112600-2 Expanded Food Security Screener Question 1

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component
Expanded Food Security Screener Question 1
Property
-
Time
Pt
System
^Patient
Scale
-
Method
Expanded Food Security Screener

Long Common Name

Expanded Food Security Screener Question 1 [FSS-Exp]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.83
Last Updated
Version 2.83 (ADD)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]

112601-0 If you had groceries available, would you be able to use them to prepare hot meals?

Observation ID in Form

1a

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Skip Logic

If Yes, proceed to question 2. If No, proceed to question 1b.

Fully-Specified Name

Component
If you had groceries available, would you be able to use them to prepare hot meals
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

If you had groceries available, would you be able to use them to prepare hot meals

Basic Attributes

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

Example Answer List LL361-7

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

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]

112602-8 Do you have reliable help with meal preparation?

Observation ID in Form

1b

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Skip Logic

If Yes, proceed to question 2. If No, screener is comleted and applicant should be given a Expanded Food Security Screener Priority Level of Priority A.

Fully-Specified Name

Component
Do you have reliable help with meal preparation
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Do you have reliable help with meal preparation

Basic Attributes

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

Example Answer List LL361-7

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

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]

112612-7 Expanded Food Security Screener Priority Level

Term Description

Please view the Priority Levels and Recommended Nutrition Service(s) table for priority level criteria, reasoning, and recommended service(s). https://nfsc.umd.edu/sites/nfsc.umd.edu/files/files/images/Aging%20QuestionaireFHQ.pdf

Observation Required in Panel

Required

Type of Entry

Question - computer calculates response [C]

Fully-Specified Name

Component
Expanded Food Security Screener Priority Level
Property
Imp
Time
RptPeriod
System
^Patient
Scale
Ord
Method
Expanded Food Security Screener

Long Common Name

Expanded Food Security Screener Priority Level [FSS-Exp]

Basic Attributes

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

Example Answer List LL7534-2

AnswerCodeScoreAnswer ID
Level A: Unable to cook and no reliable helpLA37097-5
Level B: Can cook or has help. Economically food insecure. Cannot obtain groceries.LA37098-3
Level C: Can cook or has help. Economically food insecure. Can obtain groceries.LA37099-1
Level D: Can cook or has help. Economically food secure. Cannot obtain groceries.LA37100-7
Level E: Can cook or has help. Economically food secure. Can obtain groceries.LA37101-5

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]

112603-6 Expanded Food Security Screener Question 2

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component
Expanded Food Security Screener Question 2
Property
-
Time
1Mo
System
^Patient
Scale
-
Method
Expanded Food Security Screener

Long Common Name

Expanded Food Security Screener Question 2 [FSS-Exp]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.83
Last Updated
Version 2.83 (ADD)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]

112604-4 During the last month, how often was this statement true? The food that we bought just didn’t last, and we didn’t have money to get more.

Observation ID in Form

2a

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
The food that we bought just didn't last and we didn't have money to get more
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method

Long Common Name

The food that 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 2.83
Last Updated
Version 2.83 (ADD)
Order vs. Observation
Observation

Example Answer List LL7532-6

AnswerCodeScoreAnswer ID
Often1LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]

112605-1 During the last month, how often was this statement true? We couldn’t afford to eat balanced meals.

Observation ID in Form

2b

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
We could not afford to eat balanced meals
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method

Long Common Name

We could not afford to eat balanced meals

Basic Attributes

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

Example Answer List LL7532-6

AnswerCodeScoreAnswer ID
Often1LA10044-8
Sometimes1LA10082-8
Never0LA6270-8

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]

112606-9 During the last month, did you or other adults in your household ever cut the size of your meals because there wasn’t enough money for food?

Observation ID in Form

2c

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Did you or other adults in your household ever cut the size of your meals because there wasn't enough money for food
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Did you or other adults in your household ever cut the size of your meals because there wasn't enough money for food

Basic Attributes

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

Example Answer List LL5955-1

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

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]

112607-7 During the last month, did you or other adults in your household ever skip meals because there wasn’t enough money for food?

Observation ID in Form

2d

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Did you or other adults in your household ever skip meals because there wasn't enough money for food
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Did you or other adults in your household ever skip meals because there wasn't enough money for food

Basic Attributes

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

Example Answer List LL5955-1

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

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]

112608-5 During the last month, did you ever eat less than you felt you should because there wasn’t enough money for food?

Observation ID in Form

2e

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Did you ever eat less than you felt you should because there wasn't enough money for food
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method

Long Common Name

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 2.83
Last Updated
Version 2.83 (ADD)
Order vs. Observation
Observation

Example Answer List LL5955-1

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

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]

112609-3 During the last month, were you ever hungry but didn’t eat because you couldn’t afford enough food?

Observation ID in Form

2f

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Were you ever hungry but did not eat because you could not afford enough food
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Were you ever hungry but did not eat because you could not afford enough food

Basic Attributes

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

Example Answer List LL5955-1

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

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]

112610-1 Expanded Food Security Screener Question 2 Points

Observation Required in Panel

Optional

Type of Entry

Question - computer calculates response [C]

Fully-Specified Name

Component
Expanded Food Security Screener Question 2 Points
Property
Score
Time
RptPeriod
System
^Patient
Scale
Qn
Method
Expanded Food Security Screener

Long Common Name

Expanded Food Security Screener Question 2 Points [FSS-Exp]

Basic Attributes

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

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]

Example Units

UnitSource
{score}Example UCUM Units

112611-9 Are you able to get groceries into your home when you need them?

Observation ID in Form

3

Observation Required in Panel

Optional

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Are you able to get groceries into your home when you need them
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Are you able to get groceries into your home when you need them

Basic Attributes

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

Example Answer List LL361-7

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

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]

112612-7 Expanded Food Security Screener Priority Level

Term Description

Please view the Priority Levels and Recommended Nutrition Service(s) table for priority level criteria, reasoning, and recommended service(s). https://nfsc.umd.edu/sites/nfsc.umd.edu/files/files/images/Aging%20QuestionaireFHQ.pdf

Observation Required in Panel

Required

Type of Entry

Question - computer calculates response [C]

Fully-Specified Name

Component
Expanded Food Security Screener Priority Level
Property
Imp
Time
RptPeriod
System
^Patient
Scale
Ord
Method
Expanded Food Security Screener

Long Common Name

Expanded Food Security Screener Priority Level [FSS-Exp]

Basic Attributes

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

Example Answer List LL7534-2

AnswerCodeScoreAnswer ID
Level A: Unable to cook and no reliable helpLA37097-5
Level B: Can cook or has help. Economically food insecure. Cannot obtain groceries.LA37098-3
Level C: Can cook or has help. Economically food insecure. Can obtain groceries.LA37099-1
Level D: Can cook or has help. Economically food secure. Cannot obtain groceries.LA37100-7
Level E: Can cook or has help. Economically food secure. Can obtain groceries.LA37101-5

Member of these Panels

LOINCLong Common Name
112613-5Expanded Food Security Screener [FSS-Exp]