SDOH Clinical Care - Local Development build (v0.0.4C3). See the Directory of published versions

: SDOHCC_Questionnaire_HungerVitalSign_1_Example_1 - XML Representation

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<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="SDOHCC-Questionnaire-HungerVitalSign-1-Example-1"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2020-05-06T20:35:52.088+00:00"/>
    <source value="#GEBZRkOKyeplHRAi"/>
    <profile
             value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><div><div style="width: 900px; border-top: 1px #eeeeee solid"><div style="display: inline-block; width: 500px"><p><span title="linkId: /88122-7">Within the past 12Mo we worried whether our food would run out before we got money to buy more</span><select size="1" name="/88122-7"><option value="a" selected="false">??</option></select></p></div><div style="border: 1px #ccccff solid; padding: 2px; display: inline-block; background-color: #fefce7; width: 380px"><ul><li style="font-size: 10px">linkId: /88122-7</li><li style="font-size: 10px"><a href="null#/88122-7">Answers: 4 options</a></li></ul></div></div><div style="width: 900px; border-top: 1px #eeeeee solid"><div style="display: inline-block; width: 500px"><p><span title="linkId: /88123-5">Within the past 12Mo the food we bought just didn't last and we didn't have money to get more</span><select size="1" name="/88123-5"><option value="a" selected="false">??</option></select></p></div><div style="border: 1px #ccccff solid; padding: 2px; display: inline-block; background-color: #fefce7; width: 380px"><ul><li style="font-size: 10px">linkId: /88123-5</li><li style="font-size: 10px"><a href="null#/88123-5">Answers: 4 options</a></li></ul></div></div><div style="width: 900px; border-top: 1px #eeeeee solid"><div style="display: inline-block; width: 500px"><p><span title="linkId: /88124-3">Food insecurity risk</span><select size="1" readonly="1" name="/88124-3" style="background-color: #eeeeee"><option value="a" selected="false">??</option></select></p></div><div style="border: 1px #ccccff solid; padding: 2px; display: inline-block; background-color: #fefce7; width: 380px"><ul><li style="font-size: 10px">linkId: /88124-3</li><li style="font-size: 10px"><a href="null#/88124-3">Answers: 2 options</a></li></ul></div></div><div style="width: 890px; border-top: 1px #eeeeee solid; margin-left: 10px"><div style="display: inline-block; width: 490px"><p><span title="linkId: /88124-3-help">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).</span></p></div><div style="border: 1px #ccccff solid; padding: 2px; display: inline-block; background-color: #fefce7; width: 380px"><ul><li style="font-size: 10px">linkId: /88124-3-help</li></ul></div></div></div></div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/variable">
    <valueExpression>
      <name value="worriedAnsCode"/>
      <language value="text/fhirpath"/>
      <expression
                  value="%resource.item.where(linkId=&#39;/88122-7&#39;).answer.value.code"/>
    </valueExpression>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/variable">
    <valueExpression>
      <name value="ranOutAnsCode"/>
      <language value="text/fhirpath"/>
      <expression
                  value="%resource.item.where(linkId=&#39;/88123-5&#39;).answer.value.code"/>
    </valueExpression>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/variable">
    <valueExpression>
      <name value="riskCodes"/>
      <language value="text/fhirpath"/>
      <expression value="&#39;LA28397-0&#39;.combine(&#39;LA6729-3&#39;)"/>
    </valueExpression>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/variable">
    <valueExpression>
      <name value="riskStatus"/>
      <language value="text/fhirpath"/>
      <expression
                  value="%riskCodes contains %worriedAnsCode or %riskCodes contains %ranOutAnsCode"/>
    </valueExpression>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/variable">
    <valueExpression>
      <name value="answeredEitherQ"/>
      <language value="text/fhirpath"/>
      <expression value="%worriedAnsCode.exists() or %ranOutAnsCode.exists()"/>
    </valueExpression>
  </extension>
  <url
       value="http://hl7.org/fhir/us/Questionnaire/SDOHCC-Questionnaire-HungerVitalSign-1-Example-1"/>
  <identifier>
    <system
            value="http://hl7.org/fhir/us/sdoh-cc/CodeSystem/sdohcc-temporary-identifiers"/>
    <value value="local-ehr-65d310b8-6235-4f47-8d45"/>
  </identifier>
  <version value="0.0.4C3"/>
  <name value="Food Insecurity"/>
  <title value="Food Insecurity (Hunger Vital Sign)"/>
  <status value="active"/>
  <subjectType value="Patient"/>
  <date value="2019-12-03T16:09:54+00:00"/>
  <publisher value="HL7 International - Patient Care WG"/>
  <contact>
    <name value="HL7 International - Patient Care WG"/>
    <telecom>
      <system value="other"/>
      <value value="https://www.hl7.org/Special/committees/patientcare"/>
    </telecom>
  </contact>
  <contact>
