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" } ] }