Version 2.77

76513-1 How hard is it for you to pay for the very basics like food, housing, medical care, and heating?

Term Description

A single-item question used to determine the patient's overall financial resource strain. Patients are asked to select one answer (very hard, hard, somewhat hard, or not very hard). This single question has been found to be a valid measure of general financial resource strain. PMID: 23969421 ( PMID: 19189781 Evidence from the CARDIA study demonstrated the value of measuring the difficulty of paying for basics over time (e.g., financial resource strain), because there appeared to be a cumulative effect (e.g., incident hypertension).
Source: Regenstrief LOINC

Reference Information

Type Source Reference
Article NCBI PubMed Puterman E, Haritatos J, Adler NE, Sidney S, Schwartz JE, Epel ES. Indirect effect of financial strain on daily cortisol output through daily negative to positive affect index in the Coronary Artery Risk Development in Young Adults Study. Psychoneuroendocrinology. 2013 Dec;38(12):2883-9.[PMID: 23969421]

Observation ID in Form

11

Fully-Specified Name

Component
How hard is it for you to pay for the very basics like food, housing, medical care, and heating
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.52
Last Updated
Version 2.70
Change Reason
Release 2.70: DefinitionDescription: Updated description slightly to increase use across instruments.; METHOD_TYP: Removed Method as the question is general in nature.; ANSWER_LIST_TYPE: Updated to Example as the Method was removed.;
Order vs. Observation
Observation

Survey Question

Text
How hard is it for you to pay for the very basics like food, housing, medical care, and heating?
Source
CARDIA

Normative Answer List LL5867-8

Answer Code Score Answer ID
Very hard LA15832-1
Somewhat hard LA22683-9
Not hard at all LA31980-8

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
80216-5 Social, psychological and behavioral observations - 2015 Edition Health IT Certification Criteria set

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

96780-2 Do you want help finding or keeping work or a job?

Observation ID in Form

12

Fully-Specified Name

Component
Wants help finding or keeping work or a job
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

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

Normative Answer List LL5868-6

Answer Code Score Answer ID
Yes, help finding work LA31981-6
Yes, help keeping work LA31982-4
I do not need or want help LA31983-2

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

96781-0 If for any reason you need help with day-to-day activities such as bathing, preparing meals, shopping, managing finances, etc., do you get the help you need?

Observation ID in Form

13

Fully-Specified Name

Component
Able to get help with daily activities when needed
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

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

Normative Answer List LL5866-0

Answer Code Score Answer ID
I don't need any help LA31976-6
I get all the help I need LA31977-4
I could use a little more help LA31978-2
I need a lot more help LA31979-0

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

93159-2 How often do you feel lonely or isolated from those around you?

Observation ID in Form

14

Fully-Specified Name

Component
How often do you feel lonely or isolated from those around you
Property
Find
Time
RptPeriod
System
^Patient
Scale
Ord
Method
CMS Assessment

Basic Attributes

Class
SURVEY.CMS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.77
Change Reason
Release 2.77: TIME_ASPCT: Decision by CMS to update the Timing to RptPeriod from Pt for all CMS Assessments;
Order vs. Observation
Observation

Normative Answer List LL5869-4

Answer Code Score Answer ID
Never LA6270-8
Rarely LA10066-1
Sometimes LA10082-8
Often LA10044-8
Always LA9933-8

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
103991-6 CMS - Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.2 during assessment period [CMS Assessment]
93128-7 Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI) - version 4.0 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]
93221-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.00 during assessment period [CMS Assessment]
103946-0 Long-Term Care Hospital (LTCH) Continuity Assessment Record and Evaluation (CARE) Data Set (LCDS) - Planned Discharge - version 5.1 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]
101109-7 MDS v3.0 - RAI v1.18.11 - Nursing home part A PPS discharge (NPE) 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]
101113-9 MDS v3.0 - RAI v1.18.11 - Swing bed discharge (SD) 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]
99178-6 Outcome and assessment information set (OASIS) form - version E - Discharge from Agency during assessment period [CMS Assessment]
99160-4 Outcome and assessment information set (OASIS) form - version E - Resumption of Care during assessment period [CMS Assessment]
99131-5 Outcome and assessment information set (OASIS) form - version E - Start of Care during assessment period [CMS Assessment]

97027-7 Do you speak a language other than English at home?