    <name value="HL7 International - Patient Care"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/patientare"/>
    </telecom>
  </contact>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166:-2"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <effectivePeriod>
    <start value="2019-12-12T16:52:01+00:00"/>
    <end value="2019-12-22T23:49:14+00:00"/>
  </effectivePeriod>
  <item>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control"/>
          <code value="drop-down"/>
          <display value="Drop down"/>
        </coding>
        <text value="Drop down"/>
      </valueCodeableConcept>
    </extension>
    <linkId value="/88122-7"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="88122-7"/>
      <display
               value="Within the past 12Mo we worried whether our food would run out before we got money to buy more"/>
    </code>
    <text
          value="Within the past 12Mo we worried whether our food would run out before we got money to buy more"/>
    <type value="choice"/>
    <required value="false"/>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA28397-0"/>
        <display value="Often true"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6729-3"/>
        <display value="Sometimes true"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA28398-8"/>
        <display value="Never true"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA15775-2"/>
        <display value="Don&#39;t know/refused"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control"/>
          <code value="drop-down"/>
          <display value="Drop down"/>
        </coding>
        <text value="Drop down"/>
      </valueCodeableConcept>
    </extension>
    <linkId value="/88123-5"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="88123-5"/>
      <display
               value="Within the past 12Mo the food we bought just didn&#39;t last and we didn&#39;t have money to get more"/>
    </code>
    <text
          value="Within the past 12Mo the food we bought just didn&#39;t last and we didn&#39;t have money to get more"/>
    <type value="choice"/>
    <required value="false"/>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA28397-0"/>
        <display value="Often true"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6729-3"/>
        <display value="Sometimes true"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA28398-8"/>
        <display value="Never true"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA15775-2"/>
        <display value="Don&#39;t know/refused"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/questionnaire-observationLinkPeriod">
      <valueBoolean value="true"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control"/>
          <code value="drop-down"/>
          <display value="Drop down"/>
        </coding>
        <text value="Drop down"/>
      </valueCodeableConcept>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/variable">
      <valueExpression>
        <name value="thisItem"/>
        <language value="text/fhirpath"/>
        <expression
                    value="%questionnaire.item.where(linkId = &#39;/88124-3&#39;)"/>
      </valueExpression>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/variable">
      <valueExpression>
        <name value="atRiskCoding"/>
        <language value="text/fhirpath"/>
        <expression
                    value="%thisItem.answerOption.valueCoding.where(code=&#39;LA19952-3&#39;)"/>
      </valueExpression>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/variable">
      <valueExpression>
        <name value="noRiskCoding"/>
        <language value="text/fhirpath"/>
        <expression
                    value="%thisItem.answerOption.valueCoding.where(code=&#39;LA19983-8&#39;)"/>
      </valueExpression>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/questionnaire-calculatedExpression">
      <valueExpression>
        <description value="risk determination"/>
        <language value="text/fhirpath"/>
        <expression
                    value="iif(%answeredEitherQ, iif(%riskStatus, %atRiskCoding, %noRiskCoding), {})"/>
      </valueExpression>
    </extension>
    <linkId value="/88124-3"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="88124-3"/>
      <display value="Food insecurity risk"/>
    </code>
    <text value="Food insecurity risk"/>
    <type value="choice"/>
    <required value="false"/>
    <readOnly value="true"/>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA19952-3"/>
        <display value="At risk"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA19983-8"/>
        <display value="No risk"/>
      </valueCoding>
    </answerOption>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="help"/>
            <display value="Help-Button"/>
          </coding>
          <text value="Help-Button"/>
        </valueCodeableConcept>
      </extension>
      <linkId value="/88124-3-help"/>
      <text
            value="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)."/>
      <type value="display"/>
    </item>
  </item>
</Questionnaire>