FHIR IG analytics| Package | hl7.fhir.us.sdoh-clinicalcare.r4 |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-SDOHCC-QuestionnaireResponsePRAPAREExample.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: QuestionnaireResponse SDOHCC-QuestionnaireResponsePRAPAREExample
Profile: SDC Questionnaire Response
| LinkID | Text | Definition | Answer |
|---|---|---|---|
  SDOHCC-QuestionnaireResponsePRAPAREExample | Questionnaire:SDOHCC Questionnaire PRAPARE | ||
  /93025-5 | Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] | ||
  /93043-8 | Personal characteristics | ||
  /93043-8/56051-6 | Hispanic or Latino | LOINC LA32-8: No | |
| /93043-8/32624-9 | Race | ||
| /93043-8/93035-4 | Has season or migrant farm work been your or your family's main source of income at any point in past 2 years? | LOINC LA33-6: Yes | |
| /93043-8/93034-7 | Have you been discharged from the armed forces of the United States? | LOINC LA32-8: No | |
| /93043-8/54899-0 | Preferred language | LOINC LA43-5: English | |
| /93042-0 | Family and home | ||
| /93042-0/63512-8 | How many people are living or staying at this address? | 6 | |
| /93042-0/71802-3 | Housing status | LOINC LA30190-5: I do not have housing (staying with others, in a hotel, in a shelter, living outside on the street, on a beach, in a car, or in a park) | |
| /93042-0/93033-9 | Are you worried about losing your housing? | LOINC LA30122-8: I choose not to answer this question | |
| /93042-0/56799-0 | Address | Broadway | |
| /93041-2 | Money and resources | ||
| /93041-2/82589-3 | Highest level of educ | LOINC LA30191-3: Less than high school degree | |
| /93041-2/67875-5 | Employment status current | LOINC LA17956-6: Unemployed | |
| /93041-2/76437-3 | Primary insurance | LOINC LA17849-3: Medicaid | |
| /93041-2/63586-2 | What was your best estimate of the total income of all family members from all sources, before taxes, in last year? | 25000 | |
| /93041-2/93031-3 | In the past year, have you or any family members you live with been unable to get any of the following when it was really needed? | ||
| /93041-2/93030-5 | Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? | ||
| /93040-4 | Social and emotional health | ||
| /93040-4/93029-7 | How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)? | LOINC LA30130-1: 1 or 2 times a week | |
| /93040-4/93038-8 | Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you? | LOINC LA13909-9: Somewhat | |
| /93039-6 | Optional additional questions | ||
| /93039-6/93028-9 | In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility? | LOINC LA32-8: No | |
| /93039-6/93027-1 | Are you a refugee? | LOINC LA32-8: No | |
| /93039-6/93026-3 | Do you feel physically and emotionally safe where you currently live? | LOINC LA32-8: No | |
| /93039-6/76501-6 | Within the last year, have you been afraid of your partner or ex-partner? | LOINC LA32-8: No | |
| Documentation for this format | |||
FHIR
FHIRsmith{
"resourceType": "QuestionnaireResponse",
"id": "SDOHCC-QuestionnaireResponsePRAPAREExample",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"
]
},
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"questionnaire": "http://hl7.org/fhir/us/sdoh-clinicalcare/Questionnaire/SDOHCC-QuestionnairePRAPARE",
"_questionnaire": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/display",
"valueString": "SDOHCC Questionnaire PRAPARE"
}
]
},
"status": "completed",
"subject": {
"reference": "Patient/pat-53234",
"display": "COLIN ABBAS"
},
"authored": "2021-04-26T13:56:33.747Z",
"item": [
{
"linkId": "/93025-5",
"text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]",
"item": [
{
"linkId": "/93043-8",
"text": "Personal characteristics",
"item": [
{
"linkId": "/93043-8/56051-6",
"text": "Hispanic or Latino",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "/93043-8/32624-9",
"text": "Race",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA4457-3",
"display": "White"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA30187-1",
"display": "Pacific Islander"
}
}
]
},
{
"linkId": "/93043-8/93035-4",
"text": "Has season or migrant farm work been your or your family's main source of income at any point in past 2 years?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
}
]
},
{
"linkId": "/93043-8/93034-7",
"text": "Have you been discharged from the armed forces of the United States?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "/93043-8/54899-0",
"text": "Preferred language",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA43-5",
"display": "English"
}
}
]
}
]
},
{
"linkId": "/93042-0",
"text": "Family and home",
"item": [
{
"linkId": "/93042-0/63512-8",
"text": "How many people are living or staying at this address?",
"answer": [
{
"valueInteger": 6
}
]
},
{
"linkId": "/93042-0/71802-3",
"text": "Housing status",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA30190-5",
"display": "I do not have housing (staying with others, in a hotel, in a shelter, living outside on the street, on a beach, in a car, or in a park)"
}
}
]
},
{
"linkId": "/93042-0/93033-9",
"text": "Are you worried about losing your housing?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA30122-8",
"display": "I choose not to answer this question"
}
}
]
},
{
"linkId": "/93042-0/56799-0",
"text": "Address",
"answer": [
{
"valueString": "Broadway"
}
]
}
]
},
{
"linkId": "/93041-2",
"text": "Money and resources",
"item": [
{
"linkId": "/93041-2/82589-3",
"text": "Highest level of educ",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA30191-3",
"display": "Less than high school degree"
}
}
]
},
{
"linkId": "/93041-2/67875-5",
"text": "Employment status current",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA17956-6",
"display": "Unemployed"
}
}
]
},
{
"linkId": "/93041-2/76437-3",
"text": "Primary insurance",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA17849-3",
"display": "Medicaid"
}
}
]
},
{
"linkId": "/93041-2/63586-2",
"text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?",
"answer": [
{
"valueDecimal": 25000
}
]
},
{
"linkId": "/93041-2/93031-3",
"text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA30126-9",
"display": "Clothing"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA30127-7",
"display": "Child care"
}
}
]
},
{
"linkId": "/93041-2/93030-5",
"text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA30134-3",
"display": "Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA30133-5",
"display": "Yes, it has kept me from medical appointments or from getting my medications"
}
}
]
}
]
},
{
"linkId": "/93040-4",
"text": "Social and emotional health",
"item": [
{
"linkId": "/93040-4/93029-7",
"text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA30130-1",
"display": "1 or 2 times a week"
}
}
]
},
{
"linkId": "/93040-4/93038-8",
"text": "Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA13909-9",
"display": "Somewhat"
}
}
]
}
]
},
{
"linkId": "/93039-6",
"text": "Optional additional questions",
"item": [
{
"linkId": "/93039-6/93028-9",
"text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "/93039-6/93027-1",
"text": "Are you a refugee?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "/93039-6/93026-3",
"text": "Do you feel physically and emotionally safe where you currently live?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "/93039-6/76501-6",
"text": "Within the last year, have you been afraid of your partner or ex-partner?",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
}
]
}
]
}