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No Title JSON
1. Dengue Assessment Checklist
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-dengue-checklist",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-dengue-checklist",
    "version": "1.0.0",
    "name": "QDengueChecklist",
    "title": "Dengue Assessment Checklist",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "item":  [
        {
            "linkId": "dengue-cl.1",
            "text": "Recognition",
            "type": "group",
            "item":  [
                {
                    "linkId": "dengue-cl.1.1",
                    "text": "Fever",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.1.2",
                    "text": "Aches and Pain",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.1.3",
                    "text": "Nausea and / or Vomitting",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.1.4",
                    "text": "Rash",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.1.5",
                    "text": "Leucopenia",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.1.6",
                    "text": "Any Warning Signs",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.1.7",
                    "text": "Remarks",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "dengue-cl.2",
            "text": "Warning signs",
            "type": "group",
            "item":  [
                {
                    "linkId": "dengue-cl.2.1",
                    "text": "Persistent Vomiting (3 or more than 3 times over the last 24 hours)",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.2.2",
                    "text": "Persistent Diarrhea (3 or more than 3 times over the last 24 hours)",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.2.3",
                    "text": "Any Abdominal Pain / Tenderness",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.2.4",
                    "text": "Lethargy / Restlessness / Confusion",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.2.5",
                    "text": "Tender Liver",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.2.6",
                    "text": "Third Space Fluid Accumulation",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.2.7",
                    "text": "Spontaneous Bleeding Tendencies",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.2.8",
                    "text": "Raised HCT With Rapid Drop in Platelet. \nMale Age ≤ 60 : HCT >46 \nMale Age >60 : HCT > 42 \nFemale All Ages : >40",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.2.9",
                    "text": "Remarks",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "dengue-cl.3",
            "text": "Other criteria",
            "type": "group",
            "item":  [
                {
                    "linkId": "dengue-cl.3.1",
                    "text": "Syncope",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.3.2",
                    "text": "Social factor",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.3.3",
                    "text": "Remarks",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "dengue-cl.4",
            "text": "Special Group",
            "type": "group",
            "item":  [
                {
                    "linkId": "dengue-cl.4.1",
                    "text": "Obese",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.4.2",
                    "text": "Pregnant",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.4.3",
                    "text": "Heart failure / CKD / CLD",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.4.4",
                    "text": "Diabetes Mellitus",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.4.5",
                    "text": "Hypertension",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.4.6",
                    "text": "IHD",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.4.7",
                    "text": "COPD",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.4.8",
                    "text": "Age > 65",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.4.9",
                    "text": "Remarks",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "dengue-cl.5",
            "text": "Physical Examination and Vital Signs",
            "type": "group",
            "item":  [
                {
                    "linkId": "dengue-cl.5.1",
                    "text": "Physical Examination Findings",
                    "type": "text"
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                            "valueInteger": 300
                        }
                    ],
                    "linkId": "dengue-cl.5.2",
                    "code":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8480-6",
                            "display": "Systolic Blood Pressure"
                        }
                    ],
                    "text": "Systolic Blood Pressure (mmHg)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                            "valueInteger": 250
                        }
                    ],
                    "linkId": "dengue-cl.5.3",
                    "code":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8462-4",
                            "display": "Diastolic Blood Pressure"
                        }
                    ],
                    "text": "Diastolic Blood Pressure (mmHg)",
                    "type": "quantity",
                    "enableWhen":  [
                        {
                            "question": "dengue-cl.5.2",
                            "operator": "exists",
                            "answerBoolean": true
                        }
                    ],
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 400
                        }
                    ],
                    "linkId": "dengue-cl.5.4",
                    "text": "Heart Rate (/min)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "/min",
                                "system": "http://unitsofmeasure.org",
                                "code": "/min"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 100
                        }
                    ],
                    "linkId": "dengue-cl.5.5",
                    "text": "Body Temperature (°C)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "°C",
                                "system": "http://unitsofmeasure.org",
                                "code": "Cel"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 100
                        }
                    ],
                    "linkId": "dengue-cl.5.6",
                    "text": "Oxygen Saturation (%)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "%",
                                "system": "http://unitsofmeasure.org",
                                "code": "%"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 80
                        }
                    ],
                    "linkId": "dengue-cl.5.7",
                    "text": "Respiratory Rate (/min)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "/min",
                                "system": "http://unitsofmeasure.org",
                                "code": "/min"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue",
                            "valueInteger": 10
                        }
                    ],
                    "linkId": "dengue-cl.5.8",
                    "text": "Pain Score",
                    "type": "quantity"
                }
            ]
        },
        {
            "linkId": "dengue-cl.6",
            "text": "Blood Investigation",
            "type": "group",
            "item":  [
                {
                    "linkId": "dengue-cl.6.1",
                    "text": "White Cell Counts",
                    "type": "quantity"
                },
                {
                    "linkId": "dengue-cl.6.2",
                    "text": "Hb",
                    "type": "quantity"
                },
                {
                    "linkId": "dengue-cl.6.3",
                    "text": "HCT",
                    "type": "quantity"
                },
                {
                    "linkId": "dengue-cl.6.4",
                    "text": "Platelet",
                    "type": "quantity"
                },
                {
                    "linkId": "dengue-cl.6.5",
                    "text": "Dengue Point of Care Checklist (Combo / Rapid Checklist)",
                    "type": "quantity"
                }
            ]
        },
        {
            "linkId": "dengue-cl.7",
            "text": "Severe Dengue",
            "type": "group",
            "item":  [
                {
                    "linkId": "dengue-cl.7.1",
                    "text": "Hypotension SBP <90 or MAP <60 or SBP Drop > 40mmHg From Known Baseline",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.7.2",
                    "text": "Shock Index: HR > SBP or Abnormal CCTVR",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.7.3",
                    "text": "Third Space Fluid Accumulation With Respiratory Distress",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.7.4",
                    "text": "Altered Concious Level",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.7.5",
                    "text": "Any bleed GI / Non Mucosal And Non Cutaneous / Non Physiological",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.7.6",
                    "text": "Specific Organ Dysfunction",
                    "type": "boolean"
                },
                {
                    "linkId": "dengue-cl.7.7",
                    "text": "Remarks",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "dengue-cl.8",
            "text": "Onset of Illness",
            "type": "group",
            "item":  [
                {
                    "linkId": "dengue-cl.8,1",
                    "text": "Fever Onset",
                    "type": "dateTime"
                },
                {
                    "linkId": "dengue-cl.8.2",
                    "text": "Critical Phase Onset",
                    "type": "dateTime"
                }
            ]
        },
        {
            "linkId": "dengue-cl.9",
            "text": "Phase of Illness",
            "type": "choice",
            "answerOption":  [
                {
                    "valueCoding": {
                        "code": "01",
                        "display": "Febrile"
                    }
                },
                {
                    "valueCoding": {
                        "code": "02",
                        "display": "Critical"
                    }
                },
                {
                    "valueCoding": {
                        "code": "03",
                        "display": "Recovery"
                    }
                }
            ]
        },
        {
            "linkId": "dengue-cl.10",
            "text": "Diagnosis",
            "type": "choice",
            "answerOption":  [
                {
                    "valueCoding": {
                        "code": "01",
                        "display": "Dengue Fever Without Warning Signs"
                    }
                },
                {
                    "valueCoding": {
                        "code": "02",
                        "display": "Dengue Fever With Warning Signs"
                    }
                },
                {
                    "valueCoding": {
                        "code": "03",
                        "display": "Severe Dengue"
                    }
                }
            ]
        },
        {
            "linkId": "dengue-cl.11",
            "text": "Management",
            "type": "group",
            "item":  [
                {
                    "linkId": "dengue-cl.11.1",
                    "text": "Management / Plans",
                    "type": "text"
                }
            ]
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-dengue-checklist",
    "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-dengue-checklist"
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-dengue-checklist",
    "status": "completed",
    "subject": {
        "reference": "Patient/93fd2974-8652-489e-a75e-e5a489796f77"
    },
    "authored": "2023-04-27T00:20:14.414Z",
    "item":  [
        {
            "linkId": "dengue-cl.1",
            "text": "Recognition",
            "item":  [
                {
                    "linkId": "dengue-cl.1.1",
                    "text": "Fever",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.1.2",
                    "text": "Aches and pain",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.1.3",
                    "text": "Nausea and / or vomitting",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.1.4",
                    "text": "Rash",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.1.5",
                    "text": "Leucopenia",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.1.6",
                    "text": "Any warning signs",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.1.7",
                    "text": "Remarks",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "dengue-cl.2",
            "text": "Warning signs",
            "item":  [
                {
                    "linkId": "dengue-cl.2.1",
