HL7.FHIR.US.SDOH-CLINICALCARE\SDOHCC Questionnaire Hunger Vital Sign - JSON Representation

This page is part of the SDOH Clinical Care for Multiple Domains (v1.1.0: STU 2 Ballot 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 Questionnaire Hunger Vital Sign - JSON Representation

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{
  "resourceType" : "Questionnaire",
  "id" : "SDOHCC-QuestionnaireHungerVitalSign",
  "meta" : {
    "versionId" : "2",
    "lastUpdated" : "2021-07-13T16:29:03.787+00:00",
    "source" : "#WVbTmYcNvUitCCSu",
    "profile" : [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-extract|2.7"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The linkId for the item\">LinkId</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the itemcan appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> SDOHCCQuestionnaireHungerVitalSign</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> /88122-7</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">(I/We) worried whether (my/our) food would run out before (I/we) got money to buy more.</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./88122-7\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> /88123-5</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The food that (I/we) bought just didn't last, and (I/we) didn't have money to get more.</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./88123-5\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> /88124-3</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Food insecurity risk</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./88124-3\">2 options</a><br/>Expressions: <ul><li style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression\">Calculated Value</a>: <code>iif(%answeredEitherQ, iif(%riskStatus, %atRiskCoding, %noRiskCoding), {})</code></li><li style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression\">Calculated Value</a>: <code>iif(%answeredEitherQ, iif(%riskStatus, %atRiskCoding, %noRiskCoding), {})</code></li></ul></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" class=\"hierarchy\"/> /88124-3-help</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">An answer of &quot;often true&quot; or &quot;sometimes true&quot; to either or both of the Hunger Vital Sign™ questions identifies a patient as at risk for food insecurity (FI).</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"http://hl7.org/fhir/R4/help16.png\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Option Sets</b></p><a name=\"opt-item./88122-7\"> </a><p><b>Answer options for /88122-7</b></p><ul><li style=\"font-size: 11px\"><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-loinc.html\">LOINC</a>: LA28397-0 (&quot;Often true&quot;)</li><li style=\"font-size: 11px\"><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-loinc.html\">LOINC</a>: LA6729-3 (&quot;Sometimes true&quot;)</li><li style=\"font-size: 11px\"><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-loinc.html\">LOINC</a>: LA28398-8 (&quot;Never true&quot;)</li><li style=\"font-size: 11px\"><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-loinc.html\">LOINC</a>: LA15775-2 (&quot;Don't know/refused&quot;)</li></ul><a name=\"opt-item./88123-5\"> </a><p><b>Answer options for /88123-5</b></p><ul><li style=\"font-size: 11px\"><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-loinc.html\">LOINC</a>: LA28397-0 (&quot;Often true&quot;)</li><li style=\"font-size: 11px\"><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-loinc.html\">LOINC</a>: LA6729-3 (&quot;Sometimes true&quot;)</li><li style=\"font-size: 11px\"><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-loinc.html\">LOINC</a>: LA28398-8 (&quot;Never true&quot;)</li><li style=\"font-size: 11px\"><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-loinc.html\">LOINC</a>: LA15775-2 (&quot;Don't know/refused&quot;)</li></ul><a name=\"opt-item./88124-3\"> </a><p><b>Answer options for /88124-3</b></p><ul><li style=\"font-size: 11px\"><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-loinc.html\">LOINC</a>: LA19952-3 (&quot;At risk&quot;)</li><li style=\"font-size: 11px\"><a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-v3-loinc.html\">LOINC</a>: LA19983-8 (&quot;No risk&quot;)</li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/variable",
      "valueExpression" : {
        "name" : "worriedAnsCode",
        "language" : "text/fhirpath",
        "expression" : "%resource.item.where(linkId='/88122-7').answer.value.code"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/variable",
      "valueExpression" : {
        "name" : "ranOutAnsCode",
        "language" : "text/fhirpath",
        "expression" : "%resource.item.where(linkId='/88123-5').answer.value.code"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/variable",
      "valueExpression" : {
        "name" : "riskCodes",
        "language" : "text/fhirpath",
        "expression" : "'LA28397-0'.combine('LA6729-3')"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/variable",
      "valueExpression" : {
        "name" : "riskStatus",
        "language" : "text/fhirpath",
        "expression" : "%riskCodes contains %worriedAnsCode or %riskCodes contains %ranOutAnsCode"
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/variable",
      "valueExpression" : {
        "name" : "answeredEitherQ",
        "language" : "text/fhirpath",
        "expression" : "%worriedAnsCode.exists() or %ranOutAnsCode.exists()"
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-targetStructureMap",
      "valueCanonical" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureMap/SDOHCC-StructureMapHungerVitalSign"
    }
  ],
  "url" : "http://hl7.org/fhir/us/sdoh-clinicalcare/Questionnaire/SDOHCC-QuestionnaireHungerVitalSign",
  "version" : "1.1.0",
  "name" : "SDOHCCQuestionnaireHungerVitalSign",
  "title" : "SDOHCC Questionnaire Hunger Vital Sign",
  "status" : "draft",
  "subjectType" : [
    "Patient"
  ],
  "date" : "2020-09-01T04:01:34+00:00",
  "publisher" : "HL7 International - Patient Care WG",
  "contact" : [
    {
      "name" : "HL7 International - Patient Care",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/patientcare"
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      ]
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  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ],
      "text" : "United States of America"
    }
  ],
  "copyright" : "Content is from the Hunger Vital Sign Survey with permission: © 2010 Dr. Erin Hager and Dr. Anna Quigg and the Children’s HealthWatch research team",
  "item" : [
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                "code" : "drop-down",
                "display" : "Drop down"
              }
            ],
            "text" : "Drop down"
          }
        }
      ],
      "linkId" : "/88122-7",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "88122-7",
          "display" : "(I/We) worried whether (my/our) food would run out before (I/we) got money to buy more."
