93043-8
Personal Characteristics
Active
56051-6 Are you Hispanic or Latino?
Fully-Specified Name
- Component
- Hispanic or Latino
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
Hispanic or Latino
Basic Attributes
- Class
- ADMIN.PATIENT.DEMOG
- Type
- Clinical
- First Released
- Version 2.29
- Last Updated
- Version 2.73 (MIN)
- Change Reason
- Release 2.67: ANSWER_LIST_TYPE: Answer List Type changed to Example to accommodate Override Answer Lists ; Previous Releases: Updated the PhenX ID from "PhenX.<ID>" to "PX<ID>" in Survey Question Source field to align with the variable identifier used in the PhenX Toolkit.
- Common Test Rank Get Info
- 19967
Normative Answer List LL5332-3
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| 1: Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | LA33-6 | ||
| 2: No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | LA32-8 | ||
| I choose not to answer this question | LA30122-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89070-7 | ADAPTABLE patient reported item set [ADAPTABLE] |
| 62299-3 | PhenX - ethnicity protocol 010501 |
| 62263-9 | PhenX domain - Nutrition and dietary supplements |
| 93025-5 | Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Ισπανική ή Λατινοαμερικάνικη: Synonyms: Εύρεση Ισπανική ή Λατινοαμερικάνικη |
| es-MX | Spanish (Mexico) | hispano o latino: |
| it-IT | Italian (Italy) | Ispanico o Latino: Synonyms: Amministrativo Dati demografici del paziente Osservazione Paziente Punto nel tempo (episodio) |
| ru-RU | Russian (Russian Federation) | Испанское или латиноамериканское происхождение: Synonyms: Порядковый Точка во времени; |
| zh-CN | Chinese (China) | 西班牙裔或拉丁裔: Synonyms: 依次型; |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
32624-9 Which race(s) are you?
Form Coding Instructions
Check all that apply
Source: Centers for Medicare & Medicaid ServicesFully-Specified Name
- Component
- Race
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Long Common Name
Race
Basic Attributes
- Class
- CLIN
- Type
- Clinical
- First Released
- Version 2.09
- Last Updated
- Version 2.73 (MIN)
- Common Test Rank Get Info
- 1224
HL7® Attributes
HL7® Field ID- PID-10
Normative Answer List LL5348-9
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Asian | LA6156-9 | ||
| Native Hawaiian | LA14045-1 | ||
| Pacific Islander | LA30187-1 | ||
| Black/African American | LA14042-8 | ||
| White | LA4457-3 | ||
| American Indian/Alaskan Native | LA4-4 | ||
| Other, Please write | LA46-8 | ||
| I choose not to answer this question | LA30122-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 89070-7 | ADAPTABLE patient reported item set [ADAPTABLE] |
| 58735-2 | Alpha-1-Fetoprotein panel - Amniotic fluid |
| 48802-3 | Alpha-1-Fetoprotein panel - Serum or Plasma |
| 55168-9 | Data Elements for Emergency Department Systems (DEEDS) Release 1.1 |
| 45963-6 | Deprecated MDS basic assessment tracking form - version 2.0 |
| 86636-8 | Family planning report - FPAR 2.0 set |
| 49085-4 | First and Second trimester integrated maternal screen panel |
| 48798-3 | First trimester maternal screen panel - Serum or Plasma |
| 49086-2 | First trimester maternal screen with nuchal translucency panel |
| 49087-0 | Maternal screen clinical predictors panel |
| 82259-3 | Metabolic equivalent of task and Resting metabolic rate panel |
| 80399-9 | Occupational exposure information panel |
| 79191-3 | Patient demographics panel |
| 99192-7 | Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK] |
| 93025-5 | Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] |
| 48799-1 | Second trimester penta maternal screen panel - Serum or Plasma |
| 48800-7 | Second trimester quad maternal screen panel - Serum or Plasma |
| 35086-8 | Second trimester triple maternal screen panel - Serum or Plasma |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Φυλή: Synonyms: Type Φυλή |
| es-AR | Spanish (Argentina) | raza: |
| es-MX | Spanish (Mexico) | Raza: |
| fr-BE | French (Belgium) | Race: |
| it-IT | Italian (Italy) | Razza: Synonyms: Clinico paziente Punto nel tempo (episodio) |
| nl-NL | Dutch (Netherlands) | ras: |
| pt-BR | Portuguese (Brazil) | Raça: Synonyms: Ethnicity; |
| ru-RU | Russian (Russian Federation) | раса: Synonyms: Номинальный; |
| tr-TR | Turkish (Turkey) | Irk: Synonyms: Tür |
| uk-UA | Ukrainian (Ukraine) | Раса: Synonyms: AOEObservation; |
| zh-CN | Chinese (China) | 种族: Synonyms: 人种; |
93035-4 At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?
