{
"description": null,
"_filename": "example/Questionnaire-hunger-vital-sign-example.json",
"package_name": "hl7.fhir.us.core",
"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": "Within the past 12 months we worried whether our food would run out before we got money to buy more [U.S. FSS]"
} ],
"text": "Within the past 12 months we worried whether our food would run out before we got money to buy more [U.S. FSS]",
"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": "Within the past 12 months the food we bought just didn't last and we didn't have money to get more [U.S. FSS]"
} ],
"text": "Within the past 12 months the food we bought just didn't last and we didn't have money to get more [U.S. FSS]",
"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": "8.0.0-ballot",
"status": "active",
"id": "d441812a-f68e-4fe5-b27d-32396ccc0d78",
"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]"
} ],
"identifier": [ {
"value": "urn:oid:2.16.840.1.113883.4.642.40.2.35.4",
"system": "urn:ietf:rfc:3986"
} ],
"version": "8.0.0-ballot",
"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"
} ]
} ]
}