SHINNYHRSN - Local Development build (v1.5.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Questionnaire: SHINNYNYSHRSNQuestionnaire
| Official URL: http://shinny.org/us/ny/hrsn/Questionnaire/SHINNYNYSHRSNQuestionnaire | Version: 1.5.3 | |||
| Computable Name: | ||||
Generated Narrative: Questionnaire SHINNYNYSHRSNQuestionnaire
Last updated: 2024-01-01 00:00:00+0000
Profile: SHINNY Questionnaire Profile
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  | Questionnaire | http://shinny.org/us/ny/hrsn/Questionnaire/SHINNYNYSHRSNQuestionnaire#1.5.3 | ||
  nys-hrsn-questionnaire | NYS Accountable Health Communities (AHC) Health-Related Social Needs Screening (HRSN) tool | 0..1 | group | |
 96777-8 | Accountable health communities (AHC) health-related social needs screening (HRSN) tool | 0..1 | group | |
  71802-3 | What is your living situation today? | 0..1 | choice | Options: 3 options |
| 96778-6 | Think about the place you live. Do you have problems with any of the following? | 0..1 | choice | Options: 8 options |
| 96779-4 | In the past 12 months has the electric, gas, oil, or water company threatened to shut off services in your home? | 0..1 | choice | Options: 3 options |
| 88122-7 | Within the past 12 months, you worried that your food would run out before you got money to buy more. | 0..1 | choice | Options: 3 options |
| 88123-5 | Within the past 12 months, the food you bought just didn't last and you didn't have money to get more. | 0..1 | choice | Options: 3 options |
| 93030-5 | 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? | 0..1 | choice | Options: 2 options |
| 96780-2 | Do you want help finding or keeping work or a job? | 0..1 | choice | Options: 3 options |
| 96782-8 | Do you want help with school or training? For example, starting or completing job training or getting a high school diploma, GED or equivalent. | 0..1 | choice | Options: 2 options |
| 95618-5 | How often does anyone, including family and friends, physically hurt you? | 0..1 | choice | Options: 5 options |
| 95617-7 | How often does anyone, including family and friends, insult or talk down to you? | 0..1 | choice | Options: 5 options |
| 95616-9 | How often does anyone, including family and friends, threaten you with harm? | 0..1 | choice | Options: 5 options |
| 95615-1 | How often does anyone, including family and friends, scream or curse at you? | 0..1 | choice | Options: 5 options |
| Documentation for this format | ||||
Options Sets
Answer options for 71802-3
- http://loinc.org#LA31993-1 ("I have a steady place to live")
- http://loinc.org#LA31994-9 ("I have a place to live today, but I am worried about losing it in the future")
- http://loinc.org#LA31995-6 ("I do not have a steady place to live (I am temporarily staying with others, in a hotel, in a shelter, living outside on the street, on a beach, in a car, abandoned building, bus or train station, or in a park)")
Answer options for 96778-6
- http://loinc.org#LA31996-4 ("Pests such as bugs, ants, or mice")
- http://loinc.org#LA28580-1 ("Mold")
- http://loinc.org#LA31997-2 ("Lead paint or pipes")
- http://loinc.org#LA31998-0 ("Lack of heat")
- http://loinc.org#LA31999-8 ("Oven or stove not working")
- http://loinc.org#LA32000-4 ("Smoke detectors missing or not working")
- http://loinc.org#LA32001-2 ("Water leaks")
- http://loinc.org#LA9-3 ("None of the above")
Answer options for 96779-4
- http://loinc.org#LA33-6 ("Yes")
- http://loinc.org#LA32-8 ("No")
- http://loinc.org#LA32002-0 ("Already shut off")
Answer options for 88122-7
- http://loinc.org#LA28397-0 ("Often true")
- http://loinc.org#LA6729-3 ("Sometimes true")
- http://loinc.org#LA28398-8 ("Never true")
Answer options for 88123-5
- http://loinc.org#LA28397-0 ("Often true")
- http://loinc.org#LA6729-3 ("Sometimes true")
- http://loinc.org#LA28398-8 ("Never true")
Answer options for 93030-5
- http://loinc.org#LA33-6 ("Yes")
- http://loinc.org#LA32-8 ("No")
Answer options for 96780-2
- http://loinc.org#LA31981-6 ("Yes, help finding work")
- http://loinc.org#LA31982-4 ("Yes, help keeping work")
- http://loinc.org#LA31983-2 ("I do not need or want help")
Answer options for 96782-8
- http://loinc.org#LA33-6 ("Yes")
- http://loinc.org#LA32-8 ("No")
Answer options for 95618-5
- http://loinc.org#LA6270-8 ("Never")
- http://loinc.org#LA10066-1 ("Rarely")
- http://loinc.org#LA10082-8 ("Sometimes")
- http://loinc.org#LA16644-9 ("Fairly often")
- http://loinc.org#LA6482-9 ("Frequently")
Answer options for 95617-7
- http://loinc.org#LA6270-8 ("Never")
- http://loinc.org#LA10066-1 ("Rarely")
- http://loinc.org#LA10082-8 ("Sometimes")
- http://loinc.org#LA16644-9 ("Fairly often")
- http://loinc.org#LA6482-9 ("Frequently")
Answer options for 95616-9
- http://loinc.org#LA6270-8 ("Never")
- http://loinc.org#LA10066-1 ("Rarely")
- http://loinc.org#LA10082-8 ("Sometimes")
- http://loinc.org#LA16644-9 ("Fairly often")
- http://loinc.org#LA6482-9 ("Frequently")
Answer options for 95615-1
- http://loinc.org#LA6270-8 ("Never")
- http://loinc.org#LA10066-1 ("Rarely")
- http://loinc.org#LA10082-8 ("Sometimes")
- http://loinc.org#LA16644-9 ("Fairly often")
- http://loinc.org#LA6482-9 ("Frequently")