                    "text": "Persistent vomiting (3 or more than 3 times over the last 24 hours)",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.2.2",
                    "text": "Persistent diarrhea (3 or more than 3 times over the last 24 hours)",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.2.3",
                    "text": "Any abdominal pain / tenderness",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.2.4",
                    "text": "Lethargy / Restlessness / Confusion",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.2.5",
                    "text": "Tender liver",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.2.6",
                    "text": "Third space fluid accumulation",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.2.7",
                    "text": "Spontaneous bleeding tendencies",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.2.8",
                    "text": "Raised HCT with rapid drop in platelet. \nMale age ≤ 60 : HCT >46 \nMale age >60 : HCT > 42 \nFemale all ages : >40",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.2.9",
                    "text": "Remarks",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "dengue-cl.3",
            "text": "Other criteria",
            "item":  [
                {
                    "linkId": "dengue-cl.3.1",
                    "text": "Syncope",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.3.2",
                    "text": "Social factor",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.3.3",
                    "text": "Remarks",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "dengue-cl.4",
            "text": "Special Group",
            "item":  [
                {
                    "linkId": "dengue-cl.4.1",
                    "text": "Obese",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.4.2",
                    "text": "Pregnant",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.4.3",
                    "text": "Heart failure /CKD / CLD",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.4.4",
                    "text": "Diabetes Mellitus",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.4.5",
                    "text": "Hypertension",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.4.6",
                    "text": "IHD",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.4.7",
                    "text": "COPD",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.4.8",
                    "text": "Age > 65",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.4.9",
                    "text": "Remarks",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "dengue-cl.5",
            "text": "Physical Examination and Vital signs",
            "item":  [
                {
                    "linkId": "dengue-cl.5.1",
                    "text": "Physical Examination findings",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.5.2",
                    "text": "Systolic Blood Pressure (mmHg)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 12,
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.5.3",
                    "text": "Diastolic Blood Pressure (mmHg)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 12,
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.5.4",
                    "text": "Heart Rate (/min)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 12,
                                "unit": "/min",
                                "system": "http://unitsofmeasure.org",
                                "code": "/min"
                            }
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.5.5",
                    "text": "Body Temperature (°C)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 12,
                                "unit": "°C",
                                "system": "http://unitsofmeasure.org",
                                "code": "Cel"
                            }
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.5.6",
                    "text": "Oxygen Saturation (%)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 12,
                                "unit": "%",
                                "system": "http://unitsofmeasure.org",
                                "code": "%"
                            }
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.5.7",
                    "text": "Respiratory Rate (/min)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 12,
                                "unit": "/min",
                                "system": "http://unitsofmeasure.org",
                                "code": "/min"
                            }
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.5.8",
                    "text": "Pain score"
                }
            ]
        },
        {
            "linkId": "dengue-cl.6",
            "text": "Blood investigation",
            "item":  [
                {
                    "linkId": "dengue-cl.6.1",
                    "text": "White cell counts",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.6.2",
                    "text": "Hb",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.6.3",
                    "text": "HCT",
                    "answer":  [
                        {
                            "valueString": "inseinsert string herert string here"
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.6.4",
                    "text": "Platelet",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.6.5",
                    "text": "Dengue Point of Care checklist (Combo/Rapid checklist)",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "dengue-cl.7",
            "text": "Severe Dengue",
            "item":  [
                {
                    "linkId": "dengue-cl.7.1",
                    "text": "Hypotension SBP <90 or MAP <60 or SBP  drop > 40mmHg from known baseline",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.7.2",
                    "text": "Shock Index: HR > SBP or abnormal CCTVR",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.7.3",
                    "text": "Third Space fluid accumulation with respiratory distress",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.7.4",
                    "text": "Altered concious level",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.7.5",
                    "text": "Any bleed GI / non mucosal and non cutaneous  / non physiological",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.7.6",
                    "text": "Specific  organ dysfunction",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.7.7",
                    "text": "Remarks",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "dengue-cl.8",
            "text": "Onset of illness",
            "item":  [
                {
                    "linkId": "dengue-cl.8,1",
                    "text": "Fever onset",
                    "answer":  [
                        {
                            "valueDateTime": "2023-06-26T02:23:10.392Z"
                        }
                    ]
                },
                {
                    "linkId": "dengue-cl.8.2",
                    "text": "Critical phase onset",
                    "answer":  [
                        {
                            "valueDateTime": "2023-06-12T02:23:11.621Z"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "dengue-cl.9",
            "text": "Phase of illness",
            "answer":  [
                {
                    "valueCoding": {
                        "code": "02",
                        "display": "Critical"
                    }
                }
            ]
        },
        {
            "linkId": "dengue-cl.10",
            "text": "Diagnosis",
            "answer":  [
                {
                    "valueCoding": {
                        "code": "01",
                        "display": "Dengue fever without warning signs"
                    }
                }
            ]
        },
        {
            "linkId": "dengue-cl.11",
            "text": "Management",
            "item":  [
                {
                    "linkId": "dengue-cl.11.1",
                    "text": "Management/Plans",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        }
    ]
}

2. Hypertension Clerking Note
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-hpt-note",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-hpt-note",
    "version": "1.0.0",
    "name": "QHptNoteA",
    "title": "Hypertension Clerking Note",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "description": "Hypertension Clerking Note",
    "item":  [
        {
            "linkId": "hpt-note.1",
            "text": "Concomitant Disease",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.1.1",
                    "text": "Diabetes Mellitus",
                    "type": "boolean"
                },
                {
                    "linkId": "hpt-note.1.2",
                    "text": "Renal Disease",
                    "type": "boolean"
                },
                {
                    "linkId": "hpt-note.1.3",
                    "text": "Heart Failure",
                    "type": "boolean"
                },
                {
                    "linkId": "hpt-note.1.4",
                    "text": "Gout",
                    "type": "boolean"
                },
                {
                    "linkId": "hpt-note.1.5",
                    "text": "Concomitant Disease Remarks",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.2",
            "text": "Past Medical Admissions for Hypertension",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.2.1",
                    "text": "Any Ward Admissions For Hypertension Emergencies",
                    "type": "boolean"
                },
                {
                    "linkId": "hpt-note.2.2",
                    "text": "Any Emergency Department Encounters",
                    "type": "boolean"
                },
                {
                    "linkId": "hpt-note.2.3",
                    "text": "Past Medical Admissions Remarks",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.3",
            "text": "Medication Summary",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.3.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.4",
            "text": "Smoking History",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.4.1",
                    "text": "Starting Date of Smoking",
                    "type": "date"
                },
                {
                    "linkId": "hpt-note.4.2",
                    "text": "How Many Cigarettes Per Day",
                    "type": "integer"
                },
                {
                    "linkId": "hpt-note.4.3",
                    "text": "Pack Years of Smoking (years)",
                    "type": "integer"
                }
            ]
        },
        {
            "linkId": "hpt-note.5",
            "text": "Social History",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.5.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.6",
            "text": "Family History",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.6.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.7",
            "text": "Symptoms",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.7.1",
                    "text": "Visual Disturbances",
                    "type": "boolean"
                },
                {
                    "linkId": "hpt-note.7.2",
                    "text": "Chest Pain",
                    "type": "boolean"
                },
                {
                    "linkId": "hpt-note.7.3",
                    "text": "Lower Limb Swellings",
                    "type": "boolean"
                },
                {
                    "linkId": "hpt-note.7.4",
                    "text": "Headache",
                    "type": "boolean"
                },
                {
                    "linkId": "hpt-note.7.5",
                    "text": "Vomiting",
                    "type": "boolean"
                },
                {
                    "linkId": "hpt-note.7.6",
                    "text": "Limb Weakness",
                    "type": "boolean"
                },
                {
                    "linkId": "hpt-note.7.7",
                    "text": "Shortness of Breath",
                    "type": "boolean"
                },
                {
                    "linkId": "hpt-note.7.8",
                    "text": "Symptoms Remarks",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.8",
            "text": "History of Presenting Illness Summary",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.8.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.9",
            "text": "Initial Vital Signs",
            "type": "group",
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 300
                        }
                    ],
                    "linkId": "hpt-note.9.1",
                    "code":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8480-6",
                            "display": "Systolic Blood Pressure"
                        }
                    ],
                    "text": "Systolic Blood Pressure (mmHg)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 250
                        }
                    ],
                    "linkId": "hpt-note.9.2",
