Version 2.80

95247-3 Which of these statements best describes the food eaten in your household in the last 12 months:

Observation ID in Form

HH1

Form Coding Instructions

This question is optional. It is not used to calculate any of the food security scales. It may be used in conjunction with income as a preliminary screener to reduce respondent burden for high income households

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

Fully-Specified Name

Component
Which of these statements best describes the food eaten in your household in the last 12Mo
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method
U.S. Food Security Survey

Long Common Name

Which of these statements best describes the food eaten in your household in the last 12 months [U.S. FSS]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.69 (MIN)
Order vs. Observation
Observation

Normative Answer List LL5583-1

Answer Code Score Answer ID
Enough of the kinds of food we want to eat LA30964-3
Enough but not always the kinds of food we want LA30965-0
Sometimes not enough to eat LA30966-8
Often not enough to eat LA30967-6
DK or Refused LA30968-4

Member of these Panels

LOINC Long Common Name
95353-9 U.S. Adult Food Security Survey [U.S. FSS]
95246-5 U.S. Household Food Security Survey [U.S. FSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

88122-7 (I/We) worried whether (my/our) food would run out before (I/we) got money to buy more.

Observation ID in Form

HH2

Form Coding Instructions

Now I'm going to read you several statements that people have made about their food situation. For these statements, please tell me whether the statement was often true, sometimes true, or never true for (you/your household) in the last 12 months-that is, since last (name of current month)

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

Fully-Specified Name

Component
Within the past 12Mo we worried whether our food would run out before we got money to buy more
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
U.S. Food Security Survey

Long Common Name

Within the past 12 months we worried whether our food would run out before we got money to buy more [U.S. FSS]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.63
Last Updated
Version 2.70 (MIN)
Change Reason
Release 2.70: AnswerListId: Updated answer list to align with form;
Order vs. Observation
Observation

Normative Answer List LL5586-4

Answer Code Score Answer ID
Often true 1 LA28397-0
Sometimes true 1 LA6729-3
Never true 0 LA28398-8
DK or Refused 0 LA30968-4

Member of these Panels

LOINC Long Common Name
96777-8 Accountable health communities (AHC) health-related social needs screening (HRSN) tool
99593-6 American Academy of Family Physicians Social Needs Screening Tool
99595-1 American Academy of Family Physicians Social Needs Screening Tool - short form
88121-9 Hunger Vital Sign [HVS]
95353-9 U.S. Adult Food Security Survey [U.S. FSS]
95246-5 U.S. Household Food Security Survey [U.S. FSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

88123-5 The food that (I/we) bought just didn't last, and (I/we) didn't have money to get more.

Observation ID in Form

HH3

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
Pt
System
^Patient
Scale
Ord
Method
U.S. Food Security Survey

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 [U.S. FSS]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.63
Last Updated
Version 2.70 (MIN)
Change Reason
Release 2.70: AnswerListId: Updated answer list to align with form;
Order vs. Observation
Observation

Normative Answer List LL5586-4

Answer Code Score Answer ID
Often true 1 LA28397-0
Sometimes true 1 LA6729-3
Never true 0 LA28398-8
DK or Refused 0 LA30968-4

Member of these Panels

LOINC Long Common Name
96777-8 Accountable health communities (AHC) health-related social needs screening (HRSN) tool
99593-6 American Academy of Family Physicians Social Needs Screening Tool
99595-1 American Academy of Family Physicians Social Needs Screening Tool - short form
88121-9 Hunger Vital Sign [HVS]
95353-9 U.S. Adult Food Security Survey [U.S. FSS]
95361-2 U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS]
95246-5 U.S. Household Food Security Survey [U.S. FSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

95248-1 "(I/we) couldn't afford to eat balanced meals." Was that often, sometimes, or never true for (you/your household) in the last 12 months?

Observation ID in Form

HH4

Skip Logic

If affirmative response (i.e., "often true" or "sometimes true") to one or more of Questions HH2-HH4, OR, response [3] or [4] to question HH1 (if administered), then continue to AD1 (Adult Stage 2); otherwise skip to End of Adult Food Security Module

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
U.S. Food Security Survey

Long Common Name

In the last 12 months, we couldn't afford to eat balanced meals [U.S. FSS]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.70 (MIN)
Change Reason
Release 2.70: AnswerListId: Updated answer list to align with form;
Order vs. Observation
Observation

Normative Answer List LL5586-4

Answer Code Score Answer ID
Often true 1 LA28397-0
Sometimes true 1 LA6729-3
Never true 0 LA28398-8
DK or Refused 0 LA30968-4

Member of these Panels

LOINC Long Common Name
95353-9 U.S. Adult Food Security Survey [U.S. FSS]
95361-2 U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS]
95246-5 U.S. Household Food Security Survey [U.S. FSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

95249-9 In the last 12 months, since last (name of current month), did (you/you or other adults in your household) ever cut the size of your meals or skip meals because there wasn't enough money for food?

Observation ID in Form

AD1

Skip Logic

If No or DK, Skip AD1a.

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
U.S. Food Security Survey

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 [U.S. FSS]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.69 (MIN)
Order vs. Observation
Observation

Normative Answer List LL5584-9

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
DK 0 LA14226-7

Member of these Panels

LOINC Long Common Name
95353-9 U.S. Adult Food Security Survey [U.S. FSS]
95361-2 U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS]
95246-5 U.S. Household Food Security Survey [U.S. FSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

95250-7 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

AD1a

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
U.S. Food Security Survey

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 [U.S. FSS]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.70 (MIN)
Order vs. Observation
Observation

Normative Answer List LL5585-6

Answer Code Score Answer ID
Almost every month 1 LA30970-0
Some months but not every month 1 LA30971-8
Only 1 or 2 months 0 LA30972-6
DK 0 LA14226-7

Member of these Panels

LOINC Long Common Name
95353-9 U.S. Adult Food Security Survey [U.S. FSS]
95361-2 U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS]
95246-5 U.S. Household Food Security Survey [U.S. FSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

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?

