HL7® FHIR® Malaysia Core (MY Core) Implementation Guide
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: Questionnaire Depression Anxiety and Stress Scale 21 (DASS-21) - XML Representation

Active as of 2023-08-30

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<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="q-dass-21"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire q-dass-21</b></p><a name="q-dass-21"> </a><a name="hcq-dass-21"> </a><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Other attributes of the item">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> QDass21</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The DASS-21 (Depression Anxiety and Stress Scale 21) is used to measure the emotional states of depression, anxiety and stress. 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</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">http://fhir.hie.moh.gov.my/Questionnaire/q-dass-21#2.0.1</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.01" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 01</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1. I found it hard to wind down</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.01">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.02" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 02</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">2. I was aware of dryness of my mouth</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.02">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.03" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 03</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">3. I couldn’t seem to experience any positive feeling at all</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.03">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.04" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 04</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">4. I experienced breathing difficulty</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.04">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.05" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 05</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">5. I found it difficult to work up the initiative to do things</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.05">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.06" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 06</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">6. I tended to over-react to situations</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.06">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.07" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 07</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">7. I experienced trembling</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.07">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.08" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 08</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">8. I felt that I was using a lot of nervous energy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.08">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.09" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 09</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">9. I was worried about situations in which I might panic and make a fool of myself</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.09">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.10" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 10</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">10. I felt that I had nothing to look forward to</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.10">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.11" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 11</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">11. I found myself getting agitated</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.11">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.12" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 12</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">12. I found it difficult to relax</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.12">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.13" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 13</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">13. I felt down-hearted and blue</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.13">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.14" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 14</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">14. I was intolerant of anything that kept me from getting on with what I was doing</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.14">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.15" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 15</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">15. I felt I was close to panic</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.15">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.16" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 16</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">16. I was unable to become enthusiastic about anything</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.16">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.17" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 17</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">17. I felt I wasn’t worth much as a person</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.17">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.18" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 18</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">18. I felt that I was rather touchy</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.18">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.19" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 19</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">19. I was aware of the action of my heart in the absence of physical exertion</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.19">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.20" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 20</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">20. I felt scared without any good reason</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.20">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.21" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 21</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">21. I felt that life was meaningless</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.21">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.22" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-integer.png" alt="." style="background-color: white; background-color: inherit" title="integer" class="hierarchy"/> 22</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Stress Score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly" title="Is Read Only"><img src="icon-qi-readonly.png" alt="icon"/></a><img src="icon-qi-readonly.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.23" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 23</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Stress Outcome Summary</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly" title="Is Read Only"><img src="icon-qi-readonly.png" alt="icon"/></a><img src="icon-qi-readonly.