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{
  "resourceType": "Questionnaire",
  "id": "q-child-eye",
  "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-child-eye",
  "version": "1.0.0",
  "name": "QChildEye",
  "title": "Pemeriksaan Mata",
  "status": "active",
  "date": "2023-08-30T06:43:50.5035753+00:00",
  "item": [
    {
      "linkId": "child-eye.1",
      "text": "Tarikh ujian dijalankan",
      "type": "dateTime"
    },
    {
      "linkId": "child-eye.2",
      "text": "Umur semasa ujian",
      "type": "quantity"
    },
    {
      "linkId": "child-eye.3",
      "text": "Pemerhatian Bahagian Luar Mata",
      "type": "group",
      "item": [
        {
          "linkId": "child-eye.3.1",
          "text": "Bengkak di sekeliling mata",
          "type": "boolean"
        },
        {
          "linkId": "child-eye.3.2",
          "text": "Mata berair",
          "type": "boolean"
        },
        {
          "linkId": "child-eye.3.3",
          "text": "Mata bertahi",
          "type": "boolean"
        },
        {
          "linkId": "child-eye.3.4",
          "text": "Mata kuyu",
          "type": "boolean"
        },
        {
          "linkId": "child-eye.3.5",
          "text": "Ketumbuhan pada mata putih",
          "type": "boolean"
        },
        {
          "linkId": "child-eye.3.6",
          "text": "Warna iris mata kanan dan kiri tidak sama",
          "type": "boolean"
        },
        {
          "linkId": "child-eye.3.7",
          "text": "Pupil tidak berbentuk bulat",
          "type": "boolean"
        },
        {
          "linkId": "child-eye.3.8",
          "text": "Pupil berwarna putih*",
          "type": "boolean"
        },
        {
          "linkId": "child-eye.3.9",
          "text": "Lain-lain (sila nyatakan):",
          "type": "string"
        },
        {
          "linkId": "child-eye.3.10",
          "text": "Sila rujuk kepada Pegawai Perubatan jika kanak-kanak mengalami mata merah atau pupil kanak-kanak kelihatan kabut atau putih",
          "type": "boolean"
        }
      ]
    },
    {
      "linkId": "child-eye.4",
      "text": "Ujian Akuiti Visual",
      "type": "group",
      "item": [
        {
          "linkId": "child-eye.4.1",
          "text": "Mata Kanan",
          "type": "group",
          "item": [
            {
              "linkId": "child-eye.4.1.1",
              "text": "Tanpa Cermin Mata",
              "type": "string"
            },
            {
              "linkId": "child-eye.4.1.2",
              "text": "Dengan Cermin Mata",
              "type": "string"
            },
            {
              "linkId": "child-eye.4.1.3",
              "text": "Dengan Cermin Mata dan Pin Hole",
              "type": "string"
            }
          ]
        },
        {
          "linkId": "child-eye.4.2",
          "text": "Mata Kiri",
          "type": "group",
          "item": [
            {
              "linkId": "child-eye.4.2.1",
              "text": "Tanpa Cermin Mata",
              "type": "string"
            },
            {
              "linkId": "child-eye.4.2.2",
              "text": "Dengan cermin mata",
              "type": "string"
            },
            {
              "linkId": "child-eye.4.2.3",
              "text": "Dengan cermin mata & pin hole (Kanak-kanak berumur bawah 4 tahun tidak perlu melakukan ujian pinhole)",
              "type": "string"
            }
          ]
        }
      ]
    },
    {
      "linkId": "child-eye.5",
      "text": "Rujukan",
      "type": "boolean",
      "item": [
        {
          "linkId": "child-eye.5.1",
          "text": "Tempat Rujukan",
          "type": "string"
        }
      ]
    },
    {
      "linkId": "child-eye.6",
      "text": "Ujian Hirschberg",
      "type": "group",
      "item": [
        {
          "linkId": "child-eye.6.2",
          "text": "Mata Kiri",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "code": "01",
                "display": "Selari"
              }
            },
            {
              "valueCoding": {
                "code": "02",
                "display": "Tidak Selari"
              }
            }
          ]
        },
        {
          "linkId": "child-eye.6.1",
          "text": "Mata Kanan",
          "type": "choice",
          "answerOption": [
            {
              "valueCoding": {
                "code": "01",
                "display": "Selari"
              }
            },
            {
              "valueCoding": {
                "code": "02",
                "display": "Tidak Selari"
              }
            }
          ]
        }
      ]
    }
  ]
}

name : QChildEye

{

}