HL7.FHIR.CL.GRAVITYCL\Cuestionario SDOHCC PRAPARE - XML Representation

Atención clínica de SDOH, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SIMSADIs/GI-SDOH/ and changes regularly. See the Directory of published versions
: Cuestionario SDOHCC PRAPARE - XML Representation

Draft as of 2021-04-01
Raw xml | Download

<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="Ejemplo-CuestionarioPRAPARE"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire Ejemplo-CuestionarioPRAPARE</b></p><a name="Ejemplo-CuestionarioPRAPARE"> </a><a name="hcEjemplo-CuestionarioPRAPARE"> </a><a name="Ejemplo-CuestionarioPRAPARE-es-CL"> </a><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="http://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"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><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"/> Cuestionario SDOHCC PRAPARE</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">https://hl7chile.cl/fhir/ig/gravitycl/Questionnaire/Ejemplo-CuestionarioPRAPARE#0.1.0</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" id="item./93025-5" class="hierarchy"><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"/> /93025-5</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Protocolo para responder y evaluar los activos, riesgos y experiencias de los pacientes [PRAPARE]</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)" id="item./93043-8" class="hierarchy"><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"/> /93043-8</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Características personales</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" id="item./93043-8/93035-4" class="hierarchy"><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"/> /93043-8/93035-4</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">¿Ha sido el trabajo agrícola estacional o migrante la principal fuente de ingresos para usted o su familia en algún momento de los últimos 2 años?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93043-8/93035-4">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)" id="item./93043-8/54899-0" class="hierarchy"><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"/> /93043-8/54899-0</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">¿Qué idioma te sientes más cómodo hablando?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93043-8/54899-0">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)" id="item./93042-0" class="hierarchy"><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"/> /93042-0</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Familia y hogar</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" id="item./93042-0/63512-8" class="hierarchy"><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: white; background-color: inherit" title="integer" class="hierarchy"/> /93042-0/63512-8</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">¿Con cuántos miembros de la familia, incluyéndote a ti, vives actualmente?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0111.png)" id="item./93042-0/71802-3" class="hierarchy"><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"/> /93042-0/71802-3</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">¿Cuál es su situación de vivienda en la actualidad?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93042-0/71802-3">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01100.png)" id="item./93042-0/71802-3-help" class="hierarchy"><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: white; background-color: inherit" title="display" class="hierarchy"/> /93042-0/71802-3-help</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Describe el arreglo de vivienda del paciente</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display">display</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" id="item./93042-0/93033-9" class="hierarchy"><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"/> /93042-0/93033-9</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">¿Está preocupado por perder su vivienda?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93042-0/93033-9">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)" id="item./93042-0/56799-0" class="hierarchy"><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: white; background-color: inherit" title="string" class="hierarchy"/> /93042-0/56799-0</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">¿En qué dirección vives?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)" id="item./93041-2" class="hierarchy"><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"/> /93041-2</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Dinero y recursos</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" id="item./93041-2/82589-3" class="hierarchy"><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"/> /93041-2/82589-3</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">¿Cuál es el nivel más alto de educación que ha terminado?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93041-2/82589-3">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" id="item./93041-2/67875-5" class="hierarchy"><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"/> /93041-2/67875-5</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">¿Cuál es tu situación laboral actual?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93041-2/67875-5">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" id="item./93041-2/76437-3" class="hierarchy"><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"/> /93041-2/76437-3</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">¿Cuál es su seguro principal?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93041-2/76437-3">7 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" id="item./93041-2/63586-2" class="hierarchy"><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: #F7F7F7; background-color: inherit" title="decimal" class="hierarchy"/> /93041-2/63586-2</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Durante el año pasado, ¿cuál fue el ingreso total combinado para usted y los miembros de su familia con los que vive?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" id="item./93041-2/93031-3" class="hierarchy"><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"/> /93041-2/93031-3</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">En el último año, ¿usted o algún miembro de su familia con el que vive no ha podido obtener alguno de los siguientes cuando realmente lo necesitaba?