text": "Gastrointestinal",
          "type": "choice",
          "required": false,
          "repeats": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "01",
                "display": "Abdominal pain"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "02",
                "display": "Nausea and/or vomiting"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "03",
                "display": "Bowel pattern and any changes"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "04",
                "display": "Dyspepsia"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "05",
                "display": "Degree of appetide"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "06",
                "display": "Cough with or without sputum"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "07",
                "display": "Dysphagia"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "08",
                "display": "Weight loss or gain"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "09",
                "display": "Haemoptyis"
              }
            }
          ]
        },
        {
          "linkId": "6.3",
          "code": [
            {
              "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
              "code": "6.3",
              "display": "Genitourinary"
            }
          ],
          "text": "Genitourinary",
          "type": "choice",
          "required": false,
          "repeats": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "01",
                "display": "Haematuria"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "02",
                "display": "Dysuria"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "03",
                "display": "Menstual irregularity - women"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "04",
                "display": "Nocturia"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "05",
                "display": "Frequency"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "06",
                "display": "Urethral discharge - men"
              }
            }
          ]
        },
        {
          "linkId": "6.4",
          "code": [
            {
              "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
              "code": "6.4",
              "display": "Locomotor"
            }
          ],
          "text": "Locomotor",
          "type": "choice",
          "required": false,
          "repeats": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "01",
                "display": "Joint pain"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "02",
                "display": "Change in mobility"
              }
            }
          ]
        },
        {
          "linkId": "6.5",
          "code": [
            {
              "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
              "code": "6.5",
              "display": "Neurological"
            }
          ],
          "text": "Neurological",
          "type": "choice",
          "required": false,
          "repeats": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "01",
                "display": "Seizures"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "02",
                "display": "Eyesight"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "03",
                "display": "Transient loss of function (vision, speech, sight)"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "04",
                "display": "Collapses"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "05",
                "display": "Hearing"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "06",
                "display": "Paresthesia"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "07",
                "display": "Dizziness"
              }
            }
          ]
        },
        {
          "linkId": "6.6",
          "code": [
            {
              "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
              "code": "6.6",
              "display": "ENT Symptoms"
            }
          ],
          "text": "ENT Symptoms",
          "type": "choice",
          "required": false,
          "repeats": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "01",
                "display": "Hearing loss/tinnitus"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "02",
                "display": "Epistaxis"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "03",
                "display": "Snoring"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "04",
                "display": "Otalgia"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "05",
                "display": "Dysphonia"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "06",
                "display": "Trismus"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "07",
                "display": "Facial pain"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "08",
                "display": "Dysphagia"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "09",
                "display": "Neck swelling"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "10",
                "display": "Persistent nasal discharge"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "11",
                "display": "Odynophagia"
              }
            }
          ]
        },
        {
          "linkId": "6.7",
          "code": [
            {
              "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
              "code": "6.7",
              "display": "Dermatology"
            }
          ],
          "text": "Dermatology",
          "type": "choice",
          "required": false,
          "repeats": true,
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "01",
                "display": "Rashes"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "02",
                "display": "Skin color changes"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "03",
                "display": "Ulcers"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "04",
                "display": "Skin lesions"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "7",
      "text": "Advanced Systemic Examination (Optional)",
      "type": "group",
      "required": false,
      "item": [
        {
          "linkId": "7.1",
          "code": [
            {
              "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
              "code": "7.1",
              "display": "General Appearance"
            }
          ],
          "text": "General Appearance",
          "type": "choice",
          "required": false,
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "00",
                "display": "Normal"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "01",
                "display": "Abnormal"
              }
            }
          ],
          "item": [
            {
              "linkId": "7.1.1",
              "code": [
                {
                  "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                  "code": "7.1.1",
                  "display": "If Abnormal:"
                }
              ],
              "text": "If Abnormal:",
              "type": "choice",
              "required": false,
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                    "code": "01",
                    "display": "Ill-looking"
                  }
                },
                {
                  "valueCoding": {
                    "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                    "code": "02",
                    "display": "Dehydrated"
                  }
                },
                {
                  "valueCoding": {
                    "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                    "code": "03",
                    "display": "Cachexic"
                  }
                },
                {
                  "valueCoding": {
                    "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                    "code": "04",
                    "display": "Abnormal gait"
                  }
                }
              ]
            }
          ]
        },
        {
          "linkId": "7.2",
          "code": [
            {
              "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
              "code": "7.2",
              "display": "Hands and Arms:"
            }
          ],
          "text": "Hands and Arms:",
          "type": "choice",
          "required": false,
          "answerOption": [
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "00",
                "display": "Normal"
              }
            },
            {
              "valueCoding": {
                "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                "code": "01",
                "display": "Abnormal"
              }
            }
          ],
          "item": [
            {
              "linkId": "7.2.1",
              "code": [
                {
                  "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                  "code": "7.2.1",
                  "display": "If Abnormal:"
                }
              ],
              "text": "If Abnormal:",
              "type": "choice",
              "required": false,
              "repeats": true,
              "answerOption": [
                {
                  "valueCoding": {
                    "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                    "code": "01",
                    "display": "Clubbing"
                  }
                },
                {
                  "valueCoding": {
                    "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                    "code": "02",
                    "display": "Koilonychia"
                  }
                },
                {
                  "valueCoding": {
                    "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                    "code": "03",
                    "display": "Leuchonychia"
                  }
                },
                {
                  "valueCoding": {
                    "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                    "code": "04",
                    "display": "Palmar erythema"
                  }
                },
                {
                  "valueCoding": {
                    "system": "http://fhir.hie.moh.gov.my/CodeSystem/questionnaire-my-core",
                    "code": "05",
                    "display": "Dupuytren’s contracture"
                  }
                },
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                  "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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                },
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