prapare-example
type: Questionnaire
node role: treeRoot
id:
  v: prapare-example
meta:
  profile:
    v: http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire
    l: sdc-questionnaire
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: Questionnaire prapare-example Profile: SDCBaseQuestionnaire Structure LinkID Text Cardinality Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> PRAPAREExample Questionnaire http://hl7.org/fhir/us/core/Questionnaire/prapare-example#8.0.1 #xD; /93025-5 Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] 0..1 group #xD; /93043-8 Personal characteristics 0..1 group #xD; /93043-8/56051-6 Hispanic or Latino 0..1 choice Options: 3 options #xD; /93043-8/32624-9 Race 0..* choice Options: 8 options #xD; /93043-8/93035-4 Has season or migrant farm work been your or your family's main source of income at any point in past 2 years [PRAPARE] 0..1 choice Options: 3 options #xD; /93043-8/93034-7 Discharged from the U.S. Armed Forces 0..1 choice Options: 3 options #xD; /93043-8/54899-0 Preferred language 0..1 choice Options: 3 options #xD; /93042-0 Family and home 0..1 group #xD; /93042-0/63512-8 How many people are living or staying at this address [#] 0..1 integer #xD; /93042-0/71802-3 Housing status 0..1 choice Options: 3 options #xD; /93042-0/71802-3-help Describes patients living arrangement 0..1 display #xD; /93042-0/93033-9 Are you worried about losing your housing [PRAPARE] 0..1 choice Options: 3 options #xD; /93042-0/56799-0 Address 0..1 string #xD; /93041-2 Money and resources 0..1 group #xD; /93041-2/82589-3 Highest level of educ 0..1 choice Options: 4 options #xD; /93041-2/67875-5 Employment status current 0..1 choice Options: 5 options #xD; /93041-2/76437-3 Primary insurance 0..1 choice Options: 7 options #xD; /93041-2/63586-2 What was your best estimate of the total income of all family members from all sources, before taxes, in last year [PhenX] 0..1 decimal #xD; /93041-2/93031-3 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] 0..* choice Options: 8 options #xD; /93041-2/9303…
url:
  v: http://hl7.org/fhir/us/core/Questionnaire/prapare-example
  l: prapare-example
identifier:
  system:
    v: urn:ietf:rfc:3986
    l: 3986
  value:
    v: urn:oid:2.16.840.1.113883.4.642.40.2.35.6
version:
  v: 8.0.1
name:
  v: PRAPAREExample
title:
  v: Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
status:
  v: active
experimental:
  v: true
date:
  v: 2023-03-31
publisher:
  v: HL7 International / Cross-Group Projects
contact:
  name:
    v: HL7 International / Cross-Group Projects
  telecom:
    system:
      v: url
    value:
      v: http://www.hl7.org/Special/committees/cgp
  telecom:
    system:
      v: email
use context:
  code:
    system:
      v: http://terminology.hl7.org/CodeSystem/usage-context-type
      l: usage-context-type
    code:
      v: focus
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/us/core/CodeSystem/us-core-category
        l: us-core-category
      code:
        v: sdoh
jurisdiction:
  coding:
    system:
      v: urn:iso:std:iso:3166
      l: 3166
    code:
      v: US
copyright:
  v: 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.
code: https://loinc.org/rdf/93025-5
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 93025-5
  display:
    v: Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
item:
  link id:
    v: /93025-5
  text:
    v: Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
  type:
    v: group
  required:
    v: false
  item:
    link id:
      v: /93043-8
    code: https://loinc.org/rdf/93043-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: 93043-8
      display:
        v: Personal characteristics [PRAPARE]
    text:
      v: Personal characteristics
    type:
      v: group
    required:
      v: false
    item:
      link id:
        v: /93043-8/56051-6
      code: https://loinc.org/rdf/56051-6
      text:
        v: Hispanic or Latino
      type:
        v: choice
      required:
        v: false
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
    item:
      link id:
        v: /93043-8/32624-9
      code: https://loinc.org/rdf/32624-9
      text:
        v: Race
      type:
        v: choice
      required:
        v: false
      repeats:
        v: true
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
    item:
      link id:
        v: /93043-8/93035-4
      code: https://loinc.org/rdf/93035-4
      text:
        v: Has season or migrant farm work been your or your family's main source of income at any point in past 2 years [PRAPARE]
      type:
        v: choice
      required:
        v: false
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
    item:
      link id:
        v: /93043-8/93034-7
      code: https://loinc.org/rdf/93034-7
      text:
        v: Discharged from the U.S. Armed Forces
      type:
        v: choice
      required:
        v: false
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
    item:
      link id:
        v: /93043-8/54899-0
      code: https://loinc.org/rdf/54899-0
      text:
        v: Preferred language
      type:
        v: choice
      required:
        v: false
      answer option:
        value: Coding
      answer option:
        value: Coding
      answer option:
        value: Coding
  item:
    link id:
      v: /93042-0
    code: https://loinc.org/rdf/93042-0
      system:
        v: http://loinc.org
        l: loinc.org

v: 56051-6

v: Hispanic or Latino

Coding
type: LA33-6
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA33-6
display:
  v: Yes

