{
"description": null,
"_filename": "example/Questionnaire-hunger-vital-sign-example.json",
"package_name": "hl7.fhir.us.core.r4",
"subjectType": [ "Patient" ],
"date": "2023-03-31",
"meta": {
"profile": [ "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire" ]
},
"publisher": "HL7 International - Cross-Group Projects",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166"
} ]
} ],
"name": "HungerVitalSignExample",
"item": [ {
"code": [ {
"code": "88122-7",
"system": "http://loinc.org",
"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",
"linkId": "/88122-7",
"required": false,
"answerOption": [ {
"valueCoding": {
"code": "LA28397-0",
"system": "http://loinc.org",
"display": "Often true"
}
}, {
"valueCoding": {
"code": "LA6729-3",
"system": "http://loinc.org",
"display": "Sometimes true"
}
}, {
"valueCoding": {
"code": "LA28398-8",
"system": "http://loinc.org",
"display": "Never true"
}
}, {
"valueCoding": {
"code": "LA15775-2",
"system": "http://loinc.org",
"display": "Don't know/refused"
}
} ]
}, {
"code": [ {
"code": "88123-5",
"system": "http://loinc.org",
"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",
"linkId": "/88123-5",
"required": false,
"answerOption": [ {
"valueCoding": {
"code": "LA28397-0",
"system": "http://loinc.org",
"display": "Often true"
}
}, {
"valueCoding": {
"code": "LA6729-3",
"system": "http://loinc.org",
"display": "Sometimes true"
}
}, {
"valueCoding": {
"code": "LA28398-8",
"system": "http://loinc.org",
"display": "Never true"
}
}, {
"valueCoding": {
"code": "LA15775-2",
"system": "http://loinc.org",
"display": "Don't know/refused"
}
} ]
}, {
"code": [ {
"code": "88124-3",
"system": "http://loinc.org",
"display": "Food insecurity risk [HVS]"
} ],
"item": [ {
"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",
"linkId": "/88124-3-help"
} ],
"text": "Food insecurity risk",
"type": "choice",
"linkId": "/88124-3",
"required": false,
"answerOption": [ {
"valueCoding": {
"code": "LA19952-3",
"system": "http://loinc.org",
"display": "At risk"
}
}, {
"valueCoding": {
"code": "LA19983-8",
"system": "http://loinc.org",
"display": "No risk"
}
} ]
} ],
"copyright": "Used by permission of HL7 International, all rights reserved Creative Commons License",
"type": null,
"experimental": "true",
"resourceType": "Questionnaire",
"title": "Hunger Vital Sign Example",
"package_version": "6.1.0-snapshot1",
"status": "active",
"id": "ced3752b-2c97-4b80-9937-7eb2089a17c0",
"kind": null,
"url": "http://hl7.org/fhir/us/core/Questionnaire/hunger-vital-sign-example",
"code": [ {
"code": "88121-9",
"system": "http://loinc.org",
"display": "Hunger Vital Sign [HVS]"
} ],
"version": "6.1.0-snapshot1",
"contact": [ {
"name": "HL7 International - Cross-Group Projects",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/cgp",
"system": "url"
}, {
"value": "cgp@lists.HL7.org",
"system": "email"
} ]
} ]
}