Version 2.79

71802-3 What is your living situation today?

Term Description

Describes patients living arrangement

Observation ID in Form

1

Fully-Specified Name

Component
Housing status
Property
Type
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Housing status

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.72 (MIN)
Order vs. Observation
Observation

Normative Answer List LL5876-9

Answer Code Score Answer ID
I have a steady place to live LA31993-1
I have a place to live today, but I am worried about losing it in the future LA31994-9
I do not have a steady place to live (I am temporarily staying with others, in a hotel, in a shelter, living outside on the street, on a beach, in a car, abandoned building, bus or train station, or in a park) LA31995-6

Member of these Panels

LOINC Long Common Name
96777-8 Accountable health communities (AHC) health-related social needs screening (HRSN) tool
99595-1 American Academy of Family Physicians Social Needs Screening Tool - short form
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

96778-6 Think about the place you live. Do you have problems with any of the following?

Reference Information

Type Source Reference
Form Coding Instructions Centers for Medicare & Medicaid Services Choose all that apply

Observation ID in Form

2

Fully-Specified Name

Component
Problems with place where you live
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Problems with place where you live

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 LL5877-7

Answer Code Score Answer ID
Pests such as bugs, ants, or mice LA31996-4
Mold LA28580-1
Lead paint or pipes LA31997-2
Lack of heat LA31998-0
Oven or stove not working LA31999-8
Smoke detectors missing or not working LA32000-4
Water leaks LA32001-2
None of the above LA9-3

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

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

88122-7 Within the past 12 months, you worried that your food would run out before you got money to buy more

Observation ID in Form

3

Form Coding Instructions

Some people have made the following statements about their food situation. Please answer whether the statements were OFTEN, SOMETIMES, or NEVER true for you and your household in the last 12 months

Source: Centers for Medicare & Medicaid Services

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 LL5890-0

Answer Code Score Answer ID
Often true LA28397-0
Sometimes true LA6729-3
Never true LA28398-8

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 Within the past 12 months, the food you bought just didn't last and you didn't have money to get more

Observation ID in Form

4

Form Coding Instructions

Some people have made the following statements about their food situation. Please answer whether the statements were OFTEN, SOMETIMES, or NEVER true for you and your household in the last 12 months

Source: Centers for Medicare & Medicaid Services

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 LL5890-0

Answer Code Score Answer ID
Often true LA28397-0
Sometimes true LA6729-3
Never true LA28398-8

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

93030-5 In the past 12 months, has lack of reliable transportation kept you from medical appointments, meetings, work or from getting things needed for daily living?

Observation ID in Form

5

Fully-Specified Name

Component
Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Long Common Name

Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.66
Last Updated
Version 2.70 (MAJ)
Change Reason
Release 2.70: ANSWER_LIST_TYPE: Answer list binding updated to Example as a result of the Term being updated to Methodless, ; METHOD_TYP: Lack of transportation is a generic concept that crosses multiple instruments, so Method has been removed.; AnswerListId: Corrected; Release 2.67: AnswerListId: Updated to include IRF-PAI's answer of "Patient unable to respond" and A,B,C,X codes
Order vs. Observation
Observation

Normative Answer List LL361-7

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

Member of these Panels

LOINC Long Common Name
96777-8 Accountable health communities (AHC) health-related social needs screening (HRSN) tool
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

96779-4 In the past 12 months has the electric, gas, oil, or water company threatened to shut off services in your home?

Observation ID in Form

6

Fully-Specified Name

Component
Has the electric, gas, oil, or water company threatened to shut off services in your home in past 12Mo
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Has the electric, gas, oil, or water company threatened to shut off services in your home in past 12 months

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 LL5878-5

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
Already shut off LA32002-0

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
99549-8 Health Leads screening panel

95618-5 How often does anyone, including family and friends, physically hurt you?

Observation ID in Form

7

Form Context

Because violence and abuse happens to a lot of people and affects their health we are asking the following questions

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Physically hurt you
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Physically hurt you

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.79 (MAJ)
Order vs. Observation
Observation

Normative Answer List LL5622-7

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Fairly often 4 LA16644-9
Frequently 5 LA6482-9

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
95619-3 Hurts, insults, threatens, and screams [HITS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

95617-7 How often does anyone, including family and friends, insult or talk down to you?

Observation ID in Form

8

Form Context

Because violence and abuse happens to a lot of people and affects their health we are asking the following questions

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Insult you or talk down to you
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Insult you or talk down to you

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.79 (MAJ)
Order vs. Observation
Observation

Normative Answer List LL5622-7

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Fairly often 4 LA16644-9
Frequently 5 LA6482-9

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
95619-3 Hurts, insults, threatens, and screams [HITS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

95616-9 How often does anyone, including family and friends, threaten you with harm?

Observation ID in Form

9

Form Context

Because violence and abuse happens to a lot of people and affects their health we are asking the following questions

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Threaten you with physical harm
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Threaten you with physical harm

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.79 (MAJ)
Order vs. Observation
Observation

Normative Answer List LL5622-7

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Fairly often 4 LA16644-9
Frequently 5 LA6482-9

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
95619-3 Hurts, insults, threatens, and screams [HITS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

95615-1 How often does anyone, including family and friends, scream or curse at you?

Observation ID in Form

10

Form Context

Because violence and abuse happens to a lot of people and affects their health we are asking the following questions

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Scream or curse at you
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Scream or curse at you

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.79 (MAJ)
Order vs. Observation
Observation

Normative Answer List LL5622-7

Answer Code Score Answer ID
Never 1 LA6270-8
Rarely 2 LA10066-1
Sometimes 3 LA10082-8
Fairly often 4 LA16644-9
Frequently 5 LA6482-9

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
95619-3 Hurts, insults, threatens, and screams [HITS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

95614-4 Safety total score

Fully-Specified Name

Component
Total score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
HITS

Long Common Name

Total score [HITS]

Basic Attributes

Class
SURVEY.HITS
Type
Surveys
First Released
Version 2.69
Last Updated
Version 2.69 (ADD)
Order vs. Observation
Observation

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
95619-3 Hurts, insults, threatens, and screams [HITS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

Example Units

Unit Source
{score} Example UCUM Units