Person-Centered Outcomes (PCO) Implementation Guide
1.0.0 - STU 1 United States of America flag

Person-Centered Outcomes (PCO) Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/pco-ig/ and changes regularly. See the Directory of published versions

Questionnaire: Personal Health Inventory (Experimental)

Official URL: http://hl7.org/fhir/us/pco/Questionnaire/health-inventory-example Version: 1.0.0
Standards status: Informative Active as of 2025-02-05 Computable Name: PersonalHealthInventory

Usage: Clinical Focus: What Matters

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

A Questionnaire for a person's assessment of what matters most in their health and well-being.

LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. PersonalHealthInventory A Questionnaire for a person's assessment of what matters most in their health and well-being. Questionnaire http://hl7.org/fhir/us/pco/Questionnaire/health-inventory-example#1.0.0
... /health-inventory Personal Health Inventory 0..1 group Value Set:
.... /what-matters-description What matters most to you in your life right now? Write a few words to capture your thoughts: 0..1 text Value Set:
.... /instructions For each of the following areas, consider "Where you are" and "Where you want to be." Select a number between 1 (low) and 5 (high) that best represents where you are and where you want to be. You do not need to be a "5" in any of the areas now, nor even wish to be a "5" in the future. 0..1 display Value Set:
.... /body Moving the Body 0..1 group Value Set:
..... /body/display Our physical, mental, and emotional health are impacted by the amount and kind of movement we do. 0..1 display Value Set:
..... /body/now-rating Where are you now? 0..1 integer Value Set:
..... /body/future-rating Where would you like to be? 0..1 integer Value Set:
.... /mind Power of the Mind 0..1 group Value Set:
..... /mind/display Our bodies and minds need rest in order to optimize our health. Recharging also involves activities that replenish your mental and physical energy. 0..1 display Value Set:
..... /mind/now-rating Where are you now? 0..1 integer Value Set:
..... /mind/future-rating Where would you like to be? 0..1 integer Value Set:
.... /nourishment Food & Drink 0..1 group Value Set:
..... /nourishment/display What we eat, and drink can have a huge effect on how we experience life, both physically and mentally. 0..1 display Value Set:
..... /nourishment/now-rating Where are you now? 0..1 integer Value Set:
..... /nourishment/future-rating Where would you like to be? 0..1 integer Value Set:
.... /recharge Recharge 0..1 group Value Set:
..... /recharge/display Our bodies and minds must rest and recharge in order to optimize our health. Getting a good night's rest, as well as recharging our mental and physical energy throughout the day, are vital to well-being. Taking short breaks or doing something you enjoy or feels good for moments throughout the day are examples of ways to refresh. 0..1 display Value Set:
..... /recharge/now-rating Where are you now? 0..1 integer Value Set:
..... /recharge/future-rating Where would you like to be? 0..1 integer Value Set:
.... /surroundings Surroundings 0..1 group Value Set:
..... /surroundings/display Our surroundings, both at work and where we live, indoors and out, can affect our health and outlook on life. Changes within our control such as organizing, decluttering, adding a plant or artwork can improve mood and health. 0..1 display Value Set:
..... /surroundings/now-rating Where are you now? 0..1 integer Value Set:
..... /surroundings/future-rating Where would you like to be? 0..1 integer Value Set:
.... /personal-development Personal Development 0..1 group Value Set:
..... /personal-development/display Our health is impacted by how we choose to spend our time. Aligning our work and personal activities with what really matters to us, or what brings us joy, can have a big effect on our health and outlook on life. 0..1 display Value Set:
..... /personal-development/now-rating Where are you now? 0..1 integer Value Set:
..... /personal-development/future-rating Where would you like to be? 0..1 integer Value Set:
.... /spirit-and-soul Spirit & Soul 0..1 group Value Set:
..... /spirit-and-soul/display Connecting with something greater than ourselves may provide a sense of meaning and purpose, peace, or comfort. Connecting and aligning spiritually is very individual and may take the form of religious affiliation, connection to nature, or engaging in things like music or art. 0..1 display Value Set:
..... /spirit-and-soul/now-rating Where are you now? 0..1 integer Value Set:
..... /spirit-and-soul/future-rating Where would you like to be? 0..1 integer Value Set:
.... /relationships Family, Friends & Co-Workers 0..1 group Value Set:
..... /relationships/display Our relationships, including those with pets, have as significant an effect on our physical and emotional health as any other factor associated with well-being. Spending more time in relationships that "fuel" us and less in relationships that "drain" us is one potential option. Improving our relationship skills or creating new relationships through community activities are other options to consider. 0..1 display Value Set:
..... /relationships/now-rating Where are you now? 0..1 integer Value Set:
..... /relationships/future-rating Where would you like to be? 0..1 integer Value Set:
.... /professional-care Professional Care 0..1 group Value Set:
..... /professional-care/display Staying up to date on prevention and understanding your health concerns, care options, treatment plan, and their role in your health. 0..1 display Value Set:
..... /professional-care/now-rating Where are you now? 0..1 integer Value Set:
..... /professional-care/future-rating Where would you like to be? 0..1 integer Value Set:
.... /reflections Reflections 0..1 group Value Set:
..... /reflections/1 Now that you have thought about what matters to you in all of these areas, what would your life look like if you had the health you want? What kind of activities would you be doing? Or how might you feel different? What area might you focus on? 0..1 text Value Set:
..... /reflections/2 What might get in the way? How might you start? 0..1 text Value Set:
..... /reflections/3 After completing the Personal Health Inventory, talk to a friend, a family member, your health coach, a peer, or someone on your health care team about areas you would like to explore further. 0..1 display Value Set:

