1.7.1 - release

SHINNYHRSN - Local Development build (v1.7.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Example Bundle: AHCHRSNQuestionnaireResponseExample

Last updated: 2024-02-23 00:00:00+0000

Profile: SHINNY SDOH Bundle Profile

Bundle AHCHRSNQuestionnaireResponseExample of type transaction

Entry 1 - fullUrl = http://test.shinny.org/us/ny/hrsn/Patient/PatientExample

Resource Patient:

> Last updated: 2024-02-23 00:00:00+0000; Language: en

> Profile: SHINNY Patient Profile

> Jon Doe Male, DoB: 1981-07-16 ( Medical record number)

> Other Ids: | Patient Medicaid number/AA12345C Social Security Number/999-34-2964
> Contact Detail | ph: 555-120-6047(Home) 115 Broadway Apt2 New York, NY 10032
> Language: | English (preferred)
> Mother: | Joyce Doe +1234567890
> SHINNY Personal Pronouns | he/him/his/his/himself
> SHINNYGenderIdentityExtension | Identifies as male gender (finding)
> US Core Ethnicity Extension: | ombCategory: Race & Ethnicity - CDC 2135-2: Hispanic or Latino text: Hispanic or Latino
> US Core Birth Sex Extension | M
> US Core Race Extension: | ombCategory: Race & Ethnicity - CDC 2028-9: Asian ombCategory: Race & Ethnicity - CDC 1002-5: American Indian or Alaska Native detailed: Race & Ethnicity - CDC 1010-8: Apache text: Asian, American Indian, Apache

Request:

    POST http://test.shinny.org/us/ny/hrsn/Patient/PatientExample

Entry 2 - fullUrl = http://test.shinny.org/us/ny/hrsn/Observation/SexualOrientationExample

Resource Observation:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SHINNYObservationSexualOrientationProfile

> status: Final

> code: Sexual orientation

> subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)

> value: Unknown

Request:

    POST http://test.shinny.org/us/ny/hrsn/Observation/SexualOrientationExample

Entry 3 - fullUrl = http://test.shinny.org/us/ny/hrsn/Encounter/EncounterExample

Resource Encounter:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SHINNY Encounter Profile

> status: completed

> class: field

> type: Direct questioning (procedure)

> subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)

> ### Locations

> - | Location
> * | Location downtown location

Request:

    POST http://test.shinny.org/us/ny/hrsn/Encounter/EncounterExample

Entry 4 - fullUrl = http://test.shinny.org/us/ny/hrsn/Consent/ConsentExample

Resource Consent:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SHINNY Consent Profile

> status: Active

> category: Consent Document, information disclosure

> > provision

Request:

    POST http://test.shinny.org/us/ny/hrsn/Consent/ConsentExample

Entry 5 - fullUrl = http://test.shinny.org/us/ny/hrsn/Organization/OrganizationExampleOther-SCN1

Resource Organization:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SHINNY Organization Profile

> identifier: Care Ridge/SCNExample, NPI/1234567890

> active: true

> type: Other

> name: Care Ridge SCN

> ### Contacts

> - | Address
> * | 111 Care Ridge St, Plainview, NY 11803

Request:

    POST http://test.shinny.org/us/ny/hrsn/Organization/OrganizationExampleOther-SCN1

Entry 6 - fullUrl = http://test.shinny.org/us/ny/hrsn/Practitioner/PractitionerExampleCBO

Resource Practitioner:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SHINNY Practitioner Profile

> identifier: National provider identifier/123456789

> name: Bob Kelso MD

> gender: Male

> birthDate: 1953-01-01

Request:

    POST http://test.shinny.org/us/ny/hrsn/Practitioner/PractitionerExampleCBO

Entry 7 - fullUrl = http://test.shinny.org/us/ny/hrsn/Condition/ConditionFoodInsecurityExample

Resource Condition:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SHINNY SDOHCC Condition Profile

> clinicalStatus: Active

> verificationStatus: Confirmed

> category: Health Concern, Food Insecurity

> code: Food insecurity

> subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)

> encounter: Encounter: status = finished; class = field (ActCode#FLD); type = Direct questioning (procedure); period = 2024-02-23 00:00:00+0000 --> 2024-02-23 01:00:00+0000

> onset: 2023-07-12 16:08:00+0000 --> (ongoing)

> > evidence

> > evidence

Request:

    POST http://test.shinny.org/us/ny/hrsn/Condition/ConditionFoodInsecurityExample

Entry 8 - fullUrl = http://test.shinny.org/us/ny/hrsn/Observation/ObservationResponseQuestion1grouper

