Generated Narrative: Questionnaire health-inventory-example Profile: SDCBaseQuestionnaire LinkID Text Cardinality Type Description & Constraints PersonalHealthInventory A Questionnaire for a person's assessment of what matters most in their health and well-being. Questionnaire http://hl7.org/fhir/us/pco/Questionnaire/health-inventory-example#1.0.0 #xD; /health-inventory Personal Health Inventory 0..1 group #xD; /what-matters-description What matters most to you in your life right now? Write a few words to capture your thoughts: 0..1 text #xD; /instructions For each of the following areas, consider "Where you are" and "Where you want to be." Select a number between 1 (low) and 5 (high) that best represents where you are and where you want to be. You do not need to be a "5" in any of the areas now, nor even wish to be a "5" in the future. 0..1 display #xD; /body Moving the Body 0..1 group #xD; /body/display Our physical, mental, and emotional health are impacted by the amount and kind of movement we do. 0..1 display #xD; /body/now-rating Where are you now? 0..1 integer #xD; /body/future-rating Where would you like to be? 0..1 integer #xD; /mind Power of the Mind 0..1 group #xD; /mind/display Our bodies and minds need rest in order to optimize our health. Recharging also involves activities that replenish your mental and physical energy. 0..1 display #xD; /mind/now-rating Where are you now? 0..1 integer #xD; /mind/future-rating Where would you like to be? 0..1 integer #xD; /nourishment Food & Drink 0..1 group #xD; /nourishment/display What we eat, and drink can have a huge effect on how we experience life, both physically and mentally. 0..1 display #xD; /nourishment/now-rating Where are you now? 0..1 integer #xD; /nourishment/future-rating Where would you like to be? 0..1 integer #xD; /recharge Recharge 0..1 group #xD; /recharge/display Our bodies and minds must rest and recharge in order to optimize our health. Getting a good night's rest, as well as recharging our mental and physical energy throughout the day, are vital to well-being. Taking short breaks or doing something you enjoy or feels good for moments throughout the day are examples of ways to refresh. 0..1 display #xD; /recharge/now-rating Where are you now? 0..1 integer #xD; /recharge/future-rating Where would you like to be? 0..1 integer #xD; /surroundings Surroundings 0..1 group #xD; /surroundings/display Our surroundings, both at work and where we live, indoors and out, can affect our health and outlook on life. Changes within our control such as organizing, decluttering, adding a plant or artwork can improve mood and health. 0..1 display #xD; /surroundings/now-rating Where are you now? 0..1 integer #xD; /surroundings/future-rating Where would you like to be? 0..1 integer #xD; /personal-development Personal Development 0..1 group #xD; /personal-development/display Our health is impacted by how we choose to spend our time. Aligning our work and personal activities with what really matters to us, or what brings us joy, can have a big effect on our health and outlook on life. 0..1 display #xD; /personal-development/now-rating Where are you now? 0..1 integer #xD; /personal-development/future-rating Where would you like to be? 0..1 integer #xD; /spirit-and-soul Spirit & Soul 0..1 group #xD; /spirit-and-soul/display Connecting with something greater than ourselves may provide a sense of meaning and purpose, peace, or comfort. Connecting and aligning spiritually is very individual and may take the form of religious affiliation, connection to nature, or engaging in things like music or art. 0..1 display #xD; /spirit-and-soul/now-rating Where are you now? 0..1 integer #xD; /spirit-and-soul/future-rating Where would you like to be? 0..1 integer #xD; /relationships Family, Friends & Co-Workers 0..1 group #xD; /relationships/display Our relationships, including those with pets, have as significant an effect on our physical and emotional health as any other factor associated with well-being. Spending more time in relationships that "fuel" us and less in relationships that "drain" us is one potential option. Improving our relationship skills or creating new relationships through community activities are other options to consider. 0..1 display #xD; /relationships/now-rating Where are you now? 0..1 integer #xD; /relationships/future-rating Where would you like to be? 0..1 integer #xD; /professional-care Professional Care 0..1 group #xD; /professional-care/display Staying up to date on prevention and understanding your health concerns, care options, treatment plan, and their role in your health. 0..1 display #xD; /professional-care/now-rating Where are you now? 0..1 integer #xD; /professional-care/future-rating Where would you like to be? 0..1 integer #xD; /reflections Reflections 0..1 group #xD; /reflections/1 Now that you have thought about what matters to you in all of these areas, what would your life look like if you had the health you want? What kind of activities would you be doing? Or how might you feel different? What area might you focus on? 0..1 text #xD; /reflections/2 What might get in the way? How might you start? 0..1 text #xD; /reflections/3 After completing the Personal Health Inventory, talk to a friend, a family member, your health coach, a peer, or someone on your health care team about areas you would like to explore further. 0..1 display #xD; Documentation for this format
A Questionnaire for a person's assessment of what matters most in their health and well-being.
Used by permission of HL7 International, all rights reserved Creative Commons License
What matters most to you in your life right now? Write a few words to capture your thoughts:
For each of the following areas, consider "Where you are" and "Where you want to be." Select a number between 1 (low) and 5 (high) that best represents where you are and where you want to be. You do not need to be a "5" in any of the areas now, nor even wish to be a "5" in the future.
Our physical, mental, and emotional health are impacted by the amount and kind of movement we do.
Our bodies and minds need rest in order to optimize our health. Recharging also involves activities that replenish your mental and physical energy.
What we eat, and drink can have a huge effect on how we experience life, both physically and mentally.
Our bodies and minds must rest and recharge in order to optimize our health. Getting a good night's rest, as well as recharging our mental and physical energy throughout the day, are vital to well-being. Taking short breaks or doing something you enjoy or feels good for moments throughout the day are examples of ways to refresh.
Our surroundings, both at work and where we live, indoors and out, can affect our health and outlook on life. Changes within our control such as organizing, decluttering, adding a plant or artwork can improve mood and health.
Our health is impacted by how we choose to spend our time. Aligning our work and personal activities with what really matters to us, or what brings us joy, can have a big effect on our health and outlook on life.
Connecting with something greater than ourselves may provide a sense of meaning and purpose, peace, or comfort. Connecting and aligning spiritually is very individual and may take the form of religious affiliation, connection to nature, or engaging in things like music or art.
Our relationships, including those with pets, have as significant an effect on our physical and emotional health as any other factor associated with well-being. Spending more time in relationships that "fuel" us and less in relationships that "drain" us is one potential option. Improving our relationship skills or creating new relationships through community activities are other options to consider.
Staying up to date on prevention and understanding your health concerns, care options, treatment plan, and their role in your health.
Now that you have thought about what matters to you in all of these areas, what would your life look like if you had the health you want? What kind of activities would you be doing? Or how might you feel different? What area might you focus on?
What might get in the way? How might you start?
After completing the Personal Health Inventory, talk to a friend, a family member, your health coach, a peer, or someone on your health care team about areas you would like to explore further.