Form Context

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Source: Gravity Project

96446-0 Do you have a high school degree?

Fully-Specified Name

Component
High school degree
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

High school degree Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative 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
99593-6American Academy of Family Physicians Social Needs Screening Tool
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96445-2 If no, would you like help to get a GED?

Fully-Specified Name

Component
Would like help to get a GED
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

Would like help to get a GED Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5726-6

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
Maybe LaterLA31439-5

Member of these Panels

LOINCLong Common Name
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96444-5 Do you have a job?

Fully-Specified Name

Component
Has a job
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

Has a job Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative 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
99593-6American Academy of Family Physicians Social Needs Screening Tool
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96443-7 If no, would you like help with finding employment and or job training?

Fully-Specified Name

Component
Would like help finding employment &or job training
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

Would like help finding employment AndOr job training Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5726-6

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
Maybe LaterLA31439-5

Member of these Panels

LOINCLong Common Name
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96442-9 Do you need daycare for your child?

Fully-Specified Name

Component
Needs daycare for child
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

Needs daycare for child Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative 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
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96433-8 If yes, would you like help finding it?

Fully-Specified Name

Component
Would like help finding daycare for child
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

Would like help finding daycare for child Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5726-6

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
Maybe LaterLA31439-5

Member of these Panels

LOINCLong Common Name
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96441-1 Do you think you are at risk of becoming homeless

Fully-Specified Name

Component
At risk of becoming homeless
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

At risk of becoming homeless Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative 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
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96440-3 If yes, would you like help with this?

Fully-Specified Name

Component
Would like help for being at risk of becoming homeless
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

Would like help for being at risk of becoming homeless Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5726-6

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
Maybe LaterLA31439-5

Member of these Panels

LOINCLong Common Name
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96439-5 If yes, is this an emergency?

Fully-Specified Name

Component
Emergent risk of becoming homeless
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

Emergent risk of becoming homeless Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative 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
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96434-6 Do you always have enough food for your family?

Fully-Specified Name

Component
Always has enough food for family
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

Always has enough food for family Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative 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
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96438-7 If no, would you like help with this?

Fully-Specified Name

Component
Would like help getting food for family
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

Would like help getting food for family Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5726-6

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
Maybe LaterLA31439-5

Member of these Panels

LOINCLong Common Name
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96437-9 If yes, do you need food for tonight?

Fully-Specified Name

Component
Needs help getting food for family for tonight
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

Needs help getting food for family for tonight Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative 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
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96436-1 Do you have trouble paying your heating bill and or electricity bill?

Fully-Specified Name

Component
Trouble paying heating bill &or electricity bill
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

Trouble paying heating bill AndOr electricity bill Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative 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
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96753-9 If yes, would you like help with this?

Fully-Specified Name

Component
Would like help with paying heating &or electricity bill
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

Would like help with paying heating AndOr electricity bill Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Example Answer List LL5726-6

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
Maybe LaterLA31439-5

Member of these Panels

LOINCLong Common Name
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH

96435-3 If yes, are you at risk of having your utilities shut off in the next week?

Fully-Specified Name

Component
At risk of having utilities shut off in the next week
Property
Find
Time
Pt
System
^Caregiver
Scale
Ord
Method

Long Common Name

At risk of having utilities shut off in the next week Caregiver

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.70
Last Updated
Version 2.70 (ADD)
Order vs. Observation
Observation

Normative 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
96447-8WE CARE Survey [WE CARE] Caregiver

Member of these Groups Get Info

LOINC GroupGroup Name
LG51306-5SDOH