| Package | MyHIE.v4-test |
| Resource Type | Questionnaire |
| Id | q-dass-21 |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=MyHIE.v4-test@2.1.0-alpha&canonical=http://fhir.hie.moh.gov.my/Questionnaire/dass-21 |
| URL | http://fhir.hie.moh.gov.my/Questionnaire/dass-21 |
| Status | active |
| Date | 2023-08-30T01:44:59.0418083+00:00 |
| Title | Depression Anxiety and Stress Scale 21 (DASS-21) |
| 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. |
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"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": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "0",
"display": "Never"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "1",
"display": "Sometimes"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 4
}
],
"valueCoding": {
"code": "2",
"display": "Often"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 6
}
],
"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": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "0",
"display": "Never"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "1",
"display": "Sometimes"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 4
}
],
"valueCoding": {
"code": "2",
"display": "Often"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 6
}
],
"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": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "0",
"display": "Never"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "1",
"display": "Sometimes"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 4
}
],
"valueCoding": {
"code": "2",
"display": "Often"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
"valueDecimal": 6
}
],
"valueCoding": {
"code": "3",
"display": "Almost Always"
}
}
]
},
{
"id": "score-stress",
"linkId": "22",
"code": [
{
"code": "stress-score"
}
],
"text": "Stress Score",
"type": "integer",
"required": true,
"readOnly": true
},
{
"id": "outcome-stress",
"linkId": "23",
"code": [
{
"code": "stress outcome"
}
],
"text": "Stress Outcome Summary",
"type": "choice",
"required": true,
"readOnly": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core",
"code": "s01",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core",
"code": "s02",
"display": "Mild Stress"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core",
"code": "s03",
"display": "Moderate Stress"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core",
"code": "s04",
"display": "Severe Stress"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core",
"code": "s05",
"display": "Extremely Severe Stress"
}
}
]
},
{
"id": "score-anxiety",
"linkId": "24",
"code": [
{
"code": "anxiety-score"
}
],
"text": "Anxiety Score",
"type": "integer",
"required": true,
"readOnly": true
},
{
"id": "outcome-anxiety",
"linkId": "25",
"code": [
{
"code": "anxiety outcome"
}
],
"text": "Anxiety Outcome Summary",
"type": "choice",
"required": true,
"readOnly": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core",
"code": "a01",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core",
"code": "a02",
"display": "Mild Anxiety"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core",
"code": "a03",
"display": "Moderate Anxiety"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core",
"code": "a04",
"display": "Severe Anxiety"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core",
"code": "a05",
"display": "Extremely Severe Anxiety"
}
}
]
},
{
"id": "score-depression",
"linkId": "26",
"code": [
{
"code": "depression-score"
}
],
"text": "Depression Score",
"type": "integer",
"required": true,
"readOnly": true
},
{
"id": "outcome-depression",
"linkId": "27",
"code": [
{
"code": "depression outcome"
}
],
"text": "Depression Outcome Summary",
"type": "choice",
"required": true,
"readOnly": true,
"answerOption": [
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core",
"code": "d01",
"display": "Normal"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core",
"code": "d02",
"display": "Mild Depression"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core",
"code": "d03",
"display": "Moderate Depression"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core",
"code": "d04",
"display": "Severe Depression"
}
},
{
"valueCoding": {
"system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core",
"code": "d05",
"display": "Extremely Severe Depression"
}
}
]
}
]
}