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Packagemyhie.v4-test
Resource TypeQuestionnaireResponse
Idqr-covid-19-hat.json
FHIR VersionR4

Resources that use this resource

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Resources that this resource uses

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Narrative

No narrative content found in resource


Source1

{
  "resourceType": "QuestionnaireResponse",
  "id": "qr-covid-19-hat",
  "meta": {
    "source": "http://provider.hie.moh.gov.my",
    "profile": [
      "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
    ]
  },
  "identifier": {
    "system": "http://fhir.hie.moh.gov.my/sid/template-section",
    "value": "qr-covid-19-hat-2"
  },
  "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-covid-19-hat",
  "status": "completed",
  "subject": {
    "reference": "Patient/keyclock-id-sample-no1"
  },
  "authored": "2023-12-18T09:00:00+08:00",
  "item": [
    {
      "linkId": "1",
      "text": "Do you have a fever?",
      "answer": [
        {
          "valueBoolean": true
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Do you have a sore throat?",
      "answer": [
        {
          "valueBoolean": false
        }
      ]
    },
    {
      "linkId": "3",
      "text": "Do you have any nausea and vomiting?",
      "answer": [
        {
          "valueBoolean": true
        }
      ]
    },
    {
      "linkId": "4",
      "text": "Do you have any diarrhea?",
      "answer": [
        {
          "valueBoolean": false
        }
      ]
    },
    {
      "linkId": "5",
      "text": "Do you have any cough?",
      "answer": [
        {
          "valueBoolean": true
        }
      ]
    },
    {
      "linkId": "6",
      "text": "Do you have difficulty in breathing?",
      "answer": [
        {
          "valueBoolean": false
        }
      ]
    },
    {
      "linkId": "7",
      "text": "Do you have any loss of taste?",
      "answer": [
        {
          "valueBoolean": true
        }
      ]
    },
    {
      "linkId": "8",
      "text": "Do you have any loss of smell?",
      "answer": [
        {
          "valueBoolean": false
        }
      ]
    },
    {
      "linkId": "9",
      "text": "Do you have chest pain / discomfort?",
      "answer": [
        {
          "valueBoolean": true
        }
      ]
    },
    {
      "linkId": "10",
      "text": "Is your face or lips turning blue?",
      "answer": [
        {
          "valueBoolean": false
        }
      ]
    },
    {
      "linkId": "11",
      "text": "Are you feeling faint drowsy?",
      "answer": [
        {
          "valueBoolean": true
        }
      ]
    },
    {
      "linkId": "12",
      "text": "Do you have any other symptoms?",
      "answer": [
        {
          "valueBoolean": false
        }
      ]
    },
    {
      "linkId": "13",
      "text": "Are you feeling lethargic?",
      "answer": [
        {
          "valueBoolean": true
        }
      ]
    },
    {
      "linkId": "14",
      "text": "Are your symptoms worsening from the day before?",
      "answer": [
        {
          "valueBoolean": false
        }
      ]
    },
    {
      "linkId": "15",
      "text": "What is your oxygen saturation % (SPO2)?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/code-system-covid-19-hat-my-core",
            "code": "1",
            "display": "> 95"
          }
        }
      ]
    },
    {
      "linkId": "16",
      "text": "What is your recorded blood pressure (mmHg)? (Note : Input NA if no equipment available)",
      "item": [
        {
          "linkId": "16.1",
          "text": "Systolic",
          "answer": [
            {
              "valueQuantity": {
                "value": 99
              }
            }
          ]
        },
        {
          "linkId": "16.2",
          "text": "Diastolic",
          "answer": [
            {
              "valueQuantity": {
                "value": 80
              }
            }
          ]
        }
      ]
    },
    {
      "linkId": "17",
      "text": "What is your heart rate (beats per minute)? (Note : Input NA if no equipment available)",
      "answer": [
        {
          "valueQuantity": {
            "value": 88
          }
        }
      ]
    },
    {
      "linkId": "18",
      "text": "What is your body temperature (°Celsius)? (Note : Input NA if no equipment available)",
      "answer": [
        {
          "valueQuantity": {
            "value": 36.6
          }
        }
      ]
    },
    {
      "linkId": "19",
      "text": "Where are you currently staying?",
      "answer": [
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/code-system-covid-19-hat-my-core",
            "code": "4",
            "display": "I'm quarantined at home"
          }
        }
      ]
    },
    {
      "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?",
      "answer": [
        {
          "valueBoolean": false
        }
      ]
    }
  ]
}