                    "code":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8462-4",
                            "display": "Diastolic Blood Pressure"
                        }
                    ],
                    "text": "Diastolic Blood Pressure (mmHg)",
                    "type": "quantity",
                    "enableWhen":  [
                        {
                            "question": "hpt-note.9.1",
                            "operator": "exists",
                            "answerBoolean": true
                        }
                    ],
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 400
                        }
                    ],
                    "linkId": "hpt-note.9.9",
                    "text": "Heart Rate (/min)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "per minute",
                                "system": "http://unitsofmeasure.org",
                                "code": "/min"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 100
                        }
                    ],
                    "linkId": "hpt-note.9.10",
                    "text": "Oxygen Saturation (%)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "%",
                                "system": "http://unitsofmeasure.org",
                                "code": "%"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 100
                        }
                    ],
                    "linkId": "hpt-note.9.11",
                    "code":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8310-5",
                            "display": "Body Temperature"
                        }
                    ],
                    "text": "Body Temperature (°C)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "°C",
                                "system": "http://unitsofmeasure.org",
                                "code": "Cel"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 10
                        }
                    ],
                    "linkId": "hpt-note.9.12",
                    "text": "Pain score",
                    "type": "quantity"
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 80
                        }
                    ],
                    "linkId": "hpt-note.9.13",
                    "text": "Respiratory Rate (/min)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "per minute",
                                "system": "http://unitsofmeasure.org",
                                "code": "/min"
                            }
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.10",
            "text": "Blood Pressure Second Reading",
            "type": "group",
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 300
                        }
                    ],
                    "linkId": "hpt-note.10.1",
                    "code":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8480-6",
                            "display": "Systolic Blood Pressure"
                        }
                    ],
                    "text": "Systolic Blood Pressure Second Reading (mmHg)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 250
                        }
                    ],
                    "linkId": "hpt-note.10.2",
                    "code":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8462-4",
                            "display": "Diastolic Blood Pressure"
                        }
                    ],
                    "text": "Diastolic Blood Pressure Second Reading (mmHg)",
                    "type": "quantity",
                    "enableWhen":  [
                        {
                            "question": "hpt-note.10.1",
                            "operator": "exists",
                            "answerBoolean": true
                        }
                    ],
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.10.3",
                    "text": "Recorded Time",
                    "type": "dateTime"
                }
            ]
        },
        {
            "linkId": "hpt-note.11",
            "text": "Blood Pressure Standing",
            "type": "group",
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 300
                        }
                    ],
                    "linkId": "hpt-note.11.1",
                    "code":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8480-6",
                            "display": "Systolic Blood Pressure"
                        }
                    ],
                    "text": "Systolic Blood Pressure Standing (mmHg)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 250
                        }
                    ],
                    "linkId": "hpt-note.11.2",
                    "code":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8462-4",
                            "display": "Diastolic Blood Pressure"
                        }
                    ],
                    "text": "Diastolic Blood Pressure Standing (mmHg)",
                    "type": "quantity",
                    "enableWhen":  [
                        {
                            "question": "hpt-note.11.1",
                            "operator": "exists",
                            "answerBoolean": true
                        }
                    ],
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.11.3",
                    "text": "Recorded Time",
                    "type": "dateTime"
                }
            ]
        },
        {
            "linkId": "hpt-note.12",
            "text": "Blood Pressure Seated",
            "type": "group",
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 300
                        }
                    ],
                    "linkId": "hpt-note.12.1",
                    "text": "Systolic Blood Pressure Seated (mmHg)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 250
                        }
                    ],
                    "linkId": "hpt-note.12.2",
                    "code":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8462-4",
                            "display": "Diastolic Blood Pressure"
                        }
                    ],
                    "text": "Diastolic Blood Pressure Seated (mmHg)",
                    "type": "quantity",
                    "enableWhen":  [
                        {
                            "question": "hpt-note.12.1",
                            "operator": "exists",
                            "answerBoolean": true
                        }
                    ],
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.12.3",
                    "text": "Recorded Time",
                    "type": "dateTime"
                }
            ]
        },
        {
            "linkId": "hpt-note.13",
            "text": "Central Nervous System Examinations",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.13.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.14",
            "text": "Eye Examination",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.14.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.15",
            "text": "Cranial Nerves Examination",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.15.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.16",
            "text": "Cardiac Examination",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.16.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.17",
            "text": "General Endocrine Examination",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.17.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.18",
            "text": "Abdominal Examination",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.18.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.19",
            "text": "Respiratory Examination",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.19.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.20",
            "text": "General Examination Findings Summary",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.20.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.21",
            "text": "Investigations / Special Test",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.21.1",
                    "text": "Fundoscopy",
                    "type": "text"
                },
                {
                    "linkId": "hpt-note.21.2",
                    "text": "US KUB Findings",
                    "type": "text"
                },
                {
                    "linkId": "hpt-note.21.3",
                    "text": "CT Scan Findings",
                    "type": "text"
                },
                {
                    "linkId": "hpt-note.21.4",
                    "text": "Xray Findings",
                    "type": "text"
                },
                {
                    "linkId": "hpt-note.21.5",
                    "text": "General Investigations / Summary",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.22",
            "text": "Diagnosis",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.22.1",
                    "text": "Diagnosis",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.23",
            "text": "Management / Treatment",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.23.1",
                    "text": "Management Summary",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "hpt-note.24",
            "text": "TCA Date",
            "type": "group",
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/dateRule-my-core",
                            "valueString": "futureDate"
                        }
                    ],
                    "linkId": "hpt-note.24.1",
                    "text": "Date",
                    "type": "dateTime"
                }
            ]
        },
        {
            "linkId": "hpt-note.25",
            "text": "Referral",
            "type": "group",
            "item":  [
                {
                    "linkId": "hpt-note.25.1",
                    "text": "Reason for Referral",
                    "type": "text"
                },
                {
                    "linkId": "hpt-note.25.2",
                    "text": "Spoken To",
                    "type": "string"
                },
                {
                    "linkId": "hpt-note.25.3",
                    "text": "Time of Referral made",
                    "type": "dateTime"
                }
            ]
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-hpt-note",
    "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-hpt-note"
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-hpt-note",
    "status": "completed",
    "subject": {
        "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c"
    },
    "authored": "2023-04-27T00:20:14.414Z",
    "item":  [
        {
            "linkId": "hpt-note.1",
            "text": "Concomitant Disease",
            "item":  [
                {
                    "linkId": "hpt-note.1.1",
                    "text": "Diabetes Mellitus",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.1.2",
                    "text": "Renal Disease",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.1.3",
                    "text": "Heart Failure",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.1.4",
                    "text": "Gout",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.1.5",
                    "text": "Concomitant Disease Remarks",
                    "answer":  [
                        {
                            "valueString": "enter string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.2",
            "text": "Past Medical Admissions for Hypertension",
            "item":  [
                {
                    "linkId": "hpt-note.2.1",
                    "text": "Any ward admissions for Hypertension Emergencies",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.2.3",
                    "text": "Past Medical Admissions Remarks",
                    "answer":  [
                        {
                            "valueString": "enter string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.3",
            "text": "Medication History",
            "answer":  [
                {
                    "valueString": "enter string here"
                }
            ]
        },
        {
            "linkId": "hpt-note.4",
            "text": "Smoking History",
            "answer":  [
                {
                    "valueBoolean": true,
                    "item":  [
                        {
                            "linkId": "hpt-note.4.1",
                            "text": "Starting Date of Smoking",
                            "answer":  [
                                {
                                    "valueDateTime": "2023-05-28T08:24:00.500Z"
                                }
                            ]
                        },
                        {
                            "linkId": "hpt-note.4.2",
                            "text": "How many ciggarates per day",
                            "answer":  [
                                {
                                    "valueInteger": 12
                                }
                            ]
                        },
                        {
                            "linkId": "hpt-note.4.3",
                            "text": "Pack years of smoking (years)",
