SDOH Clinical Care, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-sdoh-clinicalcare/ and changes regularly. See the Directory of published versions

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Example QuestionnaireResponse: SDOHCC QuestionnaireResponse PRAPARE Example

Language: en

Profile: SDC Questionnaire Response

LinkID	Text	Definition	Answer
SDOHCC-QuestionnaireResponsePRAPAREExample			Questionnaire:SDOHCC Questionnaire PRAPARE
/93025-5	Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]
/93043-8	Personal characteristics
/93043-8/56051-6	Hispanic or Latino		LOINC: LA32-8 (No)
/93043-8/32624-9	Race
/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?		LOINC: LA33-6 (Yes)
/93043-8/93034-7	Have you been discharged from the armed forces of the United States?		LOINC: LA32-8 (No)
/93043-8/54899-0	Preferred language		LOINC: LA43-5 (English)
/93042-0	Family and home
/93042-0/63512-8	How many people are living or staying at this address?		6
/93042-0/71802-3	Housing status		LOINC: 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))
/93042-0/93033-9	Are you worried about losing your housing?		LOINC: LA30122-8 (I choose not to answer this question)
/93042-0/56799-0	Address		Broadway
/93041-2	Money and resources
/93041-2/82589-3	Highest level of educ		LOINC: LA30191-3 (Less than high school degree)
/93041-2/67875-5	Employment status current		LOINC: LA17956-6 (Unemployed)
/93041-2/76437-3	Primary insurance		LOINC: LA17849-3 (Medicaid)
/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?		25000
/93041-2/93031-3	In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?
/93041-2/93030-5	Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living?
/93040-4	Social and emotional health
/93040-4/93029-7	How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?		LOINC: LA30130-1 (1 or 2 times a week)
/93040-4/93038-8	Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you?		LOINC: LA13909-9 (Somewhat)
/93039-6	Optional additional questions
/93039-6/93028-9	In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?		LOINC: LA32-8 (No)
/93039-6/93027-1	Are you a refugee?		LOINC: LA32-8 (No)
/93039-6/93026-3	Do you feel physically and emotionally safe where you currently live?		LOINC: LA32-8 (No)
/93039-6/76501-6	Within the last year, have you been afraid of your partner or ex-partner?		LOINC: LA32-8 (No)
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