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Packagemyhie.v4
Resource TypeQuestionnaireResponse
Idqr-maternal-03.json
FHIR VersionR4

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Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "qr-maternal-03",
  "meta": {
    "source": "http://provider.hie.moh.gov.my",
    "profile": [
      "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
    ]
  },
  "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/qr-maternal-03",
  "status": "completed",
  "subject": {
    "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
  },
  "authored": "2022-11-16T03:56:06.596Z",
  "item": [
    {
      "linkId": "maternal-3.1",
      "text": "Haid",
      "item": [
        {
          "linkId": "maternal-3.1.1",
          "text": "Jumlah Hari",
          "answer": [
            {
              "valueQuantity": {
                "value": 1,
                "unit": "month"
              }
            }
          ]
        },
        {
          "linkId": "maternal-3.1.2",
          "text": "Pusingan",
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "78456001",
                "display": "Teratur"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "maternal-3.2",
      "text": "Amalan Perancang Keluarga",
      "item": [
        {
          "linkId": "maternal-3.2.1",
          "text": "Mengamal perancang keluarga",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "maternal-3.2.2",
          "text": "Kaedah",
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "225370004",
                "display": "Barrier Method"
              }
            }
          ]
        },
        {
          "linkId": "maternal-3.2.3",
          "text": "Berapa lama",
          "answer": [
            {
              "valueQuantity": {
                "value": 1,
                "unit": "month"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "maternal-3.3",
      "text": "Status Merokok",
      "item": [
        {
          "linkId": "maternal-3.3.1",
          "text": "Ibu",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "maternal-3.3.2",
          "text": "Suami",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        },
        {
          "linkId": "maternal-3.3.3",
          "text": "Remark Status Merokok",
          "answer": [
            {
              "valueString": "Remark status merokok goes here"
            }
          ]
        }
      ]
    },
    {
      "linkId": "maternal-3.4",
      "text": "Masalah Perubatan Ibu",
      "answer": [
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "73211009",
            "display": "Diabetes"
          },
          "item": [
            {
              "linkId": "5876813438457",
              "text": "Lain-lain",
              "answer": [
                {
                  "valueString": "Right Kidney Failure"
                }
              ]
            }
          ]
        },
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "195967001",
            "display": "Asma"
          }
        },
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "40108008",
            "display": "Thalasemia"
          }
        },
        {
          "valueCoding": {
            "system": "http://snomed.info/sct",
            "code": "56717001",
            "display": "Tibi"
          }
        }
      ]
    },
    {
      "linkId": "maternal-3.5",
      "text": "Saringan Tibi",
      "item": [
        {
          "linkId": "maternal-3.5.1",
          "text": "Adakah anda mengalami batuk lebih 2 minggu",
          "answer": [
            {
              "valueBoolean": true
            }
          ]
        }
      ]
    },
    {
      "linkId": "maternal-3.6",
      "text": "Masalah Perubatan Keluarga",
      "item": [
        {
          "linkId": "maternal-3.6.1",
          "text": "Masalah Perubatan Keluarga",
          "answer": [
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "195967001",
                "display": "Asma"
              }
            },
            {
              "valueCoding": {
                "system": "http://snomed.info/sct",
                "code": "74732009",
                "display": "Psikiatri"
              }
            }
          ]
        },
        {
          "linkId": "maternal-3.6.2",
          "text": "Lain-lain",
          "answer": [
            {
              "valueString": "Buta Warna"
            }
          ]
        }
      ]
    },
    {
      "linkId": "maternal-3.7",
      "text": "Status Imunisasi Ibu",
      "item": [
        {
          "linkId": "maternal-3.7.1",
          "text": "Jenis/Dos vaksin",
          "answer": [
            {
              "valueString": "Tetanus/Toxoid"
            }
          ]
        },
        {
          "linkId": "maternal-3.7.2",
          "text": "Tarikh suntikan",
          "answer": [
            {
              "valueDateTime": "2022-11-16T09:29:51.092Z"
            }
          ]
        },
        {
          "linkId": "maternal-3.7.3",
          "text": "Batch No",
          "answer": [
            {
              "valueString": "1"
            }
          ]
        },
        {
          "linkId": "maternal-3.7.4",
          "text": "Tarikh Luput",
          "answer": [
            {
              "valueDateTime": "2022-11-16T09:30:07.668Z"
            }
          ]
        }
      ]
    },
    {
      "linkId": "maternal-3.7",
      "text": "Status Imunisasi Ibu",
      "item": [
        {
          "linkId": "maternal-3.7.1",
          "text": "Jenis/Dos vaksin",
          "answer": [
            {
              "valueString": "Covid-19"
            }
          ]
        },
        {
          "linkId": "maternal-3.7.2",
          "text": "Tarikh suntikan",
          "answer": [
            {
              "valueDateTime": "2022-11-16T09:30:40.231Z"
            }
          ]
        },
        {
          "linkId": "maternal-3.7.3",
          "text": "Batch No",
          "answer": [
            {
              "valueString": "2"
            }
          ]
        },
        {
          "linkId": "maternal-3.7.4",
          "text": "Tarikh Luput",
          "answer": [
            {
              "valueDateTime": "2022-11-16T09:30:46.725Z"
            }
          ]
        }
      ]
    }
  ]
}