                            "answer":  [
                                {
                                    "valueInteger": 12
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.5",
            "text": "Social History",
            "answer":  [
                {
                    "valueString": "enter string here"
                }
            ]
        },
        {
            "linkId": "hpt-note.6",
            "text": "Family History",
            "answer":  [
                {
                    "valueString": "enter string here"
                }
            ]
        },
        {
            "linkId": "hpt-note.7",
            "text": "Symptoms",
            "item":  [
                {
                    "linkId": "hpt-note.7.1",
                    "text": "Visual Disturbances",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.7.2",
                    "text": "Chest pain",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.7.3",
                    "text": "Lower limb swellings",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.7.4",
                    "text": "Headache",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.7.5",
                    "text": "Vomiting",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.7.6",
                    "text": "Limb weakness",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.7.7",
                    "text": "Shortness of breath",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.7.8",
                    "text": "Symptoms Remarks",
                    "answer":  [
                        {
                            "valueString": "enter string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.8",
            "text": "History of Presenting Illness Summary",
            "answer":  [
                {
                    "valueString": "enter string here"
                }
            ]
        },
        {
            "linkId": "hpt-note.9",
            "text": "Vital Signs",
            "item":  [
                {
                    "linkId": "hpt-note.9.1",
                    "text": "BP on arrival systolic (mmHg)",
                    "answer":  [
                        {
                            "valueInteger": 120
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.9.2",
                    "text": "BP on arrival diastolic (mmHg)",
                    "answer":  [
                        {
                            "valueInteger": 70
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.9.3",
                    "text": "BP second reading systolic (mmHg)",
                    "answer":  [
                        {
                            "valueInteger": 120
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.9.4",
                    "text": "BP second reading diastolic (mmHg)",
                    "answer":  [
                        {
                            "valueInteger": 70
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.9.5",
                    "text": "BP systolic standing (mmHg)",
                    "answer":  [
                        {
                            "valueInteger": 120
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.9.6",
                    "text": "BP diastolic standing (mmHg)",
                    "answer":  [
                        {
                            "valueInteger": 70
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.9.7",
                    "text": "BP systolic seated (mmHg)",
                    "answer":  [
                        {
                            "valueInteger": 120
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.9.8",
                    "text": "BP diastolic seated (mmHg)",
                    "answer":  [
                        {
                            "valueInteger": 70
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.9.9",
                    "text": "Heart Rate (bpm)",
                    "answer":  [
                        {
                            "valueInteger": 99
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.9.10",
                    "text": "SPo2 (%)",
                    "answer":  [
                        {
                            "valueInteger": 99
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.9.11",
                    "text": "Temperature (Degrees Celcius)",
                    "answer":  [
                        {
                            "valueDecimal": 36.87
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.9.12",
                    "text": "Pain score",
                    "answer":  [
                        {
                            "valueInteger": 2
                        }
                    ]
                },
                {
                    "linkId": "hpt-note.9.13",
                    "text": "CCTVR",
                    "answer":  [
                        {
                            "valueString": "enter string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.10",
            "text": "Central Nervous System Examinations (Normal Findings)",
            "answer":  [
                {
                    "valueBoolean": true,
                    "item":  [
                        {
                            "linkId": "hpt-note.10.1",
                            "text": "Findings",
                            "answer":  [
                                {
                                    "valueString": "enter string here"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.11",
            "text": "Eye Examination (Normal Findings)",
            "answer":  [
                {
                    "valueBoolean": true,
                    "item":  [
                        {
                            "linkId": "hpt-note.11.1",
                            "text": "Findings",
                            "answer":  [
                                {
                                    "valueString": "enter string here"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.12",
            "text": "Cranial Nerves Examination (Normal findings)",
            "answer":  [
                {
                    "valueBoolean": true,
                    "item":  [
                        {
                            "linkId": "hpt-note.12.1",
                            "text": "Findings",
                            "answer":  [
                                {
                                    "valueString": "enter string here"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.13",
            "text": "Cardiac Examination (Normal Findings)",
            "answer":  [
                {
                    "valueBoolean": true,
                    "item":  [
                        {
                            "linkId": "hpt-note.13.1",
                            "text": "Findings",
                            "answer":  [
                                {
                                    "valueString": "enter string here"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.14",
            "text": "General Endocrine Examination (Normal Findings)",
            "answer":  [
                {
                    "valueBoolean": true,
                    "item":  [
                        {
                            "linkId": "hpt-note.14.1",
                            "text": "Findings",
                            "answer":  [
                                {
                                    "valueString": "enter string here"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.15",
            "text": "Abdominal Examination (Normal Findings)",
            "answer":  [
                {
                    "valueBoolean": true,
                    "item":  [
                        {
                            "linkId": "hpt-note.15.1",
                            "text": "Findings",
                            "answer":  [
                                {
                                    "valueString": "enter string here"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.16",
            "text": "Respiratory Examination (  Normal Findings)",
            "answer":  [
                {
                    "valueBoolean": true,
                    "item":  [
                        {
                            "linkId": "hpt-note.16.1",
                            "text": "Findings",
                            "answer":  [
                                {
                                    "valueString": "enter string here"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.17",
            "text": "General Examination Findings Summary",
            "answer":  [
                {
                    "valueString": "enter string here"
                }
            ]
        },
        {
            "linkId": "hpt-note.18",
            "text": "Investigations / Special Test",
            "answer":  [
                {
                    "valueString": "enter string here",
                    "item":  [
                        {
                            "linkId": "hpt-note.18.1",
                            "text": "Fundoscopy",
                            "answer":  [
                                {
                                    "valueString": "enter string here"
                                }
                            ]
                        },
                        {
                            "linkId": "hpt-note.18.2",
                            "text": "US KUB Findings",
                            "answer":  [
                                {
                                    "valueString": "enter string here"
                                }
                            ]
                        },
                        {
                            "linkId": "hpt-note.18.3",
                            "text": "CT Scan Findings",
                            "answer":  [
                                {
                                    "valueString": "enter string here"
                                }
                            ]
                        },
                        {
                            "linkId": "hpt-note.18.4",
                            "text": "Xray Findings",
                            "answer":  [
                                {
                                    "valueString": "enter string here"
                                }
                            ]
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "hpt-note.19",
            "text": "Diagnosis",
            "answer":  [
                {
                    "valueString": "enter string here"
                }
            ]
        },
        {
            "linkId": "hpt-note.20",
            "text": "Management/Treatment Summary",
            "answer":  [
                {
                    "valueString": "enter string here"
                }
            ]
        },
        {
            "linkId": "hpt-note.21",
            "text": "TCA Date",
            "answer":  [
                {
                    "valueDateTime": "2023-05-28T08:24:52.474Z"
                }
            ]
        },
        {
            "linkId": "hpt-note.22",
            "text": "Referral",
            "answer":  [
                {
                    "valueBoolean": true,
                    "item":  [
                        {
                            "linkId": "hpt-note.22.1",
                            "text": "Reason for Referral",
                            "answer":  [
                                {
                                    "valueString": "enter string here"
                                }
                            ]
                        },
                        {
                            "linkId": "hpt-note.22.2",
                            "text": "Spoken To:",
                            "answer":  [
                                {
                                    "valueString": "enter string here"
                                }
                            ]
                        },
                        {
                            "linkId": "hpt-note.22.3",
                            "text": "Time of Referral made",
                            "answer":  [
                                {
                                    "valueDateTime": "2023-05-07T08:24:55.409Z"
                                }
                            ]
                        }
                    ]
                }
            ]
        }
    ]
}

3. TB Clerking Template
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-tb-note",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-tb-note",
    "version": "1.0.0",
    "name": "QTbNote",
    "title": "TB Clerking Template",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "item":  [
        {
            "linkId": "tb-note.1",
            "text": "Special Group",
            "type": "group",
            "item":  [
                {
                    "linkId": "tb-note.1.1",
                    "text": "TB Contact",
                    "type": "boolean"
                },
                {
                    "linkId": "tb-note.1.2",
                    "text": "Pregnancy",
                    "type": "boolean"
                },
                {
                    "linkId": "tb-note.1.3",
