1.9.3 - release

SHINNYHRSN - Local Development build (v1.9.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: SHINNY Questionnaires - TTL Representation

Active as of 2026-07-24

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/SHINNYQuestionnaires> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "SHINNYQuestionnaires"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem SHINNYQuestionnaires</b></p><a name=\"SHINNYQuestionnaires\"> </a><a name=\"hcSHINNYQuestionnaires\"> </a><p>This case-sensitive code system <code>http://shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">assessment-approval-questionnaire<a name=\"SHINNYQuestionnaires-assessment-approval-questionnaire\"> </a></td><td>Assessment Approval Questionnaire</td><td>Patient approval to move forward with completing the assessment.</td></tr><tr><td style=\"white-space:nowrap\">assessment-outreach-questionnaire<a name=\"SHINNYQuestionnaires-assessment-outreach-questionnaire\"> </a></td><td>Assessment Outreach Questionnaire</td><td>Information regarding the patient outreach from the SCN for a patient assessment.</td></tr><tr><td style=\"white-space:nowrap\">administrative-questionnaire<a name=\"SHINNYQuestionnaires-administrative-questionnaire\"> </a></td><td>Administrative Questionnaire</td><td>Administrative questions that capture information about the patient's population categorization, specific services needed and/or medical necessities.</td></tr><tr><td style=\"white-space:nowrap\">service-duplication-questionnaire<a name=\"SHINNYQuestionnaires-service-duplication-questionnaire\"> </a></td><td>Service Duplication Questionnaire</td><td>Indicator questions recording whether the patient receives assistance from a variety of programs, as well as other social and healthcare needs.</td></tr><tr><td style=\"white-space:nowrap\">referral-approval-questionnaire<a name=\"SHINNYQuestionnaires-referral-approval-questionnaire\"> </a></td><td>Referral Approval Questionnaire</td><td>Patient approval to move forward with the referral.</td></tr><tr><td style=\"white-space:nowrap\">hrsn-outreach-questionnaire<a name=\"SHINNYQuestionnaires-hrsn-outreach-questionnaire\"> </a></td><td>HRSN Outreach Questionnaire</td><td>Captures the service provider outreach date.</td></tr><tr><td style=\"white-space:nowrap\">scn-outreach-questionnaire<a name=\"SHINNYQuestionnaires-scn-outreach-questionnaire\"> </a></td><td>SCN Outreach Questionnaire</td><td>Captures the service provider outreach date.</td></tr><tr><td style=\"white-space:nowrap\">disability-questionnaire<a name=\"SHINNYQuestionnaires-disability-questionnaire\"> </a></td><td>Disability Questionnaire</td><td>Captures responses about a patient's disability mobility.</td></tr><tr><td style=\"white-space:nowrap\">nys-hrsn-questionnaire<a name=\"SHINNYQuestionnaires-nys-hrsn-questionnaire\"> </a></td><td>NYS HRSN Questionnaire</td><td>NYS Accountable Health Communities (AHC) Health-Related Social Needs Screening (HRSN) tool</td></tr><tr><td style=\"white-space:nowrap\">patient-assessment-approval<a name=\"SHINNYQuestionnaires-patient-assessment-approval\"> </a></td><td>Patient Assessment Approval</td><td>Patient approval to move forward with completing the assessment.</td></tr><tr><td style=\"white-space:nowrap\">administrative-questions<a name=\"SHINNYQuestionnaires-administrative-questions\"> </a></td><td>Administrative Questions</td><td>Administrative questions that verify information about the patient.</td></tr><tr><td style=\"white-space:nowrap\">hrsn-outreach<a name=\"SHINNYQuestionnaires-hrsn-outreach\"> </a></td><td>HRSN Outreach</td><td>Questions regarding the HRSN outreach.</td></tr><tr><td style=\"white-space:nowrap\">assessment-outreach<a name=\"SHINNYQuestionnaires-assessment-outreach\"> </a></td><td>Assessment Outreach</td><td>Questions regarding the assessment outreach.</td></tr><tr><td style=\"white-space:nowrap\">referral-approval<a name=\"SHINNYQuestionnaires-referral-approval\"> </a></td><td>Referral Approval</td><td>Questions regarding the referral approval.</td></tr><tr><td style=\"white-space:nowrap\">scn-outreach<a name=\"SHINNYQuestionnaires-scn-outreach\"> </a></td><td>SCN Outreach</td><td>Questions regarding the SCN outreach.</td></tr><tr><td style=\"white-space:nowrap\">service-duplication-questions<a name=\"SHINNYQuestionnaires-service-duplication-questions\"> </a></td><td>Service Duplication Questions</td><td>Questions regarding service duplication.</td></tr><tr><td style=\"white-space:nowrap\">disability-questions<a name=\"SHINNYQuestionnaires-disability-questions\"> </a></td><td>Disability Questions</td><td>Captures a collection of screening responses about a patient's mobility and self-care.