doco Documentation for this format

Personal Health Inventory

  • linkId: /health-inventory
  • Answers:

What matters most to you in your life right now? Write a few words to capture your thoughts:

  • linkId: /what-matters-description
  • Answers:

For each of the following areas, consider "Where you are" and "Where you want to be." Select a number between 1 (low) and 5 (high) that best represents where you are and where you want to be. You do not need to be a "5" in any of the areas now, nor even wish to be a "5" in the future.

  • linkId: /instructions
  • Answers:

Moving the Body

  • linkId: /body
  • Answers:

Our physical, mental, and emotional health are impacted by the amount and kind of movement we do.

  • linkId: /body/display
  • Answers:

Where are you now?

  • linkId: /body/now-rating
  • Answers:

Where would you like to be?

  • linkId: /body/future-rating
  • Answers:

Power of the Mind

  • linkId: /mind
  • Answers:

Our bodies and minds need rest in order to optimize our health. Recharging also involves activities that replenish your mental and physical energy.

  • linkId: /mind/display
  • Answers:

Where are you now?

  • linkId: /mind/now-rating
  • Answers:

Where would you like to be?

  • linkId: /mind/future-rating
  • Answers:

Food & Drink

  • linkId: /nourishment
  • Answers:

What we eat, and drink can have a huge effect on how we experience life, both physically and mentally.

  • linkId: /nourishment/display
  • Answers:

Where are you now?

  • linkId: /nourishment/now-rating
  • Answers:

Where would you like to be?

  • linkId: /nourishment/future-rating
  • Answers:

Recharge

  • linkId: /recharge
  • Answers:

Our bodies and minds must rest and recharge in order to optimize our health. Getting a good night's rest, as well as recharging our mental and physical energy throughout the day, are vital to well-being. Taking short breaks or doing something you enjoy or feels good for moments throughout the day are examples of ways to refresh.

  • linkId: /recharge/display
  • Answers:

Where are you now?

  • linkId: /recharge/now-rating
  • Answers:

Where would you like to be?

  • linkId: /recharge/future-rating
  • Answers:

Surroundings

  • linkId: /surroundings
  • Answers:

Our surroundings, both at work and where we live, indoors and out, can affect our health and outlook on life. Changes within our control such as organizing, decluttering, adding a plant or artwork can improve mood and health.

  • linkId: /surroundings/display
  • Answers:

Where are you now?

  • linkId: /surroundings/now-rating
  • Answers:

Where would you like to be?

