US Core Implementation Guide
6.0.0-ballot - STU6 Ballot US

This page is part of the US Core (v6.0.0-ballot: STU6 Ballot 1) based on FHIR R4. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions

Example QuestionnaireResponse: QuestionnaireResponse AHC HRSN Screening Example

LinkIdTextDefinitionAnswerdoco
.. AHC-HRSN-screening-exampleQuestionnaireResponse
... /76513-1How hard is it for you to pay for the very basics like food, housing, medical care, and heating?Logical Observation Identifiers, Names and Codes (LOINC) LA31980-8: Not hard at all
... /96780-2Do you want help finding or keeping work or a job?Logical Observation Identifiers, Names and Codes (LOINC) LA31983-2: I do not need or want help
... /96781-0If for any reason you need help with day-to-day activities such as bathing, preparing meals, shopping, managing finances, etc., do you get the help you need?Logical Observation Identifiers, Names and Codes (LOINC) LA31976-6: I don't need any help
... /93159-2How often do you feel lonely or isolated from those around you?Logical Observation Identifiers, Names and Codes (LOINC) LA6270-8: Never
... /97027-7Do you speak a language other than English at home?Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
... /96782-8Do you want help with school or training? For example, starting or completing job training or getting a high school diploma, GED or equivalent.Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
... /89555-7In the last 30 days, other than the activities you did for work, on average, how many days per week did you engage in moderate exercise (like walking fast, running, jogging, dancing, swimming, biking, or other similar activities)?Logical Observation Identifiers, Names and Codes (LOINC) LA10137-0: 5
... /68516-4On average, how many minutes did you usually spend exercising at this level on one of those days?Logical Observation Identifiers, Names and Codes (LOINC) LA28853-2: 60
... /68517-2How many times in the past 12 months have you had 5 or more drinks in a day (males) or 4 or more drinks in a day (females)?Logical Observation Identifiers, Names and Codes (LOINC) LA6270-8: Never
... /96842-0How often have you used any tobacco product in past 12 months?Logical Observation Identifiers, Names and Codes (LOINC) LA6270-8: Never
... /95530-2How many times in the past year have you used prescription drugs for non-medical reasons?Logical Observation Identifiers, Names and Codes (LOINC) LA6270-8: Never
... /68524-8How many times in the past year have you used illegal drugs?Logical Observation Identifiers, Names and Codes (LOINC) LA6270-8: Never
... /44250-9Little interest or pleasure in doing things?Logical Observation Identifiers, Names and Codes (LOINC) LA6568-5: Not at all
... /44255-8Feeling down, depressed, or hopeless?Logical Observation Identifiers, Names and Codes (LOINC) LA6568-5: Not at all
... /93038-8Stress means a situation in which a person feels tense, restless, nervous, or anxious, or is unable to sleep at night because his or her mind is troubled all the time. Do you feel this kind of stress these days?Logical Observation Identifiers, Names and Codes (LOINC) LA13863-8: A little bit
... /69858-9Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No
... /69861-3Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a physician's office or shopping?Logical Observation Identifiers, Names and Codes (LOINC) LA32-8: No

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