</td></tr><tr><td style=\"white-space:nowrap\">patient-assessment-approval-indicator<a name=\"SHINNYQuestionnaires-patient-assessment-approval-indicator\"> </a></td><td>Patient Assessment Approval Indicator</td><td>Indicator of whether the patient agreed to move forward with completing the assessment.</td></tr><tr><td style=\"white-space:nowrap\">patient-assessment-outreach-date<a name=\"SHINNYQuestionnaires-patient-assessment-outreach-date\"> </a></td><td>Patient Assessment Outreach Date</td><td>Date that a patient first receives outreach from SCN for assessment follow-up.</td></tr><tr><td style=\"white-space:nowrap\">patient-assessment-outreach-status<a name=\"SHINNYQuestionnaires-patient-assessment-outreach-status\"> </a></td><td>Patient Assessment Outreach Status</td><td>What was the final result of the patient assessment outreach? Did the patient get assessed? No response?</td></tr><tr><td style=\"white-space:nowrap\">outreach-method<a name=\"SHINNYQuestionnaires-outreach-method\"> </a></td><td>Outreach Method</td><td>Describes the method of contact used to reach out to the patient.</td></tr><tr><td style=\"white-space:nowrap\">enhanced-population-check<a name=\"SHINNYQuestionnaires-enhanced-population-check\"> </a></td><td>Enhanced Population Check</td><td>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.</td></tr><tr><td style=\"white-space:nowrap\">service-duplication-check<a name=\"SHINNYQuestionnaires-service-duplication-check\"> </a></td><td>Service Duplication Check</td><td>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.</td></tr><tr><td style=\"white-space:nowrap\">clinical-criteria-check<a name=\"SHINNYQuestionnaires-clinical-criteria-check\"> </a></td><td>Clinical Criteria Check</td><td>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.</td></tr><tr><td style=\"white-space:nowrap\">housing-program<a name=\"SHINNYQuestionnaires-housing-program\"> </a></td><td>Housing Program</td><td>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).</td></tr><tr><td style=\"white-space:nowrap\">nutritional-education-program<a name=\"SHINNYQuestionnaires-nutritional-education-program\"> </a></td><td>Nutritional Education Program</td><td>Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient currently receives nutritional counseling or education.</td></tr><tr><td style=\"white-space:nowrap\">nutritional-services-program<a name=\"SHINNYQuestionnaires-nutritional-services-program\"> </a></td><td>Nutritional Services Program</td><td>Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient is actively engaged in a nutrition program.</td></tr><tr><td style=\"white-space:nowrap\">food-service-program<a name=\"SHINNYQuestionnaires-food-service-program\"> </a></td><td>Food Service Program</td><td>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.</td></tr><tr><td style=\"white-space:nowrap\">snapp-program<a name=\"SHINNYQuestionnaires-snapp-program\"> </a></td><td>SNAPP Program</td><td>Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment,  identifying if patient is currently engaged in SNAP.</td></tr><tr><td style=\"white-space:nowrap\">wic-program<a name=\"SHINNYQuestionnaires-wic-program\"> </a></td><td>WIC Program</td><td>Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment,  identifying if patient is currently engaged in WIC.</td></tr><tr><td style=\"white-space:nowrap\">tanf-program<a name=\"SHINNYQuestionnaires-tanf-program\"> </a></td><td>TANF Program</td><td>Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment,  identifying if patient is currently engaged in TANF.</td></tr><tr><td style=\"white-space:nowrap\">transportation-program<a name=\"SHINNYQuestionnaires-transportation-program\"> </a></td><td>Transportation Program</td><td>Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment,  identifying if patient is currently engaged in Transportation services.</td></tr><tr><td style=\"white-space:nowrap\">medication-requiring-refrigeration<a name=\"SHINNYQuestionnaires-medication-requiring-refrigeration\"> </a></td><td>Medication Requiring Refrigeration</td><td>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.</td></tr><tr><td style=\"white-space:nowrap\">breast-milk-requiring-refrigeration<a name=\"SHINNYQuestionnaires-breast-milk-requiring-refrigeration\"> </a></td><td>Breast Milk Requiring Refrigeration</td><td>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.