{
"description": "A hunger vital signs form (showing calculatedExpression selecting a value from a list).",
"_filename": "example/Questionnaire-questionnaire-sdc-profile-example-hunger-vital-signs.json",
"package_name": "hl7.fhir.uv.sdc",
"subjectType": [ "Patient" ],
"date": "2024-12-17T01:55:34+00:00",
"meta": {
"profile": [ "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire" ]
},
"publisher": "HL7 International / FHIR Infrastructure",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"display": "World"
} ]
} ],
"name": "QuestionnaireSdcProfileExampleHungerVitalSigns",
"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 12Mo we worried whether our food would run out before we got money to buy more",
"type": "choice",
"linkId": "/88122-7",
"required": false,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Drop down",
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"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 12Mo 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,
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Drop down",
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
} ],
"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"
}
} ]
}, {
"linkId": "/88124-3",
"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",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Help-Button",
"coding": [ {
"code": "help",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Help-Button"
} ]
}
} ]
} ],
"type": "choice",
"answerOption": [ {
"valueCoding": {
"code": "LA19952-3",
"system": "http://loinc.org",
"display": "At risk"
}
}, {
"valueCoding": {
"code": "LA19983-8",
"system": "http://loinc.org",
"display": "No risk"
}
} ],
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept": {
"text": "Drop down",
"coding": [ {
"code": "drop-down",
"system": "http://hl7.org/fhir/questionnaire-item-control",
"display": "Drop down"
} ]
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "thisItem",
"language": "text/fhirpath",
"expression": "%questionnaire.item.where(linkId = '/88124-3')"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "atRiskCoding",
"language": "text/fhirpath",
"expression": "%thisItem.answerOption.value.where(code='LA19952-3')"
}
}, {
"url": "http://hl7.org/fhir/StructureDefinition/variable",
"valueExpression": {
"name": "noRiskCoding",
"language": "text/fhirpath",
"expression": "%thisItem.answerOption.value.where(code='LA19983-8')"
}
}, {
"url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
"valueExpression": {
"language": "text/fhirpath",
"expression": "iif(%answeredEitherQ, iif(%riskStatus, %atRiskCoding, %noRiskCoding), {})",
"description": "risk determination"
}
} ],
"readOnly": true,
"code": [ {
"code": "88124-3",
"system": "http://loinc.org",
"display": "Food insecurity risk [HVS]"
} ],
"required": false,
"text": "Food insecurity risk"
} ],
"type": null,
"experimental": "true",
"resourceType": "Questionnaire",
"title": "Hunger Vital Sign [HVS]",
"package_version": "4.0.0-ballot",
"extension": [ {
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Questionnaire.versionAlgorithm[x]",
"valueCoding": {
"code": "semver",
"system": "http://hl7.org/fhir/version-algorithm"
}
}, {
"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()"
}
} ],
"status": "active",
"id": "f02a2e33-0417-46f8-9233-f51372f22253",
"kind": null,
"url": "http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-hunger-vital-signs",
"code": [ {
"code": "88121-9",
"system": "http://loinc.org",
"display": "Hunger Vital Sign [HVS]"
} ],
"identifier": [ {
"value": "urn:oid:2.16.840.1.113883.4.642.40.17.35.11",
"system": "urn:ietf:rfc:3986"
} ],
"version": "4.0.0-ballot",
"contact": [ {
"name": "HL7 International / FHIR Infrastructure",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fiwg",
"system": "url"
} ]
}, {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/fiwg",
"system": "url"
} ]
} ]
}