Structured Data Capture
4.0.0 - International flag

Structured Data Capture, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/sdc/ and changes regularly. See the Directory of published versions

Questionnaire: Hunger Vital Sign [HVS] (Experimental)

Official URL: http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-hunger-vital-signs Version: 4.0.0
Standards status: Informative Active as of 2025-10-22 Computable Name: QuestionnaireSdcProfileExampleHungerVitalSigns
Other Identifiers: OID:2.16.840.1.113883.4.642.40.17.35.11

A hunger vital signs form (showing calculatedExpression selecting a value from a list).

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. QuestionnaireSdcProfileExampleHungerVitalSigns A hunger vital signs form (showing calculatedExpression selecting a value from a list). Questionnaire http://hl7.org/fhir/uv/sdc/Questionnaire/questionnaire-sdc-profile-example-hunger-vital-signs#4.0.0
... /88122-7 Within the past 12Mo we worried whether our food would run out before we got money to buy more 0..1 choice Options: 4 options
... /88123-5 Within the past 12Mo the food we bought just didn't last and we didn't have money to get more [U.S. FSS] 0..1 choice Options: 4 options
... /88124-3 Food insecurity risk 0..1 choice iconicon Options: 2 options
.... /88124-3-help An answer of "often true" or "sometimes true" to either or both of the Hunger Vital Sign™ questions identifies a patient as at risk for food insecurity (FI). 0..1 display

doco Documentation for this format

Options Sets

Answer options for /88122-7

  • http://loinc.org#LA28397-0 ("Often true")
  • http://loinc.org#LA6729-3 ("Sometimes true")
  • http://loinc.org#LA28398-8 ("Never true")
  • http://loinc.org#LA15775-2 ("Don't know/refused")

Answer options for /88123-5

  • http://loinc.org#LA28397-0 ("Often true")
  • http://loinc.org#LA6729-3 ("Sometimes true")
  • http://loinc.org#LA28398-8 ("Never true")
  • http://loinc.org#LA15775-2 ("Don't know/refused")

Answer options for /88124-3

  • http://loinc.org#LA19952-3 ("At risk")
  • http://loinc.org#LA19983-8 ("No risk")

Within the past 12Mo we worried whether our food would run out before we got money to buy more

Within the past 12Mo the food we bought just didn't last and we didn't have money to get more [U.S. FSS]

Food insecurity risk

An answer of "often true" or "sometimes true" to either or both of the Hunger Vital Sign™ questions identifies a patient as at risk for food insecurity (FI).

  • linkId: /88124-3-help

LinkIDDescription & Constraintsdoco
.. /88122-7 Options: 4 options
.. /88123-5 Options: 4 options
.. /88124-3 Options: 2 options
... /88124-3-help

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

    Responses for this Questionnaire