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93041-2/93031-3">8 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)" id="item./93041-2/93030-5" class="hierarchy"><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"/> /93041-2/93030-5</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">¿La falta de transporte le ha impedido asistir a citas médicas, reuniones, al trabajo o conseguir lo necesario para la vida diaria?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..*</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93041-2/93030-5">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck011.png)" id="item./93040-4" class="hierarchy"><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"/> /93040-4</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Salud social y emocional</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0110.png)" id="item./93040-4/93029-7" class="hierarchy"><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"/> /93040-4/93029-7</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">¿Con qué frecuencia ve o habla con las personas que le importan y con las que se siente cercano/a? (Por ejemplo: hablar por teléfono con amigos, visitar a amigos o familiares, ir a la iglesia o a reuniones de un club)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93040-4/93029-7">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0100.png)" id="item./93040-4/93038-8" class="hierarchy"><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"/> /93040-4/93038-8</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">El estrés es cuando alguien se siente tenso, nervioso, ansioso o no puede dormir por la noche porque su mente está preocupada. ¿Qué tan estresado/a se siente?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93040-4/93038-8">6 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck001.png)" id="item./93039-6" class="hierarchy"><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: #F7F7F7; background-color: inherit" title="group" class="hierarchy"/> /93039-6</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Preguntas adicionales opcionales</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)" id="item./93039-6/93028-9" class="hierarchy"><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"/> /93039-6/93028-9</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">En el último año,¿ha pasado más de 2 noches seguidas en una cárcel, prisión, centro de detención o centro correccional juvenil?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93039-6/93028-9">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)" id="item./93039-6/93027-1" class="hierarchy"><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"/> /93039-6/93027-1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">¿Eres un refugiado/a?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93039-6/93027-1">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0010.png)" id="item./93039-6/93026-3" class="hierarchy"><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"/> /93039-6/93026-3</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">¿Se siente seguro/a física y emocionalmente en el lugar donde vive actualmente?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93039-6/93026-3">4 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck0000.png)" id="item./93039-6/76501-6" class="hierarchy"><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: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> /93039-6/76501-6</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">En el último año, ¿ha tenido miedo de su pareja o ex-pareja?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item./93039-6/76501-6">2 options</a></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://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"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><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 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30122-8 (&quot;I choose not to answer this question&quot;)</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 (&quot;English&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30188-9 (&quot;Language other than English&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30122-8 (&quot;I choose not to answer this question&quot;)</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 (&quot;I have housing&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30190-5 (&quot;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)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30122-8 (&quot;I choose not to answer this question&quot;)</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 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30122-8 (&quot;I choose not to answer this question&quot;)</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 (&quot;Less than high school degree&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30192-1 (&quot;High school diploma or GED&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30193-9 (&quot;More than high school&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30122-8 (&quot;I choose not to answer this question&quot;)</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 (&quot;Unemployed&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30138-4 (&quot;Part-time or temporary work&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30136-8 (&quot;Full-time work&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30137-6 (&quot;Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30122-8 (&quot;I choose not to answer this question&quot;)</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 (&quot;None/uninsured&quot;)</li><li style="font-size: 11px">http://loinc.org#LA17849-3 (&quot;Medicaid&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30195-4 (&quot;CHIP Medicaid&quot;)</li><li style="font-size: 11px">http://loinc.org#LA15652-3 (&quot;Medicare&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30196-2 (&quot;Other public insurance (not CHIP)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30197-0 (&quot;Other public insurance (CHIP)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6350-8 (&quot;Private insurance&quot;)</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 (&quot;Food&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30126-9 (&quot;Clothing&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30124-4 (&quot;Utilities&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30127-7 (&quot;Child care&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30128-5 (&quot;Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30129-3 (&quot;Phone&quot;)</li><li style="font-size: 11px">http://loinc.org#LA46-8 (&quot;Other&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30122-8 (&quot;I choose not to answer this