Coding
type: LA32-8
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA32-8
display:
  v: No

Coding
type: LA30122-8
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA30122-8
display:
  v: I choose not to answer this question

v: 32624-9

v: Race

Coding
type: LA6156-9
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA6156-9
display:
  v: Asian

Coding
type: LA14045-1
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA14045-1
display:
  v: Native Hawaiian

Coding
type: LA30187-1
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA30187-1
display:
  v: Pacific Islander

Coding
type: LA14042-8
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA14042-8
display:
  v: Black/African American

Coding
type: LA4457-3
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA4457-3
display:
  v: White

Coding
type: LA4-4
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA4-4
display:
  v: American Indian/Alaskan Native

Coding
type: LA46-8
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA46-8
display:
  v: Other

Coding
type: LA30122-8
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA30122-8
display:
  v: I choose not to answer this question

v: 93035-4

v: Has season or migrant farm work been your or your family's main source of income at any point in past 2 years [PRAPARE]

Coding
type: LA33-6
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA33-6
display:
  v: Yes

Coding
type: LA32-8
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA32-8
display:
  v: No

Coding
type: LA30122-8
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA30122-8
display:
  v: I choose not to answer this question

v: 93034-7

v: Discharged from the U.S. Armed Forces

Coding
type: LA33-6
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA33-6
display:
  v: Yes

Coding
type: LA32-8
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA32-8
display:
  v: No

Coding
type: LA30122-8
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA30122-8
display:
  v: I choose not to answer this question

v: 54899-0

v: Preferred language

Coding
type: LA43-5
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA43-5
display:
  v: English

Coding
type: LA30188-9
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA30188-9
display:
  v: Language other than English

Coding
type: LA30122-8
system:
  v: http://loinc.org
  l: loinc.org
code:
  v: LA30122-8
display:
  v: I choose not to answer this question

v: 93042-0

v: Family and home [PRAPARE]

v: Family and home

v: group

v: false

link id:
  v: /93042-0/63512-8
code: https://loinc.org/rdf/63512-8
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 63512-8
  display:
    v: How many people are living or staying at this address [#]
text:
  v: How many people are living or staying at this address [#]
type:
  v: integer
required:
  v: false

link id:
  v: /93042-0/71802-3
code: https://loinc.org/rdf/71802-3
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 71802-3
  display:
    v: Housing status
text:
  v: Housing status
type:
  v: choice
required:
  v: false
answer option:
  value: Coding
    type: LA30189-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30189-7
    display:
      v: I have housing
answer option:
  value: Coding
    type: LA30190-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30190-5
    display:
      v: 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)
answer option:
  value: Coding
    type: LA30122-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30122-8
    display:
      v: I choose not to answer this question
item:
  link id:
    v: /93042-0/71802-3-help
  text:
    v: Describes patients living arrangement
  type:
    v: display

link id:
  v: /93042-0/93033-9
code: https://loinc.org/rdf/93033-9
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 93033-9
  display:
    v: Are you worried about losing your housing [PRAPARE]
text:
  v: Are you worried about losing your housing [PRAPARE]
type:
  v: choice
required:
  v: false
answer option:
  value: Coding
    type: LA33-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA33-6
    display:
      v: Yes
answer option:
  value: Coding
    type: LA32-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA32-8
    display:
      v: No
answer option:
  value: Coding
    type: LA30122-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30122-8
    display:
      v: I choose not to answer this question

link id:
  v: /93042-0/56799-0
code: https://loinc.org/rdf/56799-0
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 56799-0
  display:
    v: Address
text:
  v: Address
type:
  v: string
required:
  v: false

