| Package | myhie.v4-test |
| Resource Type | Questionnaire |
| Id | q-hajj-sskm20 |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=myhie.v4-test@0.0.1-alpha&canonical=http://fhir.hie.moh.gov.my/Questionnaire/q-hajj-sskm20 |
| URL | http://fhir.hie.moh.gov.my/Questionnaire/q-hajj-sskm20 |
| Version | 1.0.0 |
| Status | active |
| Date | 2024-01-12T07:01:56.2573632+00:00 |
| Name | QHajjSskm20 |
| Title | Saringan Status Kesihatan Mental |
No resources found
No resources found
No narrative content found in resource
FHIR{
"resourceType": "Questionnaire",
"id": "q-hajj-sskm20",
"url": "http://fhir.hie.moh.gov.my/Questionnaire/q-hajj-sskm20",
"version": "1.0.0",
"name": "QHajjSskm20",
"title": "Saringan Status Kesihatan Mental",
"status": "active",
"date": "2024-01-12T07:01:56.2573632+00:00",
"item": [
{
"linkId": "1",
"text": "Sedih (atau susah hati)",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "2",
"text": "Mudah marah",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "3",
"text": "Tidak minat bercakap",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "4",
"text": "Kerap terjaga dari tidur",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "12",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "13",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "14",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "15",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "5",
"text": "Sakit-sakit badan / sendi",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "6",
"text": "Hilang minat pada perkara yang biasa dinikmati",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "7",
"text": "Menangis atau rasa hendak menangis",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "8",
"text": "Rasa sunyi",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "9",
"text": "Takut pada sesuatu objek atau keadaan",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "10",
"text": "Badan lemah, lesu dan tidak bertenaga",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "11",
"text": "Tidak suka bercampur dengan orang lain (menyendiri)",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "12",
"text": "Perasaan ingin mati",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "13",
"text": "Kurang daya ingatan atau mudah terlupa",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "14",
"text": "Otot tegang",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "15",
"text": "Keyakinan pada diri sendiri yang berlebihan",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "16",
"text": "Buah fikiran yang pantas seolah berlumba-lumba",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "17",
"text": "Kurang keyakinan pada diri sendiri",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "18",
"text": "Rasa tiada jalan keluar",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "19",
"text": "Rasa seronok",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "20",
"text": "Susah hendak menyesuaikan diri dengan keadaan",
"type": "choice",
"answerOption": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"valueCoding": {
"code": "13",
"display": "Tiada"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 1
}
],
"valueCoding": {
"code": "14",
"display": "Kadang-kadang"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 2
}
],
"valueCoding": {
"code": "15",
"display": "Kerap"
}
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 3
}
],
"valueCoding": {
"code": "16",
"display": "Sentiasa"
}
}
]
},
{
"linkId": "21",
"text": "Jumlah markah",
"type": "quantity"
}
]
}