US Core Implementation Guide
5.0.1 - STU5 Release US

This page is part of the US Core (v5.0.1: STU5) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example QuestionnaireResponse: AHC HRSN Screening Example

.. AHC-HRSN-screening-exampleQuestionnaireResponse
... /76513-1How hard is it for you to pay for the very basics like food, housing, medical care, and heating?LOINC LA31980-8: Not hard at all
... /96780-2Do you want help finding or keeping work or a job?LOINC LA31983-2: I do not need or want help
... /96781-0If for any reason you need help with day-to-day activities such as bathing, preparing meals, shopping, managing finances, etc., do you get the help you need?LOINC LA31976-6: I don't need any help
... /93159-2How often do you feel lonely or isolated from those around you?LOINC LA6270-8: Never
... /97027-7Do you speak a language other than English at home?LOINC LA32-8: No
... /96782-8Do you want help with school or training? For example, starting or completing job training or getting a high school diploma, GED or equivalent.LOINC LA32-8: No
... /89555-7In the last 30 days, other than the activities you did for work, on average, how many days per week did you engage in moderate exercise (like walking fast, running, jogging, dancing, swimming, biking, or other similar activities)?LOINC LA10137-0: 5
... /68516-4On average, how many minutes did you usually spend exercising at this level on one of those days?LOINC LA28853-2: 60
... /68517-2How many times in the past 12 months have you had 5 or more drinks in a day (males) or 4 or more drinks in a day (females)?LOINC LA6270-8: Never
... /96842-0How often have you used any tobacco product in past 12 months?LOINC LA6270-8: Never
... /95530-2How many times in the past year have you used prescription drugs for non-medical reasons?LOINC LA6270-8: Never
... /68524-8How many times in the past year have you used illegal drugs?LOINC LA6270-8: Never
... /44250-9Little interest or pleasure in doing things?LOINC LA6568-5: Not at all
... /44255-8Feeling down, depressed, or hopeless?LOINC LA6568-5: Not at all
... /93038-8Stress means a situation in which a person feels tense, restless, nervous, or anxious, or is unable to sleep at night because his or her mind is troubled all the time. Do you feel this kind of stress these days?LOINC LA13863-8: A little bit
... /69858-9Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?LOINC LA32-8: No
... /69861-3Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a physician's office or shopping?LOINC LA32-8: No

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