99593-6
American Academy of Family Physicians Social Needs Screening Tool
Active
99550-6 Are you worried or concerned that in the next two months you may not have stable housing that you own, rent, or stay in as part of a household?
Observation ID in Form
1
Form Context
https://www.va.gov/HOMELESS/Universal_Screener_to_Identify_Veterans_Experiencing_Housing_Instability_2014.pdf
Source: American Academy of Family PhysiciansFully-Specified Name
- Component
- Worried about housing stability in next 2Mo
- Property
- Find
- Time
- 2Mo
- System
- ^Patient
- Scale
- Ord
- Method
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.72
- Last Updated
- Version 2.72
- 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 |
|---|---|
| 99593-6 | American Academy of Family Physicians Social Needs Screening Tool |
| 99549-8 | Health Leads screening panel |
Member of these Groups Get Info
| LOINC Group | Group Name |
|---|---|
| LG51306-5 | SDOH |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
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
Form Context
Nuruzzaman N, Broadwin M, Kourouma K, Olson DP. Making the social determinants of health a routine part of medical Care. J Health Care Poor Underserved. 2015;26(2):321-327
Source: American Academy of Family PhysiciansFully-Specified Name
- Component
- Problems with place where you live
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- 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 LL6078-1
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Bug infestation | LA32691-0 | ||
| Mold | LA28580-1 | ||
| Lead paint/pipes | LA32693-6 | ||
| Inadequate heat | LA32694-4 | ||
| Non-functioning oven/stove | LA32695-1 | ||
| No or non-working smoke detectors | LA32696-9 | ||
| Water leaks | LA32001-2 |
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 Context
Hager ER, Quigg AM, Black MM, et al. Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics. 2010;126(1):e26-e32
Source: American Academy of Family PhysiciansFully-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
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.63
- Last Updated
- Version 2.70
- Change Reason
- Release 2.70: AnswerListId: Updated answer list to align with form;
- Order vs. Observation
- Observation
Survey Question
- Text
- (I/We) worried whether (my/our) food would run out before (I/we) got money to buy more.
- Source
- U.S. Household Food Security Survey Module.HH2
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 Context
Hager ER, Quigg AM, Black MM, et al. Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics. 2010;126(1):e26-e32
Source: American Academy of Family PhysiciansFully-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
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.63
- Last Updated
- Version 2.70
- Change Reason
- Release 2.70: AnswerListId: Updated answer list to align with form;
- Order vs. Observation
- Observation
Survey Question
- Text
- The food that (I/we) bought just didn't last, and (I/we) didn't have money to get more.
- Source
- U.S. Household Food Security Survey Module.HH3
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 |
99594-4 Do you put off or neglect going to the doctor because of distance or transportation?
Observation ID in Form
5
Form Context
https://www.va.gov/HOMELESS/Universal_Screener_to_Identify_Veterans_Experiencing_Housing_Instability_2014.pdf
Source: American Academy of Family PhysiciansFully-Specified Name
- Component
- Delayed medical care due to distance or lack of transportation
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.72
- Last Updated
- Version 2.72
- 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 |
|---|---|
| 99593-6 | American Academy of Family Physicians Social Needs Screening Tool |
| 99595-1 | American Academy of Family Physicians Social Needs Screening Tool - short form |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
96779-4 In the past 12 months has the electric, gas, oil, or water copmany threatened to shut off services in your home?
Observation ID in Form
6
Form Context
Cook JT, Frank DA, Casey PH, et al. A brief indicator of household energy security: associations with food security, child health, and child development in US infants and toddlers. Pediatrics. 2008;122(4):e867-e875
Source: American Academy of Family PhysiciansFully-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
Basic Attributes
- Class
- SURVEY.GNHLTH
- Type
- Surveys
- First Released
- Version 2.70
- Last Updated
- Version 2.70
- Order vs. Observation
- Observation
Normative Answer List LL5878-5
| 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 | ||
| 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 |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
99551-4 Do problems getting child care make it difficult for you to work or study?
Observation ID in Form
7
Form Context
Children's HealthWatch. Final: 2013 Children's Healthwatch survey. http://www.childrenshealthwatch.org/methods/our-survey/. Accessed October 3, 2018
Source: American Academy of Family PhysiciansFully-Specified Name
- Component
- Problems getting child care make work or study difficult
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.72
- Last Updated
- Version 2.72
- 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 |
|---|---|
| 99593-6 | American Academy of Family Physicians Social Needs Screening Tool |
| 99549-8 | Health Leads screening panel |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
96444-5 Do you have a job?
Observation ID in Form
8
Form Context
Garg A, Butz AM, Dworkin PH, Lewis RA, Thompson RE, Serwint JR. Improving the management of family psychosocial problems at low-income children's well-child care visits: the WE CARE project. Pediatrics. 2007;120(3):547-558
Source: American Academy of Family PhysiciansFully-Specified Name
- Component
- Has a job
- Property
- Find
- Time
- Pt
- System
- ^Caregiver
- 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 |
|---|---|
| 99593-6 | American Academy of Family Physicians Social Needs Screening Tool |
| 96447-8 | WE CARE Survey [WE CARE] Caregiver |
Member of these Groups Get Info
| LOINC Group | Group Name |
|---|---|
| LG51306-5 | SDOH |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
96446-0 Do you have a high school degree?
Observation ID in Form
9
Form Context
Garg A, Butz AM, Dworkin PH, Lewis RA, Thompson RE, Serwint JR. Improving the management of family psychosocial problems at low-income children's well-child care visits: the WE CARE project. Pediatrics. 2007;120(3):547-558
Source: American Academy of Family PhysiciansFully-Specified Name
- Component
- High school degree
- Property
- Find
- Time
- Pt
- System
- ^Caregiver
- 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 |
|---|---|
| 99593-6 | American Academy of Family Physicians Social Needs Screening Tool |
| 96447-8 | WE CARE Survey [WE CARE] Caregiver |
Member of these Groups Get Info
| LOINC Group | Group Name |
|---|---|
| LG51306-5 | SDOH |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
99627-2 How often does this describe you, I don't have enough money to pay my bills
Observation ID in Form
10
Form Context
Aldana SG, Liljenquist W. Validity and reliability of a financial strain survey. J Financ Couns Plan. 1998;9(2):11-19
Source: American Academy of Family PhysiciansFully-Specified Name
- Component
- How often does this describe you, I don't have enough money to pay my bills
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.72
- Last Updated
- Version 2.72
- 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 |
|---|---|
| 99593-6 | American Academy of Family Physicians Social Needs Screening Tool |
95619-3 Hurts, insults, threatens, and screams [HITS]
Term Description
The Hurt-Insult-Threaten-Scream (HITS) screening tool was developed as a quick, four question, domestic violence screen. Each response has a corresponding numeric value, ranging from 1(rarely) to 5 (frequently). The four individual values are summed for a total score between 4 and 20. A cumulative score greater than 10 indicates the possibility of domestic partner abuse. PMID: 24652635
Source: Regenstrief LOINC
Fully-Specified Name
- Component
- Hurts, insults, threatens, and screams
- Property
- -
- Time
- 12Mo
- System
- ^Patient
- Scale
- -
- Method
- HITS
Basic Attributes
- Class
- PANEL.SURVEY.HITS
- Type
- Surveys
- First Released
- Version 2.69
- Last Updated
- Version 2.72
- Order vs. Observation
- Order
- Panel Type
- Panel
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 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 |
Copyright
- Organization
- Kevin Sherin, M.D.
- Copyright
- Copyright © 2005 Kevin Sherin, M.D.
- Terms of Use
- Used with permission
95618-5 How often does anyone, including family, physically hurt you?
