Veteran-Centered Outcomes (VCO) Implementation Guide
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Veteran-Centered Outcomes (VCO) Implementation Guide, published by U.S. Department of Veterans Affairs. 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/mtnlotus/vco-ig/ and changes regularly. See the Directory of published versions

Questionnaire: Well-Being Brief (Experimental)

Official URL: http://va.gov/fhir/vco/Questionnaire/well-being-brief Version: 0.1.0
Draft as of 2025-03-26 Computable Name: WellBeingBrief

Usage:Clinical Focus: Well-Being

Copyright/Legal: Used by permission of U.S. Department of Veterans Affairs, all rights reserved Creative Commons License

Well-Being Brief (WBB) is a questionnaire containing scales designed to assess multiple dimensions of well-being including personal circumstances, work and school/training, caregiving activities, involvement in health-related behaviors, and more.

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
.. WellBeingBriefWell-Being Brief (WBB) is a questionnaire containing scales designed to assess multiple dimensions of well-being including personal circumstances, work and school/training, caregiving activities, involvement in health-related behaviors, and more.Questionnairehttp://va.gov/fhir/vco/Questionnaire/well-being-brief#0.1.0
... /well-being-briefWell-Being Brief0..1group
.... /instructionsFor these questions, please consider the most important things that you do, or wish to do, in your daily life. This might include having a job, managing your health and finances, spending time with family and friends, or participating in leisure - time activities. If you are not sure which response to choose, please make your best guess.0..1display
.... /sdohSocial Needs0..1group
..... /sdoh/displayWhich of the following is true for you and/or your immediate family over the PAST THREE MONTHS?0..1display
..... /sdoh/foodI always have enough food to eat.0..1boolean
..... /sdoh/housingI have access to stable housing that meets my needs.0..1boolean
..... /sdoh/safetyI feel safe with the people in my home.0..1boolean
..... /sdoh/expensesI can afford other basic expenses like healthcare, utilities, and clothing.0..1boolean
..... /sdoh/transportationI have access to reliable transportation.0..1boolean
..... /sdoh/healthcareI have access to adequate health care.0..1boolean
..... /sdoh/legalI could benefit from legal assistance for a legal problem I am facing.0..1boolean
.... /financialMoney & Financial Situation0..1group
..... /financial/displayPlease answer the following questions with regard to the PAST THREE MONTHS.0..1display
..... /financial/manage-moneyHow often have you managed your money well, including for example, whether you are able to consistently: pay your bills on time, follow a budget, put extra money aside for the future.0..1choiceValue Set: Well-Being Frequency Answers
..... /financial/financial-situationHow satisfied are you with your financial situation overall, including for example: your ability to pay for necessities, your ability to afford extras, the amount of savings and debt you have accumulated0..1choiceValue Set: Well-Being Satisfaction Answers
.... /employmentEmployment0..1group
..... /employment/statusWhat is your current employment status?0..1choiceOptions: 3 options
..... /employment/displayPlease answer the following questions with regard to the PAST THREE MONTHS.0..1displayEnable When: /employment/status =
..... /employment/work-performanceOn average how often have you been able to do your best work, including for example, your ability to consistently: complete work on time, do your highest quality work, work well with others in your work setting.0..1choiceEnable When: /employment/status =
Value Set: Well-Being Frequency Answers
..... /employment/work-satisfactionHow satisfied have you been with your work experience overall, including for example: the kind of work you do and your work environment, the compensation and/or recognition you receive for your work, extent to which your work is advancing your longer-term vocational goals.0..1choiceEnable When: /employment/status =
Value Set: Well-Being Satisfaction Answers
.... /schoolSchool or Training0..1group
..... /school/statusAre you currently in school or completing some other type of training program?0..1choiceOptions: 3 options
..... /school/displayPlease answer the following questions with regard to the PAST THREE MONTHS.0..1displayEnable When: /school/status =
..... /school/school-performanceOn average how often have you been able to do your best at school or in your training program, including for example, your ability to consistently: complete work on time, do your highest quality work, work well with others in your program0..1choiceEnable When: /school/status =
Value Set: Well-Being Frequency Answers
..... /school/school-satisfactionHow satisfied have you been with your school/training experience overall, including for example: the quality of the instructors and learning content, your learning environment, your ability to advance your longer-term educational/training goals0..1choiceEnable When: /school/status =
Value Set: Well-Being Satisfaction Answers
.... /caregivingUnpaid Caregiving Activities0..1group
..... /caregiving/statusDo you participate in either of the following types of unpaid caregiving activities on a daily basis: 1) Parenting children under the age of 18; 2) Caring for an adult who needs assistance with day-to-day activities (for example, an aging or disabled pouse/parent/disabled child 18 or over)?0..1boolean
..... /caregiving/displayPlease answer the following questions with regard to the PAST THREE MONTHS.0..1displayEnable When: /caregiving/status =
