FHIR IG analytics| Package | fhir.astp.bhp |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-C-SSRS-example-1.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: QuestionnaireResponse C-SSRS-example-1
| LinkID | Text | Definition | Answer |
|---|---|---|---|
![]() | Questionnaire:https://www.cms.gov/files/document/cssrs-screen-version-instrument.pdf | ||
![]() ![]() | Have you wished you were dead or wished you could go to sleep and not wake up? | LOINC: LA32-8 (No) | |
![]() ![]() | Have you actually had any thoughts of killing yourself? | LOINC: LA32-8 (No) | |
![]() ![]() | Have you been thinking about how you might do this? | LOINC: LA32-8 (No) | |
![]() ![]() | Have you had these thoughts and had some intention of acting on them? | LOINC: LA32-8 (No) | |
![]() ![]() | Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan? | LOINC: LA32-8 (No) | |
![]() ![]() | Have you ever done anything, started to do anything, or prepared to do anything to end your life? | LOINC: LA32-8 (No) | |
![]() ![]() | Was this within the past 3 months? | LOINC: LA32-8 (No) | |
![]() ![]() | Suicide risk level | LOINC: LA9194-7 (Low) | |
{
"resourceType": "QuestionnaireResponse",
"id": "C-SSRS-example-1",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"questionnaire": "https://www.cms.gov/files/document/cssrs-screen-version-instrument.pdf",
"status": "completed",
"subject": {
"reference": "Patient/bh-patient-example",
"display": "James Wolff"
},
"authored": "2024-02-01T20:50:32.718Z",
"author": {
"reference": "Practitioner/ed-physician-example-1"
},
"item": [
{
"linkId": "/93246-7",
"text": "Have you wished you were dead or wished you could go to sleep and not wake up?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "/93247-5",
"text": "Have you actually had any thoughts of killing yourself?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "/93248-3",
"text": "Have you been thinking about how you might do this?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "/93249-1",
"text": "Have you had these thoughts and had some intention of acting on them?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "/93250-9",
"text": "Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "/93267-3",
"text": "Have you ever done anything, started to do anything, or prepared to do anything to end your life?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "/93269-9",
"text": "Was this within the past 3 months?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "/93374-7",
"text": "Suicide risk level",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9194-7",
"display": "Low"
}
}
]
}
]
}