</td></tr><tr><td style=\"white-space:nowrap\">adls-iadls<a name=\"SHINNYQuestionnaires-adls-iadls\"> </a></td><td>ADLS-IADLS</td><td>Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment,  identifying if patient currently has Activities of Daily Living (ADLs) &amp; Instrumental Activities of Daily Living (IADLs) needs.</td></tr><tr><td style=\"white-space:nowrap\">medical-respite<a name=\"SHINNYQuestionnaires-medical-respite\"> </a></td><td>Medical Respite</td><td>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).</td></tr><tr><td style=\"white-space:nowrap\">childcare-assistance<a name=\"SHINNYQuestionnaires-childcare-assistance\"> </a></td><td>Childcare Assistance</td><td>Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment,  identifying if patient needs assistance with childcare.</td></tr><tr><td style=\"white-space:nowrap\">patient-referral-approval<a name=\"SHINNYQuestionnaires-patient-referral-approval\"> </a></td><td>Patient Referral Approval</td><td>Patient approval to move forward with the referral.</td></tr><tr><td style=\"white-space:nowrap\">hrsn-referral-outreach-date<a name=\"SHINNYQuestionnaires-hrsn-referral-outreach-date\"> </a></td><td>HRSN Referral Outreach Date</td><td>The date/time the HRSN Service Provider conducted outreach to patient, based on accepted referral.</td></tr><tr><td style=\"white-space:nowrap\">scn-referral-outreach-date<a name=\"SHINNYQuestionnaires-scn-referral-outreach-date\"> </a></td><td>SCN Referral Outreach Date</td><td>The date/time the SCN conducted outreach to the patient, based on referral if outreach is not initiated by HRSN Service Provider/Social Service Provider.</td></tr><tr><td style=\"white-space:nowrap\">difficulty-walking-climbing-stairs<a name=\"SHINNYQuestionnaires-difficulty-walking-climbing-stairs\"> </a></td><td>Difficulty Walking Climbing Stairs</td><td>Do you have serious difficulty walking or climbing stairs? (5 years old or older)</td></tr><tr><td style=\"white-space:nowrap\">difficulty-dressing-bathing<a name=\"SHINNYQuestionnaires-difficulty-dressing-bathing\"> </a></td><td>Difficulty Dressing Bathing</td><td>Do you have difficulty dressing or bathing? (5 years old or older)</td></tr><tr><td style=\"white-space:nowrap\">medicaid-high-utilizer<a name=\"SHINNYQuestionnaires-medicaid-high-utilizer\"> </a></td><td>Medicaid High Utilizer</td><td/></tr><tr><td style=\"white-space:nowrap\">nys-health-home<a name=\"SHINNYQuestionnaires-nys-health-home\"> </a></td><td>Individuals Enrolled in a NYS Health Home</td><td/></tr><tr><td style=\"white-space:nowrap\">pregnant-postpartum<a name=\"SHINNYQuestionnaires-pregnant-postpartum\"> </a></td><td>Pregnant and Postpartum Persons</td><td/></tr><tr><td style=\"white-space:nowrap\">children-high-risk<a name=\"SHINNYQuestionnaires-children-high-risk\"> </a></td><td>High-Risk Children Under 18 Years Old</td><td/></tr><tr><td style=\"white-space:nowrap\">intellectual-developmental-disability<a name=\"SHINNYQuestionnaires-intellectual-developmental-disability\"> </a></td><td>Individuals with an Intellectual or Developmental Disability</td><td/></tr><tr><td style=\"white-space:nowrap\">released-chronic-condition<a name=\"SHINNYQuestionnaires-released-chronic-condition\"> </a></td><td>Individuals with a Chronic Condition Released from Incarceration in the Past 90 Days</td><td/></tr><tr><td style=\"white-space:nowrap\">other-eligible-population<a name=\"SHINNYQuestionnaires-other-eligible-population\"> </a></td><td>Other Eligible Population</td><td/></tr><tr><td style=\"white-space:nowrap\">high-risk-nutrition<a name=\"SHINNYQuestionnaires-high-risk-nutrition\"> </a></td><td>High Risk Children Under 18 Nutrition Only</td><td/></tr><tr><td style=\"white-space:nowrap\">supportive-housing<a name=\"SHINNYQuestionnaires-supportive-housing\"> </a></td><td>Supportive Housing</td><td/></tr><tr><td style=\"white-space:nowrap\">healthy-homes<a name=\"SHINNYQuestionnaires-healthy-homes\"> </a></td><td>Healthy Homes</td><td/></tr><tr><td style=\"white-space:nowrap\">nutritional-counseling<a name=\"SHINNYQuestionnaires-nutritional-counseling\"> </a></td><td>Nutritional Counseling</td><td/></tr><tr><td style=\"white-space:nowrap\">medical-tailored-meals<a name=\"SHINNYQuestionnaires-medical-tailored-meals\"> </a></td><td>Medically Tailored Meals (MTM) In-lieu of Services (ILOS)</td><td/></tr><tr><td style=\"white-space:nowrap\">health-home-enrollment<a name=\"SHINNYQuestionnaires-health-home-enrollment\"> </a></td><td>Health Home Enrollment (under Enhanced Populations)</td><td/></tr><tr><td style=\"white-space:nowrap\">opwdd-waiver<a name=\"SHINNYQuestionnaires-opwdd-waiver\"> </a></td><td>Office for Persons with Developmental Disabilities (OPWDD) Waiver</td><td/></tr><tr><td style=\"white-space:nowrap\">tbi-waiver<a name=\"SHINNYQuestionnaires-tbi-waiver\"> </a></td><td>Traumatic Brain Injury (TBI) Waiver</td><td/></tr><tr><td style=\"white-space:nowrap\">nhtd-waiver<a name=\"SHINNYQuestionnaires-nhtd-waiver\"> </a></td><td>Nursing Home Transition Diversion (NHTD) Waiver</td><td/></tr><tr><td style=\"white-space:nowrap\">childrens-waiver<a name=\"SHINNYQuestionnaires-childrens-waiver\"> </a></td><td>Childrens Waiver</td><td/></tr><tr><td style=\"white-space:nowrap\">medicaid-advantage-program<a name=\"SHINNYQuestionnaires-medicaid-advantage-program\"> </a></td><td>Medicaid Advantage Program (MAP)</td><td/></tr><tr><td style=\"white-space:nowrap\">mltcp<a name=\"SHINNYQuestionnaires-mltcp\"> </a></td><td>Partial Capitation Managed Long-Term Care (MLTCP)</td><td/></tr><tr><td style=\"white-space:nowrap\">chronic-condition<a name=\"SHINNYQuestionnaires-chronic-condition\"> </a></td><td>Chronic Condition</td><td/></tr><tr><td style=\"white-space:nowrap\">uncontrolled-asthma<a name=\"SHINNYQuestionnaires-uncontrolled-asthma\"> </a></td><td>Uncontrolled Asthma</td><td/></tr><tr><td style=\"white-space:nowrap\">nutrition-therapy<a name=\"SHINNYQuestionnaires-nutrition-therapy\"> </a></td><td>Enteral or Parenteral Nutrition Therapy</td><td/></tr><tr><td style=\"white-space:nowrap\">current-institutional-setting<a name=\"SHINNYQuestionnaires-current-institutional-setting\"> </a></td><td>Currently in an Institutional Setting</td><td/></tr><tr><td style=\"white-space:nowrap\">heat-related-illness<a name=\"SHINNYQuestionnaires-heat-related-illness\"> </a></td><td>Heat-Related Illness Requiring an ER or UC Visit</td><td/></tr><tr><td style=\"white-space:nowrap\">cold-related-illness<a name=\"SHINNYQuestionnaires-cold-related-illness\"> </a></td><td>Cold-Related Illness Requiring an ER or UC Visit</td><td/></tr><tr><td style=\"white-space:nowrap\">thermoregulation-interference<a name=\"SHINNYQuestionnaires-thermoregulation-interference\"> </a></td><td>Conditions and Medications Interfering with Thermoregulation</td><td/></tr><tr><td style=\"white-space:nowrap\">none-of-the-above<a name=\"SHINNYQuestionnaires-none-of-the-above\"> </a></td><td>None of the Above</td><td/></tr><tr><td style=\"white-space:nowrap\">asked-declined<a name=\"SHINNYQuestionnaires-asked-declined\"> </a></td><td>Asked But Declined</td><td/></tr><tr><td style=\"white-space:nowrap\">phone<a name=\"SHINNYQuestionnaires-phone\"> </a></td><td>Phone</td><td/></tr><tr><td style=\"white-space:nowrap\">fax<a name=\"SHINNYQuestionnaires-fax\"> </a></td><td>Fax</td><td/></tr><tr><td style=\"white-space:nowrap\">email<a name=\"SHINNYQuestionnaires-email\"> </a></td><td>Email</td><td/></tr><tr><td style=\"white-space:nowrap\">pager<a name=\"SHINNYQuestionnaires-pager\"> </a></td><td>Pager</td><td/></tr><tr><td style=\"white-space:nowrap\">url<a name=\"SHINNYQuestionnaires-url\"> </a></td><td>URL</td><td/></tr><tr><td style=\"white-space:nowrap\">sms<a name=\"SHINNYQuestionnaires-sms\"> </a></td><td>SMS</td><td/></tr><tr><td style=\"white-space:nowrap\">other<a name=\"SHINNYQuestionnaires-other\"> </a></td><td>Other</td><td/></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "http://shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires"] ;
  fhir:CodeSystem.version [ fhir:value "1.9.3"] ;
  fhir:CodeSystem.name [ fhir:value "SHINNYQuestionnaires"] ;
  fhir:CodeSystem.title [ fhir:value "SHINNY Questionnaires"] ;
  fhir:CodeSystem.status [ fhir:value "active"] ;
  fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-07-24T09:28:12-04:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "shinny"] ;
  fhir:CodeSystem.contact [
     fhir:index 0 ;
     fhir:ContactDetail.name [ fhir:value "shinny" ] ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://test.shinny.org/us/ny/hrsn.index.html" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "Codes for terms found in SHIN-NY Questionnaires"] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "77"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index 0 ;
     fhir:CodeSystem.concept.code [ fhir:value "assessment-approval-questionnaire" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Assessment Approval Questionnaire" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Patient approval to move forward with completing the assessment." ]
  ], [
     fhir:index 1 ;
     fhir:CodeSystem.concept.code [ fhir:value "assessment-outreach-questionnaire" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Assessment Outreach Questionnaire" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Information regarding the patient outreach from the SCN for a patient assessment." ]