        }
      ],
      "text" : "(I/We) worried whether (my/our) food would run out before (I/we) got money to buy more.",
      "type" : "choice",
      "required" : false,
      "answerOption" : [
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA28397-0",
            "display" : "Often true"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6729-3",
            "display" : "Sometimes true"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA28398-8",
            "display" : "Never true"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA15775-2",
            "display" : "Don't know/refused"
          }
        }
      ]
    },
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                "system" : "http://hl7.org/fhir/questionnaire-item-control",
                "code" : "drop-down",
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            ],
            "text" : "Drop down"
          }
        }
      ],
      "linkId" : "/88123-5",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "88123-5",
          "display" : "The food that (I/we) bought just didn't last, and (I/we) didn't have money to get more."
        }
      ],
      "text" : "The food that (I/we) bought just didn't last, and (I/we) didn't have money to get more.",
      "type" : "choice",
      "required" : false,
      "answerOption" : [
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA28397-0",
            "display" : "Often true"
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        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6729-3",
            "display" : "Sometimes true"
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        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA28398-8",
            "display" : "Never true"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA15775-2",
            "display" : "Don't know/refused"
          }
        }
      ]
    },
    {
      "extension" : [
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          "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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            "coding" : [
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                "system" : "http://hl7.org/fhir/questionnaire-item-control",
                "code" : "drop-down",
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            "name" : "thisItem",
            "language" : "text/fhirpath",
            "expression" : "%questionnaire.item.where(linkId = '/88124-3')"
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        {
          "url" : "http://hl7.org/fhir/StructureDefinition/variable",
          "valueExpression" : {
            "name" : "atRiskCoding",
            "language" : "text/fhirpath",
            "expression" : "%thisItem.answerOption.valueCoding.where(code='LA19952-3')"
          }
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/variable",
          "valueExpression" : {
            "name" : "noRiskCoding",
            "language" : "text/fhirpath",
            "expression" : "%thisItem.answerOption.valueCoding.where(code='LA19983-8')"
          }
        },
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
          "valueExpression" : {
            "description" : "risk determination",
            "language" : "text/fhirpath",
            "expression" : "iif(%answeredEitherQ, iif(%riskStatus, %atRiskCoding, %noRiskCoding), {})"
          }
        },
        {
          "url" : "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
          "valueExpression" : {
            "description" : "risk determination",
            "language" : "text/fhirpath",
            "expression" : "iif(%answeredEitherQ, iif(%riskStatus, %atRiskCoding, %noRiskCoding), {})"
          }
        }
      ],
      "linkId" : "/88124-3",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "88124-3",
          "display" : "Food insecurity risk"
        }
      ],
      "text" : "Food insecurity risk",
      "type" : "choice",
      "required" : false,
      "answerOption" : [
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA19952-3",
            "display" : "At risk"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA19983-8",
            "display" : "No risk"
          }
        }
      ],
      "item" : [
        {
          "extension" : [
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              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
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                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "help",
                    "display" : "Help-Button"
                  }
                ],
                "text" : "Help-Button"
              }
            }
          ],
          "linkId" : "/88124-3-help",
          "text" : "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).",
          "type" : "display"
        }
      ]
    }
  ]
}