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.23">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.24" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-integer.png" alt="." style="background-color: white; background-color: inherit" title="integer" class="hierarchy"/> 24</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Anxiety Score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly" title="Is Read Only"><img src="icon-qi-readonly.png" alt="icon"/></a><img src="icon-qi-readonly.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.25" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 25</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Anxiety Outcome Summary</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly" title="Is Read Only"><img src="icon-qi-readonly.png" alt="icon"/></a><img src="icon-qi-readonly.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.25">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.26" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-integer.png" alt="." style="background-color: white; background-color: inherit" title="integer" class="hierarchy"/> 26</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Depression Score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer">integer</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly" title="Is Read Only"><img src="icon-qi-readonly.png" alt="icon"/></a><img src="icon-qi-readonly.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.27" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 27</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Depression Outcome Summary</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/questionnaire-definitions.html#Questionnaire.item.readOnly" title="Is Read Only"><img src="icon-qi-readonly.png" alt="icon"/></a><img src="icon-qi-readonly.png" alt="icon"/></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.27">5 options</a></td></tr>
<tr><td colspan="6" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.01"> </a><p><b>Answer options for 01 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.02"> </a><p><b>Answer options for 02 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.03"> </a><p><b>Answer options for 03 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.04"> </a><p><b>Answer options for 04 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.05"> </a><p><b>Answer options for 05 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.06"> </a><p><b>Answer options for 06 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.07"> </a><p><b>Answer options for 07 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.08"> </a><p><b>Answer options for 08 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.09"> </a><p><b>Answer options for 09 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.10"> </a><p><b>Answer options for 10 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.11"> </a><p><b>Answer options for 11 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.12"> </a><p><b>Answer options for 12 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.13"> </a><p><b>Answer options for 13 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.14"> </a><p><b>Answer options for 14 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.15"> </a><p><b>Answer options for 15 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.16"> </a><p><b>Answer options for 16 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.17"> </a><p><b>Answer options for 17 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.18"> </a><p><b>Answer options for 18 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.19"> </a><p><b>Answer options for 19 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.20"> </a><p><b>Answer options for 20 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.21"> </a><p><b>Answer options for 21 </b></p><ul><li style="font-size: 11px">null#0 (&quot;Never&quot;)</li><li style="font-size: 11px">null#1 (&quot;Sometimes&quot;)</li><li style="font-size: 11px">null#2 (&quot;Often&quot;)</li><li style="font-size: 11px">null#3 (&quot;Almost Always&quot;)</li></ul><a name="opt-item.23"> </a><p><b>Answer options for 23 </b></p><ul><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core#s01 (&quot;Normal&quot;)</li><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core#s02 (&quot;Mild Stress&quot;)</li><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core#s03 (&quot;Moderate Stress&quot;)</li><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core#s04 (&quot;Severe Stress&quot;)</li><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core#s05 (&quot;Extremely Severe Stress&quot;)</li></ul><a name="opt-item.25"> </a><p><b>Answer options for 25 </b></p><ul><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core#a01 (&quot;Normal&quot;)</li><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core#a02 (&quot;Mild Anxiety&quot;)</li><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core#a03 (&quot;Moderate Anxiety&quot;)</li><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core#a04 (&quot;Severe Anxiety&quot;)</li><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core#a05 (&quot;Extremely Severe Anxiety&quot;)</li></ul><a name="opt-item.27"> </a><p><b>Answer options for 27 </b></p><ul><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core#d01 (&quot;Normal&quot;)</li><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core#d02 (&quot;Mild Depression&quot;)</li><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core#d03 (&quot;Moderate Depression&quot;)</li><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core#d04 (&quot;Severe Depression&quot;)</li><li style="font-size: 11px">http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core#d05 (&quot;Extremely Severe Depression&quot;)</li></ul></div>
  </text>
  <url value="http://fhir.hie.moh.gov.my/Questionnaire/q-dass-21"/>
  <version value="2.0.1"/>
  <name value="QDass21"/>
  <title
         value="Questionnaire Depression Anxiety and Stress Scale 21 (DASS-21)"/>
  <status value="active"/>
  <date value="2023-08-30T01:44:59.0418083+00:00"/>
  <publisher value="MHNexus Sdn Bhd"/>
  <contact>
    <name value="MHNexus Sdn Bhd"/>
    <telecom>
      <system value="url"/>
      <value
             value="http://www.hl7.org/Special/committees/ | https://www.mhn.asia/"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="bizdev@mhnexus.com"/>
    </telecom>
  </contact>
  <description
               value="The DASS-21 (Depression Anxiety and Stress Scale 21) is used to measure the emotional states of depression, anxiety and stress. 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 value="http://hl7.org/fhir/CodeSystem/usage-context-type"/>
      <code value="workflow"/>
      <display value="Workflow Setting"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <code value="self-assessment"/>
        <display value="Self-Assessment"/>
      </coding>
    </valueCodeableConcept>
  </useContext>
  <purpose
           value="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 value="dass-21"/>
  </code>
  <item>
    <linkId value="01"/>
    <code>
      <code value="stress"/>
    </code>
    <prefix value="1"/>
    <text value="I found it hard to wind down"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="02"/>
    <code>
      <code value="anxiety"/>
    </code>
    <prefix value="2"/>
    <text value="I was aware of dryness of my mouth"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="03"/>
    <code>
      <code value="depression"/>
    </code>
    <prefix value="3"/>
    <text value="I couldn’t seem to experience any positive feeling at all"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="04"/>
    <code>
      <code value="anxiety"/>
    </code>
    <prefix value="4"/>