  ], [
     fhir:index 2 ;
     fhir:CodeSystem.concept.code [ fhir:value "administrative-questionnaire" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Administrative Questionnaire" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Administrative questions that capture information about the patient's population categorization, specific services needed and/or medical necessities." ]
  ], [
     fhir:index 3 ;
     fhir:CodeSystem.concept.code [ fhir:value "service-duplication-questionnaire" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Service Duplication Questionnaire" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Indicator questions recording whether the patient receives assistance from a variety of programs, as well as other social and healthcare needs." ]
  ], [
     fhir:index 4 ;
     fhir:CodeSystem.concept.code [ fhir:value "referral-approval-questionnaire" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Referral Approval Questionnaire" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Patient approval to move forward with the referral." ]
  ], [
     fhir:index 5 ;
     fhir:CodeSystem.concept.code [ fhir:value "hrsn-outreach-questionnaire" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "HRSN Outreach Questionnaire" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Captures the service provider outreach date." ]
  ], [
     fhir:index 6 ;
     fhir:CodeSystem.concept.code [ fhir:value "scn-outreach-questionnaire" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SCN Outreach Questionnaire" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Captures the service provider outreach date." ]
  ], [
     fhir:index 7 ;
     fhir:CodeSystem.concept.code [ fhir:value "disability-questionnaire" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Disability Questionnaire" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Captures responses about a patient's disability mobility." ]
  ], [
     fhir:index 8 ;
     fhir:CodeSystem.concept.code [ fhir:value "nys-hrsn-questionnaire" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "NYS HRSN Questionnaire" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "NYS Accountable Health Communities (AHC) Health-Related Social Needs Screening (HRSN) tool" ]
  ], [
     fhir:index 9 ;
     fhir:CodeSystem.concept.code [ fhir:value "patient-assessment-approval" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Patient Assessment Approval" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Patient approval to move forward with completing the assessment." ]
  ], [
     fhir:index 10 ;
     fhir:CodeSystem.concept.code [ fhir:value "administrative-questions" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Administrative Questions" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Administrative questions that verify information about the patient." ]
  ], [
     fhir:index 11 ;
     fhir:CodeSystem.concept.code [ fhir:value "hrsn-outreach" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "HRSN Outreach" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Questions regarding the HRSN outreach." ]
  ], [
     fhir:index 12 ;
     fhir:CodeSystem.concept.code [ fhir:value "assessment-outreach" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Assessment Outreach" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Questions regarding the assessment outreach." ]
  ], [
     fhir:index 13 ;
     fhir:CodeSystem.concept.code [ fhir:value "referral-approval" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Referral Approval" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Questions regarding the referral approval." ]
  ], [
     fhir:index 14 ;
     fhir:CodeSystem.concept.code [ fhir:value "scn-outreach" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SCN Outreach" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Questions regarding the SCN outreach." ]
  ], [
     fhir:index 15 ;
     fhir:CodeSystem.concept.code [ fhir:value "service-duplication-questions" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Service Duplication Questions" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Questions regarding service duplication." ]
  ], [
     fhir:index 16 ;
     fhir:CodeSystem.concept.code [ fhir:value "disability-questions" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Disability Questions" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Captures a collection of screening responses about a patient's mobility and self-care." ]
