SDOH Clinical Care
1.0.0 - STU 1
SDOH Clinical Care
1.0.0 - STU 1
This page is part of the SDOH Clinical Care for Multiple Domains (v1.0.0: STU 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "QuestionnaireResponse",
"id" : "SDOHCC-QuestionnaireResponsePRAPAREExample",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2021-06-03T00:48:30.721+00:00",
"source" : "#lELuFd3L32Xc9mgx",
"profile" : [
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse|2.7"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>questionnaire</b>: <a href=\"http://hl7.org/fhir/us/sdoh-clinicalcare/Questionnaire/SDOHCC-QuestionnairePRAPARE\">http://hl7.org/fhir/us/sdoh-clinicalcare/Questionnaire/SDOHCC-QuestionnairePRAPARE</a></p><p><b>status</b>: completed</p><p><b>subject</b>: <a href=\"Patient-pat-53234.html\">COLIN ABBAS. Generated Summary: Medical Record Number: 1032702 (USUAL); active; COLIN V. ABBAS , COLIN V. BAXTER ; Phone: 555-555-5555; gender: male; birthDate: 1987-02-20</a></p><p><b>authored</b>: Apr 26, 2021 1:56:33 PM</p><blockquote><p><b>item</b></p><p><b>linkId</b>: /93025-5</p><p><b>text</b>: Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]</p><blockquote><p><b>item</b></p><p><b>linkId</b>: /93043-8</p><p><b>text</b>: Personal characteristics</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: /93042-0</p><p><b>text</b>: Family and home</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: /93041-2</p><p><b>text</b>: Money and resources</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: /93040-4</p><p><b>text</b>: Social and emotional health</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: /93039-6</p><p><b>text</b>: Optional additional questions</p></blockquote></blockquote></div>"
},
"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" : "Do you consider yourself Hispanic/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" : "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?",
"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"
}
}
]
}
]
},
{
"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"
}
}
]
}
]
}
]
}
]
}
IG © 2020+ HL7 International - Patient Care WG. Package hl7.fhir.us.sdoh-clinicalcare#1.0.0 based on FHIR 4.0.1. Generated 2021-08-05
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