Observation ID in Form

15

Fully-Specified Name

Component
Speaks a language other than English at home
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

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

Normative Answer List LL361-7

Answer Code Score Answer 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

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions

96782-8 Do you want help with school or training? For example, starting or completing job training or getting a high school diploma, GED or equivalent.

Observation ID in Form

16

Fully-Specified Name

Component
Wants help with school or training
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

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

Normative Answer List LL361-7

Answer Code Score Answer 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

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

89555-7 In the last 30 days, other than the activities you did for work, on average, how many days per week did you engage in moderate exercise (like walking fast, running, jogging, dancing, swimming, biking, or other similar activities)?

Term Description

Moderate to strenuous physical activity includes walking fast, running, jogging, dancing, swimming, biking, or other activities that cause a light or heavy sweat. This term was reviewed and validated by Kaiser Permanente to be used to represent the Exercise Vital Sign (EVS).
Source: Regenstrief LOINC

Observation ID in Form

17

Fully-Specified Name

Component
How many D per W did you engage in moderate to strenuous physical activity in the last 30D
Property
NRat
Time
30D
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.64
Last Updated
Version 2.65
Order vs. Observation
Observation

Normative Answer List LL5870-2

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA6113-0
3 LA6114-8
4 LA6115-5
5 LA10137-0
6 LA10138-8
7 LA10139-6

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
89574-8 Exercise Vital Sign (EVS)

Member of these Groups Get Info

LOINC Group Group Name
LG41761-4 Exercise/Activity

Example Units

Unit Source
d/wk Example UCUM Units

68516-4 On average, how many minutes did you usually spend exercising at this level on one of those days?

Observation ID in Form

18

Fully-Specified Name

Component
On those D that you engage in moderate to strenuous exercise, how many M, on average, do you exercise
Property
NRat
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
SURVEY.SAMHSA
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.64
Change Reason
Removed Method because this variable is used across contexts and was not conceptualized by SAMHSA.

Survey Question

Text
On those days that you engage in moderate to strenuous exercise, how many minutes, on average, do you exercise?

Normative Answer List LL5872-8

Answer Code Score Answer ID
0 LA6111-4
10 LA13942-0
20 LA19282-5
30 LA28855-7
40 LA28858-1
50 LA28854-0
60 LA28853-2
90 LA28891-2
120 LA32059-0
150 or greater LA32060-8

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
68899-4 Core behavioral and psychosocial data elements for the electronic health record [SAMHSA]
89574-8 Exercise Vital Sign (EVS)
80216-5 Social, psychological and behavioral observations - 2015 Edition Health IT Certification Criteria set

Member of these Groups Get Info

LOINC Group Group Name
LG41761-4 Exercise/Activity

Example Units

Unit Source
min/d Example UCUM Units

68517-2 How many times in the past 12 months have you had 5 or more drinks in a day (males) or 4 or more drinks in a day (females)?

Term Description

Where X is 5 for men and 4 for women, and a response of greater than, or equal to, 1 is positive.
Source: Regenstrief LOINC

Observation ID in Form

19

Fully-Specified Name

Component
How many times in the past Y have you have X or more drinks in a D
Property
NRat
Time
1Y
System
^Patient
Scale
Qn
Method

Basic Attributes

Class
SURVEY.SAMHSA
Type
Surveys
First Released
Version 2.38
Last Updated
Version 2.70
Change Reason
Release 2.70: METHOD_TYP: Method removed as the concept is generic and used across instruments;

Survey Question

Text
How many times in the past year have you have X or more drinks in a day?

Normative Answer List LL5630-0

Answer Code Score Answer ID
Never LA6270-8
Once or twice LA26460-8
Monthly LA18876-5
Weekly Copyright http://snomed.info/sct ID:14497002 weekly (qualifier value) LA18891-4
Daily or almost daily LA18934-2

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
72109-2 Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]
68899-4 Core behavioral and psychosocial data elements for the electronic health record [SAMHSA]

Example Units

Unit Source
{#}/a Example UCUM Units

96842-0 How often have you used any tobacco product in past 12 months?

Observation ID in Form

20

Form Context

The next questions relate to your experience with alcohol, cigarettes, and other drugs. Some of the substances are prescribed by a doctor (like pain medications), but only count those if you have taken them for reasons or in doses other than prescribed. One question is about illicit or illegal drug use, but we only ask in order to identify community services that may be available to help you.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
How often have you used any tobacco product in past 12Mo
Property
NRat
Time
12Mo
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Tobacco freq 12Mo

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.70
Last Updated
Version 2.70
Order vs. Observation
Observation

Normative Answer List LL5630-0

Answer Code Score Answer ID
Never LA6270-8
Once or twice LA26460-8
Monthly LA18876-5
Weekly Copyright http://snomed.info/sct ID:14497002 weekly (qualifier value) LA18891-4
Daily or almost daily LA18934-2

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
96841-2 Tobacco, Alcohol, Prescription medications, and other Substance use screen [TAPS]

Member of these Groups Get Info

LOINC Group Group Name
LG41856-2 Smoking-related terms

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿Con qué frecuencia ha consumido algún producto de tabaco en los últimos 12 meses?:NRat:12Meses:^ Paciente:Ordinal:
it-IT Italian (Italy) Quanto spesso ha usato qualsiasi prodotto del tabacco negli scorsi 12Mesi:NRat:12Mesi:^Paziente:Ord:
Synonyms: Anamnesi Indice numerico paziente Quanto spesso ha usato qualsiasi prodotto del tabacco nei 12 mesi passati
zh-CN Chinese (China) 在过去的12个月当中，您多久使用一次任何的烟草制品:计数型速率:12个月:^患者:序数型:
Synonyms: 1年;4个季度 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 在过去12个月（1年）当中，您多长时间使用一次任何的烟草制品（烟草产品、烟制品、烟叶制品、菸草制品） 烟草产品;烟制品;烟叶制品;菸草制品;烟草用法类型;烟草使用类型 病史与体格检查

95530-2 How many times in the past year have you used prescription drugs for non-medical reasons?

Observation ID in Form

21

Form Context

The next questions relate to your experience with alcohol, cigarettes, and other drugs. Some of the substances are prescribed by a doctor (like pain medications), but only count those if you have taken them for reasons or in doses other than prescribed. One question is about illicit or illegal drug use, but we only ask in order to identify community services that may be available to help you.

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Prescription drug use for non-medical reasons in the past 1Y
Property
Find
Time
1Y
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Prescription drug use 1Y

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.69
Last Updated
Version 2.69
Order vs. Observation
Observation

Normative Answer List LL5630-0

Answer Code Score Answer ID
Never LA6270-8
Once or twice LA26460-8
Monthly LA18876-5
Weekly Copyright http://snomed.info/sct ID:14497002 weekly (qualifier value) LA18891-4
Daily or almost daily LA18934-2

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
95528-6 NIDA Quick Screen [NIDA]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Uso de medicamentos recetados por razones no médicas en el último año:Tipo:1Año:^ Paciente:Ordinal:
it-IT Italian (Italy) Uso di farmaci su prescrizione per motivi non medici nell'ultimo anno:Osservazione:1 anno:^Paziente:Ord:
Synonyms: Anamnesi Osservazione paziente Uso di farmaci su prescrizione per motivi non medici nell''anno passato
zh-CN Chinese (China) 过去一年出于非医疗原因的处方药物使用情况:发现:1年:^患者:序数型:
Synonyms: 一年;一岁;12个月;4个季度;52个星期;52个礼拜;52周 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 毒品 毒品;麻醉药;麻醉品;麻药;兴奋剂;药品 毒品类 病史与体格检查 药品类 药方;处方药;训令;指示;法规;对策;解决方案 药物 药物（毒品、麻醉药、麻醉品、麻药、兴奋剂、药品）使用（利用、服用） 药物类 过去一年（1年、1Y）出于非医疗原因的处方药物（处方药）使用情况

68524-8 How many times in the past year have you used illegal drugs?

Observation ID in Form

22

Fully-Specified Name

Component
How many times in the past Y have you used an illegal drug or used a prescription medication for non-medical reasons
Property
NRat
Time
1Y
System
^Patient
Scale
Qn
Method

Additional Names

Short Name
Illegal drug non-med reason past Y nRate

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.38
Last Updated
Version 2.69
Change Reason
Release 2.69: METHOD_TYP: Removed Method as the concept is generic.; CLASSTYPE: Method was removed, making the move from survey to clinical necessary.; CLASS: Method was removed, making the move from survey to clinical necessary.;

Survey Question

Text
How many times in the past year have you used an illegal drug or used a prescription medication for non-medical reasons?

Normative Answer List LL5630-0

Answer Code Score Answer ID
Never LA6270-8
Once or twice LA26460-8
Monthly LA18876-5
Weekly Copyright http://snomed.info/sct ID:14497002 weekly (qualifier value) LA18891-4
Daily or almost daily LA18934-2

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
68899-4 Core behavioral and psychosocial data elements for the electronic health record [SAMHSA]

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) ¿Cuántas veces en el pasado Y ha usado una droga ilegal o un medicamento recetado por razones no médicas?:NRat:1Año:^ Paciente:Cuantitativo:
it-IT Italian (Italy) Quante volte nel corso dell'ultimo anno ha usato una droga illegale o utilizzato un farmaco per ragioni non mediche:NRat:1 anno:^Paziente:Qn:
Synonyms: Anamnesi Indice numerico paziente
zh-CN Chinese (China) 在过去的那一年当中，您曾经有多少次出于非医疗原因使用过某种非法的药物或使用过某种处方药物:计数型速率:1年:^患者:定量型:
Synonyms: A 型 一年;一岁;12个月;4个季度;52个星期;52个礼拜;52周 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 单位时间内的数量或计数;数量/时间;数量型速率;数量型速率或计数型速率;数量型速率或计数型速率(单位时间);数量或计数型速率;计数/时间;计数型速率(单位时间);数量或计数型速率(单位时间) 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 可用数量表示的;定量性;数值型;数量型;连续数值型标尺 在过去的那1年当中，您曾经有多少次出于非医疗原因使用过某种非法的药物（毒品）或使用过某种处方药物（处方药） 处理用药;处理用药物;处理药物;治疗用药;治疗用药物;用药;药物处理;药物治疗;治疗药物 毒品 毒品;麻醉药;麻醉品;麻药;兴奋剂;药品 毒品类 病史与体格检查 药品类 药方;处方药;训令;指示;法规;对策;解决方案 药物 药物类

Example Units

Unit Source
{#}/a Example UCUM Units

44250-9 Little interest or pleasure in doing things?

Observation ID in Form

23 a

Form Coding Instructions

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Source: Regenstrief LOINC

Form Coding Instructions

Over the past 2 weeks, how often have you been bothered by any of the following problems?

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Little interest or pleasure in doing things in last 2W
Property
Find
Time
2W
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PHQ
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.72
Change Reason
Release 2.72: AnswerListId: Updated to a more general list without associated codes; METHOD_TYP: Removed Method because this concept is not specific to PHQ; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term in the panel; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to PHQ9; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term in the panel.;
Order vs. Observation
Observation

Normative Answer List LL5871-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
Several days 1 LA6569-3
More than half the days 2 LA6570-1
Nearly every day 3 LA6571-9

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
57039-0 Deprecated Outcome and assessment information set (OASIS) form - version C
57191-9 Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1 Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86189-8 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88368-6 Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6 Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
69729-2 Patient Health Questionnaire - Somatic, Anxiety, and Depressive Symptoms (PHQ-SADS) [Reported]
69723-5 Patient Health Questionnaire (PHQ) [Reported]
55757-9 Patient Health Questionnaire 2 item (PHQ-2) [Reported]
69724-3 Patient Health Questionnaire 4 item (PHQ-4) [Reported]
94329-0 Patient Health Questionnaire 8 item (PHQ-8) [Reported]
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
44249-1 PHQ-9 quick depression assessment panel [Reported.PHQ]

44255-8 Feeling down, depressed, or hopeless?

Observation ID in Form

23 b

Form Coding Instructions

Over the last 2 weeks, how often have you been bothered by any of the following problems?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Feeling down, depressed, or hopeless in last 2W
Property
Find
Time
2W
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.PHQ
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.72
Change Reason
Release 2.72: METHOD_TYP: Removed Method because this concept is not specific to PHQ; EXTERNAL_COPYRIGHT_LINK: Removed copyright because this concept is not specific to PHQ; SURVEY_QUEST_SRC: Moved from the individual term level to the instance of this term in the panel.; SURVEY_QUEST_TEXT: Moved from the individual term level to the instance of this term in the panel.; AnswerListId: Updated to a more general list without associated codes; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability;
Order vs. Observation
Observation

Normative Answer List LL5871-0

Answer Code Score Answer ID
Not at all 0 LA6568-5
Several days 1 LA6569-3
More than half the days 2 LA6570-1
Nearly every day 3 LA6571-9

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
52745-7 Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Discharge
52748-1 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Home Health Admission
52746-5 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Interim
52744-0 Deprecated Continuity Assessment Record and Evaluation (CARE) tool - Post Acute Care (PAC) - Admission
57039-0 Deprecated Outcome and assessment information set (OASIS) form - version C
57191-9 Deprecated Outcome and assessment information set (OASIS) form - version C - Resumption of Care
57190-1 Deprecated Outcome and assessment information set (OASIS) form - version C - Start of care
86189-8 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Resumption of care [CMS Assessment]
85907-4 Deprecated Outcome and assessment information set (OASIS) form - version C2 - Start of care [CMS Assessment]
88368-6 Outcome and assessment information set (OASIS) form - version D, D1 - Resumption of care during assessment period [CMS Assessment]
88373-6 Outcome and assessment information set (OASIS) form - version D, D1 - Start of care during assessment period [CMS Assessment]
69729-2 Patient Health Questionnaire - Somatic, Anxiety, and Depressive Symptoms (PHQ-SADS) [Reported]
69723-5 Patient Health Questionnaire (PHQ) [Reported]
55757-9 Patient Health Questionnaire 2 item (PHQ-2) [Reported]
69724-3 Patient Health Questionnaire 4 item (PHQ-4) [Reported]
94329-0 Patient Health Questionnaire 8 item (PHQ-8) [Reported]
99745-2 Patient reported outcomes with LASIK - post-operative panel [Patient reported outcomes with LASIK]
99192-7 Patient-reported outcomes with LASIK - pre-operative panel [Patient reported outcomes with LASIK]
44249-1 PHQ-9 quick depression assessment panel [Reported.PHQ]

93038-8 Stress means a situation in which a person feels tense, restless, nervous, or anxious, or is unable to sleep at night because his or her mind is troubled all the time. Do you feel this kind of stress these days?

Observation ID in Form

24

Fully-Specified Name

Component
Stress level
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Stress level

Basic Attributes

Class
CLIN
Type
Clinical
First Released
Version 2.66
Last Updated
Version 2.70
Change Reason
Release 2.70: EXTERNAL_COPYRIGHT_LINK: Removed as the concept is generic and used in multiple instruments.; SURVEY_QUEST_TEXT: Removed as the concept is generic and used in multiple instruments.; ANSWER_LIST_TYPE: Updated from Normative to Example as the concept is generic and used in multiple instruments.; SURVEY_QUEST_SRC: Removed as the concept is generic and used in multiple instruments.; METHOD_TYP: Removed as the concept is generic and used in multiple instruments.; COMPONENT: Updated component as the concept is generic and used in multiple instruments.; CLASS: Updated from SDOH to GNHLTH as the concept is generic and used in multiple instruments.;
Order vs. Observation
Observation

Normative Answer List LL5354-7

Answer Code Score Answer ID
Not at all LA6568-5
A little bit LA13863-8
Somewhat LA13909-9
Quite a bit LA13902-4
Very much LA13914-9
I choose not to answer this question LA30122-8

Member of these Panels

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
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
es-MX Spanish (Mexico) Nivel de estrés:Tipo:Punto temporal:^ Paciente:Ordinal:
it-IT Italian (Italy) Livello di stress:Osservazione:Pt:^Paziente:Ord:
Synonyms: Clinico Osservazione paziente Punto nel tempo (episodio)
zh-CN Chinese (China) 精神压力水平:发现:时间点:^患者:序数型:
Synonyms: 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 时刻;随机;随意;瞬间 程度 等级 精神压力（心理压力、心理负担、精神负担、压力、负担、紧张）水平（程度、等级、级别） 级 级别

69858-9 Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?

Reference Information

Type Source Reference
Citation Health and Human Services Health and Human Services standard on race, ethnicity, sex, primary language and disability status Health and Human Services std on race, ethnicity, sex, primary language and disability status
Citation Health and Human Services Dorsey ,Rashida, PhD, MPH, Graham Garth, MD, MPH, New HHS Data Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status, JAMA, December 7, 2011-Vol 306, No. 21, pp 2378-79

Observation ID in Form

25

Form Coding Instructions

Patients 5 years old or older

Source: Health and Human Services

Fully-Specified Name

Component
Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.HHS
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.71
Change Reason
Release 2.71: METHOD_TYP: Removed Method because the concept is not specific to HHS.ACA; ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability;

Survey Question

Text
Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?

Normative Answer List LL361-7

Answer Code Score Answer 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

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
75256-8 Disability information and assistance needed panel [HHS.ACA Section 4302.ONC]
98067-2 Patient-centered disability questionnaire
69919-9 Race, ethnicity, sex, primary language, disability - Health and Human Services (HHS) panel [HHS.ACA Section 4302]

69861-3 Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a physician's office or shopping?

Reference Information

Type Source Reference
Citation Health and Human Services Health and Human Services standard on race, ethnicity, sex, primary language and disability status Health and Human Services std on race, ethnicity, sex, primary language and disability status
Citation Health and Human Services Dorsey ,Rashida, PhD, MPH, Graham Garth, MD, MPH, New HHS Data Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status, JAMA, December 7, 2011-Vol 306, No. 21, pp 2378-79

Observation ID in Form

26

Form Coding Instructions

Patients 15 years old or older

Source: Health and Human Services

Fully-Specified Name

Component
Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a physician's office or shopping
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.HHS
Type
Surveys
First Released
Version 2.40
Last Updated
Version 2.71
Change Reason
Release 2.71: ANSWER_LIST_TYPE: Updated from Normative to Example for increased usability; METHOD_TYP: Removed Method because this concept is not specific to HHS.ACA Section 4302;

Survey Question

Text
Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a physician's office or shopping?

Example Answer List LL361-7

Answer Code Score Answer 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

LOINC Long Common Name
97023-6 Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions
98067-2 Patient-centered disability questionnaire
69919-9 Race, ethnicity, sex, primary language, disability - Health and Human Services (HHS) panel [HHS.ACA Section 4302]