112646-5 Food Shopping Questions [NEMS-P]

Observation ID in Form

B

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component
Food Shopping Questions
Property
-
Time
Pt
System
^Patient
Scale
-
Method
NEMS-P

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
112645-7Perceived nutrition environment [NEMS-P]

112647-3 It is easy to buy fresh fruits and vegetables in my neighborhood.

Observation ID in Form

4a

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
It is easy to buy fresh fruits and vegetables in my neighborhood
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

It is easy to buy fresh fruits and vegetables in my neighborhood

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 LL7537-5

AnswerCodeScoreAnswer ID
Strongly disagreeLA15236-5
Somewhat disagreeLA15234-0
Neither agree nor disagreeLA15240-7
Somewhat agreeLA15235-7
Strongly agreeLA15237-3

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112648-1 The fresh produce in my neighborhood is of high quality.

Observation ID in Form

4b

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
The fresh produce in my neighborhood is of high quality
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

The fresh produce in my neighborhood is of high quality

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 LL7537-5

AnswerCodeScoreAnswer ID
Strongly disagreeLA15236-5
Somewhat disagreeLA15234-0
Neither agree nor disagreeLA15240-7
Somewhat agreeLA15235-7
Strongly agreeLA15237-3

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112649-9 There is a large selection of fresh fruits and vegetables in my neighborhood.

Observation ID in Form

4c

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
There is a large selection of fresh fruits and vegetables in my neighborhood
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

There is a large selection of fresh fruits and vegetables in my neighborhood

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 LL7537-5

AnswerCodeScoreAnswer ID
Strongly disagreeLA15236-5
Somewhat disagreeLA15234-0
Neither agree nor disagreeLA15240-7
Somewhat agreeLA15235-7
Strongly agreeLA15237-3

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112650-7 It is easy to buy low-fat products, such as low-fat milk or lean meats, in my neighborhood.

Observation ID in Form

4d

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
It is easy to buy low-fat products, such as low-fat milk or lean meats, in my neighborhood
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

It is easy to buy low-fat products, such as low-fat milk or lean meats, in my neighborhood

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 LL7537-5

AnswerCodeScoreAnswer ID
Strongly disagreeLA15236-5
Somewhat disagreeLA15234-0
Neither agree nor disagreeLA15240-7
Somewhat agreeLA15235-7
Strongly agreeLA15237-3

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112651-5 The low-fat products in my neighborhood are of high quality.

Observation ID in Form

4e

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
The low-fat products in my neighborhood are of high quality
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

The low-fat products in my neighborhood are of high quality

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 LL7537-5

AnswerCodeScoreAnswer ID
Strongly disagreeLA15236-5
Somewhat disagreeLA15234-0
Neither agree nor disagreeLA15240-7
Somewhat agreeLA15235-7
Strongly agreeLA15237-3

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112652-3 There is a large selection of low-fat products available in my neighborhood.

Observation ID in Form

4f

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
There is a large selection of low-fat products available in my neighborhood
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

There is a large selection of low-fat products available in my neighborhood

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 LL7537-5

AnswerCodeScoreAnswer ID
Strongly disagreeLA15236-5
Somewhat disagreeLA15234-0
Neither agree nor disagreeLA15240-7
Somewhat agreeLA15235-7
Strongly agreeLA15237-3

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112653-1 How often do you usually shop for food?

Observation ID in Form

5

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often do you usually shop for food
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How often do you usually shop 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 LL7539-1

AnswerCodeScoreAnswer ID
More than once a weekLA29740-0
Once a weekLA26461-6
Once every 1-2 weeksLA37108-0
Once a monthLA6304-5
Other (Please specify)LA27233-8

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112654-9 Is there one store or more than one store where you do most of your food shopping?

Observation ID in Form

6

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Is there one store or more than one store where you do most of your food shopping
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Is there one store or more than one store where you do most of your food shopping

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 LL7540-9

AnswerCodeScoreAnswer ID
One storeLA37109-8
Two storesLA37110-6
More than two storesLA37111-4

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112655-6 What type of store is the store where you buy most of your food?

Observation ID in Form

7

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
What type of store is the store where you buy most of your food
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

What type of store is the store where you buy most of your 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 LL7541-7

AnswerCodeScoreAnswer ID
SupermarketLA37112-2
Small grocery storeLA37113-0
Corner store or convenience storeLA37114-8
Supercenter (like WalMart or Costco)LA37115-5
Other (Please specify)LA27233-8

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112656-4 Thinking about the store where you buy most of your food, how do you usually travel to this store?

Observation ID in Form

8

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Form Coding Instructions

Check all that apply

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Thinking about the store where you buy most of your food, how do you usually travel to this store
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Thinking about the store where you buy most of your food, how do you usually travel to this store

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 LL7542-5

AnswerCodeScoreAnswer ID
WalkLA37116-3
BicycleLA19775-8
Bus or other public transportationLA37117-1
Drive your own carLA37118-9
Get a rideLA37119-7
Other (Please specify)LA27233-8

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112657-2 About how long would it take to get from your home to the store where you buy most of your food, if you walked there?

Observation ID in Form

9

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
About how long would it take to get from your home to the store where you buy most of your food, if you walked there
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

About how long would it take to get from your home to the store where you buy most of your food, if you walked there

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 LL7543-3

AnswerCodeScoreAnswer ID
10 minutes or lessLA37120-5
11 to 20 minutesLA37121-3
21 to 30 minutesLA37122-1
More than 30 minutesLA37123-9

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112658-0 How important being near your home a factor in your decision to shop at the store where you buy most of your food?

Observation ID in Form

10a

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Near your home
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Near your home

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 LL7545-8

AnswerCodeScoreAnswer ID
Not at all importantLA37124-7
A little importantLA37125-4
Somewhat importantLA11014-0
Very importantLA11013-2

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112659-8 How important being near or on the way to other places where you spend time a factor in your decision to shop at the store where you buy most of your food?

Observation ID in Form

10b

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Near or on the way to other places where you spend time
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Near or on the way to other places where you spend time

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 LL7545-8

AnswerCodeScoreAnswer ID
Not at all importantLA37124-7
A little importantLA37125-4
Somewhat importantLA11014-0
Very importantLA11013-2

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112660-6 How important is your friend/relatives shop at this store a factor in your decision to shop at the store where you buy most of your food?

Observation ID in Form

10c

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Your friend or relatives shop at this store
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Your friend or relatives shop at this store

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 LL7545-8

AnswerCodeScoreAnswer ID
Not at all importantLA37124-7
A little importantLA37125-4
Somewhat importantLA11014-0
Very importantLA11013-2

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112661-4 How important is the selection of foods a factor in your decision to shop at the store where you buy most of your food?

Observation ID in Form

10d

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Selection of foods
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Selection of foods

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 LL7545-8

AnswerCodeScoreAnswer ID
Not at all importantLA37124-7
A little importantLA37125-4
Somewhat importantLA11014-0
Very importantLA11013-2

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112662-2 How important is the quality of foods a factor in your decision to shop at the store where you buy most of your food?

Observation ID in Form

10e

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Quality of foods
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Quality of foods

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 LL7545-8

AnswerCodeScoreAnswer ID
Not at all importantLA37124-7
A little importantLA37125-4
Somewhat importantLA11014-0
Very importantLA11013-2

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112663-0 How important is the prices of foods a factor in your decision to shop at the store where you buy most of your food?

Observation ID in Form

10f

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Prices of foods
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Prices of foods

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 LL7545-8

AnswerCodeScoreAnswer ID
Not at all importantLA37124-7
A little importantLA37125-4
Somewhat importantLA11014-0
Very importantLA11013-2

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112664-8 How important is access to public transportations a factor in your decision to shop at the store where you buy most of your food?

Observation ID in Form

10g

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Access to public transportation
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Access to public transportation

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 LL7545-8

AnswerCodeScoreAnswer ID
Not at all importantLA37124-7
A little importantLA37125-4
Somewhat importantLA11014-0
Very importantLA11013-2

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112665-5 At the store where you buy most of your food, how hard or easy is it to get fresh fruits and vegetables?

Observation ID in Form

11a

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Fresh fruits and vegetables
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Fresh fruits and vegetables

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 LL7547-4

AnswerCodeScoreAnswer ID
Very easyLA33160-5
Somewhat easyLA33161-3
Somewhat hardLA22683-9
Very hardLA15832-1

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112666-3 At the store where you buy most of your food, how hard or easy is it to get canned or frozen fruits and vegetables?

Observation ID in Form

11b

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Canned or frozen fruits and vegetables
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Canned or frozen fruits and vegetables

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 LL7547-4

AnswerCodeScoreAnswer ID
Very easyLA33160-5
Somewhat easyLA33161-3
Somewhat hardLA22683-9
Very hardLA15832-1

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112667-1 At the store where you buy most of your food, how hard or easy is it to get lean meats?

Observation ID in Form

11c

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Lean meats
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Lean meats

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 LL7547-4

AnswerCodeScoreAnswer ID
Very easyLA33160-5
Somewhat easyLA33161-3
Somewhat hardLA22683-9
Very hardLA15832-1

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112668-9 At the store where you buy most of your food, how hard or easy is it to get candy and snack chips?

Observation ID in Form

11d

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Candy and snack chips
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Candy and snack chips

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 LL7547-4

AnswerCodeScoreAnswer ID
Very easyLA33160-5
Somewhat easyLA33161-3
Somewhat hardLA22683-9
Very hardLA15832-1

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112669-7 At the store where you buy most of your food, how hard or easy is it to get low fat products?

Observation ID in Form

11e

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Low fat products
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Low fat products

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 LL7547-4

AnswerCodeScoreAnswer ID
Very easyLA33160-5
Somewhat easyLA33161-3
Somewhat hardLA22683-9
Very hardLA15832-1

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112670-5 At the store where you buy most of your food, how hard or easy is it to get regular soda or other sugary drinks (sports drinks, juice drinks, etc.)?

Observation ID in Form

11f

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Regular soda or other sugary drinks
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Regular soda or other sugary drinks

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 LL7547-4

AnswerCodeScoreAnswer ID
Very easyLA33160-5
Somewhat easyLA33161-3
Somewhat hardLA22683-9
Very hardLA15832-1

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112671-3 At the store where you buy most of your food, how would you rate the price of fresh fruits and vegetables?

Observation ID in Form

12

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
At the store where you buy most of your food, how would you rate the price of fresh fruits and vegetables
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

At the store where you buy most of your food, how would you rate the price of fresh fruits and vegetables

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 LL7548-2

AnswerCodeScoreAnswer ID
Very inexpensiveLA37126-2
Not expensiveLA37127-0
Somewhat expensiveLA37128-8
Very expensiveLA37129-6

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112672-1 Where do you usually purchase fruits and vegetables?

Observation ID in Form

13

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Where do you usually purchase fruits and vegetables
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Where do you usually purchase fruits and vegetables

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 LL7550-8

AnswerCodeScoreAnswer ID
SupermarketLA37112-2
Small grocery storeLA37113-0
Corner store or convenience storeLA37114-8
Farmer's marketLA37130-4
Fruit and vegetable truckLA37131-2
Other (Please specify)LA27233-8
I don't buy fresh fruits and vegetablesLA37132-0

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112673-9 I notice signs that encourage me to purchase healthy foods.

Observation ID in Form

14a

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
I notice signs that encourage me to purchase healthy foods
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

I notice signs that encourage me to purchase healthy foods

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 LL7537-5

AnswerCodeScoreAnswer ID
Strongly disagreeLA15236-5
Somewhat disagreeLA15234-0
Neither agree nor disagreeLA15240-7
Somewhat agreeLA15235-7
Strongly agreeLA15237-3

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112674-7 I often buy food items that are located near the cash register.

Observation ID in Form

14b

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
I often buy food items that are located near the cash register
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

I often buy food items that are located near the cash register

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 LL7537-5

AnswerCodeScoreAnswer ID
Strongly disagreeLA15236-5
Somewhat disagreeLA15234-0
Neither agree nor disagreeLA15240-7
Somewhat agreeLA15235-7
Strongly agreeLA15237-3

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112675-4 The unhealthy foods are usually located near the end of the aisles.

Observation ID in Form

14c

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
The unhealthy foods are usually located near the end of the aisles
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

The unhealthy foods are usually located near the end of the aisles

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 LL7537-5

AnswerCodeScoreAnswer ID
Strongly disagreeLA15236-5
Somewhat disagreeLA15234-0
Neither agree nor disagreeLA15240-7
Somewhat agreeLA15235-7
Strongly agreeLA15237-3

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112676-2 I often buy items that are eye-level on the shelves.

Observation ID in Form

14d

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
I often buy items that are eye-level on the shelves
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

I often buy items that are eye-level on the shelves

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 LL7537-5

AnswerCodeScoreAnswer ID
Strongly disagreeLA15236-5
Somewhat disagreeLA15234-0
Neither agree nor disagreeLA15240-7
Somewhat agreeLA15235-7
Strongly agreeLA15237-3

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112677-0 There are a lot of signs and displays encouraging me to buy unhealthy foods.

Observation ID in Form

14e

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
There are a lot of signs and displays encouraging me to buy unhealthy foods
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

There are a lot of signs and displays encouraging me to buy unhealthy foods

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 LL7537-5

AnswerCodeScoreAnswer ID
Strongly disagreeLA15236-5
Somewhat disagreeLA15234-0
Neither agree nor disagreeLA15240-7
Somewhat agreeLA15235-7
Strongly agreeLA15237-3

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112678-8 I see nutrition labels or nutrition information for most packaged foods at the store.

Observation ID in Form

14f

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
I see nutrition labels or nutrition information for most packaged foods at the store
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

I see nutrition labels or nutrition information for most packaged foods at the store

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 LL7537-5

AnswerCodeScoreAnswer ID
Strongly disagreeLA15236-5
Somewhat disagreeLA15234-0
Neither agree nor disagreeLA15240-7
Somewhat agreeLA15235-7
Strongly agreeLA15237-3

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]

112679-6 The foods near the cash register are mostly unhealthy choices.

Observation ID in Form

14g

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
The foods near the cash register are mostly unhealthy choices
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

The foods near the cash register are mostly unhealthy choices

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 LL7537-5

AnswerCodeScoreAnswer ID
Strongly disagreeLA15236-5
Somewhat disagreeLA15234-0
Neither agree nor disagreeLA15240-7
Somewhat agreeLA15235-7
Strongly agreeLA15237-3

Member of these Panels

LOINCLong Common Name
112645-7Perceived nutrition environment [NEMS-P]