SDOH Clinical Care
3.0.0 - STU 3 United States of America flag

This page is part of the SDOH Clinical Care for Multiple Domains (v3.0.0: STU 3) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Questionnaire: SDOHCC Questionnaire Hunger Vital Sign

Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/Questionnaire/SDOHCC-QuestionnaireHungerVitalSign Version: 3.0.0
Standards status: Informative Computable Name: SDOHCCQuestionnaireHungerVitalSign
Other Identifiers: OID:2.16.840.1.113883.4.642.40.6.35.1

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. SDOHCCQuestionnaireHungerVitalSign Questionnaire http://hl7.org/fhir/us/sdoh-clinicalcare/Questionnaire/SDOHCC-QuestionnaireHungerVitalSign#3.0.0
... /88122-7 Within the past 12 months we worried whether our food would run out before we got money to buy more 0..1 choice Value Set:
Options: 4 options
... /88123-5 Within the past 12 months the food we bought just didn't last and we didn't have money to get more 0..1 choice Value Set:
Options: 4 options
... /88124-3 Food insecurity risk 0..1 choice Value Set:
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 Value Set:

doco Documentation for this format

Options Sets

Answer options for /88122-7

  • http://loinc.org#LA28397-0 ("Often true")
  • http://loinc.org#LA6729-3 ("Sometimes true")
  • http://loinc.org#LA28398-8 ("Never true")
  • http://loinc.org#LA15775-2 ("Don't know/refused")

Answer options for /88123-5

  • http://loinc.org#LA28397-0 ("Often true")
  • http://loinc.org#LA6729-3 ("Sometimes true")
  • http://loinc.org#LA28398-8 ("Never true")
  • http://loinc.org#LA15775-2 ("Don't know/refused")

Answer options for /88124-3

  • http://loinc.org#LA19952-3 ("At risk")
  • http://loinc.org#LA19983-8 ("No risk")

Within the past 12 months we worried whether our food would run out before we got money to buy more

Within the past 12 months the food we bought just didn't last and we didn't have money to get more

Food insecurity risk

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).

  • linkId: /88124-3-help
  • Answers:

LinkIDDescription & Constraintsdoco
.. /88122-7 Value Set:
Options: 4 options
.. /88123-5 Value Set:
Options: 4 options
.. /88124-3 Value Set:
Options: 2 options
... /88124-3-help Value Set:

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire