98976-4 In the past 12 months, was there a time when you were not able to pay the mortgage or rent on time?

Observation ID in Form

1

Fully-Specified Name

Component
Behind on rent or mortgage at any time
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Behind on rent or mortgage at any time in past 12 months

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.81 (NAM)
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
98975-6Children's HealthWatch Housing Stability Vital Sign [Housing Stability Vital Sign]

98977-2 In the past 12 months, how many times have you moved where you were living?

Observation ID in Form

2

Fully-Specified Name

Component
Number of residential moves
Property
Num
Time
12Mo
System
^Patient
Scale
Qn
Method

Long Common Name

Number of residential moves in past 12 months

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.81 (NAM)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
98975-6Children's HealthWatch Housing Stability Vital Sign [Housing Stability Vital Sign]

Example Units

UnitSource
/aExample UCUM Units

98978-0 At any time in the past 12 months, were you homeless or living in shelter [including now]?

Observation ID in Form

3

Skip Logic

Move to question 3a, if the answer is Yes.

Fully-Specified Name

Component
Homeless or living in shelter at any time
Property
Find
Time
12Mo
System
^Patient
Scale
Ord
Method

Long Common Name

Homeless or living in shelter at any time in past 12 months

Basic Attributes

Class
PANEL.SURVEY.SDOH
Type
Surveys
First Released
Version 2.72
Last Updated
Version 2.81 (PANEL)
Order vs. Observation
Order
Panel Type
Panel

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
98975-6Children's HealthWatch Housing Stability Vital Sign [Housing Stability Vital Sign]

107928-4 If yes, are you homeless or living in a shelter now?

Observation ID in Form

3a

Fully-Specified Name

Component
If yes, are you homeless or living in a shelter now
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

If yes, are you homeless or living in a shelter now

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (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
98975-6Children's HealthWatch Housing Stability Vital Sign [Housing Stability Vital Sign]

112504-6 Children's HealthWatch Housing Stability Vital Sign Impression

Form Coding Instructions

If yes on question 1, or > 2 on question 2, or yes on question 3 (and no on question 3a), then housing instability If yes on question 1, 2, or 3, and yes on question 3a, then homelessness

Source: Children's HealthWatch

Fully-Specified Name

Component
Children's HealthWatch Housing Stability Vital Sign Impression
Property
Imp
Time
12Mo
System
^Patient
Scale
Ord
Method
HSVS

Long Common Name

Children's HealthWatch Housing Stability Vital Sign Impression [Housing Stability Vital Sign]

Basic Attributes

Class
SURVEY.SDOH
Type
Surveys
First Released
Version 2.82
Last Updated
Version 2.82 (ADD)
Order vs. Observation
Observation

Example Answer List LL7522-7

AnswerCodeScoreAnswer ID
Housing instabilityLA37075-1
HomelessnessLA37076-9

Member of these Panels

LOINCLong Common Name
98975-6Children's HealthWatch Housing Stability Vital Sign [Housing Stability Vital Sign]