104015-3 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 did you have to reschedule an appointment 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 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

Q2

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

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]

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

Q3

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]

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

Q4

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

Q5

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

Q6

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]

106422-9 6-item Transportation Security Index total score [TSI-6]

Term Description

To score the TSI-6, look at responses to the main questionnaire, assign each "never" response a score of 0, each "sometimes" a score of 1, and each "often" a score of "2."

For those interested in using the TSI-6 as a continuous variable, sum the scores to arrive at the candidate's continuous transportation insecurity score.

Add together the individual scores for all six items. The total score should be between 0 and 12.

Observation Required in Panel

Required

Type of Entry

Question - computer calculates response [C]

Form Coding Instructions

To score the TSI6, look at responses to the main questionnaire, assign each "never" response a score of 0, each "sometimes" a score of 1, and each "often" a score of "2." For those interested in using the TSI6 as a continuous variable, sum the scores to arrive at the candidate's continuous transportation insecurity score.

Source: Poverty Solutions at the University of Michigan

Fully-Specified Name

Component
Total score
Property
Score
Time
30D
System
^Patient
Scale
Qn
Method
TSI-6

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
106423-76-item Transportation Security Index [TSI-6]

Example Units

UnitSource
{score}Example UCUM Units

112477-5 6-item Transportation Security Index Category [TSI-6]

Observation Required in Panel

Required

Type of Entry

Question - computer calculates response [C]

Form Coding Instructions

For those interested in using the TSI6 as a categorical measure, to assign the respondent to a transportation insecurity category, use the following scheme: Sum score 0-1: No Insecurity/Secure Sum score 2-5: Marginal/Low Insecurity Sum score 6-12: Moderate/High Insecurity

Source: Poverty Solutions at the University of Michigan

Fully-Specified Name

Component
6-item Transportation Security Index Category
Property
Imp
Time
30D
System
^Patient
Scale
Ord
Method
TSI-6

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 LL7530-0

AnswerCodeScoreAnswer ID
No insecurity/SecureLA37049-6
Marginal/Low insecurityLA37094-2
Moderate/High insecurityLA37093-4

Member of these Panels

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