  • linkId: /surroundings/future-rating
  • Answers:

Personal Development

  • linkId: /personal-development
  • Answers:

Our health is impacted by how we choose to spend our time. Aligning our work and personal activities with what really matters to us, or what brings us joy, can have a big effect on our health and outlook on life.

  • linkId: /personal-development/display
  • Answers:

Where are you now?

  • linkId: /personal-development/now-rating
  • Answers:

Where would you like to be?

  • linkId: /personal-development/future-rating
  • Answers:

Spirit & Soul

  • linkId: /spirit-and-soul
  • Answers:

Connecting with something greater than ourselves may provide a sense of meaning and purpose, peace, or comfort. Connecting and aligning spiritually is very individual and may take the form of religious affiliation, connection to nature, or engaging in things like music or art.

  • linkId: /spirit-and-soul/display
  • Answers:

Where are you now?

  • linkId: /spirit-and-soul/now-rating
  • Answers:

Where would you like to be?

  • linkId: /spirit-and-soul/future-rating
  • Answers:

Family, Friends & Co-Workers

  • linkId: /relationships
  • Answers:

Our relationships, including those with pets, have as significant an effect on our physical and emotional health as any other factor associated with well-being. Spending more time in relationships that "fuel" us and less in relationships that "drain" us is one potential option. Improving our relationship skills or creating new relationships through community activities are other options to consider.

  • linkId: /relationships/display
  • Answers:

Where are you now?

  • linkId: /relationships/now-rating
  • Answers:

Where would you like to be?

  • linkId: /relationships/future-rating
  • Answers:

Professional Care

  • linkId: /professional-care
  • Answers:

Staying up to date on prevention and understanding your health concerns, care options, treatment plan, and their role in your health.

  • linkId: /professional-care/display
  • Answers:

Where are you now?

  • linkId: /professional-care/now-rating
  • Answers:

Where would you like to be?

  • linkId: /professional-care/future-rating
  • Answers:

Reflections

  • linkId: /reflections
  • Answers:

Now that you have thought about what matters to you in all of these areas, what would your life look like if you had the health you want? What kind of activities would you be doing? Or how might you feel different? What area might you focus on?

  • linkId: /reflections/1
  • Answers:

What might get in the way? How might you start?

  • linkId: /reflections/2
  • Answers:

After completing the Personal Health Inventory, talk to a friend, a family member, your health coach, a peer, or someone on your health care team about areas you would like to explore further.

  • linkId: /reflections/3
  • Answers:

LinkIDDescription & Constraintsdoco
.. /health-inventory Value Set:
... /what-matters-description Value Set:
... /instructions Value Set:
... /body Value Set:
.... /body/display Value Set:
.... /body/now-rating Value Set:
.... /body/future-rating Value Set:
.... /mind/display Value Set:
.... /mind/now-rating Value Set:
.... /mind/future-rating Value Set:
... /nourishment Value Set:
.... /nourishment/display Value Set:
.... /nourishment/now-rating Value Set:
.... /nourishment/future-rating Value Set:
... /recharge Value Set:
.... /recharge/display Value Set:
.... /recharge/now-rating Value Set:
.... /recharge/future-rating Value Set:
... /surroundings Value Set:
.... /surroundings/display Value Set:
.... /surroundings/now-rating Value Set:
.... /surroundings/future-rating Value Set:
... /personal-development Value Set:
.... /personal-development/display Value Set:
.... /personal-development/now-rating Value Set:
.... /personal-development/future-rating Value Set:
... /spirit-and-soul Value Set:
.... /spirit-and-soul/display Value Set:
.... /spirit-and-soul/now-rating Value Set:
.... /spirit-and-soul/future-rating Value Set:
... /relationships Value Set:
.... /relationships/display Value Set:
.... /relationships/now-rating Value Set:
.... /relationships/future-rating Value Set:
... /professional-care Value Set:
.... /professional-care/display Value Set:
.... /professional-care/now-rating Value Set:
.... /professional-care/future-rating Value Set:
... /reflections Value Set:
.... /reflections/1 Value Set:
.... /reflections/2 Value Set:
.... /reflections/3 Value Set:

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire

There are currently no QuestionnaireResponse instances for this Questionnaire defined in this IG.