US Core Implementation Guide
10.0.0-ballot - STU 10 Ballot
US Core Implementation Guide
10.0.0-ballot - STU 10 Ballot
US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 10.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
@prefix fhir: <http://hl7.org/fhir/> . @prefix loinc: <http://loinc.org/rdf#> . @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/Questionnaire/prapare-example> a fhir:Questionnaire ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "prapare-example"] ; fhir:Resource.meta [ fhir:Meta.profile [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire" ; fhir:index 0 ; fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire> ] ] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "extensions" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire prapare-example</b></p><a name=\"prapare-example\"> </a><a name=\"hcprapare-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/uv/sdc/STU4/StructureDefinition-sdc-questionnaire.html\">SDC Base Questionnaire</a></p></div><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder1\"><tr class=\"xhtRowBorder2\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> PRAPAREExample</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\"/><td style=\"\" class=\"hierarchy xhtCellBorder1\">Questionnaire</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">http://hl7.org/fhir/us/core/Questionnaire/prapare-example#10.0.0-ballot</td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck01.png)\" id=\"item./93025-5\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / </span>/93025-5</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck011.png)\" id=\"item./93043-8\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / </span>/93043-8</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Personal characteristics</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item./93043-8/56051-6\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93043-8 / </span>/93043-8/56051-6</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Hispanic or Latino</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93043-8/56051-6\">3 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item./93043-8/32624-9\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93043-8 / </span>/93043-8/32624-9</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Race</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93043-8/32624-9\">8 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item./93043-8/93035-4\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93043-8 / </span>/93043-8/93035-4</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Has season or migrant farm work been your or your family's main source of income at any point in past 2 years [PRAPARE]</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93043-8/93035-4\">3 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item./93043-8/93034-7\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93043-8 / </span>/93043-8/93034-7</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Discharged from the U.S. Armed Forces</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93043-8/93034-7\">3 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0100.png)\" id=\"item./93043-8/54899-0\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93043-8 / </span>/93043-8/54899-0</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Preferred language</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93043-8/54899-0\">3 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck011.png)\" id=\"item./93042-0\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / </span>/93042-0</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Family and home</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item./93042-0/63512-8\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93042-0 / </span>/93042-0/63512-8</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">How many people are living or staying at this address [#]</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0111.png)\" id=\"item./93042-0/71802-3\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93042-0 / </span>/93042-0/71802-3</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Housing status</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93042-0/71802-3\">3 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck01100.png)\" id=\"item./93042-0/71802-3-help\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93042-0 / /93042-0/71802-3 / </span>/93042-0/71802-3-help</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Describes patients living arrangement</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item./93042-0/93033-9\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93042-0 / </span>/93042-0/93033-9</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Are you worried about losing your housing [PRAPARE]</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93042-0/93033-9\">3 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0100.png)\" id=\"item./93042-0/56799-0\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93042-0 / </span>/93042-0/56799-0</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Address</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck011.png)\" id=\"item./93041-2\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / </span>/93041-2</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Money and resources</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item./93041-2/82589-3\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93041-2 / </span>/93041-2/82589-3</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Highest level of educ</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93041-2/82589-3\">4 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item./93041-2/67875-5\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93041-2 / </span>/93041-2/67875-5</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Employment status current</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93041-2/67875-5\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item./93041-2/76437-3\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93041-2 / </span>/93041-2/76437-3</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Primary insurance</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93041-2/76437-3\">7 