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

## Questionnaire: SHINNYAdministrativeQuestionnaire

Official URL: http://test.shinny.org/us/ny/hrsn/Questionnaire/SHINNYAdministrativeQuestionnaire | Version: 1.7.1
Active as of 2025-12-09 | Computable Name:

Last updated: 2024-01-01 00:00:00+0000

Profile: SHINNY Questionnaire Profile

Structure

LinkID | Text | Cardinality | Type | Description & Constraints
--- | --- | --- | --- | ---
|  |  | 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. | 0..1 | group |
administrative-questions | Administrative quesitons that verify information about the patient. | 0..1 | group |
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. | 0..* | choice | Options: 9 options
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. | 0..* | choice | Options: 10 options
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. | 0..* | choice | Options: 7 options
Documentation for this format

Options Sets

Answer options for enhanced-population-check

- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#medicaid-high-utilizer ("Medicaid High Utilizer")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#nys-health-home ("Individuals Enrolled in a NYS Health Home")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#pregnant-postpartum ("Pregnant and Postpartum Persons")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#children-high-risk ("High-Risk Children Under 18 Years Old")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#intellectual-developmental-disability ("Individuals with an Intellectual or Developmental Disability")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#released-chronic-condition ("Individuals with a Chronic Condition Released from Incarceration in the Past 90 Days")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#other-eligible-population ("Other Eligible Population")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#high-risk-nutrition ("High Risk Children Under 18 Nutrition Only")
- http://loinc.org#LA9-3 ("None of the above")

Answer options for service-duplication-check

- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#healthy-homes ("Healthy Homes")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#nutritional-counseling ("Nutritional Counseling")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#medical-tailored-meals ("Medically Tailored Meals (MTM) In-lieu of Services (ILOS)")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#opwdd-waiver ("Office for Persons with Developmental Disabilities (OPWDD) Waiver")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#tbi-waiver ("Traumatic Brain Injury (TBI) Waiver")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#nhtd-waiver ("Nursing Home Transition Diversion (NHTD) Waiver")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#childrens-waiver ("Childrens Waiver")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#medicaid-advantage-program ("Medicaid Advantage Program (MAP)")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#mltcp ("Partial Capitation Managed Long-Term Care (MLTCP)")
- http://loinc.org#LA9-3 ("None of the above")

Answer options for clinical-criteria-check

- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#chronic-condition ("Chronic Condition")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#uncontrolled-asthma ("Uncontrolled Asthma")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#nutrition-therapy ("Enteral or Parenteral Nutrition Therapy")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#heat-related-illness ("Heat-Related Illness Requiring an ER or UC Visit")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#cold-related-illness ("Cold-Related Illness Requiring an ER or UC Visit")
- http://test.shinny.org/us/ny/hrsn/CodeSystem/SHINNYQuestionnaires#thermoregulation-interference ("Conditions and Medications Interfering with Thermoregulation")
- http://loinc.org#LA9-3 ("None of the above")