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
LinkId | Text | Cardinality | Type | Description & Constraints |
---|---|---|---|---|
SDOHCCQuestionnairePRAPARE | Questionnaire | |||
/93025-5 | Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] | 0..1 | group | |
/93043-8 | Personal characteristics | 0..1 | group | |
/93043-8/56051-6 | Do you consider yourself Hispanic/Latino? | 0..1 | choice | Options: 3 options |
/93043-8/32624-9 | Race | 0..* | choice | Options: 8 options |
/93043-8/93035-4 | At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income? | 0..1 | choice | Options: 3 options |
/93043-8/93034-7 | Have you been discharged from the armed forces of the United States? | 0..1 | choice | Options: 3 options |
/93043-8/54899-0 | Preferred language | 0..1 | choice | Options: 3 options |
/93042-0 | Family and home | 0..1 | group | |
/93042-0/63512-8 | How many people are living or staying at this address? | 0..1 | integer | |
/93042-0/71802-3 | Housing status | 0..1 | choice | Options: 3 options |
/93042-0/71802-3-help | Describes patients living arrangement | 0..1 | display | |
/93042-0/93033-9 | Are you worried about losing your housing? | 0..1 | choice | Options: 3 options |
/93042-0/56799-0 | Address | 0..1 | string | |
/93041-2 | Money and resources | 0..1 | group | |
/93041-2/82589-3 | Highest level of educ | 0..1 | choice | Options: 4 options |
/93041-2/67875-5 | Employment status current | 0..1 | choice | Options: 5 options |
/93041-2/76437-3 | Primary insurance | 0..1 | choice | Options: 7 options |
/93041-2/63586-2 | What was your best estimate of the total income of all family members from all sources, before taxes, in last year? | 0..1 | decimal | |
/93041-2/93031-3 | 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? | 0..* | choice | Options: 8 options |
/93041-2/93030-5 | Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living? | 0..1 | choice | Options: 4 options |
/93040-4 | Social and emotional health | 0..1 | group | |
/93040-4/93029-7 | 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)? | 0..1 | choice | Options: 5 options |
/93040-4/93038-8 | Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you? | 0..1 | choice | Options: 6 options |
/93039-6 | Optional additional questions | 0..1 | group | |
/93039-6/93028-9 | In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility? | 0..1 | choice | Options: 3 options |
/93039-6/93027-1 | Are you a refugee? | 0..1 | choice | Options: 3 options |
/93039-6/93026-3 | Do you feel physically and emotionally safe where you currently live? | 0..1 | choice | Options: 4 options |
/93039-6/76501-6 | Within the last year, have you been afraid of your partner or ex-partner? | 0..1 | choice | Options: 2 options |
Documentation for this format |
Option Sets
Answer options for /93043-8/56051-6
Answer options for /93043-8/32624-9
Answer options for /93043-8/93035-4
Answer options for /93043-8/93034-7
Answer options for /93043-8/54899-0
Answer options for /93042-0/71802-3
Answer options for /93042-0/93033-9
Answer options for /93041-2/82589-3
Answer options for /93041-2/67875-5
Answer options for /93041-2/76437-3
Answer options for /93041-2/93031-3
Answer options for /93041-2/93030-5
Answer options for /93040-4/93029-7
Answer options for /93040-4/93038-8
Answer options for /93039-6/93028-9
Answer options for /93039-6/93027-1
Answer options for /93039-6/93026-3
Answer options for /93039-6/76501-6