Citation

Development and Validation of an Abbreviated Child and Adult Food Security Scale for Use in Clinical and Research Settings in the United States Poblacion, Ana et al. Journal of the Academy of Nutrition and Dietetics, Volume 123, Issue 10, S89 - S102.e4.

Source: Children's HealthWatch

88123-5 “The food that we bought just didn’t last, and we didn’t have money to get more.” Was that often, sometimes, or never true for you in the last 12 months?

Observation ID in Form

1

Type of Entry

Question expects user entry - requires response [Q]

Form Context

Was that often, sometimes, or never true for you in the last 12 months?

Source: U.S. Department of Agriculture (USDA)

Fully-Specified Name

Component
Within the past 12Mo the food we bought just didn't last and we didn't have money to get more
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Within the past 12 months the food we bought just didn't last and we didn't have money to get more

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.63
Last Updated
Version 2.81 (MAJ)
Change Reason
Release 2.81: TIME_ASPCT: corrected time aspect; METHOD_TYP: remove method from survey Qs; Release 2.70: AnswerListId: Updated answer list to align with form;
Order vs. Observation
Observation

Normative Answer List LL5586-4

AnswerCodeScoreAnswer ID
Often true1LA28397-0
Sometimes true1LA6729-3
Never true0LA28398-8
DK or RefusedNALA30968-4

Member of these Panels

LOINCLong Common Name
107617-3Abbreviated Child and Adult Food Security Scale [ACAFSS]
96777-8Accountable health communities (AHC) health-related social needs screening (HRSN) tool
99593-6American Academy of Family Physicians Social Needs Screening Tool
99595-1American Academy of Family Physicians Social Needs Screening Tool - short form
88121-9Children's HealthWatch Hunger Vital Sign [HVS]
95353-9U.S. Adult Food Security Survey - 10-item Form [U.S. FSS - Adult]
95246-5U.S. Household Food Security Survey - 18 Item Form [U.S. FSS-18]
95361-2U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS-6]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

95248-1 “We couldn’t afford to eat balanced meals.” Was that often, sometimes, or never true for you in the last 12 months?

Observation ID in Form

2

Type of Entry

Question expects user entry - requires response [Q]

Form Context

Was that often, sometimes, or never true for you in the last 12 months?

Source: U.S. Department of Agriculture (USDA)

Fully-Specified Name

Component
In the last 12Mo, we couldn't afford to eat balanced meals
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

In the last 12Mo, we couldn't afford to eat balanced meals

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.83 (NAM)
Change Reason
Release 2.81: METHOD_TYP: remove method for surveys; Release 2.70: AnswerListId: Updated answer list to align with form;
Order vs. Observation
Observation

Normative Answer List LL5586-4

AnswerCodeScoreAnswer ID
Often true1LA28397-0
Sometimes true1LA6729-3
Never true0LA28398-8
DK or RefusedNALA30968-4

Member of these Panels

LOINCLong Common Name
107617-3Abbreviated Child and Adult Food Security Scale [ACAFSS]
95353-9U.S. Adult Food Security Survey - 10-item Form [U.S. FSS - Adult]
95246-5U.S. Household Food Security Survey - 18 Item Form [U.S. FSS-18]
95361-2U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS-6]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

95249-9 In the last 12 months, did you or other adults in the household ever cut the size of your meals or skip meals because there wasn’t enough money for food? (Yes/No)

Observation ID in Form

3

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
In the last 12Mo, did you ever cut the size of your meals or skip meals because there wasn't enough money for food
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

In the last 12 months, did you ever cut the size of your meals or skip meals because there wasn't enough money for food

Basic Attributes

Class
PANEL.SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.81 (PANEL)
Change Reason
Release 2.81: METHOD_TYP: remove method for surveys;
Order vs. Observation
Order
Panel Type
Panel

Normative Answer List LL5584-9

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
DKNALA14226-7

Member of these Panels

LOINCLong Common Name
107617-3Abbreviated Child and Adult Food Security Scale [ACAFSS]
95353-9U.S. Adult Food Security Survey - 10-item Form [U.S. FSS - Adult]
95246-5U.S. Household Food Security Survey - 18 Item Form [U.S. FSS-18]
95361-2U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS-6]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

95250-7 (If yes to question 3) How often did this happen-almost every month, some months but not every month, or in only 1 or 2 months?

Observation ID in Form

4

Fully-Specified Name

Component
In the last 12Mo, how often did you cut the size of your meals or skip meals because there wasn't enough money for food
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

In the last 12 months, how often did you cut the size of your meals or skip meals because there wasn't enough money for food

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.81 (MAJ)
Change Reason
Release 2.81: METHOD_TYP: remove method for surveys;
Order vs. Observation
Observation

Normative Answer List LL5585-6

AnswerCodeScoreAnswer ID
Almost every month1LA30970-0
Some months but not every month1LA30971-8
Only 1 or 2 months0LA30972-6
DKNALA14226-7

Member of these Panels

LOINCLong Common Name
107617-3Abbreviated Child and Adult Food Security Scale [ACAFSS]
95353-9U.S. Adult Food Security Survey - 10-item Form [U.S. FSS - Adult]
95246-5U.S. Household Food Security Survey - 18 Item Form [U.S. FSS-18]
95361-2U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS-6]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

95251-5 In the last 12 months, did you ever eat less than you felt you should because there wasn’t enough money for food? (Yes/No)

Observation ID in Form

5

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
In the last 12Mo, did you ever eat less than you felt you should because there wasn't enough money for food
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

In the last 12 months, did you ever eat less than you felt you should because there wasn't enough money for food

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.81 (MAJ)
Change Reason
Release 2.81: METHOD_TYP: remove method for surveys;
Order vs. Observation
Observation

Normative Answer List LL5584-9

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
DKNALA14226-7

Member of these Panels

LOINCLong Common Name
107617-3Abbreviated Child and Adult Food Security Scale [ACAFSS]
99549-8Health Leads screening panel
95353-9U.S. Adult Food Security Survey - 10-item Form [U.S. FSS - Adult]
95246-5U.S. Household Food Security Survey - 18 Item Form [U.S. FSS-18]
95361-2U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS-6]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

95252-3 In the last 12 months, were you ever hungry, but didn’t eat, because there wasn’t enough money for food? (Yes/No)

Observation ID in Form

6

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
In the last 12Mo, were you ever hungry but didn't eat because there wasn't enough money for food
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

In the last 12 months, were you ever hungry but didn't eat because there wasn't enough money for food

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.81 (MAJ)
Change Reason
Release 2.81: METHOD_TYP: remove method for surveys;
Order vs. Observation
Observation

Normative Answer List LL5584-9

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
DKNALA14226-7

Member of these Panels

LOINCLong Common Name
107617-3Abbreviated Child and Adult Food Security Scale [ACAFSS]
95353-9U.S. Adult Food Security Survey - 10-item Form [U.S. FSS - Adult]
95246-5U.S. Household Food Security Survey - 18 Item Form [U.S. FSS-18]
95361-2U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS-6]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

95257-2 “We couldn’t feed our children a balanced meal, because we couldn’t afford that.” Was that often, sometimes, or never true for you in the last 12 months?

Observation ID in Form

7

Type of Entry

Question expects user entry - requires response [Q]

Form Context

Was that often, sometimes, or never true for you in the last 12 months?

Source: U.S. Department of Agriculture (USDA)

Fully-Specified Name

Component
In the last 12Mo, I couldn't feed my children a balanced meal, because I couldn't afford that
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

In the last 12 months, I couldn't feed my children a balanced meal, because I couldn't afford that

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.81 (MAJ)
Change Reason
Release 2.81: METHOD_TYP: remove method for surveys;
Order vs. Observation
Observation

Normative Answer List LL5586-4

AnswerCodeScoreAnswer ID
Often true1LA28397-0
Sometimes true1LA6729-3
Never true0LA28398-8
DK or RefusedNALA30968-4

Member of these Panels

LOINCLong Common Name
107617-3Abbreviated Child and Adult Food Security Scale [ACAFSS]
95246-5U.S. Household Food Security Survey - 18 Item Form [U.S. FSS-18]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

95261-4 In the last 12 months, were the children ever hungry but you just couldn’t afford more food? (Yes/No)

Observation ID in Form

8

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
In the last 12Mo, were the children ever hungry but you just couldn't afford more food
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

In the last 12 months, were the children ever hungry but you just couldn't afford more food

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.81 (MAJ)
Change Reason
Release 2.81: METHOD_TYP: remove method for surveys;
Order vs. Observation
Observation

Normative Answer List LL5584-9

AnswerCodeScoreAnswer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)0LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)1LA33-6
DKNALA14226-7

Member of these Panels

LOINCLong Common Name
107617-3Abbreviated Child and Adult Food Security Scale [ACAFSS]
95246-5U.S. Household Food Security Survey - 18 Item Form [U.S. FSS-18]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

107618-1 Total score [ACAFSS]

Form Coding Instructions

Questions 1, 2, and 7 are coded as affirmative (i.e., possibly indicating food insecurity) if the response is "often" or "sometimes." Question 4 is coded as affirmative if the response is "almost every month" or "some months but not every month." Questions 3, 5, 6, and 8 are coded as affirmative if the response is "yes." The affirmative responses/answers are tallied to arrive at the total score. If any questions are skipped or answered with "DK" or "DK or Refused", the score may underestimate the true score.

Source: Children's HealthWatch

Fully-Specified Name

Component
Total score
Property
Score
Time
12Mo
System
^Patient
Scale
Qn
Method
ACAFSS

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
107617-3Abbreviated Child and Adult Food Security Scale [ACAFSS]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

Example Units

UnitSource
{score}Example UCUM Units