Observation ID in Form
11
Form Context
Sherin KM, Sinacore JM, Li XQ, Zitter RE, Shakil A. HITS: a short domestic violence screening tool for use in a family practice setting. Fam Med. 1998;30(7):508-512
Source: American Academy of Family PhysiciansFully-Specified Name
- Component
- Physically hurt you
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- HITS
Basic Attributes
- Class
- SURVEY.HITS
- Type
- Surveys
- First Released
- Version 2.69
- Last Updated
- Version 2.69
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the last 12 months how often did your partner physically hurt you?
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 |
Copyright
- Organization
- Kevin Sherin, M.D.
- Copyright
- Copyright © 2005 Kevin Sherin, M.D.
- Terms of Use
- Used with permission
95617-7 How often does anyone, including family, insult or talk down to you?
Observation ID in Form
12
Form Context
Sherin KM, Sinacore JM, Li XQ, Zitter RE, Shakil A. HITS: a short domestic violence screening tool for use in a family practice setting. Fam Med. 1998;30(7):508-512
Source: American Academy of Family PhysiciansFully-Specified Name
- Component
- Insult you or talk down to you
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- HITS
Basic Attributes
- Class
- SURVEY.HITS
- Type
- Surveys
- First Released
- Version 2.69
- Last Updated
- Version 2.69
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the last 12 months how often did your partner insult you or talk down to you?
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 |
Copyright
- Organization
- Kevin Sherin, M.D.
- Copyright
- Copyright © 2005 Kevin Sherin, M.D.
- Terms of Use
- Used with permission
95616-9 How often does anyone, including family, threaten you with harm?
Observation ID in Form
13
Form Context
Sherin KM, Sinacore JM, Li XQ, Zitter RE, Shakil A. HITS: a short domestic violence screening tool for use in a family practice setting. Fam Med. 1998;30(7):508-512
Source: American Academy of Family PhysiciansFully-Specified Name
- Component
- Threaten you with physical harm
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- HITS
Basic Attributes
- Class
- SURVEY.HITS
- Type
- Surveys
- First Released
- Version 2.69
- Last Updated
- Version 2.69
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the last 12 months how often did your partner threaten you with physical harm?
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 |
Copyright
- Organization
- Kevin Sherin, M.D.
- Copyright
- Copyright © 2005 Kevin Sherin, M.D.
- Terms of Use
- Used with permission
95615-1 How often does anyone, including family, scream or curse at you?
Observation ID in Form
14
Form Context
Sherin KM, Sinacore JM, Li XQ, Zitter RE, Shakil A. HITS: a short domestic violence screening tool for use in a family practice setting. Fam Med. 1998;30(7):508-512
Source: American Academy of Family PhysiciansFully-Specified Name
- Component
- Scream or curse at you
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- HITS
Basic Attributes
- Class
- SURVEY.HITS
- Type
- Surveys
- First Released
- Version 2.69
- Last Updated
- Version 2.69
- Order vs. Observation
- Observation
Survey Question
- Text
- Over the last 12 months how often did your partner scream or curse at you?
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 |
Copyright
- Organization
- Kevin Sherin, M.D.
- Copyright
- Copyright © 2005 Kevin Sherin, M.D.
- Terms of Use
- Used with permission
95614-4 Total score [HITS]
Fully-Specified Name
- Component
- Total score
- Property
- Score
- Time
- Pt
- System
- ^Patient
- Scale
- Qn
- Method
- HITS
Basic Attributes
- Class
- SURVEY.HITS
- Type
- Surveys
- First Released
- Version 2.69
- Last Updated
- Version 2.69
- 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 |
Copyright
- Organization
- Kevin Sherin, M.D.
- Copyright
- Copyright © 2005 Kevin Sherin, M.D.
- Terms of Use
- Used with permission
99555-5 Would you like help with any of these needs?
Observation ID in Form
15
Fully-Specified Name
- Component
- Want assistance with personal needs
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.72
- Last Updated
- Version 2.72
- 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 |
|---|---|
| 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 |
Member of these Groups Get Info
| LOINC Group | Group Name |
|---|---|
| LG51306-5 | SDOH |
Third Party Copyright
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