| Package | myhie.v4 |
| Resource Type | Questionnaire |
| Id | q-hajj-prerequisite-form |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=myhie.v4@1.0.0&canonical=http://fhir.hie.moh.gov.my/Questionnaire/q-hajj-prerequisite-form |
| URL | http://fhir.hie.moh.gov.my/Questionnaire/q-hajj-prerequisite-form |
| Version | 1.0.0 |
| Status | active |
| Date | 2024-03-01T02:25:07.0445554+00:00 |
| Name | QHajjPrerequisiteForm |
| Title | Borang Saringan Awal |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Questionnaire",
"id": "q-hajj-prerequisite-form",
"url": "http://fhir.hie.moh.gov.my/Questionnaire/q-hajj-prerequisite-form",
"version": "1.0.0",
"name": "QHajjPrerequisiteForm",
"title": "Borang Saringan Awal",
"status": "active",
"date": "2024-03-01T02:25:07.0445554+00:00",
"item": [
{
"linkId": "1",
"text": "Details",
"type": "group",
"item": [
{
"linkId": "1.1",
"text": "Account No.",
"type": "string"
},
{
"linkId": "1.2",
"text": "Examination Place",
"type": "string"
},
{
"linkId": "1.3",
"text": "Examination Date",
"type": "dateTime"
}
]
},
{
"linkId": "2",
"text": "Vital Signs",
"type": "group",
"item": [
{
"linkId": "2.1",
"text": "Blood Pressure",
"type": "group",
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
"valueInteger": 400
}
],
"linkId": "2.1.1",
"text": "Systolic",
"type": "quantity"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
"valueInteger": 1
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
"valueInteger": 250
}
],
"linkId": "2.1.2",
"text": "Diastolic",
"type": "quantity"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
"valueInteger": 400
}
],
"linkId": "2.3",
"text": "Pulse Rate",
"type": "quantity"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
"valueInteger": 80
}
],
"linkId": "2.4",
"text": "Respiratory Rate",
"type": "quantity"
},
{
"linkId": "2.5",
"text": "Hemoglobin",
"type": "quantity"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
"valueInteger": 650
}
],
"linkId": "2.6",
"text": "Weight",
"type": "quantity"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
"valueInteger": 250
}
],
"linkId": "2.7",
"text": "Height",
"type": "quantity"
},
{
"linkId": "2.8",
"text": "BMI",
"type": "decimal"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
"valueInteger": 0
},
{
"url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
"valueInteger": 100
}
],
"linkId": "2.9",
"text": "Oxygen Saturation",
"type": "quantity"
},
{
"linkId": "2.10",
"text": "Others",
"type": "boolean",
"item": [
{
"linkId": "2.10.1",
"text": "Others",
"type": "string",
"enableWhen": [
{
"question": "2.10",
"operator": "=",
"answerBoolean": true
}
],
"repeats": true
}
]
}
]
},
{
"linkId": "3",
"text": "Full Diagnosis",
"type": "group",
"item": [
{
"linkId": "3.1",
"text": "Cardiovascular",
"type": "boolean"
},
{
"linkId": "3.2",
"text": "Psychiatry",
"type": "boolean"
},
{
"linkId": "3.3",
"text": "Cancer",
"type": "boolean"
},
{
"linkId": "3.4",
"text": "Pulmunory Tuberculosis",
"type": "boolean"
},
{
"linkId": "3.5",
"text": "Cerebrovascular Accident (CVA)",
"type": "boolean"
},
{
"linkId": "3.6",
"text": "Chronic Kidney Disease",
"type": "boolean"
}
]
},
{
"linkId": "4",
"text": "Treatment",
"type": "text"
},
{
"linkId": "5",
"text": "Notes",
"type": "text"
}
]
}