question&quot;)</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 (&quot;Yes, it has kept me from medical appointments or from getting my medications&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30134-3 (&quot;Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need&quot;)</li><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30257-2 (&quot;Patient unable to respond&quot;)</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 (&quot;Less than once a week&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30130-1 (&quot;1 or 2 times a week&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30131-9 (&quot;3 to 5 times a week&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30132-7 (&quot;5 or more times a week&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30122-8 (&quot;I choose not to answer this question&quot;)</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 (&quot;Not at all&quot;)</li><li style="font-size: 11px">http://loinc.org#LA13863-8 (&quot;A little bit&quot;)</li><li style="font-size: 11px">http://loinc.org#LA13909-9 (&quot;Somewhat&quot;)</li><li style="font-size: 11px">http://loinc.org#LA13902-4 (&quot;Quite a bit&quot;)</li><li style="font-size: 11px">http://loinc.org#LA13914-9 (&quot;Very much&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30122-8 (&quot;I choose not to answer this question&quot;)</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 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30122-8 (&quot;I choose not to answer this question&quot;)</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 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30122-8 (&quot;I choose not to answer this question&quot;)</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 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li><li style="font-size: 11px">http://loinc.org#LA14072-5 (&quot;Unsure&quot;)</li><li style="font-size: 11px">http://loinc.org#LA30122-8 (&quot;I choose not to answer this question&quot;)</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 (&quot;Yes&quot;)</li><li style="font-size: 11px">http://loinc.org#LA32-8 (&quot;No&quot;)</li></ul></div>
  </text>
  <url
       value="https://hl7chile.cl/fhir/ig/gravitycl/Questionnaire/Ejemplo-CuestionarioPRAPARE"/>
  <version value="0.1.0"/>
  <name value="Cuestionario SDOHCC PRAPARE"/>
  <title value="Cuestionario SDOHCC PRAPARE"/>
  <status value="draft"/>
  <subjectType value="Patient"/>
  <date value="2021-04-01T04:01:34+00:00"/>
  <publisher value="HL7 Chile"/>
  <contact>
    <name value="HL7 Chile"/>
    <telecom>
      <system value="url"/>
      <value value="http://hl7chile.cl"/>
    </telecom>
  </contact>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="CL"/>
    </coding>
  </jurisdiction>
  <item>
    <linkId value="/93025-5"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="93025-5"/>
      <display
               value="Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"/>
    </code>
    <text
          value="Protocolo para responder y evaluar los activos, riesgos y experiencias de los pacientes [PRAPARE]"/>
    <type value="group"/>
    <required value="false"/>
    <item>
      <linkId value="/93043-8"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="93043-8"/>
        <display value="Personal characteristics [PRAPARE]"/>
      </code>
      <text value="Características personales"/>
      <type value="group"/>
      <required value="false"/>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93043-8/93035-4"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="93035-4"/>
          <display
                   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]"/>
        </code>
        <text
              value="¿Ha sido el trabajo agrícola estacional o migrante la principal fuente de ingresos para usted o su familia en algún momento de los últimos 2 años?"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA33-6"/>
            <display value="Yes"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30122-8"/>
            <display value="I choose not to answer this question"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93043-8/54899-0"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="54899-0"/>
          <display value="Preferred language"/>
        </code>
        <text value="¿Qué idioma te sientes más cómodo hablando?"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA43-5"/>
            <display value="English"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30188-9"/>
            <display value="Language other than English"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30122-8"/>
            <display value="I choose not to answer this question"/>
          </valueCoding>
        </answerOption>
      </item>
    </item>
    <item>
      <linkId value="/93042-0"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="93042-0"/>
        <display value="Family and home [PRAPARE]"/>
      </code>
      <text value="Familia y hogar"/>
      <type value="group"/>
      <required value="false"/>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
          <valueCoding>
            <system value="http://unitsofmeasure.org"/>
            <code value="{#}"/>
            <display value="{#}"/>
          </valueCoding>
        </extension>
        <linkId value="/93042-0/63512-8"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="63512-8"/>
          <display
                   value="How many people are living or staying at this address [#]"/>
        </code>
        <text
              value="¿Con cuántos miembros de la familia, incluyéndote a ti, vives actualmente?"/>
        <type value="integer"/>
        <required value="false"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93042-0/71802-3"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="71802-3"/>
          <display value="Housing status"/>
        </code>
        <text value="¿Cuál es su situación de vivienda en la actualidad?"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30189-7"/>
            <display value="I have housing"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30190-5"/>
            <display
                     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)"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30122-8"/>
            <display value="I choose not to answer this question"/>
          </valueCoding>
        </answerOption>
        <item>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/questionnaire-item-control"/>
                <code value="help"/>
                <display value="Help-Button"/>
              </coding>
              <text value="Botón de ayuda"/>
            </valueCodeableConcept>
          </extension>
          <linkId value="/93042-0/71802-3-help"/>
          <text value="Describe el arreglo de vivienda del paciente"/>
          <type value="display"/>
        </item>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93042-0/93033-9"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="93033-9"/>
          <display
                   value="Are you worried about losing your housing [PRAPARE]"/>
        </code>
        <text value="¿Está preocupado por perder su vivienda?"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA33-6"/>
            <display value="Yes"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30122-8"/>
            <display value="I choose not to answer this question"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <linkId value="/93042-0/56799-0"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="56799-0"/>
          <display value="Address"/>
        </code>
        <text value="¿En qué dirección vives?"/>
        <type value="string"/>
        <required value="false"/>
      </item>
    </item>
    <item>
      <linkId value="/93041-2"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="93041-2"/>
        <display value="Money and resources [PRAPARE]"/>
      </code>
      <text value="Dinero y recursos"/>
      <type value="group"/>
      <required value="false"/>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93041-2/82589-3"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="82589-3"/>
          <display value="Highest level of educ"/>
        </code>
        <text
              value="¿Cuál es el nivel más alto de educación que ha terminado?"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30191-3"/>
            <display value="Less than high school degree"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30192-1"/>
            <display value="High school diploma or GED"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30193-9"/>
            <display value="More than high school"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30122-8"/>
            <display value="I choose not to answer this question"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93041-2/67875-5"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="67875-5"/>
          <display value="Employment status current"/>
        </code>
        <text value="¿Cuál es tu situación laboral actual?"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA17956-6"/>
            <display value="Unemployed"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30138-4"/>
            <display value="Part-time or temporary work"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30136-8"/>
            <display value="Full-time work"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30137-6"/>
            <display
                     value="Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30122-8"/>
            <display value="I choose not to answer this question"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93041-2/76437-3"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="76437-3"/>
          <display value="Primary insurance"/>
        </code>
        <text value="¿Cuál es su seguro principal?"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30194-7"/>
            <display value="None/uninsured"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA17849-3"/>
            <display value="Medicaid"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30195-4"/>
            <display value="CHIP Medicaid"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA15652-3"/>
            <display value="Medicare"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30196-2"/>
            <display value="Other public insurance (not CHIP)"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30197-0"/>
            <display value="Other public insurance (CHIP)"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6350-8"/>
            <display value="Private insurance"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
          <valueCoding>
            <system value="http://unitsofmeasure.org"/>
            <code value="/a"/>
            <display value="/a"/>
          </valueCoding>
        </extension>
        <linkId value="/93041-2/63586-2"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="63586-2"/>
          <display
                   value="What was your best estimate of the total income of all family members from all sources, before taxes, in last year [PhenX]"/>
        </code>
        <text
              value="Durante el año pasado, ¿cuál fue el ingreso total combinado para usted y los miembros de su familia con los que vive?"/>
        <type value="decimal"/>
        <required value="false"/>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93041-2/93031-3"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="93031-3"/>
          <display
                   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]"/>
        </code>
        <text
              value="En el último año, ¿usted o algún miembro de su familia con el que vive no ha podido obtener alguno de los siguientes cuando realmente lo necesitaba?"/>
        <type value="choice"/>
        <required value="false"/>
        <repeats value="true"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30125-1"/>
            <display value="Food"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30126-9"/>
            <display value="Clothing"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30124-4"/>
            <display value="Utilities"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30127-7"/>
            <display value="Child care"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30128-5"/>
            <display
                     value="Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30129-3"/>
            <display value="Phone"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA46-8"/>
            <display value="Other"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30122-8"/>
            <display value="I choose not to answer this question"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93041-2/93030-5"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="93030-5"/>
          <display
                   value="Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"/>
        </code>
        <text
              value="¿La falta de transporte le ha impedido asistir a citas médicas, reuniones, al trabajo o conseguir lo necesario para la vida diaria?"/>
        <type value="choice"/>
        <required value="false"/>