  ], [
     fhir:index 17 ;
     fhir:CodeSystem.concept.code [ fhir:value "patient-assessment-approval-indicator" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Patient Assessment Approval Indicator" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Indicator of whether the patient agreed to move forward with completing the assessment." ]
  ], [
     fhir:index 18 ;
     fhir:CodeSystem.concept.code [ fhir:value "patient-assessment-outreach-date" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Patient Assessment Outreach Date" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Date that a patient first receives outreach from SCN for assessment follow-up." ]
  ], [
     fhir:index 19 ;
     fhir:CodeSystem.concept.code [ fhir:value "patient-assessment-outreach-status" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Patient Assessment Outreach Status" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "What was the final result of the patient assessment outreach? Did the patient get assessed? No response?" ]
  ], [
     fhir:index 20 ;
     fhir:CodeSystem.concept.code [ fhir:value "outreach-method" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Outreach Method" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Describes the method of contact used to reach out to the patient." ]
  ], [
     fhir:index 21 ;
     fhir:CodeSystem.concept.code [ fhir:value "enhanced-population-check" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Enhanced Population Check" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ], [
     fhir:index 22 ;
     fhir:CodeSystem.concept.code [ fhir:value "service-duplication-check" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Service Duplication Check" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ], [
     fhir:index 23 ;
     fhir:CodeSystem.concept.code [ fhir:value "clinical-criteria-check" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Clinical Criteria Check" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ], [
     fhir:index 24 ;
     fhir:CodeSystem.concept.code [ fhir:value "housing-program" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Housing Program" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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)." ]
  ], [
     fhir:index 25 ;
     fhir:CodeSystem.concept.code [ fhir:value "nutritional-education-program" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nutritional Education Program" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient currently receives nutritional counseling or education." ]
  ], [
     fhir:index 26 ;
     fhir:CodeSystem.concept.code [ fhir:value "nutritional-services-program" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nutritional Services Program" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient is actively engaged in a nutrition program." ]
  ], [
     fhir:index 27 ;
     fhir:CodeSystem.concept.code [ fhir:value "food-service-program" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Food Service Program" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ], [
     fhir:index 28 ;
     fhir:CodeSystem.concept.code [ fhir:value "snapp-program" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SNAPP Program" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment,  identifying if patient is currently engaged in SNAP." ]
  ], [
     fhir:index 29 ;
     fhir:CodeSystem.concept.code [ fhir:value "wic-program" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "WIC Program" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment,  identifying if patient is currently engaged in WIC." ]
  ], [
     fhir:index 30 ;
     fhir:CodeSystem.concept.code [ fhir:value "tanf-program" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "TANF Program" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment,  identifying if patient is currently engaged in TANF." ]
  ], [
     fhir:index 31 ;
     fhir:CodeSystem.concept.code [ fhir:value "transportation-program" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Transportation Program" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment,  identifying if patient is currently engaged in Transportation services." ]
  ], [
     fhir:index 32 ;
     fhir:CodeSystem.concept.code [ fhir:value "medication-requiring-refrigeration" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Medication Requiring Refrigeration" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ], [
     fhir:index 33 ;
     fhir:CodeSystem.concept.code [ fhir:value "breast-milk-requiring-refrigeration" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Breast Milk Requiring Refrigeration" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ], [
     fhir:index 34 ;
     fhir:CodeSystem.concept.code [ fhir:value "adls-iadls" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "ADLS-IADLS" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment,  identifying if patient currently has Activities of Daily Living (ADLs) & Instrumental Activities of Daily Living (IADLs) needs." ]
  ], [
     fhir:index 35 ;
     fhir:CodeSystem.concept.code [ fhir:value "medical-respite" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Medical Respite" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "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)." ]
  ], [
     fhir:index 36 ;
     fhir:CodeSystem.concept.code [ fhir:value "childcare-assistance" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Childcare Assistance" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment,  identifying if patient needs assistance with childcare." ]
  ], [
     fhir:index 37 ;
     fhir:CodeSystem.concept.code [ fhir:value "patient-referral-approval" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Patient Referral Approval" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Patient approval to move forward with the referral." ]
  ], [
     fhir:index 38 ;
     fhir:CodeSystem.concept.code [ fhir:value "hrsn-referral-outreach-date" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "HRSN Referral Outreach Date" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The date/time the HRSN Service Provider conducted outreach to patient, based on accepted referral." ]
  ], [
     fhir:index 39 ;
     fhir:CodeSystem.concept.code [ fhir:value "scn-referral-outreach-date" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SCN Referral Outreach Date" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The date/time the SCN conducted outreach to the patient, based on referral if outreach is not initiated by HRSN Service Provider/Social Service Provider." ]
  ], [
     fhir:index 40 ;
     fhir:CodeSystem.concept.code [ fhir:value "difficulty-walking-climbing-stairs" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Difficulty Walking Climbing Stairs" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Do you have serious difficulty walking or climbing stairs? (5 years old or older)" ]
  ], [
     fhir:index 41 ;
     fhir:CodeSystem.concept.code [ fhir:value "difficulty-dressing-bathing" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Difficulty Dressing Bathing" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Do you have difficulty dressing or bathing? (5 years old or older)" ]
  ], [
     fhir:index 42 ;
     fhir:CodeSystem.concept.code [ fhir:value "medicaid-high-utilizer" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid High Utilizer" ]
  ], [
     fhir:index 43 ;
     fhir:CodeSystem.concept.code [ fhir:value "nys-health-home" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Individuals Enrolled in a NYS Health Home" ]
  ], [
     fhir:index 44 ;
     fhir:CodeSystem.concept.code [ fhir:value "pregnant-postpartum" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pregnant and Postpartum Persons" ]
  ], [
     fhir:index 45 ;
     fhir:CodeSystem.concept.code [ fhir:value "children-high-risk" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "High-Risk Children Under 18 Years Old" ]
  ], [
     fhir:index 46 ;
     fhir:CodeSystem.concept.code [ fhir:value "intellectual-developmental-disability" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Individuals with an Intellectual or Developmental Disability" ]
  ], [
     fhir:index 47 ;
     fhir:CodeSystem.concept.code [ fhir:value "released-chronic-condition" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Individuals with a Chronic Condition Released from Incarceration in the Past 90 Days" ]
  ], [
     fhir:index 48 ;
     fhir:CodeSystem.concept.code [ fhir:value "other-eligible-population" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Other Eligible Population" ]
  ], [
     fhir:index 49 ;
     fhir:CodeSystem.concept.code [ fhir:value "high-risk-nutrition" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "High Risk Children Under 18 Nutrition Only" ]
  ], [
     fhir:index 50 ;
     fhir:CodeSystem.concept.code [ fhir:value "supportive-housing" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Supportive Housing" ]
  ], [
     fhir:index 51 ;
     fhir:CodeSystem.concept.code [ fhir:value "healthy-homes" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Healthy Homes" ]