Observation ID in Form

AD2

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
U.S. Food Security Survey

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 [U.S. FSS]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.69 (MIN)
Order vs. Observation
Observation

Normative Answer List LL5584-9

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
DK 0 LA14226-7

Member of these Panels

LOINC Long Common Name
99549-8 Health Leads screening panel
95353-9 U.S. Adult Food Security Survey [U.S. FSS]
95361-2 U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS]
95246-5 U.S. Household Food Security Survey [U.S. FSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

95252-3 In the last 12 months, were you ever hungry but didn't eat because there wasn't enough money for food?

Observation ID in Form

AD3

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
U.S. Food Security Survey

Long Common Name

In the last 12 months, were you ever hungry but didn't eat because there wasn't enough money for food [U.S. FSS]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.69 (MIN)
Order vs. Observation
Observation

Normative Answer List LL5584-9

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
DK 0 LA14226-7

Member of these Panels

LOINC Long Common Name
95353-9 U.S. Adult Food Security Survey [U.S. FSS]
95361-2 U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS]
95246-5 U.S. Household Food Security Survey [U.S. FSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

95253-1 In the last 12 months, did you lose weight because there wasn't enough money for food?

Observation ID in Form

AD4

Skip Logic

If affirmative response to one or more of questions AD1 through AD4, then continue to AD5 (Adult Stage 3); otherwise, skip to End of Adult Food Security Module

Fully-Specified Name

Component
In the last 12Mo, did you lose weight because there wasn't enough money for food
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method
U.S. Food Security Survey

Long Common Name

In the last 12 months, did you lose weight because there wasn't enough money for food [U.S. FSS]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.69 (MIN)
Order vs. Observation
Observation

Normative Answer List LL5584-9

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
DK 0 LA14226-7

Member of these Panels

LOINC Long Common Name
95353-9 U.S. Adult Food Security Survey [U.S. FSS]
95246-5 U.S. Household Food Security Survey [U.S. FSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

95254-9 In the last 12 months, did (you/you or other adults in your household) ever not eat for a whole day because there wasn't enough money for food?

Observation ID in Form

AD5

Skip Logic

If No or DK, skip AD5a.

Fully-Specified Name

Component
In the last 12Mo, did you ever not eat for a whole day because there wasn't enough money for food
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method
U.S. Food Security Survey

Long Common Name

In the last 12 months, did you ever not eat for a whole day because there wasn't enough money for food [U.S. FSS]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.71 (MIN)
Order vs. Observation
Observation

Normative Answer List LL5584-9

Answer Code Score Answer ID
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 0 LA32-8
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
DK 0 LA14226-7

Member of these Panels

LOINC Long Common Name
95353-9 U.S. Adult Food Security Survey [U.S. FSS]
95246-5 U.S. Household Food Security Survey [U.S. FSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

95255-6 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

AD5a

Fully-Specified Name

Component
In the last 12Mo, how often did you not eat for a whole day because there wasn't enough money for food
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method
U.S. Food Security Survey

Long Common Name

In the last 12 months, how often did you not eat for a whole day because there wasn't enough money for food [U.S. FSS]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.71 (NAM)
Order vs. Observation
Observation

Normative Answer List LL5585-6

Answer Code Score Answer ID
Almost every month 1 LA30970-0
Some months but not every month 1 LA30971-8
Only 1 or 2 months 0 LA30972-6
DK 0 LA14226-7

Member of these Panels

LOINC Long Common Name
95353-9 U.S. Adult Food Security Survey [U.S. FSS]
95246-5 U.S. Household Food Security Survey [U.S. FSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

95378-6 U.S. Adult Food Security Survey Score [U.S. FSS]

Term Description

Responses of "yes," "often," "sometimes," "almost every month," and "some months but not every month" are coded as affirmative. The sum of affirmative responses is referred to as the household's raw score. This score informs the food security status [LOINC:95264-8].

Fully-Specified Name

Component
U.S. Adult Food Security Survey Score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
U.S. Food Security Survey

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.69 (MIN)
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
95353-9 U.S. Adult Food Security Survey [U.S. FSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

Example Units

Unit Source
{score} Example UCUM Units

95264-8 Food security status [U.S. FSS]

Term Description

The Food Security Status assigned by the U.S. Food Security Survey depends on raw score and whether there are children in the household (i.e., whether responses to child-referenced questions are included in the raw score). Households with high or marginal food security are classified as food secure. Those with low or very low food security are classified as food insecure. Guidelines can be found at https://www.ers.usda.gov/.

Form Coding Instructions

Food security status is assigned as follows: Raw score zero-High food security among adults Raw score 1-2-Marginal food security among adults Raw score 3-5-Low food security among adults Raw score 6-10-Very low food security among adults

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

Fully-Specified Name

Component
Food security status
Property
Imp
Time
Pt
System
^Patient
Scale
Ord
Method
U.S. Food Security Survey

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.69 (MIN)
Order vs. Observation
Observation

Normative Answer List LL5588-0

Answer Code Score Answer ID
High food security LA30983-3
Marginal food security LA30984-1
Low food security LA30985-8
Very low food security LA30986-6

Member of these Panels

LOINC Long Common Name
95353-9 U.S. Adult Food Security Survey [U.S. FSS]
96576-4 U.S. Child Food Security Survey [U.S. FSS - Child]
95361-2 U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS]
95246-5 U.S. Household Food Security Survey [U.S. FSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH