FHIR IG Statistics: Questionnaire/q-covid-19-hat

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{
  "resourceType": "Questionnaire",
  "id": "q-covid-19-hat",
  "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-covid-19-hat",
  "version": "1.0.0",
  "name": "QCovid19Hat",
  "title": "Covid-19 Home Assessment Tool",
  "status": "active",
  "date": "2024-01-12T07:01:56.2573632+00:00",
  "item": [
    {
      "linkId": "1",
      "text": "Do you have a fever?",
      "type": "boolean"
    },
    {
      "linkId": "2",
      "text": "Do you have a sore throat?",
      "type": "boolean"
    },
    {
      "linkId": "3",
      "text": "Do you have any nausea and vomiting?",
      "type": "boolean"
    },
    {
      "linkId": "4",
      "text": "Do you have any diarrhea?",
      "type": "boolean"
    },
    {
      "linkId": "5",
      "text": "Do you have any cough?",
      "type": "boolean"
    },
    {
      "linkId": "6",
      "text": "Do you have difficulty in breathing?",
      "type": "boolean"
    },
    {
      "linkId": "7",
      "text": "Do you have any loss of taste?",
      "type": "boolean"
    },
    {
      "linkId": "8",
      "text": "Do you have any loss of smell?",
      "type": "boolean"
    },
    {
      "linkId": "9",
      "text": "Do you have chest pain / discomfort?",
      "type": "boolean"
    },
    {
      "linkId": "10",
      "text": "Is your face or lips turning blue?",
      "type": "boolean"
    },
    {
      "linkId": "11",
      "text": "Are you feeling faint drowsy?",
      "type": "boolean"
    },
    {
      "linkId": "12",
      "text": "Do you have any other symptoms?",
      "type": "boolean"
    },
    {
      "linkId": "13",
      "text": "Are you feeling lethargic?",
      "type": "boolean"
    },
    {
      "linkId": "14",
      "text": "Are your symptoms worsening from the day before?",
      "type": "boolean"
    },
    {
      "linkId": "15",
      "text": "What is your oxygen saturation % (SPO2)?",
      "type": "choice",
      "answerOption": [
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/code-system-covid-19-hat-my-core",
            "code": "1",
            "display": "≥ 95"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/code-system-covid-19-hat-my-core",
            "code": "2",
            "display": "< 95"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/code-system-covid-19-hat-my-core",
            "code": "3",
            "display": "NA"
          }
        }
      ]
    },
    {
      "linkId": "16",
      "text": "What is your recorded blood pressure (mmHg)? (Note : Input NA if no equipment available)",
      "type": "group",
      "item": [
        {
          "linkId": "16.1",
          "text": "Systolic",
          "type": "quantity"
        },
        {
          "linkId": "16.2",
          "text": "Diastolic",
          "type": "quantity"
        }
      ]
    },
    {
      "linkId": "17",
      "text": "What is your heart rate (beats per minute)? (Note : Input NA if no equipment available)",
      "type": "quantity"
    },
    {
      "linkId": "18",
      "text": "What is your body temperature (°Celsius)? (Note : Input NA if no equipment available)",
      "type": "quantity"
    },
    {
      "linkId": "19",
      "text": "Where are you currently staying?",
      "type": "choice",
      "answerOption": [
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/code-system-covid-19-hat-my-core",
            "code": "4",
            "display": "I'm quarantined at home"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/code-system-covid-19-hat-my-core",
            "code": "5",
            "display": "I'm quarantined at a quarantine centre"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/code-system-covid-19-hat-my-core",
            "code": "6",
            "display": "I'm being treated at COVID-19 low risk treatment centre"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/code-system-covid-19-hat-my-core",
            "code": "7",
            "display": "I'm admitted to a hospital"
          }
        }
      ]
    },
    {
      "linkId": "20",
      "text": "Have you been assessed in any MOH health facility / COVID-19 Assessment Centre (CAC) after you're confirmed to be COVID-19 positive?",
      "type": "boolean"
    }
  ]
}