    <text value="I experienced breathing difficulty"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="05"/>
    <code>
      <code value="depression"/>
    </code>
    <prefix value="5"/>
    <text
          value="I found it difficult to work up the initiative to do things"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="06"/>
    <code>
      <code value="stress"/>
    </code>
    <prefix value="6"/>
    <text value="I tended to over-react to situations"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="07"/>
    <code>
      <code value="anxiety"/>
    </code>
    <prefix value="7"/>
    <text value="I experienced trembling"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="08"/>
    <code>
      <code value="stress"/>
    </code>
    <prefix value="8"/>
    <text value="I felt that I was using a lot of nervous energy"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="09"/>
    <code>
      <code value="anxiety"/>
    </code>
    <prefix value="9"/>
    <text
          value="I was worried about situations in which I might panic and make a fool of myself"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="10"/>
    <code>
      <code value="depression"/>
    </code>
    <prefix value="10"/>
    <text value="I felt that I had nothing to look forward to"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="11"/>
    <code>
      <code value="stress"/>
    </code>
    <prefix value="11"/>
    <text value="I found myself getting agitated"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="12"/>
    <code>
      <code value="stress"/>
    </code>
    <prefix value="12"/>
    <text value="I found it difficult to relax"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="13"/>
    <code>
      <code value="depression"/>
    </code>
    <prefix value="13"/>
    <text value="I felt down-hearted and blue"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="14"/>
    <code>
      <code value="stress"/>
    </code>
    <prefix value="14"/>
    <text
          value="I was intolerant of anything that kept me from getting on with what I was doing"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="15"/>
    <code>
      <code value="anxiety"/>
    </code>
    <prefix value="15"/>
    <text value="I felt I was close to panic"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="16"/>
    <code>
      <code value="depression"/>
    </code>
    <prefix value="16"/>
    <text value="I was unable to become enthusiastic about anything"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="17"/>
    <code>
      <code value="depression"/>
    </code>
    <prefix value="17"/>
    <text value="I felt I wasn’t worth much as a person"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="18"/>
    <code>
      <code value="stress"/>
    </code>
    <prefix value="18"/>
    <text value="I felt that I was rather touchy"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="19"/>
    <code>
      <code value="anxiety"/>
    </code>
    <prefix value="19"/>
    <text
          value="I was aware of the action of my heart in the absence of physical exertion"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="20"/>
    <code>
      <code value="anxiety"/>
    </code>
    <prefix value="20"/>
    <text value="I felt scared without any good reason"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <linkId value="21"/>
    <code>
      <code value="depression"/>
    </code>
    <prefix value="21"/>
    <text value="I felt that life was meaningless"/>
    <type value="choice"/>
    <required value="true"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <code value="0"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <code value="1"/>
        <display value="Sometimes"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <code value="2"/>
        <display value="Often"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <code value="3"/>
        <display value="Almost Always"/>
      </valueCoding>
    </answerOption>
  </item>
  <item id="score-stress">
    <linkId value="22"/>
    <code>
      <code value="stress-score"/>
    </code>
    <text value="Stress Score"/>
    <type value="integer"/>
    <required value="true"/>
    <readOnly value="true"/>
  </item>
  <item id="outcome-stress">
    <linkId value="23"/>
    <code>
      <code value="stress outcome"/>
    </code>
    <text value="Stress Outcome Summary"/>
    <type value="choice"/>
    <required value="true"/>
    <readOnly value="true"/>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core"/>
        <code value="s01"/>
        <display value="Normal"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core"/>
        <code value="s02"/>
        <display value="Mild Stress"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core"/>
        <code value="s03"/>
        <display value="Moderate Stress"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core"/>
        <code value="s04"/>
        <display value="Severe Stress"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-stress-dass-21-my-core"/>
        <code value="s05"/>
        <display value="Extremely Severe Stress"/>
      </valueCoding>
    </answerOption>
  </item>
  <item id="score-anxiety">
    <linkId value="24"/>
    <code>
      <code value="anxiety-score"/>
    </code>
    <text value="Anxiety Score"/>
    <type value="integer"/>
    <required value="true"/>
    <readOnly value="true"/>
  </item>
  <item id="outcome-anxiety">
    <linkId value="25"/>
    <code>
      <code value="anxiety outcome"/>
    </code>
    <text value="Anxiety Outcome Summary"/>
    <type value="choice"/>
    <required value="true"/>
    <readOnly value="true"/>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core"/>
        <code value="a01"/>
        <display value="Normal"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core"/>
        <code value="a02"/>
        <display value="Mild Anxiety"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core"/>
        <code value="a03"/>
        <display value="Moderate Anxiety"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core"/>
        <code value="a04"/>
        <display value="Severe Anxiety"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-anxiety-dass-21-my-core"/>
        <code value="a05"/>
        <display value="Extremely Severe Anxiety"/>
      </valueCoding>
    </answerOption>
  </item>
  <item id="score-depression">
    <linkId value="26"/>
    <code>
      <code value="depression-score"/>
    </code>
    <text value="Depression Score"/>
    <type value="integer"/>
    <required value="true"/>
    <readOnly value="true"/>
  </item>
  <item id="outcome-depression">
    <linkId value="27"/>
    <code>
      <code value="depression outcome"/>
    </code>
    <text value="Depression Outcome Summary"/>
    <type value="choice"/>
    <required value="true"/>
    <readOnly value="true"/>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core"/>
        <code value="d01"/>
        <display value="Normal"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core"/>
        <code value="d02"/>
        <display value="Mild Depression"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core"/>
        <code value="d03"/>
        <display value="Moderate Depression"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core"/>
        <code value="d04"/>
        <display value="Severe Depression"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system
                value="http://fhir.hie.moh.gov.my/CodeSystem/outcome-depression-dass-21-my-core"/>
        <code value="d05"/>
        <display value="Extremely Severe Depression"/>
      </valueCoding>
    </answerOption>
  </item>
</Questionnaire>