..... /caregiving/caregiving-performanceHow often have you been able to function your best in your caregiving activities overall, including for example, your ability to consistently: 1) meet the needs of those you care for; 2) effectively manage their unique challenges; 3) cope well with stressors you experience in this role?0..1choiceEnable When: /caregiving/status =
Value Set: Well-Being Frequency Answers
..... /caregiving/caregiving-satisfactionHow satisfied have you been with your caregiving activities overall, including for example: 1) how meaningful/rewarding you find these activities; 2) how well you are doing in this role; 3) your relationship with your children or others you care for?0..1choiceEnable When: /caregiving/status =
Value Set: Well-Being Satisfaction Answers
.... /healthHealth & Health-Related Behaviors0..1group
..... /health/display-1In this next section, you will be asked about your health and involvement in health-related behaviors and activities over the PAST THREE MONTHS.0..1display
..... /health/physical-healthOverall, I am in good physical health0..1boolean
..... /health/emotional-healthOverall, I am in good mental/emotional health0..1boolean
..... /health/life-purposeI have a sense of purpose and meaning in my life0..1boolean
..... /health/life-achievementI believe that I can achieve the things in life that are important to me0..1boolean
..... /health/display-frequencyOn average, during the PAST THREE MONTHS how often have you:0..1display
..... /health/healthy-dietEaten a generally healthy diet. (for example, low fat, limited sugar, adequate servings of fruits and vegetables)0..1choiceValue Set: Well-Being Frequency Answers
..... /health/physical-activityGotten at least 2.5 hours of regular physical activity each week. (for example, running, playing a sport, and/or muscle strengthening)0..1choiceValue Set: Well-Being Frequency Answers
..... /health/sleepGotten 6-8 hours of sleep most nights of the week0..1choiceValue Set: Well-Being Frequency Answers
..... /health/hobbiesSpent at least a few hours each week on hobbies, leisure time activities, or other enjoyable activities0..1choiceValue Set: Well-Being Frequency Answers
..... /health/nicotineUsed tobacco and/or nicotine products (for example, cigarettes, cigars, vape) most days of the week0..1choiceValue Set: Well-Being Frequency Answers
..... /health/alcohol-drugsExperienced negative consequences like severe hangovers, memory loss, or conflicts with others when using alcohol or drugs (including prescription drugs)0..1choiceValue Set: Well-Being Frequency Answers
..... /health/display-satisfactionOver the PAST THREE MONTHS, how satisfied have you been with:0..1display
..... /health/physical-health-satisfactionThe extent to which your physical health allows you to do what is most important in your life?0..1choiceValue Set: Well-Being Satisfaction Answers
..... /health/emotional-health-satisfactionThe extent to which your mental/emotional health allows you to do what is most important in your life?0..1choiceValue Set: Well-Being Satisfaction Answers
..... /health/spiritual-health-satisfactionYour level of spiritual or religious involvement, including your beliefs, practices, and your sense of connection with your spirituality or religion?0..1choiceValue Set: Well-Being Satisfaction Answers
.... /relationshipsSocial Relationships0..1group
..... /relationships/displayIn this next section, you will be asked about your social relationships. Please answer the following questions with regard to the PAST THREE MONTHS.0..1display
..... /relationships/committed-relationshipAre you currently married or in a committed relationship?0..1boolean
..... /relationships/functioningOn average, how often have you been able to function your best in this committed relationship, including for example, your ability to consistently: 1) provide emotional support to your spouse or significant other; 2) share your thoughts and feelings with them; 3) engage in leisure time activities that you both enjoy.0..1choiceEnable When: /relationships/committed-relationship =
Value Set: Well-Being Frequency Answers
..... /relationships/satisfactionHow satisfied have you been with your relationship with your spouse or significant other overall, including for example: 1) your emotional closeness; 2) the companionship you get from this relationship; 3) your physical connection with your partner.0..1choiceEnable When: /relationships/committed-relationship =
Value Set: Well-Being Satisfaction Answers
..... /relationships/non-familyAre there people outside of your immediate family that you are close with, for example, friends, relatives or other people your community that you get together with or community with on a regular basis?0..1boolean
..... /relationships/communityDo you participate in a community group or other activity on a regular basis, for example, a religious/spiritual community or a group with shared hobbies or interests like a sports team, book club, Veterans organization, or volunteering?0..1boolean
..... /relationships/non-family-functioningHow often have you been able to function your best in your interactions with people outside your immediate family, for example, consistently: 1) making the effort to spend time with others; 2) getting along well with others; 3) offering support for others either by being a good listener or doing things to help them out.0..1choiceValue Set: Well-Being Frequency Answers
..... /relationships/non-family-satisfactionHow satisfied have you been with your relationships with people outside your immediate family overall, including, for example: 1) your relationships with friends; 2) your relationships with relatives; 3) your sense of belonging in your community.0..1choiceValue Set: Well-Being Satisfaction Answers