                    "text": "Other Comorbids (e.g Diabetes Mellitus or Hypertension)",
                    "type": "boolean"
                },
                {
                    "linkId": "tb-note.1.4",
                    "text": "Immunocompromised (e.g. on Immunosupressants / HIV)",
                    "type": "boolean"
                },
                {
                    "linkId": "tb-note.1.5",
                    "text": "Special Group Remarks",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "tb-note.2",
            "text": "Past Medical / Surgical History",
            "type": "group",
            "item":  [
                {
                    "linkId": "tb-note.2.1",
                    "text": "Past Medical History",
                    "type": "text"
                },
                {
                    "linkId": "tb-note.2.2",
                    "text": "Past Surgical History",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "tb-note.3",
            "text": "Medication History",
            "type": "group",
            "item":  [
                {
                    "linkId": "tb-note.3.1",
                    "text": "Medication Details",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "tb-note.4",
            "text": "Social and Family History",
            "type": "group",
            "item":  [
                {
                    "linkId": "tb-note.4.2",
                    "text": "Social History",
                    "type": "text"
                },
                {
                    "linkId": "tb-note.4.1",
                    "text": "Family History",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "tb-note.5",
            "text": "Symptoms",
            "type": "group",
            "item":  [
                {
                    "linkId": "tb-note.5.1",
                    "text": "Cough",
                    "type": "boolean"
                },
                {
                    "linkId": "tb-note.5.2",
                    "text": "Fever",
                    "type": "boolean"
                },
                {
                    "linkId": "tb-note.5.3",
                    "text": "Night Sweats",
                    "type": "boolean"
                },
                {
                    "linkId": "tb-note.5.4",
                    "text": "Haemoptysis",
                    "type": "boolean"
                },
                {
                    "linkId": "tb-note.5.5",
                    "text": "Weight Loss",
                    "type": "boolean"
                },
                {
                    "linkId": "tb-note.5.6",
                    "text": "Chest Pain",
                    "type": "boolean"
                },
                {
                    "linkId": "tb-note.5.7",
                    "text": "Shortness of Breath",
                    "type": "boolean"
                },
                {
                    "linkId": "tb-note.5.8",
                    "text": "Lethargy",
                    "type": "boolean"
                },
                {
                    "linkId": "tb-note.5.9",
                    "text": "Symptoms Remark",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "tb-note.6",
            "text": "History of Presenting Illness Summary",
            "type": "group",
            "item":  [
                {
                    "linkId": "tb-note.6.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "tb-note.7",
            "text": "Vital Signs",
            "type": "group",
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 300
                        }
                    ],
                    "linkId": "tb-note.7.1",
                    "code":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8480-6",
                            "display": "Systolic Blood Pressure"
                        }
                    ],
                    "text": "Systolic Blood Pressure (mmHg)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 250
                        }
                    ],
                    "linkId": "tb-note.7.2",
                    "code":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8462-4",
                            "display": "Diastolic Blood Pressure"
                        }
                    ],
                    "text": "Diastolic Blood Pressure (mmHg)",
                    "type": "quantity",
                    "enableWhen":  [
                        {
                            "question": "tb-note.7.1",
                            "operator": "exists",
                            "answerBoolean": true
                        }
                    ],
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 400
                        }
                    ],
                    "linkId": "tb-note.7.3",
                    "text": "Heart Rate (/min)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "/min",
                                "system": "http://unitsofmeasure.org",
                                "code": "/min"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 100
                        }
                    ],
                    "linkId": "tb-note.7.4",
                    "code":  [
                        {
                            "system": "http://loinc.org",
                            "code": "8310-5",
                            "display": "Body Temperature"
                        }
                    ],
                    "text": "Body Temperature (°C)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "°C",
                                "system": "http://unitsofmeasure.org",
                                "code": "Cel"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 100
                        }
                    ],
                    "linkId": "tb-note.7.5",
                    "text": "Oxygen Saturation (%)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "%",
                                "system": "http://unitsofmeasure.org",
                                "code": "%"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 0
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 80
                        }
                    ],
                    "linkId": "tb-note.7.6",
                    "text": "Respiratory Rate (/min)",
                    "type": "quantity",
                    "initial":  [
                        {
                            "valueQuantity": {
                                "unit": "/min",
                                "system": "http://unitsofmeasure.org",
                                "code": "/min"
                            }
                        }
                    ]
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/minValue-my-core",
                            "valueInteger": 1
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/maxValue-my-core",
                            "valueInteger": 10
                        }
                    ],
                    "linkId": "tb-note.7.7",
                    "text": "Pain score",
                    "type": "quantity"
                }
            ]
        },
        {
            "linkId": "tb-note.8",
            "text": "Physical Examination",
            "type": "group",
            "item":  [
                {
                    "linkId": "tb-note.8.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "tb-note.9",
            "text": "Investigations / Special Test",
            "type": "group",
            "item":  [
                {
                    "linkId": "tb-note.9.1",
                    "text": "Findings",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "tb-note.10",
            "text": "Imaging",
            "type": "group",
            "item":  [
                {
                    "linkId": "tb-note.10.1",
                    "text": "Chest X ray Intepretation",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "tb-note.11",
            "text": "Diagnosis",
            "type": "group",
            "item":  [
                {
                    "linkId": "tb-note.11.1",
                    "text": "Diagnosis",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "tb-note.12",
            "text": "Management / Treatment",
            "type": "group",
            "item":  [
                {
                    "linkId": "tb-note.12.1",
                    "text": "Management Summary",
                    "type": "text"
                }
            ]
        },
        {
            "linkId": "tb-note.13",
            "text": "Notification of Infectious Disease",
            "type": "group",
            "item":  [
                {
                    "linkId": "tb-note.13.1",
                    "text": "Spoken To",
                    "type": "text"
                },
                {
                    "linkId": "tb-note.13.2",
                    "text": "Time of Notification",
                    "type": "dateTime"
                }
            ]
        },
        {
            "linkId": "tb-note.14",
            "text": "TCA Date",
            "type": "group",
            "item":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/dateRule-my-core",
                            "valueString": "futureDate"
                        }
                    ],
                    "linkId": "tb-note.14.1",
                    "text": "Date",
                    "type": "dateTime"
                }
            ]
        },
        {
            "linkId": "tb-note.15",
            "text": "Referral",
            "type": "group",
            "item":  [
                {
                    "linkId": "tb-note.15.1",
                    "text": "Reason for Referral",
                    "type": "text"
                },
                {
                    "linkId": "tb-note.15.2",
                    "text": "Spoken To",
                    "type": "string"
                },
                {
                    "linkId": "tb-note.15.3",
                    "text": "Time of Referral",
                    "type": "dateTime"
                }
            ]
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-tb-note",
    "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-tb-note"
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-tb-note",
    "status": "completed",
    "subject": {
        "reference": "Patient/3a1fe467-cad5-4ec9-83f8-fd6dfb46470c"
    },
    "authored": "2023-04-27T00:20:14.414Z",
    "item":  [
        {
            "linkId": "tb-note.1",
            "text": "Special Group",
            "item":  [
                {
                    "linkId": "tb-note.1.1",
                    "text": "TB Contact",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "tb-note.1.2",
                    "text": "Pregnancy",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "tb-note.1.3",
                    "text": "Other comorbids (e.g Diabetes Mellitus or Hypertension)",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "tb-note.1.4",
                    "text": "Immunocompromised (e.g. on immunosupressants / HIV)",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "tb-note.1.5",
                    "text": "Special Group Remarks",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.2",
            "text": "Past Medical / Surgical History",
            "item":  [
                {
                    "linkId": "tb-note.2.1",
                    "text": "Past Medical History",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                },
                {
                    "linkId": "tb-note.2.2",
                    "text": "Past Surgical History",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.3",
            "text": "Medication History",
            "item":  [
                {
                    "linkId": "tb-note.3.1",
                    "text": "Medication Details",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.4",
            "text": "Social and Family History",
            "item":  [
                {
                    "linkId": "tb-note.4.2",
                    "text": "Social History",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                },
                {
                    "linkId": "tb-note.4.1",
                    "text": "Family History",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.5",
            "text": "Symptoms",
            "item":  [
                {
                    "linkId": "tb-note.5.1",
                    "text": "Cough",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "tb-note.5.2",
                    "text": "Fever",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "tb-note.5.3",
                    "text": "Night Sweats",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "tb-note.5.4",
                    "text": "Haemoptysis",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "tb-note.5.5",
                    "text": "Weight loss",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "tb-note.5.6",
                    "text": "Chest pain",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "tb-note.5.7",
                    "text": "Shortness of breath",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "tb-note.5.8",
                    "text": "Lethargy",
                    "answer":  [
                        {
                            "valueBoolean": true
                        }
                    ]
                },
                {
