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

: SDOHCC QuestionnaireResponse PRAPARE Example - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:QuestionnaireResponse;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "SDOHCC-QuestionnaireResponsePRAPAREExample"];
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "1" ];
     fhir:Meta.lastUpdated [ fhir:value "2021-06-03T00:48:30.721+00:00"^^xsd:dateTime ];
     fhir:Meta.source [ fhir:value "#lELuFd3L32Xc9mgx" ];
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse|2.7";
       fhir:index 0;
       fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse|2.7>     ]
  ];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.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>"
  ];
  fhir:QuestionnaireResponse.questionnaire [
     fhir:value "http://hl7.org/fhir/us/sdoh-clinicalcare/Questionnaire/SDOHCC-QuestionnairePRAPARE";
     fhir:link <http://hl7.org/fhir/us/sdoh-clinicalcare/Questionnaire/SDOHCC-QuestionnairePRAPARE>;
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/display" ];
       fhir:Extension.valueString [ fhir:value "SDOHCC Questionnaire PRAPARE" ]     ]
  ];
  fhir:QuestionnaireResponse.status [ fhir:value "completed"];
  fhir:QuestionnaireResponse.subject [
     fhir:Reference.reference [ fhir:value "Patient/pat-53234" ];
     fhir:Reference.display [ fhir:value "COLIN ABBAS" ]
  ];
  fhir:QuestionnaireResponse.authored [ fhir:value "2021-04-26T13:56:33.747Z"^^xsd:dateTime];
  fhir:QuestionnaireResponse.item [
     fhir:index 0;
     fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93025-5" ];
     fhir:QuestionnaireResponse.item.text [ fhir:value "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]" ];
     fhir:QuestionnaireResponse.item.item [
       fhir:index 0;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93043-8" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Personal characteristics" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93043-8/56051-6" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Do you consider yourself Hispanic/Latino?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA32-8;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA32-8" ];
             fhir:Coding.display [ fhir:value "No" ]           ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93043-8/32624-9" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Race" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA4457-3;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA4457-3" ];
             fhir:Coding.display [ fhir:value "White" ]           ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA30187-1;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA30187-1" ];
             fhir:Coding.display [ fhir:value "Pacific Islander" ]           ]         ]       ], [
         fhir:index 2;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93043-8/93035-4" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA33-6;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA33-6" ];
             fhir:Coding.display [ fhir:value "Yes" ]           ]         ]       ], [
         fhir:index 3;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93043-8/93034-7" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Have you been discharged from the armed forces of the United States?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA32-8;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA32-8" ];
             fhir:Coding.display [ fhir:value "No" ]           ]         ]       ], [
         fhir:index 4;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93043-8/54899-0" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Preferred language" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA43-5;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA43-5" ];
             fhir:Coding.display [ fhir:value "English" ]           ]         ]       ]     ], [
       fhir:index 1;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93042-0" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Family and home" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93042-0/63512-8" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "How many people are living or staying at this address?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueInteger [ fhir:value "6"^^xsd:integer ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93042-0/71802-3" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Housing status" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA30190-5;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA30190-5" ];
             fhir:Coding.display [ fhir:value "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)" ]           ]         ]       ], [
         fhir:index 2;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93042-0/93033-9" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Are you worried about losing your housing?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA30122-8;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA30122-8" ];
             fhir:Coding.display [ fhir:value "I choose not to answer this question" ]           ]         ]       ], [
         fhir:index 3;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93042-0/56799-0" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Address" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueString [ fhir:value "Broadway" ]         ]       ]     ], [
       fhir:index 2;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93041-2" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Money and resources" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93041-2/82589-3" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Highest level of educ" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA30191-3;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA30191-3" ];
             fhir:Coding.display [ fhir:value "Less than high school degree" ]           ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93041-2/67875-5" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Employment status current" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA17956-6;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA17956-6" ];
             fhir:Coding.display [ fhir:value "Unemployed" ]           ]         ]       ], [
         fhir:index 2;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93041-2/76437-3" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Primary insurance" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA17849-3;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA17849-3" ];
             fhir:Coding.display [ fhir:value "Medicaid" ]           ]         ]       ], [
         fhir:index 3;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93041-2/63586-2" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueDecimal [ fhir:value "25000"^^xsd:decimal ]         ]       ], [
         fhir:index 4;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93041-2/93031-3" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "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?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA30126-9;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA30126-9" ];
             fhir:Coding.display [ fhir:value "Clothing" ]           ]         ], [
           fhir:index 1;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA30127-7;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA30127-7" ];
             fhir:Coding.display [ fhir:value "Child care" ]           ]         ]       ], [
         fhir:index 5;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93041-2/93030-5" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA30134-3;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA30134-3" ];
             fhir:Coding.display [ fhir:value "Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need" ]           ]         ]       ]     ], [
       fhir:index 3;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93040-4" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Social and emotional health" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93040-4/93029-7" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "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)?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA30130-1;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA30130-1" ];
             fhir:Coding.display [ fhir:value "1 or 2 times a week" ]           ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93040-4/93038-8" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA13909-9;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA13909-9" ];
             fhir:Coding.display [ fhir:value "Somewhat" ]           ]         ]       ]     ], [
       fhir:index 4;
       fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93039-6" ];
       fhir:QuestionnaireResponse.item.text [ fhir:value "Optional additional questions" ];
       fhir:QuestionnaireResponse.item.item [
         fhir:index 0;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93039-6/93028-9" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA32-8;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA32-8" ];
             fhir:Coding.display [ fhir:value "No" ]           ]         ]       ], [
         fhir:index 1;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93039-6/93027-1" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Are you a refugee?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA32-8;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA32-8" ];
             fhir:Coding.display [ fhir:value "No" ]           ]         ]       ], [
         fhir:index 2;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93039-6/93026-3" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Do you feel physically and emotionally safe where you currently live?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA32-8;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA32-8" ];
             fhir:Coding.display [ fhir:value "No" ]           ]         ]       ], [
         fhir:index 3;
         fhir:QuestionnaireResponse.item.linkId [ fhir:value "/93039-6/76501-6" ];
         fhir:QuestionnaireResponse.item.text [ fhir:value "Within the last year, have you been afraid of your partner or ex-partner?" ];
         fhir:QuestionnaireResponse.item.answer [
           fhir:index 0;
           fhir:QuestionnaireResponse.item.answer.valueCoding [
             a loinc:LA32-8;
             fhir:Coding.system [ fhir:value "http://loinc.org" ];
             fhir:Coding.code [ fhir:value "LA32-8" ];
             fhir:Coding.display [ fhir:value "No" ]           ]         ]       ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.