  ], [
     fhir:index 52 ;
     fhir:CodeSystem.concept.code [ fhir:value "nutritional-counseling" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nutritional Counseling" ]
  ], [
     fhir:index 53 ;
     fhir:CodeSystem.concept.code [ fhir:value "medical-tailored-meals" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Medically Tailored Meals (MTM) In-lieu of Services (ILOS)" ]
  ], [
     fhir:index 54 ;
     fhir:CodeSystem.concept.code [ fhir:value "health-home-enrollment" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Health Home Enrollment (under Enhanced Populations)" ]
  ], [
     fhir:index 55 ;
     fhir:CodeSystem.concept.code [ fhir:value "opwdd-waiver" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Office for Persons with Developmental Disabilities (OPWDD) Waiver" ]
  ], [
     fhir:index 56 ;
     fhir:CodeSystem.concept.code [ fhir:value "tbi-waiver" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Traumatic Brain Injury (TBI) Waiver" ]
  ], [
     fhir:index 57 ;
     fhir:CodeSystem.concept.code [ fhir:value "nhtd-waiver" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Nursing Home Transition Diversion (NHTD) Waiver" ]
  ], [
     fhir:index 58 ;
     fhir:CodeSystem.concept.code [ fhir:value "childrens-waiver" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Childrens Waiver" ]
  ], [
     fhir:index 59 ;
     fhir:CodeSystem.concept.code [ fhir:value "medicaid-advantage-program" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Medicaid Advantage Program (MAP)" ]
  ], [
     fhir:index 60 ;
     fhir:CodeSystem.concept.code [ fhir:value "mltcp" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Partial Capitation Managed Long-Term Care (MLTCP)" ]
  ], [
     fhir:index 61 ;
     fhir:CodeSystem.concept.code [ fhir:value "chronic-condition" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Chronic Condition" ]
  ], [
     fhir:index 62 ;
     fhir:CodeSystem.concept.code [ fhir:value "uncontrolled-asthma" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Uncontrolled Asthma" ]
  ], [
     fhir:index 63 ;
     fhir:CodeSystem.concept.code [ fhir:value "nutrition-therapy" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Enteral or Parenteral Nutrition Therapy" ]
  ], [
     fhir:index 64 ;
     fhir:CodeSystem.concept.code [ fhir:value "current-institutional-setting" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Currently in an Institutional Setting" ]
  ], [
     fhir:index 65 ;
     fhir:CodeSystem.concept.code [ fhir:value "heat-related-illness" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Heat-Related Illness Requiring an ER or UC Visit" ]
  ], [
     fhir:index 66 ;
     fhir:CodeSystem.concept.code [ fhir:value "cold-related-illness" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Cold-Related Illness Requiring an ER or UC Visit" ]
  ], [
     fhir:index 67 ;
     fhir:CodeSystem.concept.code [ fhir:value "thermoregulation-interference" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Conditions and Medications Interfering with Thermoregulation" ]
  ], [
     fhir:index 68 ;
     fhir:CodeSystem.concept.code [ fhir:value "none-of-the-above" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "None of the Above" ]
  ], [
     fhir:index 69 ;
     fhir:CodeSystem.concept.code [ fhir:value "asked-declined" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Asked But Declined" ]
  ], [
     fhir:index 70 ;
     fhir:CodeSystem.concept.code [ fhir:value "phone" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Phone" ]
  ], [
     fhir:index 71 ;
     fhir:CodeSystem.concept.code [ fhir:value "fax" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Fax" ]
  ], [
     fhir:index 72 ;
     fhir:CodeSystem.concept.code [ fhir:value "email" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Email" ]
  ], [
     fhir:index 73 ;
     fhir:CodeSystem.concept.code [ fhir:value "pager" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Pager" ]
  ], [
     fhir:index 74 ;
     fhir:CodeSystem.concept.code [ fhir:value "url" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "URL" ]
  ], [
     fhir:index 75 ;
     fhir:CodeSystem.concept.code [ fhir:value "sms" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "SMS" ]
  ], [
     fhir:index 76 ;
     fhir:CodeSystem.concept.code [ fhir:value "other" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Other" ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/SHINNYQuestionnaires.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/SHINNYQuestionnaires.ttl> .