                    "linkId": "tb-note.5.9",
                    "text": "Symptoms Remark",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.6",
            "text": "History of Presenting Illness Summary",
            "item":  [
                {
                    "linkId": "tb-note.6.1",
                    "text": "Findings",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.7",
            "text": "Vital Signs",
            "item":  [
                {
                    "linkId": "tb-note.7.1",
                    "text": "Systolic Blood Pressure (mmHg)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 120,
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "linkId": "tb-note.7.2",
                    "text": "Diastolic Blood Pressure (mmHg)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 70,
                                "unit": "mmHg",
                                "system": "http://unitsofmeasure.org",
                                "code": "mm[Hg]"
                            }
                        }
                    ]
                },
                {
                    "linkId": "tb-note.7.3",
                    "text": "Heart Rate (/min)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 66,
                                "unit": "/min",
                                "system": "http://unitsofmeasure.org",
                                "code": "/min"
                            }
                        }
                    ]
                },
                {
                    "linkId": "tb-note.7.4",
                    "text": "Body Temperature (°C)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 36.7,
                                "unit": "°C",
                                "system": "http://unitsofmeasure.org",
                                "code": "Cel"
                            }
                        }
                    ]
                },
                {
                    "linkId": "tb-note.7.5",
                    "text": "Oxygen Saturation (%)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 99,
                                "unit": "%",
                                "system": "http://unitsofmeasure.org",
                                "code": "%"
                            }
                        }
                    ]
                },
                {
                    "linkId": "tb-note.7.6",
                    "text": "Respiratory Rate (/min)",
                    "answer":  [
                        {
                            "valueQuantity": {
                                "value": 66,
                                "unit": "/min",
                                "system": "http://unitsofmeasure.org",
                                "code": "/min"
                            }
                        }
                    ]
                },
                {
                    "linkId": "tb-note.7.7",
                    "text": "Pain score",
                    "answer":  [
                        {
                            "valueInteger": 2
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.8",
            "text": "Physical Examination",
            "item":  [
                {
                    "linkId": "tb-note.8.1",
                    "text": "Findings",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.9",
            "text": "Investigations / Special Test",
            "item":  [
                {
                    "linkId": "tb-note.9.1",
                    "text": "Findings",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.10",
            "text": "Imaging",
            "item":  [
                {
                    "linkId": "tb-note.10.1",
                    "text": "Chest X ray Intepretation",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.11",
            "text": "Diagnosis",
            "item":  [
                {
                    "linkId": "tb-note.11.1",
                    "text": "Diagnosis",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.12",
            "text": "Management / Treatment",
            "item":  [
                {
                    "linkId": "tb-note.12.1",
                    "text": "Management Summary",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.13",
            "text": "Notification of Infectious Disease",
            "item":  [
                {
                    "linkId": "tb-note.13.1",
                    "text": "Spoken To",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                },
                {
                    "linkId": "tb-note.13.2",
                    "text": "Time of Notification",
                    "answer":  [
                        {
                            "valueDateTime": "2023-06-13T08:37:27.230Z"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.14",
            "text": "TCA Date",
            "item":  [
                {
                    "linkId": "tb-note.14.1",
                    "text": "Date",
                    "answer":  [
                        {
                            "valueDateTime": "2023-06-26T08:37:29.780Z"
                        }
                    ]
                }
            ]
        },
        {
            "linkId": "tb-note.15",
            "text": "Referral",
            "item":  [
                {
                    "linkId": "tb-note.15.1",
                    "text": "Reason for Referral",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                },
                {
                    "linkId": "tb-note.15.2",
                    "text": "Spoken To",
                    "answer":  [
                        {
                            "valueString": "insert string here"
                        }
                    ]
                },
                {
                    "linkId": "tb-note.15.3",
                    "text": "Time of Referral",
                    "answer":  [
                        {
                            "valueDateTime": "2023-06-12T08:37:33.806Z"
                        }
                    ]
                }
            ]
        }
    ]
}

Self/Risk Assessment

Download Self/Risk Assessment Questionnaire

Download Self/Risk Assessment QuestionnaireResponse Sample

No Title JSON
1. AUDIT-C
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-audit-c",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-audit-c",
    "title": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "description": "The AUDIT-C is scored on a scale of 0-12 (scores of 0 reflect no alcohol use). In men, a score of 4 or more is considered positive; in women, a score of 3 or more is considered positive. Generally, the higher the AUDIT-C score, the more likely it is that the person's drinking is affecting his/her health and safety.",
    "useContext":  [
        {
            "code": {
                "system": "http://hl7.org/fhir/CodeSystem/usage-context-type",
                "code": "workflow",
                "display": "Workflow Setting"
            },
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "code": "self-assessment",
                        "display": "Self-Assessment"
                    }
                ]
            }
        }
    ],
    "purpose": "The AUDIT questionnaire is designed to help in the self-assessment of alcohol consumption and to identify any implications for the person's health and wellbeing, now and in the future.",
    "code":  [
        {
            "system": "http://loinc.org",
            "code": "72109-2",
            "display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
        }
    ],
    "item":  [
        {
            "linkId": "01",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "68518-0",
                    "display": "How often do you have a drink containing alcohol"
                }
            ],
            "prefix": "1",
            "text": "How often did you have a drink containing alcohol in the past year?",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18926-8",
                        "display": "Monthly or less"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18927-6",
                        "display": "Two to four times a month"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18928-4",
                        "display": "Two to three times per week"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 4.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18929-2",
                        "display": "Four or more times a week"
                    }
                }
            ]
        },
        {
            "linkId": "02",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "68519-8",
                    "display": "How many standard drinks containing alcohol do you have on a typical day"
                }
            ],
            "prefix": "2",
            "text": "How many drinks containing alcohol did you have on a typical day when you were drinking in the past year?",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "1 or 2 drinks"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18926-8",
                        "display": "3 or 4"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18927-6",
                        "display": "5 to 6"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18928-4",
                        "display": "7 to 9"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 4.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18929-2",
                        "display": "10 or more"
                    }
                }
            ]
        },
        {
            "linkId": "03",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "68520-6",
                    "display": "How often do you have 6 or more drinks on 1 occasion"
                }
            ],
            "prefix": "3",
            "text": "How often did you have six or more drinks on one occasion in the past year?",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18926-8",
                        "display": "Less than monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18927-6",
                        "display": "monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18928-4",
                        "display": "weekly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 4.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18929-2",
                        "display": "daily or almost daily"
                    }
                }
            ]
        },
        {
            "id": "score",
            "linkId": "04",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "75626-2",
                    "display": "Total score [AUDIT-C]"
                }
            ],
            "prefix": "4",
            "text": "Total score [AUDIT-C]",
            "type": "integer",
            "required": true,
            "readOnly": true
        },
        {
            "id": "outcome",
            "linkId": "05",
            "code":  [
                {
                    "code": "outcome"
                }
            ],
            "prefix": "5",
            "text": "Outcome Summary [AUDIT]",
            "type": "choice",
            "required": true,
            "readOnly": true,
            "answerOption":  [
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-c-my-core",
                        "code": "a1",
                        "display": "Low-Risk Consumption"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-c-my-core",
                        "code": "a2",
                        "display": "Alcohol misuse"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-c-my-core",
                        "code": "a3",
                        "display": "Alcohol misuse and possible health effected"
                    }
                }
            ]
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-audit-c",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
        ]
    },
    "extension":  [
        {
            "url": "http://fhir.hie.moh.gov.my/StructureDefinition/questionnaire-reference-my-core",
            "valueReference": {
                "reference": "Questionnaire/q-audit-c"
            }
        }
    ],
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-audit-c",
    "status": "completed",
    "subject": {
        "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
    },
    "authored": "2023-01-30T04:22:00.113Z",
    "author": {
        "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
    },
    "item":  [
        {
            "linkId": "01",
            "text": "How often do you have a drink containing alcohol?",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                }
            ]
        },
        {
            "linkId": "02",
            "text": "How many standard drinks containing alcohol do you have on a typical day when drinking?",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                }
            ]
        },
        {
            "linkId": "03",
            "text": "How often do you have six or more drinks on one occasion?",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                }
            ]
        },
        {
            "linkId": "04",
            "text": "Total score [AUDIT-C]",
            "answer":  [
                {
                    "valueInteger": 0
                }
            ]
        },
        {
            "linkId": "05",
            "text": "Outcome Summary [AUDIT]",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-c-my-core",
                        "code": "a1",
                        "display": "Low-Risk Consumption"
                    }
                }
            ]
        }
    ]
}

2. AUDIT-10
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-audit-10",
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-audit-10",
    "title": "Alcohol Use Disorder Identification Test 10 [AUDIT-10]",
    "status": "active",
    "date": "2024-02-12T04:04:09.5621857+00:00",
    "description": "The AUDIT-10 has 10 questions and the range of possible scores is from 0 to 40 where 0 indicates an abstainer who has never had any problems from alcohol, 1 to 7 suggests low risk consumption, 8 to 14 suggest harmful alcohol consumption and ≥15 Likelihood of alcohol dependence (moderate-severe alcohol use disorder)",
    "useContext":  [
        {
            "code": {
                "system": "http://hl7.org/fhir/CodeSystem/usage-context-type",
                "code": "workflow",
                "display": "Workflow Setting"
            },
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "code": "self-assessment",
                        "display": "Self-Assessment"
                    }
                ]
            }
        }
    ],
    "purpose": "The AUDIT questionnaire is designed to help in the self-assessment of alcohol consumption and to identify any implications for the person's health and wellbeing, now and in the future.",
    "code":  [
        {
            "system": "http://loinc.org",
            "code": "72110-0",
            "display": "Alcohol Use Disorder Identification Test [AUDIT]"
        }
    ],
    "item":  [
        {
            "linkId": "00",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "46098-0",
                    "display": "Sex"
                }
            ],
            "prefix": "1",
            "text": "Please select your gender",
            "type": "choice",
            "required": false,
            "answerOption":  [
                {
                    "valueCoding": {
                        "system": "http://hl7.org/fhir/administrative-gender",
                        "code": "male",
                        "display": "Male"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://hl7.org/fhir/administrative-gender",
                        "code": "female",
                        "display": "Female"
                    }
                }
            ]
        },
        {
            "linkId": "01",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "68518-0",
                    "display": "How often do you have a drink containing alcohol"
                }
            ],
            "prefix": "2",
            "text": "How often do you have a drink containing alcohol?",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18933-4",
                        "display": "Monthly or less"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18876-5",
                        "display": "2-4 times a month"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18891-4",
                        "display": "2-3 times a week"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 4.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18934-2",
                        "display": "4 or more times a week"
                    }
                }
            ]
        },
        {
            "linkId": "02",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "68519-8",
                    "display": "How many standard drinks containing alcohol do you have on a typical day"
                }
            ],
            "prefix": "3",
            "text": "How many standard drinks containing alcohol do you have on a typical day when drinking?",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "1 or 2"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18926-8",
                        "display": "3 or 4"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18927-6",
                        "display": "5 or 6"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18928-4",
                        "display": "7 to 9"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 4.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18929-2",
                        "display": "10 or more"
                    }
                }
            ]
        },
        {
            "linkId": "03",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "68520-6",
                    "display": "How often do you have 6 or more drinks on 1 occasion"
                }
            ],
            "prefix": "4",
            "text": "How often do you have six or more drinks on one occasion?",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18926-8",
                        "display": "Less than monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18927-6",
                        "display": "Monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18928-4",
                        "display": "Weekly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 4.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18929-2",
                        "display": "Daily or almost daily"
                    }
                }
            ]
        },
        {
            "linkId": "04",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "97734-8",
                    "display": "Inability to stop drinking once started"
                }
            ],
            "prefix": "5",
            "text": "During the past year, how often have you found that you were not able to stop drinking once you had started?",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18933-4",
                        "display": "Less than monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18876-5",
                        "display": "Monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18891-4",
                        "display": "Weekly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 4.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18934-2",
                        "display": "Daily or almost daily"
                    }
                }
            ]
        },
        {
            "linkId": "05",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "97735-5",
                    "display": "Failed expectations due to drinking"
                }
            ],
            "prefix": "6",
            "text": "During the past year, how often have you failed to do what was normally expected of you because of drinking?",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18933-4",
                        "display": "Less than monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18876-5",
                        "display": "Monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18891-4",
                        "display": "Weekly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 4.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18934-2",
                        "display": "Daily or almost daily"
                    }
                }
            ]
        },
        {
            "linkId": "06",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "97736-3",
                    "display": "Drink needed in morning to begin activities after drinking session"
                }
            ],
            "prefix": "7",
            "text": "During the past year, how often have you needed a drink in the morning to get yourself going after a heavy drinking session?",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18933-4",
                        "display": "Less than monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18876-5",
                        "display": "Monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18891-4",
                        "display": "Weekly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 4.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18934-2",
                        "display": "Daily or almost daily"
                    }
                }
            ]
        },
        {
            "linkId": "07",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "97737-1",
                    "display": "Guilt or remorse after drinking"
                }
            ],
            "prefix": "8",
            "text": "During the past year, how often have you had a feeling of guilt or remorse after drinking?",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18933-4",
                        "display": "Less than monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18876-5",
                        "display": "Monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18891-4",
                        "display": "Weekly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 4.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18934-2",
                        "display": "Daily or almost daily"
                    }
                }
            ]
        },
        {
            "linkId": "08",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "97738-9",
                    "display": "Inability to recall events from night before due to drinking"
                }
            ],
            "prefix": "9",
            "text": "During the past year, how often have you been unable to remember what happened the night before because you had been drinking?",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18933-4",
                        "display": "Less than monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18876-5",
                        "display": "Monthly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18891-4",
                        "display": "Weekly"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 4.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18934-2",
                        "display": "Daily or almost daily"
                    }
                }
            ]
        },
        {
            "linkId": "09",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "97739-7",
                    "display": "Injury to you or someone else resulting from drinking"
                }
            ],
            "prefix": "10",
            "text": "Have you or someone else been injured as a result of your drinking?",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA32-8",
                        "display": "No"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA32279-4",
                        "display": "Yes, but not in the past year"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 4.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA32280-2",
                        "display": "Yes, during the past year"
                    }
                }
            ]
        },
        {
            "linkId": "10",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "97740-5",
                    "display": "Has anyone expressed concern about your drinking or suggested you cut down"
                }
            ],
            "prefix": "11",
            "text": "Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested you cut down?",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "LA32-8",
                        "display": "No"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA32279-4",
                        "display": "Yes, but not in the past year"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 4.0
                        }
                    ],
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA32280-2",
                        "display": "Yes, during the past year"
                    }
                }
            ]
        },
        {
            "id": "score",
            "linkId": "11",
            "code":  [
                {
                    "system": "http://loinc.org",
                    "code": "75624-7",
                    "display": "Total score [AUDIT]"
                }
            ],
            "prefix": "12",
            "text": "Total score [AUDIT]",
            "type": "integer",
            "required": true,
            "readOnly": true
        },
        {
            "id": "outcome",
            "linkId": "12",
            "code":  [
                {
                    "code": "outcome"
                }
            ],
            "prefix": "13",
            "text": "Outcome Summary [AUDIT]",
            "type": "choice",
            "required": true,
            "readOnly": true,
            "answerOption":  [
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-10-my-core",
                        "code": "a0",
                        "display": "Indicates an abstainer who has never had any problems from alcohol"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-10-my-core",
                        "code": "a1",
                        "display": "Suggests low risk consumption"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-10-my-core",
                        "code": "a2",
                        "display": "Suggest harmful alcohol consumption"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-10-my-core",
                        "code": "a3",
                        "display": "Likelihood of alcohol dependence (moderate-severe alcohol use disorder)"
                    }
                }
            ]
        }
    ]
}

QuestionnaireResponse

{
    "resourceType": "QuestionnaireResponse",
    "id": "qr-audit-10",
    "meta": {