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item./93041-2/63586-2\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93041-2 / </span>/93041-2/63586-2</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">What was your best estimate of the total income of all family members from all sources, before taxes, in last year [PhenX]</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item./93041-2/93031-3\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93041-2 / </span>/93041-2/93031-3</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Have you or any family members you live with been unable to get any of the following when it was really needed in past 1 year [PRAPARE]</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93041-2/93031-3\">8 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0100.png)\" id=\"item./93041-2/93030-5\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93041-2 / </span>/93041-2/93030-5</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93041-2/93030-5\">4 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck011.png)\" id=\"item./93040-4\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / </span>/93040-4</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Social and emotional health</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0110.png)\" id=\"item./93040-4/93029-7\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93040-4 / </span>/93040-4/93029-7</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">How often do you see or talk to people that you care about and feel close to [PRAPARE]</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93040-4/93029-7\">5 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0100.png)\" id=\"item./93040-4/93038-8\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93040-4 / </span>/93040-4/93038-8</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you?</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93040-4/93038-8\">6 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck001.png)\" id=\"item./93039-6\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"group\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / </span>/93039-6</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Optional additional questions</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"/></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0010.png)\" id=\"item./93039-6/93028-9\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93039-6 / </span>/93039-6/93028-9</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility in past 1 year [PRAPARE]</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93039-6/93028-9\">3 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0010.png)\" id=\"item./93039-6/93027-1\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93039-6 / </span>/93039-6/93027-1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Are you a refugee</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93039-6/93027-1\">3 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck0010.png)\" id=\"item./93039-6/93026-3\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93039-6 / </span>/93039-6/93026-3</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Do you feel physically and emotionally safe where you currently live [PRAPARE]</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93039-6/93026-3\">4 options</a></td></tr>#xD;\n<tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck0000.png)\" id=\"item./93039-6/76501-6\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">PRAPAREExample / /93025-5 / /93039-6 / </span>/93039-6/76501-6</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Within the last year, have you been afraid of your partner or ex-partner</td><td style=\"\" class=\"hierarchy xhtCellBorder1\">0..1</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"\" class=\"hierarchy xhtCellBorder1\">Options: <a href=\"#opt-item./93039-6/76501-6\">2 options</a></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item./93043-8/56051-6\"> </a><p><b>Answer options for /93043-8/56051-6 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA33-6 (\"Yes\")</li><li style=\"font-size: 11px\">http://loinc.org#LA32-8 (\"No\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93043-8/32624-9\"> </a><p><b>Answer options for /93043-8/32624-9 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6156-9 (\"Asian\")</li><li style=\"font-size: 11px\">http://loinc.org#LA14045-1 (\"Native Hawaiian\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30187-1 (\"Pacific Islander\")</li><li style=\"font-size: 11px\">http://loinc.org#LA14042-8 (\"Black/African American\")</li><li style=\"font-size: 11px\">http://loinc.org#LA4457-3 (\"White\")</li><li style=\"font-size: 11px\">http://loinc.org#LA4-4 (\"American Indian/Alaskan Native\")</li><li style=\"font-size: 11px\">http://loinc.org#LA46-8 (\"Other\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93043-8/93035-4\"> </a><p><b>Answer options for /93043-8/93035-4 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA33-6 (\"Yes\")</li><li style=\"font-size: 11px\">http://loinc.org#LA32-8 (\"No\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93043-8/93034-7\"> </a><p><b>Answer options for /93043-8/93034-7 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA33-6 (\"Yes\")</li><li style=\"font-size: 11px\">http://loinc.org#LA32-8 (\"No\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93043-8/54899-0\"> </a><p><b>Answer options for /93043-8/54899-0 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA43-5 (\"English\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30188-9 (\"Language other than English\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93042-0/71802-3\"> </a><p><b>Answer options for /93042-0/71802-3 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA30189-7 (\"I have housing\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30190-5 (\"I do not have housing (staying with others, in a hotel, in a shelter, living outside on the street, on a beach, in a car, or in a park)\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93042-0/93033-9\"> </a><p><b>Answer options for /93042-0/93033-9 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA33-6 (\"Yes\")</li><li style=\"font-size: 