Fully-Specified Name
- Component
- Has season or migrant farm work been your or your family's main source of income at any point in past 2Y
- Property
- Find
- Time
- 2Y
- System
- ^Patient
- Scale
- Ord
- Method
- PRAPARE
Long Common Name
Has season or migrant farm work been your or your family's main source of income at any point in past 2 years [PRAPARE]
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.66
- Last Updated
- Version 2.69 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL5332-3
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| 1: Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | LA33-6 | ||
| 2: No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | LA32-8 | ||
| I choose not to answer this question | LA30122-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 93025-5 | Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] |
Member of these Groups Get Info
| LOINC Group | Group Name |
|---|---|
| LG51306-5 | SDOH |
Copyright
- Organization
- National Association of Community Health Centers
- Copyright
- © 2019. This item comes from the national PRAPARE social determinants of health assessment protocol, developed and owned by the National Association of Community Health Centers (NACHC), in partnership with the Association of Asian Pacific Community Health Organization (AAPCHO), the Oregon Primary Care Association (OPCA), and the Institute for Alternative Futures (IAF). For more information, visit www.nachc.org/prapare
- Terms of Use
- Used with permission.
- URL
- http://www.nachc.org/
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
93034-7 Have you been discharged from the armed forces of the United States?
Fully-Specified Name
- Component
- Discharged from the U.S. Armed Forces
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
Discharged from the U.S. Armed Forces
Basic Attributes
- Class
- SURVEY.PRAPARE
- Type
- Surveys
- First Released
- Version 2.66
- Last Updated
- Version 2.66 (ADD)
- Order vs. Observation
- Observation
Normative Answer List LL5332-3
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| 1: Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) | LA33-6 | ||
| 2: No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) | LA32-8 | ||
| I choose not to answer this question | LA30122-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 93025-5 | Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
54899-0 What language are you most comfortable speaking?
Fully-Specified Name
- Component
- Language.preferred
- Property
- Type
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Long Common Name
Preferred language
Basic Attributes
- Class
- ADMIN.PATIENT.DEMOG
- Type
- Clinical
- First Released
- Version 2.27
- Last Updated
- Version 2.73 (MIN)
- Change Reason
- Updated PROPERTY from Find to Type; Added EXAMPLE Answer list
- Order vs. Observation
- Both
- Common Test Rank Get Info
- 8193
Normative Answer List LL5349-7
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| English | LA43-5 | ||
| Language other than English, Please write | LA30188-9 | ||
| I choose not to answer this question | LA30122-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 103991-6 | CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment] |
| 69412-5 | Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Long term care hospital (LTCH) - version 1.0 |
| 85645-0 | Deprecated Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 3.00 [CMS Assessment] |
| 86870-3 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home and Swing bed OMRA (NO/SO) item set [CMS Assessment] |
| 86522-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
| 86872-9 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] |
| 86871-1 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] |
| 86873-7 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] |
| 86877-8 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] |
| 86856-2 | Deprecated MDS v3.0 - RAI v1.14.1 - Nursing home PPS (NP) and Nursing home quarterly (NQ) item set [CMS Assessment] |
| 86876-0 | Deprecated MDS v3.0 - RAI v1.14.1 - Swing bed PPS (SP) item set [CMS Assessment] |
| 88279-5 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment] |
| 88282-9 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
| 88283-7 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] |
| 88284-5 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] |
| 88285-2 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] |
| 88286-0 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] |
| 88287-8 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home PPS (NP) item set [CMS Assessment] |
| 88292-8 | Deprecated MDS v3.0 - RAI v1.15.1 - Nursing home quarterly (NQ) item set [CMS Assessment] |
| 88288-6 | Deprecated MDS v3.0 - RAI v1.15.1 - Swing bed PPS (SP) item set [CMS Assessment] |
| 88951-9 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home and Swing bed OMRA (NO and SO) item set [CMS Assessment] |
| 88954-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home comprehensive (NC) item set [CMS Assessment] |
| 88945-1 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home discharge (ND) and Swing bed discharge (SD) item set [CMS Assessment] |
| 88946-9 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA start of therapy and discharge (NSD) and Swing bed OMRA start of therapy and discharge (SSD) item set [CMS Assessment] |
| 88947-7 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home OMRA-discharge (NOD) and Swing bed OMRA-discharge (SOD) item set [CMS Assessment] |
| 88948-5 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home part A PPS discharge (NPE) item set [CMS Assessment] |
| 88949-3 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home PPS (NP) item set [CMS Assessment] |
| 88955-0 | Deprecated MDS v3.0 - RAI v1.16.1 - Nursing home quarterly (NQ) item set [CMS Assessment] |
| 88950-1 | Deprecated MDS v3.0 - RAI v1.16.1 - Swing bed PPS (SP) item set [CMS Assessment] |
| 54580-6 | Deprecated Minimum Data Set - version 3.0 |
| 99549-8 | Health Leads screening panel |
| 93128-7 | Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 during assessment period [CMS Assessment] |
| 87509-6 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 4.00 during assessment period [CMS Assessment] |
| 93222-8 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.00 during assessment period [CMS Assessment] |
| 103949-4 | Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Admission - version 5.1 during assessment period [CMS Assessment] |
| 90480-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment] |
| 90473-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 90477-1 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] |
| 90478-9 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home part A PPS discharge (NPE) item set during assessment period [CMS Assessment] |
| 90474-8 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home PPS (NP) item set during assessment period [CMS Assessment] |
| 90475-5 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment] |
| 90481-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Optional State Assessment (OSA) item set during assessment period [CMS Assessment] |
| 91552-0 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed discharge (SD) item set during assessment period [CMS Assessment] |
| 90476-3 | MDS v3.0 - RAI v1.17.1, 1.17.2 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
| 101111-3 | MDS v3.0 - RAI v1.18.11 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment] |
| 101105-5 | MDS v3.0 - RAI v1.18.11 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 101107-1 | MDS v3.0 - RAI v1.18.11 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] |
| 101110-5 | MDS v3.0 - RAI v1.18.11 - Nursing home PPS (NP) item set during assessment period [CMS Assessment] |
| 101106-3 | MDS v3.0 - RAI v1.18.11 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment] |
| 101112-1 | MDS v3.0 - RAI v1.18.11 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
| 104608-5 | MDS v3.0 - RAI v1.19.1 - Interim Payment Assessment (IPA) item set during assessment period [CMS Assessment] |
| 103564-1 | MDS v3.0 - RAI v1.19.1 - Nursing home comprehensive (NC) item set during assessment period [CMS Assessment] |
| 104606-9 | MDS v3.0 - RAI v1.19.1 - Nursing home discharge (ND) item set during assessment period [CMS Assessment] |
| 104552-5 | MDS v3.0 - RAI v1.19.1 - Nursing home PPS (NP) item set during assessment period [CMS Assessment] |
| 104554-1 | MDS v3.0 - RAI v1.19.1 - Nursing home quarterly (NQ) item set during assessment period [CMS Assessment] |
| 104609-3 | MDS v3.0 - RAI v1.19.1 - Swing bed PPS (SP) item set during assessment period [CMS Assessment] |
| 99131-5 | Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment] |
| 93025-5 | Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] |
Member of these Groups Get Info
| LOINC Group | Group Name |
|---|---|
| LG51306-5 | SDOH |
Language Variants Get Info
| Tag | Language | Translation |
|---|---|---|
| el-GR | Greek (Greece) | Γλώσσα.προτιμώμενη: Synonyms: Type Γλώσσα.προτιμώμενη |
| es-MX | Spanish (Mexico) | Idioma.preferido: |
| it-IT | Italian (Italy) | Lingua. preferita: Synonyms: Amministrativo Dati demografici del paziente Paziente Punto nel tempo (episodio) |
| nl-NL | Dutch (Netherlands) | taal.voorkeur: |
| zh-CN | Chinese (China) | 语言.首选: Synonyms: 分类型应答; |