Structured Data Capture
4.0.0 - STU 4 International flag

This page is part of the Structured Data Capture FHIR IG (v4.0.0: STU 4) 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: Hunger Vital Sign [HVS] (Experimental)

Official URL: http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-hunger-vital-signs Version: 4.0.0
Standards status: Informative Active as of 2026-03-24 Computable Name: QuestionnaireSdcProfileExampleHungerVitalSigns
Other Identifiers: OID:2.16.840.1.113883.4.642.40.17.35.11

A hunger vital signs form (showing calculatedExpression selecting a value from a list).

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. 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
... /88122-7 Within the past 12Mo 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 12Mo 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 iconicon 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 12Mo we worried whether our food would run out before we got money to buy more

Within the past 12Mo 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

There are currently no QuestionnaireResponse instances for this Questionnaire defined in this IG.