        <repeats value="true"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="A"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30133-5"/>
            <display
                     value="Yes, it has kept me from medical appointments or from getting my medications"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="B"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30134-3"/>
            <display
                     value="Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="C"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="X"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30257-2"/>
            <display value="Patient unable to respond"/>
          </valueCoding>
        </answerOption>
      </item>
    </item>
    <item>
      <linkId value="/93040-4"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="93040-4"/>
        <display value="Social and emotional health [PRAPARE]"/>
      </code>
      <text value="Salud social y emocional"/>
      <type value="group"/>
      <required value="false"/>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93040-4/93029-7"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="93029-7"/>
          <display
                   value="How often do you see or talk to people that you care about and feel close to [PRAPARE]"/>
        </code>
        <text
              value="¿Con qué frecuencia ve o habla con las personas que le importan y con las que se siente cercano/a? (Por ejemplo: hablar por teléfono con amigos, visitar a amigos o familiares, ir a la iglesia o a reuniones de un club)"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA27722-0"/>
            <display value="Less than once a week"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30130-1"/>
            <display value="1 or 2 times a week"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30131-9"/>
            <display value="3 to 5 times a week"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30132-7"/>
            <display value="5 or more times a week"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30122-8"/>
            <display value="I choose not to answer this question"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93040-4/93038-8"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="93038-8"/>
          <display value="Stress level"/>
        </code>
        <text
              value="El estrés es cuando alguien se siente tenso, nervioso, ansioso o no puede dormir por la noche porque su mente está preocupada. ¿Qué tan estresado/a se siente?"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6568-5"/>
            <display value="Not at all"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA13863-8"/>
            <display value="A little bit"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA13909-9"/>
            <display value="Somewhat"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA13902-4"/>
            <display value="Quite a bit"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA13914-9"/>
            <display value="Very much"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30122-8"/>
            <display value="I choose not to answer this question"/>
          </valueCoding>
        </answerOption>
      </item>
    </item>
    <item>
      <linkId value="/93039-6"/>
      <code>
        <system value="http://loinc.org"/>
        <code value="93039-6"/>
        <display value="Optional additional questions [PRAPARE]"/>
      </code>
      <text value="Preguntas adicionales opcionales"/>
      <type value="group"/>
      <required value="false"/>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93039-6/93028-9"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="93028-9"/>
          <display
                   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]"/>
        </code>
        <text
              value="En el último año,¿ha pasado más de 2 noches seguidas en una cárcel, prisión, centro de detención o centro correccional juvenil?"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA33-6"/>
            <display value="Yes"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30122-8"/>
            <display value="I choose not to answer this question"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93039-6/93027-1"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="93027-1"/>
          <display value="Are you a refugee"/>
        </code>
        <text value="¿Eres un refugiado/a?"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA33-6"/>
            <display value="Yes"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30122-8"/>
            <display value="I choose not to answer this question"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93039-6/93026-3"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="93026-3"/>
          <display
                   value="Do you feel physically and emotionally safe where you currently live [PRAPARE]"/>
        </code>
        <text
              value="¿Se siente seguro/a física y emocionalmente en el lugar donde vive actualmente?"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA33-6"/>
            <display value="Yes"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA14072-5"/>
            <display value="Unsure"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA30122-8"/>
            <display value="I choose not to answer this question"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
          <valueCodeableConcept>
            <coding>
              <system value="http://hl7.org/fhir/questionnaire-item-control"/>
              <code value="drop-down"/>
              <display value="Drop down"/>
            </coding>
            <text value="Bajar"/>
          </valueCodeableConcept>
        </extension>
        <linkId value="/93039-6/76501-6"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="76501-6"/>
          <display
                   value="Within the last year, have you been afraid of your partner or ex-partner"/>
        </code>
        <text
              value="En el último año, ¿ha tenido miedo de su pareja o ex-pareja?"/>
        <type value="choice"/>
        <required value="false"/>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="1"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="1"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA33-6"/>
            <display value="Yes"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
            <valueString value="0"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
            <valueDecimal value="0"/>
          </extension>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answerOption>
      </item>
    </item>
  </item>
</Questionnaire>