link id:
  v: /93041-2
code: https://loinc.org/rdf/93041-2
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 93041-2
  display:
    v: Money and resources [PRAPARE]
text:
  v: Money and resources
type:
  v: group
required:
  v: false
item:
  link id:
    v: /93041-2/82589-3
  code: https://loinc.org/rdf/82589-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 82589-3
    display:
      v: Highest level of educ
  text:
    v: Highest level of educ
  type:
    v: choice
  required:
    v: false
  answer option:
    value: Coding
      type: LA30191-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30191-3
      display:
        v: Less than high school degree
  answer option:
    value: Coding
      type: LA30192-1
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30192-1
      display:
        v: High school diploma or GED
  answer option:
    value: Coding
      type: LA30193-9
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30193-9
      display:
        v: More than high school
  answer option:
    value: Coding
      type: LA30122-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30122-8
      display:
        v: I choose not to answer this question
item:
  link id:
    v: /93041-2/67875-5
  code: https://loinc.org/rdf/67875-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 67875-5
    display:
      v: Employment status current
  text:
    v: Employment status current
  type:
    v: choice
  required:
    v: false
  answer option:
    value: Coding
      type: LA17956-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA17956-6
      display:
        v: Unemployed
  answer option:
    value: Coding
      type: LA30138-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30138-4
      display:
        v: Part-time or temporary work
  answer option:
    value: Coding
      type: LA30136-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30136-8
      display:
        v: Full-time work
  answer option:
    value: Coding
      type: LA30137-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30137-6
      display:
        v: Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)
  answer option:
    value: Coding
      type: LA30122-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30122-8
      display:
        v: I choose not to answer this question
item:
  link id:
    v: /93041-2/76437-3
  code: https://loinc.org/rdf/76437-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 76437-3
    display:
      v: Primary insurance
  text:
    v: Primary insurance
  type:
    v: choice
  required:
    v: false
  answer option:
    value: Coding
      type: LA30194-7
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30194-7
      display:
        v: None/uninsured
  answer option:
    value: Coding
      type: LA17849-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA17849-3
      display:
        v: Medicaid
  answer option:
    value: Coding
      type: LA30195-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30195-4
      display:
        v: CHIP Medicaid
  answer option:
    value: Coding
      type: LA15652-3
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA15652-3
      display:
        v: Medicare
  answer option:
    value: Coding
      type: LA30196-2
      system:
        v: http://loinc.org
        l: loinc.org

v: LA30196-2

v: Other public insurance (not CHIP)

value: Coding
  type: LA30197-0
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: LA30197-0
  display:
    v: Other public insurance (CHIP)

value: Coding
  type: LA6350-8
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: LA6350-8
  display:
    v: Private insurance

link id:
  v: /93041-2/63586-2
code: https://loinc.org/rdf/63586-2
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 63586-2
  display:
    v: What was your best estimate of the total income of all family members from all sources, before taxes, in last year [PhenX]
text:
  v: What was your best estimate of the total income of all family members from all sources, before taxes, in last year [PhenX]
type:
  v: decimal
required:
  v: false

link id:
  v: /93041-2/93031-3
code: https://loinc.org/rdf/93031-3
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 93031-3
  display:
    v: 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]
text:
  v: 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]
type:
  v: choice
required:
  v: false
repeats:
  v: true
answer option:
  value: Coding
    type: LA30125-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30125-1
    display:
      v: Food
answer option:
  value: Coding
    type: LA30126-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30126-9
    display:
      v: Clothing
answer option:
  value: Coding
    type: LA30124-4
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30124-4
    display:
      v: Utilities
answer option:
  value: Coding
    type: LA30127-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30127-7
    display:
      v: Child care
answer option:
  value: Coding
    type: LA30128-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30128-5
    display:
      v: Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)
answer option:
  value: Coding
    type: LA30129-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30129-3
    display:
      v: Phone
answer option:
  value: Coding
    type: LA46-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA46-8
    display:
      v: Other
answer option:
  value: Coding
    type: LA30122-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30122-8
    display:
      v: I choose not to answer this question

link id:
  v: /93041-2/93030-5
code: https://loinc.org/rdf/93030-5
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 93030-5
  display:
    v: Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living
text:
  v: Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living
type:
  v: choice
required:
  v: false
repeats:
  v: true
answer option:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix
      l: questionnaire-optionPrefix
    value: String
      v: A
  value: Coding
    type: LA30133-5
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30133-5
    display:
      v: Yes, it has kept me from medical appointments or from getting my medications
answer option:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix
      l: questionnaire-optionPrefix
    value: String
      v: B
  value: Coding
    type: LA30134-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30134-3
    display:
      v: Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need
answer option:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix
      l: questionnaire-optionPrefix
    value: String
      v: C
  value: Coding
    type: LA32-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA32-8
    display:
      v: No
answer option:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix
      l: questionnaire-optionPrefix
    value: String
      v: X
  value: Coding
    type: LA30257-2
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: LA30257-2
    display:
      v: Patient unable to respond