Resource Observation:

> Last updated: 2024-02-23 00:00:00+0000; Language: en

> Profile: SHINNY Observation Screening Response Profile

> status: Final

> category: Housing Instability, Social History, Survey

> code: Social Determinants of Health screening report Document

> subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)

> encounter: Encounter: status = finished; class = field (ActCode#FLD); type = Direct questioning (procedure); period = 2024-02-23 00:00:00+0000 --> 2024-02-23 01:00:00+0000

> effective: 2020-09-10 21:56:54+0000

> issued: 2020-09-10 21:56:54+0000

> performer:

> - Organization Care Ridge SCN
> - Practitioner Carla Espinoza

> interpretation: Positive

> hasMember:

> - Observation Housing status
> - Observation Problems with place where you live

Request:

    POST http://test.shinny.org/us/ny/hrsn/Observation/ObservationResponseQuestion1grouper

Entry 9 - fullUrl = http://test.shinny.org/us/ny/hrsn/Observation/ObservationResponseHousingInstability71802-3

Resource Observation:

> Last updated: 2024-02-23 00:00:00+0000; Language: en

> Profile: SHINNY Observation Screening Response Profile

> status: Final

> category: Housing Instability, Social History, Survey

> code: What is your living situation today?

> subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)

> encounter: Encounter: status = finished; class = field (ActCode#FLD); type = Direct questioning (procedure); period = 2024-02-23 00:00:00+0000 --> 2024-02-23 01:00:00+0000

> effective: 2023-07-12 16:08:00+0000

> issued: 2023-07-12 16:08:00+0000

> value: I have a steady place to live

Request:

    POST http://test.shinny.org/us/ny/hrsn/Observation/ObservationResponseHousingInstability71802-3

Entry 10 - fullUrl = http://test.shinny.org/us/ny/hrsn/Observation/ObservationResponseInadequateHousing96778-6

Resource Observation:

> Last updated: 2024-02-23 00:00:00+0000; Language: en

> Profile: SHINNY Observation Screening Response Profile

> status: Final

> category: Inadequate Housing, Social History, Survey

> code: Think about the place you live. Do you have problems with any of the following?

> subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)

> encounter: Encounter: status = finished; class = field (ActCode#FLD); type = Direct questioning (procedure); period = 2024-02-23 00:00:00+0000 --> 2024-02-23 01:00:00+0000

> effective: 2023-07-12 16:08:00+0000

> issued: 2023-07-12 16:08:00+0000

> interpretation: Positive

> ### Components

> - | Code | Value[x]
> * | Problems with place where you live | Mold

Request:

    POST http://test.shinny.org/us/ny/hrsn/Observation/ObservationResponseInadequateHousing96778-6

Entry 11 - fullUrl = http://test.shinny.org/us/ny/hrsn/Observation/ObservationResponseQuestion2grouper

Resource Observation:

> Last updated: 2024-02-23 00:00:00+0000; Language: en

> Profile: SHINNY Observation Screening Response Profile

> status: Final

> category: Financial Insecurity, Social History, Survey

> code: Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions

> subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)

> encounter: Encounter: status = finished; class = field (ActCode#FLD); type = Direct questioning (procedure); period = 2024-02-23 00:00:00+0000 --> 2024-02-23 01:00:00+0000

> effective: 2020-09-10 21:56:54+0000

> issued: 2020-09-10 21:56:54+0000

> performer: Organization Care Ridge SCN

> interpretation: Positive

> hasMember:

> - Observation How hard is it for you to pay for the very basics like food, housing, medical care, and heating
> - Observation Wants help finding or keeping work or a job

Request:

    POST http://test.shinny.org/us/ny/hrsn/Observation/ObservationResponseQuestion2grouper

Entry 12 - fullUrl = http://test.shinny.org/us/ny/hrsn/Observation/ObservationResponseFinancialInsecurity76513-1

Resource Observation:

> Last updated: 2024-02-23 00:00:00+0000; Language: en

> Profile: SHINNY Observation Screening Response Profile

> status: Final

> category: Financial Insecurity, Social History, Survey

> code: How hard is it for you to pay for the very basics like food, housing, medical care, and heating?

> subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)

> encounter: Encounter: status = finished; class = field (ActCode#FLD); type = Direct questioning (procedure); period = 2024-02-23 00:00:00+0000 --> 2024-02-23 01:00:00+0000

> effective: 2023-07-12 16:08:00+0000

> issued: 2023-07-12 16:08:00+0000

> performer: Organization Care Ridge SCN

> value: Somewhat Hard

> interpretation: Positive

Request:

    POST http://test.shinny.org/us/ny/hrsn/Observation/ObservationResponseFinancialInsecurity76513-1

Entry 13 - fullUrl = http://test.shinny.org/us/ny/hrsn/Observation/ObservationResponseEmploymentStatus96780-2

Resource Observation:

> Last updated: 2024-02-23 00:00:00+0000; Language: en

> Profile: SHINNY Observation Screening Response Profile

> status: Final

> category: Employment Status, Social History, Survey

> code: Do you want help finding or keeping work or a job?

> subject: Jon Doe Male, DoB: 1981-07-16 ( Medical record number)

> encounter: Encounter: status = finished; class = field (ActCode#FLD); type = Direct questioning (procedure); period = 2024-02-23 00:00:00+0000 --> 2024-02-23 01:00:00+0000

> effective: 2023-07-12 16:08:00+0000

> issued: 2023-07-12 16:08:00+0000

> performer: Organization Care Ridge SCN

> value: Yes, help finding work

> interpretation: Positive

Request:

    POST http://test.shinny.org/us/ny/hrsn/Observation/ObservationResponseEmploymentStatus96780-2

Entry 14 - fullUrl = http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYNYSHRSNQuestionnaireResponse

Resource QuestionnaireResponse:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SDC Questionnaire Response

> LinkID | Text | Definition | Answer
> --- | --- | --- | ---
> SHINNYNYSHRSNQuestionnaireResponse |  |  | Questionnaire:Questionnaire[http://test.shinny.org/us/ny/hrsn/Questionnaire/SHINNYNYSHRSNQuestionnaire|1.7.1]
> nys-hrsn-questionnaire | NYS Accountable Health Communities (AHC) Health-Related Social Needs Screening (HRSN) tool |  |
> 96777-8 | Accountable health communities (AHC) health-related social needs screening (HRSN) tool |  |
> 71802-3 | What is your living situation today? |  | LOINC LA31993-1: I have a steady place to live
> 96778-6 | Think about the place you live. Do you have problems with any of the following? |  | LOINC LA28580-1: Mold
> 93030-5 | In the past 12 months, has lack of reliable transportation kept you from medical appointments, meetings, work or from getting things needed for daily living? |  | LOINC LA32-8: No
> 96780-2 | Do you want help finding or keeping work or a job? |  | LOINC LA31981-6: Yes, help finding work
> Documentation for this format

Request:

    POST http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYNYSHRSNQuestionnaireResponse

Entry 15 - fullUrl = http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYApprovalQuestionnaireResponse

Resource QuestionnaireResponse:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SDC Questionnaire Response

> LinkID | Text | Definition | Answer
> --- | --- | --- | ---
> SHINNYApprovalQuestionnaireResponse |  |  | Questionnaire:Questionnaire[http://test.shinny.org/us/ny/hrsn/Questionnaire/SHINNYApprovalQuestionnaire|1.7.1]
> assessment-approval-questionnaire | Patient approval to move forward with completing the assessment. |  |
> patient-assessment-approval | Patient approval to move forward with completing the assessment. |  |
> patient-assessment-approval-indicator | Indicator of whether the patient agreed to move forward with completing the assessment. |  | LOINC LA33-6: Yes
> Documentation for this format

Request:

    POST http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYApprovalQuestionnaireResponse

Entry 16 - fullUrl = http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYOutreachQuestionnaireResponse

Resource QuestionnaireResponse:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SDC Questionnaire Response

> LinkID | Text | Definition | Answer
> --- | --- | --- | ---
> SHINNYOutreachQuestionnaireResponse |  |  | Questionnaire:Questionnaire[http://test.shinny.org/us/ny/hrsn/Questionnaire/SHINNYOutreachQuestionnaire|1.7.1]
> assessment-outreach-questionnaire | Information regarding the patient outreach from the SCN for a patient assessment. |  |
> assessment-outreach | Questions regarding the assessment outreach. |  |
> patient-assessment-outreach-date | The date the SCN reached out to the patient. |  | 2024-02-01
> patient-assessment-outreach-status | Indicates whether the SCN successfully reached the patient. |  | LOINC LA33-6: Yes
> outreach-method | Describes the method of contact used to reach out to the patient. |  | SHINNY Questionnaires phone: Phone
> Documentation for this format

Request:

    POST http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYOutreachQuestionnaireResponse

Entry 17 - fullUrl = http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYAdministrativeQuestionnaireResponse

Resource QuestionnaireResponse:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SDC Questionnaire Response

