| Package | hl7.fhir.uv.sdc |
| Resource Type | Questionnaire |
| Id | questionnaire-sdc-profile-example-hunger-vital-signs |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/uv/sdc/https://build.fhir.org/ig/HL7/sdc/Questionnaire-questionnaire-sdc-profile-example-hunger-vital-signs.html |
| URL | http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-hunger-vital-signs |
| Version | 4.0.0-ballot |
| Status | active |
| Date | 2025-08-07T06:58:13+00:00 |
| Name | QuestionnaireSdcProfileExampleHungerVitalSigns |
| Title | Hunger Vital Sign [HVS] |
| Realm | uv |
| Authority | hl7 |
| Description | A hunger vital signs form (showing calculatedExpression selecting a value from a list). |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire questionnaire-sdc-profile-example-hunger-vital-signs
Profile: SDC Base Questionnaire
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  QuestionnaireSdcProfileExampleHungerVitalSigns | A hunger vital signs form (showing calculatedExpression selecting a value from a list). | Questionnaire | http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-hunger-vital-signs#4.0.0-ballot | ||
  /88122-7 | Within the past 12Mo we worried whether our food would run out before we got money to buy more | 0..1 | choice | Options: 4 options | |
| /88123-5 | Within the past 12Mo the food we bought just didn't last and we didn't have money to get more [U.S. FSS] | 0..1 | choice | Options: 4 options | |
 /88124-3 | Food insecurity risk | 0..1 | choice |  | Options: 2 options |
  /88124-3-help | An answer of "often true" or "sometimes true" to either or both of the Hunger Vital Sign™ questions identifies a patient as at risk for food insecurity (FI). | 0..1 | display | ||
| Documentation for this format | |||||
Options Sets
Answer options for /88122-7
Answer options for /88123-5
Answer options for /88124-3
FHIR{
"resourceType": "Questionnaire",
"id": "questionnaire-sdc-profile-example-hunger-vital-signs",
"meta": {
"profile": [
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm[x]",
"valueCoding": {
"system": "http://hl7.org/fhir/version-algorithm",
"code": "semver"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "worriedAnsCode",
"language": "text/fhirpath",
"expression": "%resource.item.where(linkId='/88122-7').answer.value.code"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "ranOutAnsCode",
"language": "text/fhirpath",
"expression": "%resource.item.where(linkId='/88123-5').answer.value.code"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "riskCodes",
"language": "text/fhirpath",
"expression": "'LA28397-0'.combine('LA6729-3')"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "riskStatus",
"language": "text/fhirpath",
"expression": "%riskCodes contains %worriedAnsCode or %riskCodes contains %ranOutAnsCode"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "answeredEitherQ",
"language": "text/fhirpath",
"expression": "%worriedAnsCode.exists() or %ranOutAnsCode.exists()"
}
}
],
"url": "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-hunger-vital-signs",
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.40.17.35.11"
}
],
"version": "4.0.0-ballot",
"name": "QuestionnaireSdcProfileExampleHungerVitalSigns",
"title": "Hunger Vital Sign [HVS]",
"status": "active",
"experimental": true,
"subjectType": [
"Patient"
],
"date": "2025-08-07T06:58:13+00:00",
"publisher": "HL7 International / FHIR Infrastructure",
"contact": [
{
"name": "HL7 International / FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
},
{
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description": "A hunger vital signs form (showing calculatedExpression selecting a value from a list).",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"code": [
{
"system": "http://loinc.org",
"code": "88121-9",
"display": "Hunger Vital Sign [HVS]"
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "/88122-7",
"code": [
{
"system": "http://loinc.org",
"code": "88122-7",
"display": "Within the past 12 months we worried whether our food would run out before we got money to buy more [U.S. FSS]"
}
],
"text": "Within the past 12Mo we worried whether our food would run out before we got money to buy more",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA28397-0",
"display": "Often true"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6729-3",
"display": "Sometimes true"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA28398-8",
"display": "Never true"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA15775-2",
"display": "Don't know/refused"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
}
],
"linkId": "/88123-5",
"code": [
{
"system": "http://loinc.org",
"code": "88123-5",
"display": "Within the past 12 months the food we bought just didn't last and we didn't have money to get more [U.S. FSS]"
}
],
"text": "Within the past 12Mo the food we bought just didn't last and we didn't have money to get more [U.S. FSS]",
"type": "choice",
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA28397-0",
"display": "Often true"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6729-3",
"display": "Sometimes true"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA28398-8",
"display": "Never true"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA15775-2",
"display": "Don't know/refused"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "drop-down",
"display": "Drop down"
}
],
"text": "Drop down"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "thisItem",
"language": "text/fhirpath",
"expression": "%questionnaire.item.where(linkId = '/88124-3')"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "atRiskCoding",
"language": "text/fhirpath",
"expression": "%thisItem.answerOption.value.where(code='LA19952-3')"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "noRiskCoding",
"language": "text/fhirpath",
"expression": "%thisItem.answerOption.value.where(code='LA19983-8')"
}
},
{
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"description": "risk determination",
"language": "text/fhirpath",
"expression": "iif(%answeredEitherQ, iif(%riskStatus, %atRiskCoding, %noRiskCoding), {})"
}
}
],
"linkId": "/88124-3",
"code": [
{
"system": "http://loinc.org",
"code": "88124-3",
"display": "Food insecurity risk [HVS]"
}
],
"text": "Food insecurity risk",
"type": "choice",
"required": false,
"readOnly": true,
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA19952-3",
"display": "At risk"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA19983-8",
"display": "No risk"
}
}
],
"item": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/questionnaire-item-control",
"code": "help",
"display": "Help-Button"
}
],
"text": "Help-Button"
}
}
],
"linkId": "/88124-3-help",
"text": "An answer of \"often true\" or \"sometimes true\" to either or both of the Hunger Vital Sign™ questions identifies a patient as at risk for food insecurity (FI).",
"type": "display"
}
]
}
]
}