        "source": "http://provider.hie.moh.gov.my",
        "profile":  [
            "http://fhir.hie.moh.gov.my/StructureDefinition/QuestionnaireResponse-my-core"
        ]
    },
    "questionnaire": "http://fhir.hie.moh.gov.my/Questionnaire/q-audit-10",
    "status": "completed",
    "subject": {
        "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
    },
    "authored": "2022-08-03T04:22:00.113Z",
    "author": {
        "reference": "Patient/bfb81ffe-637d-4b3f-befa-f7a1546ed9f8"
    },
    "item":  [
        {
            "linkId": "00",
            "text": "Please select your gender",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://hl7.org/fhir/administrative-gender",
                        "code": "male",
                        "display": "Male"
                    }
                }
            ]
        },
        {
            "linkId": "01",
            "text": "How often do you have a drink containing alcohol?",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18926-8",
                        "display": "Monthly or less"
                    }
                }
            ]
        },
        {
            "linkId": "02",
            "text": "How many standard drinks containing alcohol do you have on a typical day when drinking?",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18926-8",
                        "display": "Monthly or less"
                    }
                }
            ]
        },
        {
            "linkId": "03",
            "text": "How often do you have six or more drinks on one occasion?",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18926-8",
                        "display": "Monthly or less"
                    }
                }
            ]
        },
        {
            "linkId": "04",
            "text": "During the past year, how often have you found that you were not able to stop drinking once you had started?",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18933-4",
                        "display": "Less than monthly"
                    }
                }
            ]
        },
        {
            "linkId": "05",
            "text": "During the past year, how often have you failed to do what was normally expected of you because of drinking?",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA18933-4",
                        "display": "Less than monthly"
                    }
                }
            ]
        },
        {
            "linkId": "06",
            "text": "During the past year, how often have you needed a drink in the morning to get yourself going after a heavy drinking session?",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                }
            ]
        },
        {
            "linkId": "07",
            "text": "During the past year, how often have you had a feeling of guilt or remorse after drinking?",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                }
            ]
        },
        {
            "linkId": "08",
            "text": "During the past year, how often have you been unable to remember what happened the night before because you had been drinking?",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA6270-8",
                        "display": "Never"
                    }
                }
            ]
        },
        {
            "linkId": "09",
            "text": "Have you or someone else been injured as a result of your drinking?",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://loinc.org",
                        "code": "LA32-8",
                        "display": "No"
                    }
                }
            ]
        },
        {
            "linkId": "10",
            "text": "Has a relative or friend, doctor or other health worker been concerned about your drinking or suggested you cut down?",
            "answer":  [
                {
                    "valueCoding": {
                        "code": "LA32-8",
                        "display": "No"
                    }
                }
            ]
        },
        {
            "linkId": "11",
            "text": "Total score [AUDIT]",
            "answer":  [
                {
                    "valueInteger": 7
                }
            ]
        },
        {
            "linkId": "12",
            "text": "Outcome Summary [AUDIT]",
            "answer":  [
                {
                    "valueCoding": {
                        "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-10-my-core",
                        "code": "a1",
                        "display": "Low-risk consumption"
                    }
                }
            ]
        }
    ]
}

3. DASS-21
Questionnaire

{
    "resourceType": "Questionnaire",
    "id": "q-dass-21",
    "meta": {
        "versionId": "4",
        "lastUpdated": "2024-02-06T11:39:55.765+08:00",
        "source": "#gvQEyVe526qP1u0y",
        "profile":  [
            "http://hl7.org/fhir/StructureDefinition/Questionnaire"
        ]
    },
    "url": "http://fhir.hie.moh.gov.my/Questionnaire/dass-21",
    "title": "Depression Anxiety and Stress Scale 21 (DASS-21)",
    "status": "active",
    "date": "2023-08-30T01:44:59.0418083+00:00",
    "description": "Please read each statement and choose the answer that indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement",
    "useContext":  [
        {
            "code": {
                "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
                "code": "workflow",
                "display": "Workflow Setting"
            },
            "valueCodeableConcept": {
                "coding":  [
                    {
                        "code": "self-assessment",
                        "display": "Self-Assessment"
                    }
                ]
            }
        }
    ],
    "purpose": "The DASS-21 is the short form of the DASS-42, a self-report scale designed to measure the negative emotional states of depression, anxiety and stress.",
    "code":  [
        {
            "code": "dass-21"
        }
    ],
    "item":  [
        {
            "linkId": "01",
            "code":  [
                {
                    "code": "stress"
                }
            ],
            "prefix": "1",
            "text": "I found it hard to wind down",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "02",
            "code":  [
                {
                    "code": "anxiety"
                }
            ],
            "prefix": "2",
            "text": "I was aware of dryness of my mouth",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "03",
            "code":  [
                {
                    "code": "depression"
                }
            ],
            "prefix": "3",
            "text": "I couldn’t seem to experience any positive feeling at all",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "04",
            "code":  [
                {
                    "code": "anxiety"
                }
            ],
            "prefix": "4",
            "text": "I experienced breathing difficulty",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "05",
            "code":  [
                {
                    "code": "depression"
                }
            ],
            "prefix": "5",
            "text": "I found it difficult to work up the initiative to do things",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "06",
            "code":  [
                {
                    "code": "stress"
                }
            ],
            "prefix": "6",
            "text": "I tended to over-react to situations",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "07",
            "code":  [
                {
                    "code": "anxiety"
                }
            ],
            "prefix": "7",
            "text": "I experienced trembling",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "08",
            "code":  [
                {
                    "code": "stress"
                }
            ],
            "prefix": "8",
            "text": "I felt that I was using a lot of nervous energy",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "09",
            "code":  [
                {
                    "code": "anxiety"
                }
            ],
            "prefix": "9",
            "text": "I was worried about situations in which I might panic and make a fool of myself",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "10",
            "code":  [
                {
                    "code": "depression"
                }
            ],
            "prefix": "10",
            "text": "I felt that I had nothing to look forward to",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "11",
            "code":  [
                {
                    "code": "stress"
                }
            ],
            "prefix": "11",
            "text": "I found myself getting agitated",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "12",
            "code":  [
                {
                    "code": "stress"
                }
            ],
            "prefix": "12",
            "text": "I found it difficult to relax",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "13",
            "code":  [
                {
                    "code": "depression"
                }
            ],
            "prefix": "13",
            "text": "I felt down-hearted and blue",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "14",
            "code":  [
                {
                    "code": "stress"
                }
            ],
            "prefix": "14",
            "text": "I was intolerant of anything that kept me from getting on with what I was doing",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "15",
            "code":  [
                {
                    "code": "anxiety"
                }
            ],
            "prefix": "15",
            "text": "I felt I was close to panic",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "16",
            "code":  [
                {
                    "code": "depression"
                }
            ],
            "prefix": "16",
            "text": "I was unable to become enthusiastic about anything",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "17",
            "code":  [
                {
                    "code": "depression"
                }
            ],
            "prefix": "17",
            "text": "I felt I wasn’t worth much as a person",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "18",
            "code":  [
                {
                    "code": "stress"
                }
            ],
            "prefix": "18",
            "text": "I felt that I was rather touchy",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "19",
            "code":  [
                {
                    "code": "anxiety"
                }
            ],
            "prefix": "19",
            "text": "I was aware of the action of my heart in the absence of physical exertion",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "20",
            "code":  [
                {
                    "code": "anxiety"
                }
            ],
            "prefix": "20",
            "text": "I felt scared without any good reason",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "linkId": "21",
            "code":  [
                {
                    "code": "depression"
                }
            ],
            "prefix": "21",
            "text": "I felt that life was meaningless",
            "type": "choice",
            "required": true,
            "answerOption":  [
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 0.0
                        }
                    ],
                    "valueCoding": {
                        "code": "0",
                        "display": "Never"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 1.0
                        }
                    ],
                    "valueCoding": {
                        "code": "1",
                        "display": "Sometimes"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 2.0
                        }
                    ],
                    "valueCoding": {
                        "code": "2",
                        "display": "Often"
                    }
                },
                {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
                            "valueDecimal": 3.0
                        }
                    ],
                    "valueCoding": {
                        "code": "3",
                        "display": "Almost Always"
                    }
                }
            ]
        },
        {
            "id": "score-stress",
            "linkId": "22",
            "code":  [
                {
                    "code": "stress-score"
                }
            ],
            "text": "Stress Score",
            "type": "integer",
            "required": true,
            "readOnly": true
        },
        {
            "id": "outcome-stress",
            "linkId": "23",
            "code":  [
                {
                    "code": "stress outcome"
                }
            ],
            "text": "Stress Outcome Summary",
            "type": "choice",
            "required": true,
            "readOnly":