> LinkID | Text | Definition | Answer
> --- | --- | --- | ---
> SHINNYAdministrativeQuestionnaireResponse |  |  | Questionnaire:Questionnaire[http://test.shinny.org/us/ny/hrsn/Questionnaire/SHINNYAdministrativeQuestionnaire|1.7.1]
> administrative-questionnaire | Administrative questions that capture information about the patient's population categorization, specific services needed and/or medical necessities. |  |
> administrative-questions | Administrative quesitons that verify information about the patient. |  |
> enhanced-population-check | Check populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, resulting in SCN request to update covered population categorization with MCO. |  |
> service-duplication-check | Check populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient currently receives services that would inhibit ability to deliver any or all NYHER services. |  | SHINNY Questionnaires medicaid-advantage-program: Medicaid Advantage Program (MAP)
> clinical-criteria-check | Check populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient has the required medical necessity that would satisfy requirement to deliver NYHER service. |  | SHINNY Questionnaires chronic-condition: Chronic Condition
> Documentation for this format

Request:

    POST http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYAdministrativeQuestionnaireResponse

Entry 18 - fullUrl = http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYServiceDuplicationQuestionnaireResponse

Resource QuestionnaireResponse:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SDC Questionnaire Response

> LinkID | Text | Definition | Answer
> --- | --- | --- | ---
> SHINNYServiceDuplicationQuestionnaireResponse |  |  | Questionnaire:Questionnaire[http://test.shinny.org/us/ny/hrsn/Questionnaire/SHINNYServiceDuplicationQuestionnaire|1.7.1]
> service-duplication-questionnaire | Indicator questions recording whether the patient receives assistance from a variety of programs, as well as other social and healthcare needs. |  |
> service-duplication-questions | Questions regarding service duplication. |  |
> medication-requiring-refrigeration | Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient is currently prescribed medication, requiring refrigeration for the management of a chronic condition. |  | LOINC LA32-8: No
> breast-milk-requiring-refrigeration | Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient is a pregnant/postpartum persons that require a refrigeration for breast milk. |  | LOINC LA32-8: No
> medical-respite | Indicator, populated by entity, conducting the assessment. Captures patient response during the HRSN assessment, identifying if patient meets the qualifications for medical respite (see notes). |  | LOINC LA32-8: No
> Documentation for this format

Request:

    POST http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYServiceDuplicationQuestionnaireResponse

Entry 19 - fullUrl = http://test.shinny.org/us/ny/hrsn/Location/LocationExample-SCN

Resource Location:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SDOHCC Location

> status: Active

> name: downtown location

> type: community service center

> address: 115 Broadway Suite #1601 New York NY 10006

> managingOrganization: Organization Care Ridge SCN

Request:

    POST http://test.shinny.org/us/ny/hrsn/Location/LocationExample-SCN

Entry 20 - fullUrl = http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYHRSNOutreachQuestionnaireResponse

Resource QuestionnaireResponse:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SDC Questionnaire Response

> LinkID | Text | Definition | Answer
> --- | --- | --- | ---
> SHINNYHRSNOutreachQuestionnaireResponse |  |  | Questionnaire:Questionnaire[http://test.shinny.org/us/ny/hrsn/Questionnaire/SHINNYHRSNOutreachQuestionnaire|1.7.1]
> hrsn-outreach-questionnaire | Captures the service provider outreach date. |  |
> hrsn-outreach | Questions regarding the HRSN outreach. |  |
> hrsn-referral-outreach-date | The date/time the HRSN Service Provider conducted outreach to patient, based on accepted referral. |  | 2024-02-20
> Documentation for this format

Request:

    POST http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYHRSNOutreachQuestionnaireResponse

Entry 21 - fullUrl = http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYDisablityQuestionnaireResponse

Resource QuestionnaireResponse:

> Last updated: 2024-02-23 00:00:00+0000

> Profile: SDC Questionnaire Response

> LinkID | Text | Definition | Answer
> --- | --- | --- | ---
> SHINNYDisablityQuestionnaireResponse |  |  | Questionnaire:Questionnaire[http://test.shinny.org/us/ny/hrsn/Questionnaire/SHINNYDisablityQuestionnaire|1.7.1]
> disability-questionnaire | Captures responses about a patient's disability mobility. |  |
> disability-questions | Captures a collection of screening responses about a patient's mobility and self-care. |  |
> 69859-7 | Do you have serious difficulty walking or climbing stairs? (5 years old or older) |  | LOINC LA32-8: No
> Documentation for this format

Request:

    POST http://test.shinny.org/us/ny/hrsn/QuestionnaireResponse/SHINNYDisablityQuestionnaireResponse