SHINNYHRSN - Local Development build (v1.6.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Example Bundle: AHCHRSNQuestionnaireResponseExample
Last updated: 2024-02-23 00:00:00+0000
Profile: SHINNY SDOH Bundle Profile
Bundle AHCHRSNQuestionnaireResponseExample of type transaction
Entry 1 - fullUrl = http://shinny.org/us/ny/hrsn/Patient/PatientExample
Resource Patient:
Last updated: 2024-02-23 00:00:00+0000; Language: en
Profile: SHINNY Patient Profile
Jon Doe Male, DoB: 1981-07-16 ( Medical record number)
Other Ids:
- Patient Medicaid number/AA12345C
- Social Security Number/999-34-2964
Contact Detail
- ph: 555-120-6047(Home)
- 115 Broadway Apt2 New York, NY 10032
Language: English (preferred) Mother:
- Joyce Doe
- +1234567890
US Core Ethnicity Extension:
- ombCategory: Race & Ethnicity - CDC 2135-2: Hispanic or Latino
- text: Hispanic or Latino
US Core Birth Sex Extension M US Core Race Extension:
- ombCategory: Race & Ethnicity - CDC 2028-9: Asian
- ombCategory: Race & Ethnicity - CDC 1002-5: American Indian or Alaska Native
- detailed: Race & Ethnicity - CDC 1010-8: Apache
- text: Asian, American Indian, Apache
SHINNYGenderIdentityExtension Identifies as male gender (finding) SHINNY Personal Pronouns he/him/his/his/himself
Request:
POST http://shinny.org/us/ny/hrsn/Patient/PatientExample
Entry 2 - fullUrl = http://shinny.org/us/ny/hrsn/Observation/SexualOrientationExample
Resource Observation:
Last updated: 2024-02-23 00:00:00+0000
status: Final
code: Sexual orientation
subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)
value: Unknown
Request:
POST http://shinny.org/us/ny/hrsn/Observation/SexualOrientationExample
Entry 3 - fullUrl = http://shinny.org/us/ny/hrsn/Encounter/EncounterExample
Resource Encounter:
Last updated: 2024-02-23 00:00:00+0000
Profile: SHINNY Encounter Profile
status: completed
class: field
type: Direct questioning (procedure)
subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)
Locations
Location Location downtown location
Request:
POST http://shinny.org/us/ny/hrsn/Encounter/EncounterExample
Entry 4 - fullUrl = http://shinny.org/us/ny/hrsn/Consent/ConsentExample
Resource Consent:
Last updated: 2024-02-23 00:00:00+0000
Profile: SHINNY Consent Profile
status: Active
category: Consent Document, information disclosure
provision
Request:
POST http://shinny.org/us/ny/hrsn/Consent/ConsentExample
Entry 5 - fullUrl = http://shinny.org/us/ny/hrsn/Organization/OrganizationExampleOther-SCN1
Resource Organization:
Last updated: 2024-02-23 00:00:00+0000
Profile: SHINNY Organization Profile
identifier: Care Ridge/SCNExample, NPI/1234567890
active: true
type: Other
name: Care Ridge SCN
Contacts
Address 111 Care Ridge St, Plainview, NY 11803
Request:
POST http://shinny.org/us/ny/hrsn/Organization/OrganizationExampleOther-SCN1
Entry 6 - fullUrl = http://shinny.org/us/ny/hrsn/Practitioner/PractitionerExampleCBO
Resource Practitioner:
Last updated: 2024-02-23 00:00:00+0000
Profile: SHINNY Practitioner Profile
identifier: National provider identifier/123456789
name: Bob Kelso MD
gender: Male
birthDate: 1953-01-01
Request:
POST http://shinny.org/us/ny/hrsn/Practitioner/PractitionerExampleCBO
Entry 7 - fullUrl = http://shinny.org/us/ny/hrsn/Condition/ConditionFoodInsecurityExample
Resource Condition:
Last updated: 2024-02-23 00:00:00+0000
Profile: SHINNY SDOHCC Condition Profile
clinicalStatus: Active
verificationStatus: Confirmed
category: Health Concern, Food Insecurity
code: Food insecurity
subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)
onset: 2023-07-12 16:08:00+0000 --> (ongoing)
evidence
evidence
Request:
POST http://shinny.org/us/ny/hrsn/Condition/ConditionFoodInsecurityExample
Entry 8 - fullUrl = http://shinny.org/us/ny/hrsn/Observation/ObservationResponseQuestion1grouper
Resource Observation:
Last updated: 2024-02-23 00:00:00+0000; Language: en
status: Final
category: Housing Instability, Social History, Survey
code: Social Determinants of Health screening report Document
subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)
effective: 2020-09-10 21:56:54+0000
issued: 2020-09-10 21:56:54+0000
performer:
interpretation: Positive
hasMember:
Request:
POST http://shinny.org/us/ny/hrsn/Observation/ObservationResponseQuestion1grouper
Entry 9 - fullUrl = http://shinny.org/us/ny/hrsn/Observation/ObservationResponseHousingInstability71802-3
Resource Observation:
Last updated: 2024-02-23 00:00:00+0000; Language: en
status: Final
category: Housing Instability, Social History, Survey
code: What is your living situation today?
subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)
effective: 2023-07-12 16:08:00+0000
issued: 2023-07-12 16:08:00+0000
value: I have a steady place to live
Request:
POST http://shinny.org/us/ny/hrsn/Observation/ObservationResponseHousingInstability71802-3
Entry 10 - fullUrl = http://shinny.org/us/ny/hrsn/Observation/ObservationResponseInadequateHousing96778-6
Resource Observation:
Last updated: 2024-02-23 00:00:00+0000; Language: en
status: Final
category: Inadequate Housing, Social History, Survey
code: Think about the place you live. Do you have problems with any of the following?
subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)
effective: 2023-07-12 16:08:00+0000
issued: 2023-07-12 16:08:00+0000
interpretation: Positive
Components
Code Value[x] Problems with place where you live Mold
Request:
POST http://shinny.org/us/ny/hrsn/Observation/ObservationResponseInadequateHousing96778-6
Entry 11 - fullUrl = http://shinny.org/us/ny/hrsn/Observation/ObservationResponseQuestion2grouper
Resource Observation:
Last updated: 2024-02-23 00:00:00+0000; Language: en
status: Final
category: Financial Insecurity, Social History, Survey
code: Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)
effective: 2020-09-10 21:56:54+0000
issued: 2020-09-10 21:56:54+0000
performer: Organization Care Ridge SCN
interpretation: Positive
hasMember:
Request:
POST http://shinny.org/us/ny/hrsn/Observation/ObservationResponseQuestion2grouper
Entry 12 - fullUrl = http://shinny.org/us/ny/hrsn/Observation/ObservationResponseFinancialInsecurity76513-1
Resource Observation:
Last updated: 2024-02-23 00:00:00+0000; Language: en
status: Final
category: Financial Insecurity, Social History, Survey
code: How hard is it for you to pay for the very basics like food, housing, medical care, and heating?
subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)
effective: 2023-07-12 16:08:00+0000
issued: 2023-07-12 16:08:00+0000
performer: Organization Care Ridge SCN
value: Somewhat Hard
interpretation: Positive
Request:
POST http://shinny.org/us/ny/hrsn/Observation/ObservationResponseFinancialInsecurity76513-1
Entry 13 - fullUrl = http://shinny.org/us/ny/hrsn/Observation/ObservationResponseEmploymentStatus96780-2
Resource Observation:
Last updated: 2024-02-23 00:00:00+0000; Language: en
status: Final
category: Employment Status, Social History, Survey
code: Do you want help finding or keeping work or a job?
subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)
effective: 2023-07-12 16:08:00+0000
issued: 2023-07-12 16:08:00+0000
performer: Organization Care Ridge SCN
value: Yes, help finding work
interpretation: Positive
Request:
POST http://shinny.org/us/ny/hrsn/Observation/ObservationResponseEmploymentStatus96780-2
Entry 14 - fullUrl = http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYNYSHRSNQuestionnaireResponse
Resource QuestionnaireResponse:
Last updated: 2024-02-23 00:00:00+0000
Profile: SDC Questionnaire Response
LinkID Text Definition Answer SHINNYNYSHRSNQuestionnaireResponse
Questionnaire:Questionnaire[http://shinny.org/us/ny/hrsn/Questionnaire/SHINNYNYSHRSNQuestionnaire|1.6.3] nys-hrsn-questionnaire
NYS Accountable Health Communities (AHC) Health-Related Social Needs Screening (HRSN) tool Accountable health communities (AHC) health-related social needs screening (HRSN) tool 71802-3
What is your living situation today? LOINC LA31993-1: I have a steady place to live Think about the place you live. Do you have problems with any of the following? LOINC LA28580-1: Mold In the past 12 months, has lack of reliable transportation kept you from medical appointments, meetings, work or from getting things needed for daily living? LOINC LA32-8: No Do you want help finding or keeping work or a job? LOINC LA31981-6: Yes, help finding work Documentation for this format
Request:
POST http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYNYSHRSNQuestionnaireResponse
Entry 15 - fullUrl = http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYApprovalQuestionnaireResponse
Resource QuestionnaireResponse:
Last updated: 2024-02-23 00:00:00+0000
Profile: SDC Questionnaire Response
LinkID Text Definition Answer Questionnaire:Questionnaire[http://shinny.org/us/ny/hrsn/Questionnaire/SHINNYApprovalQuestionnaire|1.6.3] Patient approval to move forward with completing the assessment. Patient approval to move forward with completing the assessment. Indicator of whether the patient agreed to move forward with completing the assessment. LOINC LA33-6: Yes
Request:
POST http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYApprovalQuestionnaireResponse
Entry 16 - fullUrl = http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYOutreachQuestionnaireResponse
Resource QuestionnaireResponse:
Last updated: 2024-02-23 00:00:00+0000
Profile: SDC Questionnaire Response
LinkID Text Definition Answer Questionnaire:Questionnaire[http://shinny.org/us/ny/hrsn/Questionnaire/SHINNYOutreachQuestionnaire|1.6.3] Information regarding the patient outreach from the SCN for a patient assessment. Questions regarding the assessment outreach. The date the SCN reached out to the patient. 2024-02-01 Indicates whether the SCN successfully reached the patient. LOINC LA33-6: Yes Describes the method of contact used to reach out to the patient. SHINNY Questionnaires phone: Phone
Request:
POST http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYOutreachQuestionnaireResponse
Entry 17 - fullUrl = http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYAdministrativeQuestionnaireResponse
Resource QuestionnaireResponse:
Last updated: 2024-02-23 00:00:00+0000
Profile: SDC Questionnaire Response
LinkID Text Definition Answer Questionnaire:Questionnaire[http://shinny.org/us/ny/hrsn/Questionnaire/SHINNYAdministrativeQuestionnaire|1.6.3] Administrative questions that capture information about the patient's population categorization, specific services needed and/or medical necessities. Administrative quesitons that verify information about the patient. Check populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, resulting in SCN request to update covered population categorization with MCO. SHINNY Questionnaires medicaid-high-utilizer: Medicaid High Utilizer Check populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient currently receives services that would inhibit ability to deliver any or all NYHER services. SHINNY Questionnaires medicaid-advantage-program: Medicaid Advantage Program (MAP) Check populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient has the required medical necessity that would satisfy requirement to deliver NYHER service. SHINNY Questionnaires chronic-condition: Chronic Condition
Request:
POST http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYAdministrativeQuestionnaireResponse
Entry 18 - fullUrl = http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYServiceDuplicationQuestionnaireResponse
Resource QuestionnaireResponse:
Last updated: 2024-02-23 00:00:00+0000
Profile: SDC Questionnaire Response
LinkID Text Definition Answer Questionnaire:Questionnaire[http://shinny.org/us/ny/hrsn/Questionnaire/SHINNYServiceDuplicationQuestionnaire|1.6.3] Indicator questions recording whether the patient receives assistance from a variety of programs, as well as other social and healthcare needs. Questions regarding service duplication. Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient currently receives or is on any housing waitlists (e.g., HUD. Section 8, local housing authority, or other voucher programs). LOINC LA32-8: No Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient currently receives nutritional counseling or education. LOINC LA32-8: No Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient is actively engaged in a nutrition program. LOINC LA32-8: No Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient currently receives any home-delivered meals or food services. LOINC LA32-8: No Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient is currently engaged in SNAP. LOINC LA32-8: No Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient is currently engaged in WIC. LOINC LA32-8: No Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient is currently engaged in TANF. LOINC LA32-8: No Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient is currently engaged in Transportation services. LOINC LA33-6: Yes Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient is currently prescribed medication, requiring refrigeration for the management of a chronic condition. LOINC LA32-8: No Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient is a pregnant/postpartum persons that require a refrigeration for breast milk. LOINC LA32-8: No Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient meets the qualifications for medical respite (see notes). LOINC LA32-8: No Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient needs assistance with childcare. LOINC LA32-8: No
Request:
POST http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYServiceDuplicationQuestionnaireResponse
Entry 19 - fullUrl = http://shinny.org/us/ny/hrsn/Location/LocationExample-SCN
Resource Location:
Last updated: 2024-02-23 00:00:00+0000
Profile: SDOHCC Location
status: Active
name: downtown location
type: community service center
address: 115 Broadway Suite #1601 New York NY 10006
managingOrganization: Organization Care Ridge SCN
Request:
POST http://shinny.org/us/ny/hrsn/Location/LocationExample-SCN
Entry 20 - fullUrl = http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYHRSNOutreachQuestionnaireResponse
Resource QuestionnaireResponse:
Last updated: 2024-02-23 00:00:00+0000
Profile: SDC Questionnaire Response
LinkID Text Definition Answer Questionnaire:Questionnaire[http://shinny.org/us/ny/hrsn/Questionnaire/SHINNYHRSNOutreachQuestionnaire|1.6.3] Captures the service provider outreach date. Questions regarding the HRSN outreach. The date/time the HRSN Service Provider conducted outreach to patient, based on accepted referral. 2024-02-20
Request:
POST http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYHRSNOutreachQuestionnaireResponse
Entry 21 - fullUrl = http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYDisablityQuestionnaireResponse
Resource QuestionnaireResponse:
Last updated: 2024-02-23 00:00:00+0000
Profile: SDC Questionnaire Response
LinkID Text Definition Answer Questionnaire:Questionnaire[http://shinny.org/us/ny/hrsn/Questionnaire/SHINNYDisablityQuestionnaire|1.6.3] Captures responses about a patient's disability mobility. Captures a collection of screening responses about a patient's mobility and self-care. Do you have serious difficulty walking or climbing stairs? (5 years old or older) LOINC LA32-8: No
Request:
POST http://shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYDisablityQuestionnaireResponse