Form Coding Instructions

People sometimes look to others for companionship, assistance, or other types of support. How often is each of the following kinds of support available to you if you need it? Choose one number for each line.

Source: RAND Health Care

91643-7 Emotional and informational support subscale [MOS Social Support Survey]

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component
Emotional and informational support subscale
Property
-
Time
Pt
System
^Patient
Scale
-
Method
MOS Social Support Survey

Basic Attributes

Class
PANEL.SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (PANEL)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91634-6 Someone you can count on to listen to you when you need to talk

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone you can count on to listen to you when you need to talk
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91655-1 Someone to give you information to help you understand a situation

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to give you information to help you understand a situation
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91635-3 Someone to give you good advice about a crisis

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to give you good advice about a crisis
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91637-9 Someone to confide in or talk to about yourself or your problems

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to confide in or talk to about yourself or your problems
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91638-7 Someone whose advice you really want

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone whose advice you really want
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91640-3 Someone to share your most private worries and fears with

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to share your most private worries and fears with
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91660-1 Someone to turn to for suggestions about how to deal with a personal problem

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to turn to for suggestions about how to deal with a personal problem
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91662-7 Someone who understands your problems

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone who understands your problems
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

91647-8 Emotional and informational support subscale average score [MOS Social Support Survey]

Type of Entry

Question - computer calculates response [C]

Form Coding Instructions

To obtain the subscale average score, calculate the average of the scores for all items in the subscale.

Source: RAND Health Care

Webcontent

Scoring Instructions https://www.rand.org/health/surveys/mos/social-support/scoring.html

Source: RAND Health Care

Webcontent

Additional Description and Scoring Instructions https://cadc.ucsf.edu/sites/g/files/tkssra881/f/Description%20and%20Scoring%20Instructions%20MOS%20Social%20Support%20Survey.pdf

Source: RAND Health Care

Fully-Specified Name

Component
Emotional and informational support subscale average score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
MOS Social Support Survey

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

Example Units

UnitSource
{score}Example UCUM Units

91644-5 Tangible support subscale [MOS Social Support Survey]

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component
Tangible support subscale
Property
-
Time
Pt
System
^Patient
Scale
-
Method
MOS Social Support Survey

Basic Attributes

Class
PANEL.SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (PANEL)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91652-8 Someone to help you if you were confined to bed

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to help you if you were confined to bed
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91653-6 Someone to take you to the doctor if you needed it

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to take you to the doctor if you needed it
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

91658-5 Someone to prepare your meals if you were unable to do it yourself

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to prepare your meals if you were unable to do it yourself
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

91639-5 Someone to help with daily chores if you were sick

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to help with daily chores if you were sick
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91648-6 Tangible support subscale average score [MOS Social Support Survey]

Type of Entry

Question - computer calculates response [C]

Form Coding Instructions

To obtain the subscale average score, calculate the average of the scores for all items in the subscale.

Source: RAND Health Care

Fully-Specified Name

Component
Tangible support subscale average score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
MOS Social Support Survey

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

Example Units

UnitSource
{score}Example UCUM Units

91645-2 Affectionate support subscale [MOS Social Support Survey]

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component
Affectionate support subscale
Property
-
Time
Pt
System
^Patient
Scale
-
Method
MOS Social Support Survey

Basic Attributes

Class
PANEL.SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (PANEL)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91636-1 Someone who shows you love and affection

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone who shows you love and affection
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91641-1 Someone to love and make you feel wanted

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to love and make you feel wanted
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91656-9 Someone who hugs you

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone who hugs you
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91649-4 Affectionate support subscale average score [MOS Social Support Survey]

Type of Entry

Question - computer calculates response [C]

Form Coding Instructions

To obtain the subscale average score, calculate the average of the scores for all items in the subscale.

Source: RAND Health Care

Fully-Specified Name

Component
Affectionate support subscale average score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
MOS Social Support Survey

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

Example Units

UnitSource
{score}Example UCUM Units

91646-0 Positive social interaction subscale [MOS Social Support Survey]

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component
Positive social interaction subscale
Property
-
Time
Pt
System
^Patient
Scale
-
Method
MOS Social Support Survey

Basic Attributes

Class
PANEL.SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (PANEL)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91654-4 Someone to have a good time with

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to have a good time with
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91657-7 Someone to get together with for relaxation

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to get together with for relaxation
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91661-9 Someone to do something enjoyable with

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to do something enjoyable with
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91650-2 Positive social interaction subscale average score [MOS Social Support Survey]

Type of Entry

Question - computer calculates response [C]

Form Coding Instructions

To obtain the subscale average score, calculate the average of the scores for all items in the subscale.

Source: RAND Health Care

Fully-Specified Name

Component
Positive social interaction subscale average score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
MOS Social Support Survey

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

Example Units

UnitSource
{score}Example UCUM Units

112621-8 Additional item [MOS Social Support Survey]

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component
Additional item
Property
-
Time
Pt
System
^Patient
Scale
-
Method
MOS Social Support Survey

Basic Attributes

Class
PANEL.SURVEY.MTLHLTH
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
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91659-3 Someone to do things with to help get your mind off things

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Someone to do things with to help you get your mind off things
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Someone to do things with to help you get your mind off things

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Example Answer List LL5278-8

AnswerCodeScoreAnswer ID
None of the time1LA6297-1
A little of the time2LA14732-4
Some of the time3LA14733-2
Most of the time4LA14734-0
All of the time5LA6154-4

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

91663-5 Overall support index average score [MOS Social Support Survey]

Type of Entry

Question - computer calculates response [C]

Form Coding Instructions

For the overall support index average score, calculate the average of all 19 items.

Source: RAND Health Care

Fully-Specified Name

Component
Overall support index average score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
MOS Social Support Survey

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.83 (NAM)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
91642-9Medical Outcomes Study Social Support Survey panel [MOS Social Support Survey]

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

Example Units

UnitSource
{score}Example UCUM Units