link id:
  v: /93040-4
code: https://loinc.org/rdf/93040-4
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 93040-4
  display:
    v: Social and emotional health [PRAPARE]
text:
  v: Social and emotional health
type:
  v: group
required:
  v: false
item:
  link id:
    v: /93040-4/93029-7
  code: https://loinc.org/rdf/93029-7
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 93029-7
    display:
      v: How often do you see or talk to people that you care about and feel close to [PRAPARE]
  text:
    v: How often do you see or talk to people that you care about and feel close to [PRAPARE]
  type:
    v: choice
  required:
    v: false
  answer option:
    value: Coding
      type: LA27722-0
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA27722-0
      display:
        v: Less than once a week
  answer option:
    value: Coding
      type: LA30130-1
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30130-1
      display:
        v: 1 or 2 times a week
  answer option:
    value: Coding
      type: LA30131-9
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30131-9
      display:
        v: 3 to 5 times a week
  answer option:
    value: Coding
      type: LA30132-7
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30132-7
      display:
        v: 5 or more times a week
  answer option:
    value: Coding
      type: LA30122-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30122-8
      display:
        v: I choose not to answer this question
item:
  link id:
    v: /93040-4/93038-8
  code: https://loinc.org/rdf/93038-8
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 93038-8
    display:
      v: Stress level
  text:
    v: Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you?
  type:
    v: choice
  required:
    v: false
  answer option:
    value: Coding
      type: LA6568-5
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA6568-5
      display:
        v: Not at all
  answer option:
    value: Coding
      type: LA13863-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA13863-8
      display:
        v: A little bit
  answer option:
    value: Coding
      type: LA13909-9
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA13909-9
      display:
        v: Somewhat
  answer option:
    value: Coding
      type: LA13902-4
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA13902-4
      display:
        v: Quite a bit
  answer option:
    value: Coding
      type: LA13914-9
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA13914-9
      display:
        v: Very much
  answer option:
    value: Coding
      type: LA30122-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30122-8
      display:
        v: I choose not to answer this question

link id:
  v: /93039-6
code: https://loinc.org/rdf/93039-6
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: 93039-6
  display:
    v: Optional additional questions [PRAPARE]
text:
  v: Optional additional questions
type:
  v: group
required:
  v: false
item:
  link id:
    v: /93039-6/93028-9
  code: https://loinc.org/rdf/93028-9
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 93028-9
    display:
      v: 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]
  text:
    v: 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]
  type:
    v: choice
  required:
    v: false
  answer option:
    value: Coding
      type: LA33-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA33-6
      display:
        v: Yes
  answer option:
    value: Coding
      type: LA32-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA32-8
      display:
        v: No
  answer option:
    value: Coding
      type: LA30122-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30122-8
      display:
        v: I choose not to answer this question
item:
  link id:
    v: /93039-6/93027-1
  code: https://loinc.org/rdf/93027-1
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 93027-1
    display:
      v: Are you a refugee
  text:
    v: Are you a refugee
  type:
    v: choice
  required:
    v: false
  answer option:
    value: Coding
      type: LA33-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA33-6
      display:
        v: Yes
  answer option:
    value: Coding
      type: LA32-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA32-8
      display:
        v: No
  answer option:
    value: Coding
      type: LA30122-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30122-8
      display:
        v: I choose not to answer this question
item:
  link id:
    v: /93039-6/93026-3
  code: https://loinc.org/rdf/93026-3
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 93026-3
    display:
      v: Do you feel physically and emotionally safe where you currently live [PRAPARE]
  text:
    v: Do you feel physically and emotionally safe where you currently live [PRAPARE]
  type:
    v: choice
  required:
    v: false
  answer option:
    value: Coding
      type: LA33-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA33-6
      display:
        v: Yes
  answer option:
    value: Coding
      type: LA32-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA32-8
      display:
        v: No
  answer option:
    value: Coding
      type: LA14072-5
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA14072-5
      display:
        v: Unsure
  answer option:
    value: Coding
      type: LA30122-8
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA30122-8
      display:
        v: I choose not to answer this question
item:
  link id:
    v: /93039-6/76501-6
  code: https://loinc.org/rdf/76501-6
    system:
      v: http://loinc.org
      l: loinc.org
    code:
      v: 76501-6
    display:
      v: Within the last year, have you been afraid of your partner or ex-partner
  text:
    v: Within the last year, have you been afraid of your partner or ex-partner
  type:
    v: choice
  required:
    v: false
  answer option:
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix
        l: questionnaire-optionPrefix
      value: String
        v: 1
    extension:
      url:
        v: http://hl7.org/fhir/StructureDefinition/ordinalValue
        l: ordinalValue
      value: Decimal
        v: 1
    value: Coding
      type: LA33-6
      system:
        v: http://loinc.org
        l: loinc.org
      code:
        v: LA33-6

v: Yes

extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix
    l: questionnaire-optionPrefix
  value: String
    v: 0
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/ordinalValue
    l: ordinalValue
  value: Decimal
    v: 0
value: Coding
  type: LA32-8
  system:
    v: http://loinc.org
    l: loinc.org
  code:
    v: LA32-8
  display:
    v: No