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{
  "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": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "valueCoding": {
            "code": "16",
            "display": "Sentiasa"
          }
        }
      ]
    },
    {
      "linkId": "2",
      "text": "Mudah marah",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "valueCoding": {
            "code": "16",
            "display": "Sentiasa"
          }
        }
      ]
    },
    {
      "linkId": "3",
      "text": "Tidak minat bercakap",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "valueCoding": {
            "code": "16",
            "display": "Sentiasa"
          }
        }
      ]
    },
    {
      "linkId": "4",
      "text": "Kerap terjaga dari tidur",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0.0
            }
          ],
          "valueCoding": {
            "code": "12",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Sentiasa"
          }
        }
      ]
    },
    {
      "linkId": "5",
      "text": "Sakit-sakit badan / sendi",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "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": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "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": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "valueCoding": {
            "code": "16",
            "display": "Sentiasa"
          }
        }
      ]
    },
    {
      "linkId": "8",
      "text": "Rasa sunyi",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "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": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "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": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "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": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "valueCoding": {
            "code": "16",
            "display": "Sentiasa"
          }
        }
      ]
    },
    {
      "linkId": "12",
      "text": "Perasaan ingin mati",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "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": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "valueCoding": {
            "code": "16",
            "display": "Sentiasa"
          }
        }
      ]
    },
    {
      "linkId": "14",
      "text": "Otot tegang",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "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": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "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": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "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": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "valueCoding": {
            "code": "16",
            "display": "Sentiasa"
          }
        }
      ]
    },
    {
      "linkId": "18",
      "text": "Rasa tiada jalan keluar",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "valueCoding": {
            "code": "16",
            "display": "Sentiasa"
          }
        }
      ]
    },
    {
      "linkId": "19",
      "text": "Rasa seronok",
      "type": "choice",
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "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": 0.0
            }
          ],
          "valueCoding": {
            "code": "13",
            "display": "Tiada"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 1.0
            }
          ],
          "valueCoding": {
            "code": "14",
            "display": "Kadang-kadang"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 2.0
            }
          ],
          "valueCoding": {
            "code": "15",
            "display": "Kerap"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
              "valueDecimal": 3.0
            }
          ],
          "valueCoding": {
            "code": "16",
            "display": "Sentiasa"
          }
        }
      ]
    },
    {
      "linkId": "21",
      "text": "Jumlah markah",
      "type": "quantity"
    }
  ]
}

name : QHajjSskm20

{

}