11px\">http://loinc.org#LA32-8 (\"No\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93041-2/82589-3\"> </a><p><b>Answer options for /93041-2/82589-3 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA30191-3 (\"Less than high school degree\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30192-1 (\"High school diploma or GED\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30193-9 (\"More than high school\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93041-2/67875-5\"> </a><p><b>Answer options for /93041-2/67875-5 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA17956-6 (\"Unemployed\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30138-4 (\"Part-time or temporary work\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30136-8 (\"Full-time work\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30137-6 (\"Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93041-2/76437-3\"> </a><p><b>Answer options for /93041-2/76437-3 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA30194-7 (\"None/uninsured\")</li><li style=\"font-size: 11px\">http://loinc.org#LA17849-3 (\"Medicaid\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30195-4 (\"CHIP Medicaid\")</li><li style=\"font-size: 11px\">http://loinc.org#LA15652-3 (\"Medicare\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30196-2 (\"Other public insurance (not CHIP)\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30197-0 (\"Other public insurance (CHIP)\")</li><li style=\"font-size: 11px\">http://loinc.org#LA6350-8 (\"Private insurance\")</li></ul><a name=\"opt-item./93041-2/93031-3\"> </a><p><b>Answer options for /93041-2/93031-3 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA30125-1 (\"Food\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30126-9 (\"Clothing\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30124-4 (\"Utilities\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30127-7 (\"Child care\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30128-5 (\"Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30129-3 (\"Phone\")</li><li style=\"font-size: 11px\">http://loinc.org#LA46-8 (\"Other\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93041-2/93030-5\"> </a><p><b>Answer options for /93041-2/93030-5 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA30133-5 (\"Yes, it has kept me from medical appointments or from getting my medications\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30134-3 (\"Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need\")</li><li style=\"font-size: 11px\">http://loinc.org#LA32-8 (\"No\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30257-2 (\"Patient unable to respond\")</li></ul><a name=\"opt-item./93040-4/93029-7\"> </a><p><b>Answer options for /93040-4/93029-7 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA27722-0 (\"Less than once a week\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30130-1 (\"1 or 2 times a week\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30131-9 (\"3 to 5 times a week\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30132-7 (\"5 or more times a week\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93040-4/93038-8\"> </a><p><b>Answer options for /93040-4/93038-8 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 (\"Not at all\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13863-8 (\"A little bit\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13909-9 (\"Somewhat\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13902-4 (\"Quite a bit\")</li><li style=\"font-size: 11px\">http://loinc.org#LA13914-9 (\"Very much\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93039-6/93028-9\"> </a><p><b>Answer options for /93039-6/93028-9 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA33-6 (\"Yes\")</li><li style=\"font-size: 11px\">http://loinc.org#LA32-8 (\"No\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93039-6/93027-1\"> </a><p><b>Answer options for /93039-6/93027-1 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA33-6 (\"Yes\")</li><li style=\"font-size: 11px\">http://loinc.org#LA32-8 (\"No\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93039-6/93026-3\"> </a><p><b>Answer options for /93039-6/93026-3 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA33-6 (\"Yes\")</li><li style=\"font-size: 11px\">http://loinc.org#LA32-8 (\"No\")</li><li style=\"font-size: 11px\">http://loinc.org#LA14072-5 (\"Unsure\")</li><li style=\"font-size: 11px\">http://loinc.org#LA30122-8 (\"I choose not to answer this question\")</li></ul><a name=\"opt-item./93039-6/76501-6\"> </a><p><b>Answer options for /93039-6/76501-6 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA33-6 (\"Yes\")</li><li style=\"font-size: 11px\">http://loinc.org#LA32-8 (\"No\")</li></ul></div>" ] ; fhir:DomainResource.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://hl7.org/fhir/version-algorithm" ] ; fhir:Coding.code [ fhir:value "semver" ] ] ] ; fhir:Questionnaire.url [ fhir:value "http://hl7.org/fhir/us/core/Questionnaire/prapare-example"] ; fhir:Questionnaire.identifier [ fhir:index 0 ; fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ; fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.40.2.35.6" ] ] ; fhir:Questionnaire.version [ fhir:value "10.0.0-ballot"] ; fhir:Questionnaire.name [ fhir:value "PRAPAREExample"] ; fhir:Questionnaire.title [ fhir:value "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"] ; fhir:Questionnaire.status [ fhir:value "active"] ; fhir:Questionnaire.experimental [ fhir:value "true"^^xsd:boolean] ; fhir:Questionnaire.date [ fhir:value "2023-03-31"^^xsd:date] ; fhir:Questionnaire.publisher [ fhir:value "HL7 International / Cross-Group Projects"] ; fhir:Questionnaire.contact [ fhir:index 0 ; fhir:ContactDetail.name [ fhir:value "HL7 International / Cross-Group Projects" ] ; fhir:ContactDetail.telecom [ fhir:index 0 ; fhir:ContactPoint.system [ fhir:value "url" ] ; fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cgp" ] ], [ fhir:index 1 ; fhir:ContactPoint.system [ fhir:value "email" ] ; fhir:ContactPoint.value [ fhir:value "cgp@lists.HL7.org" ] ] ] ; fhir:Questionnaire.useContext [ fhir:index 0 ; fhir:UsageContext.code [ fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ] ; fhir:Coding.code [ fhir:value "focus" ] ] ; fhir:UsageContext.valueCodeableConcept [ fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/core/CodeSystem/us-core-category" ] ; fhir:Coding.code [ fhir:value "sdoh" ] ] ] ] ; fhir:Questionnaire.jurisdiction [ fhir:index 0 ; fhir:CodeableConcept.coding [ fhir:index 0 ; fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ; fhir:Coding.code [ fhir:value "US" ] ] ] ; fhir:Questionnaire.copyright [ fhir:value "This material contains content from LOINC® (http://loinc.org). LOINC is copyright © 1995-2024, Regenstrief Institute, Inc. and the LOINC Committee, and is available at no cost under the license at http://loinc.org/license. Copyright © 2019. This item comes from the national PRAPARE social determinants of health assessment protocol, developed and owned by the National Association of Community Health Centers (NACHC), in partnership with the Association of Asian Pacific Community Health Organization (AAPCHO), the Oregon Primary Care Association (OPCA), and the Institute for Alternative Futures (IAF). For more information, visit www.nachc.org/prapare. Used with permission."] ; fhir:Questionnaire.code [ fhir:index 0 ; a loinc:93025-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93025-5" ] ; fhir:Coding.display [ fhir:value "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]" ] ] ; fhir:Questionnaire.item [ fhir:index 0 ; fhir:Questionnaire.item.linkId [ fhir:value "/93025-5" ] ; fhir:Questionnaire.item.text [ fhir:value "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]" ] ; fhir:Questionnaire.item.type [ fhir:value "group" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Questionnaire.item.linkId [ fhir:value "/93043-8" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93043-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93043-8" ] ; fhir:Coding.display [ fhir:value "Personal characteristics [PRAPARE]" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Personal characteristics" ] ; fhir:Questionnaire.item.type [ fhir:value "group" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Questionnaire.item.linkId [ fhir:value "/93043-8/56051-6" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:56051-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "56051-6" ] ; fhir:Coding.display [ fhir:value "Hispanic or Latino" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Hispanic or Latino" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA33-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA33-6" ] ; fhir:Coding.display [ fhir:value "Yes" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA32-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA32-8" ] ; fhir:Coding.display [ fhir:value "No" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.linkId [ fhir:value "/93043-8/32624-9" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:32624-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "32624-9" ] ; fhir:Coding.display [ fhir:value "Race" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Race" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA6156-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA6156-9" ] ; fhir:Coding.display [ fhir:value "Asian" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA14045-1 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA14045-1" ] ; fhir:Coding.display [ fhir:value "Native Hawaiian" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30187-1 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30187-1" ] ; fhir:Coding.display [ fhir:value "Pacific Islander" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA14042-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA14042-8" ] ; fhir:Coding.display [ fhir:value "Black/African American" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA4457-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA4457-3" ] ; fhir:Coding.display [ fhir:value "White" ] ] ], [ fhir:index 5 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA4-4 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA4-4" ] ; fhir:Coding.display [ fhir:value "American Indian/Alaskan Native" ] ] ], [ fhir:index 6 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA46-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA46-8" ] ; fhir:Coding.display [ fhir:value "Other" ] ] ], [ fhir:index 7 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.linkId [ fhir:value "/93043-8/93035-4" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93035-4 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93035-4" ] ; fhir:Coding.display [ fhir:value "Has season or migrant farm work been your or your family's main source of income at any point in past 2 years [PRAPARE]" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Has season or migrant farm work been your or your family's main source of income at any point in past 2 years [PRAPARE]" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA33-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA33-6" ] ; fhir:Coding.display [ fhir:value "Yes" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA32-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA32-8" ] ; fhir:Coding.display [ fhir:value "No" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.linkId [ fhir:value "/93043-8/93034-7" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93034-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93034-7" ] ; fhir:Coding.display [ fhir:value "Discharged from the U.S. Armed Forces" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Discharged from the U.S. Armed Forces" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA33-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA33-6" ] ; fhir:Coding.display [ fhir:value "Yes" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA32-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA32-8" ] ; fhir:Coding.display [ fhir:value "No" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.linkId [ fhir:value "/93043-8/54899-0" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:54899-0 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "54899-0" ] ; fhir:Coding.display [ fhir:value "Preferred language" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Preferred language" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA43-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA43-5" ] ; fhir:Coding.display [ fhir:value "English" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30188-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30188-9" ] ; fhir:Coding.display [ fhir:value "Language other than English" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.linkId [ fhir:value "/93042-0" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93042-0 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93042-0" ] ; fhir:Coding.display [ fhir:value "Family and home [PRAPARE]" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Family and home" ] ; fhir:Questionnaire.item.type [ fhir:value "group" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Questionnaire.item.linkId [ fhir:value "/93042-0/63512-8" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:63512-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "63512-8" ] ; fhir:Coding.display [ fhir:value "How many people are living or staying at this address [#]" ] ] ; fhir:Questionnaire.item.text [ fhir:value "How many people are living or staying at this address [#]" ] ; fhir:Questionnaire.item.type [ fhir:value "integer" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 1 ; fhir:Questionnaire.item.linkId [ fhir:value "/93042-0/71802-3" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:71802-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "71802-3" ] ; fhir:Coding.display [ fhir:value "Housing status" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Housing status" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30189-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30189-7" ] ; fhir:Coding.display [ fhir:value "I have housing" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30190-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30190-5" ] ; fhir:Coding.display [ fhir:value "I do not have housing (staying with others, in a hotel, in a shelter, living outside on the street, on a beach, in a car, or in a park)" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Questionnaire.item.linkId [ fhir:value "/93042-0/71802-3-help" ] ; fhir:Questionnaire.item.text [ fhir:value "Describes patients living arrangement" ] ; fhir:Questionnaire.item.type [ fhir:value "display" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.linkId [ fhir:value "/93042-0/93033-9" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93033-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93033-9" ] ; fhir:Coding.display [ fhir:value "Are you worried about losing your housing [PRAPARE]" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Are you worried about losing your housing [PRAPARE]" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA33-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA33-6" ] ; fhir:Coding.display [ fhir:value "Yes" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA32-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA32-8" ] ; fhir:Coding.display [ fhir:value "No" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.linkId [ fhir:value "/93042-0/56799-0" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:56799-0 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "56799-0" ] ; fhir:Coding.display [ fhir:value "Address" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Address" ] ; fhir:Questionnaire.item.type [ fhir:value "string" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.linkId [ fhir:value "/93041-2" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93041-2 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93041-2" ] ; fhir:Coding.display [ fhir:value "Money and resources [PRAPARE]" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Money and resources" ] ; fhir:Questionnaire.item.type [ fhir:value "group" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Questionnaire.item.linkId [ fhir:value "/93041-2/82589-3" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:82589-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "82589-3" ] ; fhir:Coding.display [ fhir:value "Highest level of educ" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Highest level of educ" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30191-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30191-3" ] ; fhir:Coding.display [ fhir:value "Less than high school degree" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30192-1 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30192-1" ] ; fhir:Coding.display [ fhir:value "High school diploma or GED" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30193-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30193-9" ] ; fhir:Coding.display [ fhir:value "More than high school" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.linkId [ fhir:value "/93041-2/67875-5" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:67875-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "67875-5" ] ; fhir:Coding.display [ fhir:value "Employment status current" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Employment status current" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA17956-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA17956-6" ] ; fhir:Coding.display [ fhir:value "Unemployed" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30138-4 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30138-4" ] ; fhir:Coding.display [ fhir:value "Part-time or temporary work" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30136-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30136-8" ] ; fhir:Coding.display [ fhir:value "Full-time work" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30137-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30137-6" ] ; fhir:Coding.display [ fhir:value "Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.linkId [ fhir:value "/93041-2/76437-3" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:76437-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "76437-3" ] ; fhir:Coding.display [ fhir:value "Primary insurance" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Primary insurance" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30194-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30194-7" ] ; fhir:Coding.display [ fhir:value "None/uninsured" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA17849-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA17849-3" ] ; fhir:Coding.display [ fhir:value "Medicaid" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30195-4 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30195-4" ] ; fhir:Coding.display [ fhir:value "CHIP Medicaid" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA15652-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA15652-3" ] ; fhir:Coding.display [ fhir:value "Medicare" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30196-2 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30196-2" ] ; fhir:Coding.display [ fhir:value "Other public insurance (not CHIP)" ] ] ], [ fhir:index 5 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30197-0 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30197-0" ] ; fhir:Coding.display [ fhir:value "Other public insurance (CHIP)" ] ] ], [ fhir:index 6 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA6350-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA6350-8" ] ; fhir:Coding.display [ fhir:value "Private insurance" ] ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.linkId [ fhir:value "/93041-2/63586-2" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:63586-2 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "63586-2" ] ; fhir:Coding.display [ fhir:value "What was your best estimate of the total income of all family members from all sources, before taxes, in last year [PhenX]" ] ] ; fhir:Questionnaire.item.text [ fhir:value "What was your best estimate of the total income of all family members from all sources, before taxes, in last year [PhenX]" ] ; fhir:Questionnaire.item.type [ fhir:value "decimal" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 4 ; fhir:Questionnaire.item.linkId [ fhir:value "/93041-2/93031-3" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93031-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93031-3" ] ; fhir:Coding.display [ fhir:value "Have you or any family members you live with been unable to get any of the following when it was really needed in past 1 year [PRAPARE]" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Have you or any family members you live with been unable to get any of the following when it was really needed in past 1 year [PRAPARE]" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30125-1 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30125-1" ] ; fhir:Coding.display [ fhir:value "Food" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30126-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30126-9" ] ; fhir:Coding.display [ fhir:value "Clothing" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30124-4 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30124-4" ] ; fhir:Coding.display [ fhir:value "Utilities" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30127-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30127-7" ] ; fhir:Coding.display [ fhir:value "Child care" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30128-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30128-5" ] ; fhir:Coding.display [ fhir:value "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)" ] ] ], [ fhir:index 5 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30129-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30129-3" ] ; fhir:Coding.display [ fhir:value "Phone" ] ] ], [ fhir:index 6 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA46-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA46-8" ] ; fhir:Coding.display [ fhir:value "Other" ] ] ], [ fhir:index 7 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ], [ fhir:index 5 ; fhir:Questionnaire.item.linkId [ fhir:value "/93041-2/93030-5" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93030-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93030-5" ] ; fhir:Coding.display [ fhir:value "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.repeats [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix" ] ; fhir:Extension.valueString [ fhir:value "A" ] ] ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30133-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30133-5" ] ; fhir:Coding.display [ fhir:value "Yes, it has kept me from medical appointments or from getting my medications" ] ] ], [ fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix" ] ; fhir:Extension.valueString [ fhir:value "B" ] ] ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30134-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30134-3" ] ; fhir:Coding.display [ fhir:value "Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need" ] ] ], [ fhir:index 2 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix" ] ; fhir:Extension.valueString [ fhir:value "C" ] ] ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA32-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA32-8" ] ; fhir:Coding.display [ fhir:value "No" ] ] ], [ fhir:index 3 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix" ] ; fhir:Extension.valueString [ fhir:value "X" ] ] ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30257-2 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30257-2" ] ; fhir:Coding.display [ fhir:value "Patient unable to respond" ] ] ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.linkId [ fhir:value "/93040-4" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93040-4 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93040-4" ] ; fhir:Coding.display [ fhir:value "Social and emotional health [PRAPARE]" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Social and emotional health" ] ; fhir:Questionnaire.item.type [ fhir:value "group" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Questionnaire.item.linkId [ fhir:value "/93040-4/93029-7" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93029-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93029-7" ] ; fhir:Coding.display [ fhir:value "How often do you see or talk to people that you care about and feel close to [PRAPARE]" ] ] ; fhir:Questionnaire.item.text [ fhir:value "How often do you see or talk to people that you care about and feel close to [PRAPARE]" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA27722-0 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA27722-0" ] ; fhir:Coding.display [ fhir:value "Less than once a week" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30130-1 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30130-1" ] ; fhir:Coding.display [ fhir:value "1 or 2 times a week" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30131-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30131-9" ] ; fhir:Coding.display [ fhir:value "3 to 5 times a week" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30132-7 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30132-7" ] ; fhir:Coding.display [ fhir:value "5 or more times a week" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.linkId [ fhir:value "/93040-4/93038-8" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93038-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93038-8" ] ; fhir:Coding.display [ fhir:value "Stress level" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you?" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA6568-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA6568-5" ] ; fhir:Coding.display [ fhir:value "Not at all" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA13863-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA13863-8" ] ; fhir:Coding.display [ fhir:value "A little bit" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA13909-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA13909-9" ] ; fhir:Coding.display [ fhir:value "Somewhat" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA13902-4 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA13902-4" ] ; fhir:Coding.display [ fhir:value "Quite a bit" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA13914-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA13914-9" ] ; fhir:Coding.display [ fhir:value "Very much" ] ] ], [ fhir:index 5 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.linkId [ fhir:value "/93039-6" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93039-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93039-6" ] ; fhir:Coding.display [ fhir:value "Optional additional questions [PRAPARE]" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Optional additional questions" ] ; fhir:Questionnaire.item.type [ fhir:value "group" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.item [ fhir:index 0 ; fhir:Questionnaire.item.linkId [ fhir:value "/93039-6/93028-9" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93028-9 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93028-9" ] ; fhir:Coding.display [ fhir:value "Have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility in past 1 year [PRAPARE]" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility in past 1 year [PRAPARE]" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA33-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA33-6" ] ; fhir:Coding.display [ fhir:value "Yes" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA32-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA32-8" ] ; fhir:Coding.display [ fhir:value "No" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.linkId [ fhir:value "/93039-6/93027-1" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93027-1 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93027-1" ] ; fhir:Coding.display [ fhir:value "Are you a refugee" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Are you a refugee" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA33-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA33-6" ] ; fhir:Coding.display [ fhir:value "Yes" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA32-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA32-8" ] ; fhir:Coding.display [ fhir:value "No" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.linkId [ fhir:value "/93039-6/93026-3" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:93026-3 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "93026-3" ] ; fhir:Coding.display [ fhir:value "Do you feel physically and emotionally safe where you currently live [PRAPARE]" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Do you feel physically and emotionally safe where you currently live [PRAPARE]" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA33-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA33-6" ] ; fhir:Coding.display [ fhir:value "Yes" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA32-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA32-8" ] ; fhir:Coding.display [ fhir:value "No" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA14072-5 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA14072-5" ] ; fhir:Coding.display [ fhir:value "Unsure" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA30122-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA30122-8" ] ; fhir:Coding.display [ fhir:value "I choose not to answer this question" ] ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.linkId [ fhir:value "/93039-6/76501-6" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; a loinc:76501-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "76501-6" ] ; fhir:Coding.display [ fhir:value "Within the last year, have you been afraid of your partner or ex-partner" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Within the last year, have you been afraid of your partner or ex-partner" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix" ] ; fhir:Extension.valueString [ fhir:value "1" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ] ; fhir:Extension.valueDecimal [ fhir:value "1"^^xsd:decimal ] ] ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA33-6 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA33-6" ] ; fhir:Coding.display [ fhir:value "Yes" ] ] ], [ fhir:index 1 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix" ] ; fhir:Extension.valueString [ fhir:value "0" ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/ordinalValue" ] ; fhir:Extension.valueDecimal [ fhir:value "0"^^xsd:decimal ] ] ; fhir:Questionnaire.item.answerOption.valueCoding [ a loinc:LA32-8 ; fhir:Coding.system [ fhir:value "http://loinc.org" ] ; fhir:Coding.code [ fhir:value "LA32-8" ] ; fhir:Coding.display [ fhir:value "No" ] ] ] ] ] ] . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Questionnaire/prapare-example.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/Questionnaire/prapare-example.ttl> .
IG © 2027+ HL7 International / Cross-Group Projects. Package hl7.fhir.us.core#10.0.0-ballot based on FHIR 4.0.1. Generated 2026-10-17
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