doco Documentation for this format

Options Sets

Answer options for /employment/status

  • http://va.gov/fhir/vco/CodeSystem/employment-codes#working-for-pay ("Working for pay")
  • http://va.gov/fhir/vco/CodeSystem/employment-codes#not-working-for-pay-looking ("Not working for pay but actively looking for paid work")
  • http://va.gov/fhir/vco/CodeSystem/employment-codes#not-working-for-pay-not-looking ("Not working for pay or looking for paid work")

Answer options for /school/status

  • http://va.gov/fhir/vco/CodeSystem/school-codes#in-school ("In school or another type of training program")
  • http://va.gov/fhir/vco/CodeSystem/school-codes#not-in-school-interested ("Not in school or completing training currently, but interested in obtaining additional education or training")
  • http://va.gov/fhir/vco/CodeSystem/school-codes#not-in-school-not-interested ("Not in school or completing training currently, and not interested in obtaining additional education or training")

Contained Resources


This value set expansion contains 7 concepts.

CodeSystemDisplay
  LA6270-8http://loinc.orgNever
  LA10066-1http://loinc.orgRarely
  LA6483-7http://loinc.orgOccasionally
  LA10082-8http://loinc.orgSometimes
  LA10044-8http://loinc.orgOften
  LA13865-3http://loinc.orgAlmost always
  LA9933-8http://loinc.orgAlways

This value set expansion contains 7 concepts.

CodeSystemDisplay
  LA14638-3http://loinc.orgVery dissatisfied
  LA29849-9http://loinc.orgSomewhat dissatisfied
  LA31733-1http://loinc.orgNeither satisfied nor dissatisfied
  LA27752-7http://loinc.orgSomewhat satisfied
  LA14642-5http://loinc.orgVery satisfied
  slightly-dissatisfiedhttp://va.gov/fhir/vco/CodeSystem/well-being-answer-codesSlightly dissatisfied
  slightly-satisfiedhttp://va.gov/fhir/vco/CodeSystem/well-being-answer-codesSlightly satisfied