104012-0 To get to the places they need to go, people might walk, bike, take a bus, train or taxi, drive a car, or get a ride. In the past 30 days, how often were you late getting somewhere because of a problem with transportation?

Observation ID in Form

Q1

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often you were late getting somewhere because of a problem with transportation
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often you were late getting somewhere because of a problem with transportation

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]

104013-8 In the past 30 days, how often did it take you longer to get somewhere than it would have taken you if you had different transportation?

Observation ID in Form

Q2

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did it take you longer to get somewhere than it would have taken you if you had different transportation
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often did it take you longer to get somewhere than it would have taken you if you had different transportation

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]

104011-2 There are times when we need to wait for transportation to pick us up. In the past 30 days, how often did you spend a long time waiting because you did not have the transportation that would allow you to come and go when you wanted?

Observation ID in Form

Q3

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did you spend a long time waiting because you did not have the transportation that would allow you to come and go when you wanted
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often did you spend a long time waiting because you did not have the transportation that would allow you to come and go when you wanted

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]

104014-6 In the past 30 days, how often did you have to arrive somewhere early and wait because of the schedule of the bus, train, or person giving you a ride?

Observation ID in Form

Q4

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did you have to arrive somewhere early and wait because of the schedule of the bus, train, or person giving you a ride
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often did you have to arrive somewhere early and wait because of the schedule of the bus, train, or person giving you a ride

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]

104015-3 In the past 30 days, how often did you have to reschedule an appointment because of a problem with transportation?

Observation ID in Form

Q5

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did you have to reschedule an appointment because of a problem with transportation
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often did you have to reschedule an appointment because of a problem with transportation

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]
106423-76-item Transportation Security Index [TSI-6]

104016-1 In the past 30 days, how often did you skip going somewhere because of a problem with transportation?

Observation ID in Form

Q6

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did you skip going somewhere because of a problem with transportation
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often did you skip going somewhere because of a problem with transportation

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Normative Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]
112492-43-item Transportation Security Index [TSI-3]
106423-76-item Transportation Security Index [TSI-6]

104017-9 In the past 30 days, how often were you not able to leave the house when you wanted to because of a problem with transportation?

Observation ID in Form

Q7

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often were you not able to leave the house when you wanted to because of a problem with transportation
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often were you not able to leave the house when you wanted to because of a problem with transportation

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]
112492-43-item Transportation Security Index [TSI-3]
106423-76-item Transportation Security Index [TSI-6]

104018-7 In the past 30 days, how often did you worry about whether or not you would be able to get somewhere because of a problem with transportation?

Observation ID in Form

Q8

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did you worry about whether or not you would be able to get somewhere because of a problem with transportation
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often did you worry about whether or not you would be able to get somewhere because of a problem with transportation

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]

104019-5 In the past 30 days, how often did you feel stuck at home because of a problem with transportation?

Observation ID in Form

Q9

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did you feel stuck at home because of a problem with transportation
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often did you feel stuck at home because of a problem with transportation

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]

104020-3 In the past 30 days, how often do you think that someone did not invite you to something because of problems with transportation?

Observation ID in Form

Q10

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often do you think that someone did not invite you to something because of problems with transportation
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often do you think that someone did not invite you to something because of problems with transportation

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]

104021-1 In the past 30 days, how often did you feel like friends, family, or neighbors were avoiding you because you needed help with transportation?

Observation ID in Form

Q11

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did you feel like friends, family, or neighbors were avoiding you because you needed help with transportation
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often did you feel like friends, family, or neighbors were avoiding you because you needed help with transportation

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]

104022-9 In the past 30 days, how often did you feel left out because you did not have the transportation you needed?

Observation ID in Form

Q12

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did you feel left out because you did not have the transportation you needed
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often did you feel left out because you did not have the transportation you needed

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]

104023-7 In the past 30 days, how often did you feel bad because you did not have the transportation you needed?

Observation ID in Form

Q13

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did you feel bad because you did not have the transportation you needed
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often did you feel bad because you did not have the transportation you needed

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]
106423-76-item Transportation Security Index [TSI-6]

104024-5 In the past 30 days, how often did you worry about inconveniencing your friends, family, or neighbors because you needed help with transportation?

Observation ID in Form

Q14

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did you worry about inconveniencing your friends, family, or neighbors because you needed help with transportation
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often did you worry about inconveniencing your friends, family, or neighbors because you needed help with transportation

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]
106423-76-item Transportation Security Index [TSI-6]

104025-2 In the past 30 days, how often did problems with transportation affect your relationships with others?

Observation ID in Form

Q15

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did problems with transportation affect your relationships with others
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often did problems with transportation affect your relationships with others

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]
112492-43-item Transportation Security Index [TSI-3]
106423-76-item Transportation Security Index [TSI-6]

104026-0 In the past 30 days, how often did you feel embarrassed because you did not have the transportation you needed?

Observation ID in Form

Q16

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did you feel embarrassed because you did not have the transportation you needed
Property
Find
Time
30D
System
^Patient
Scale
Ord
Method

Long Common Name

How often did you feel embarrassed because you did not have the transportation you needed

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.82 (MIN)
Order vs. Observation
Observation

Example Answer List LL6511-1

AnswerCodeScoreAnswer ID
Often2LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]

106428-6 16-item Transportation Security Index total score [TSI-16]

Term Description

Looking at responses to the main questionnaire, assign each "never" response a score of 0, each "sometimes" response a score of 1, and each "often" response a score of 2. Sum the scores to arrive at the respondent's continuous transportation insecurity score. Add together the individual scores for all sixteen items. The total score should be between 0 and 32.

Observation Required in Panel

Required

Type of Entry

Question - computer calculates response [C]

Form Coding Instructions

Looking at responses to the main questionnaire, assign each "never" response a score of 0, each "sometimes" response a score of 1, and each "often" response a score of 2. Sum the scores to arrive at the respondent's continuous transportation insecurity score.

Source: Poverty Solutions at the University of Michigan

Fully-Specified Name

Component
Total score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
TSI-16

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.79
Last Updated
Version 2.79 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]

Example Units

UnitSource
{score}Example UCUM Units

112476-7 16-item Transportation Security Index Category [TSI-16]

Observation Required in Panel

Required

Type of Entry

Question - computer calculates response [C]

Form Coding Instructions

To assign the respondent to a transportation insecurity category, use the following scheme: Sum score 0-2: No insecurity/Secure Sum score 3-5: Marginal insecurity Sum score 6-10: Low insecurity Sum score 11-16: Moderate insecurity Sum score 17-32: High insecurity

Source: Poverty Solutions at the University of Michigan

Fully-Specified Name

Component
16-item Transportation Security Index Category
Property
Imp
Time
30D
System
^Patient
Scale
Ord
Method
TSI-16

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.82
Last Updated
Version 2.82 (ADD)
Order vs. Observation
Observation

Example Answer List LL7499-8

AnswerCodeScoreAnswer ID
No insecurity/SecureLA37049-6
Marginal insecurityLA37050-4
Low insecurityLA37051-2
Moderate insecurityLA37048-8
High insecurityLA37047-0

Member of these Panels

LOINCLong Common Name
104010-416-item Transportation Security Index [TSI-16]