HRSNTransportationYN
Indicator of transportation need as part of Health-Related Social Needs (HRSN)
Lack of reliable transportation
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?
0;1
0 = No; 1 = Yes
Choose one

HRSNTransportationYN

HRSNTransportationYN

HRSNTransportationYN

Parenchymal atROL translocates to HSCs (Gallus gallus)

HRSNTransportationYN

HRSNTransportationYN

Parenchymal atROL translocates to HSCs (Danio rerio)

HRSNTransportationYN

HRSNTransportationYN

Parenchymal atROL translocates to HSCs (Sus scrofa)

HRSNTransportationYN

HRSNTransportationYN

Arranges for needed transportation for care recipient

HRSNTransportationYN

HRSNTransportationYN

Parenchymal atROL translocates to HSCs (Homo sapiens)

HRSNTransportationYN

HRSNTransportationYN

increased trunk rotation to right during stance phase of gait

HRSNTransportationYN

HRSNTransportationYN

Parenchymal atROL translocates to HSCs (Caenorhabditis elegans)

HRSNTransportationYN

HRSNTransportationYN

HRSNTransportationYN

HRSNTransportationYN

Parenchymal atROL translocates to HSCs (Bos taurus)

HRSNTransportationYN

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

need

need

need

need

need

need

need

Need for and availability of a raised toilet seat

need

need

need was noted for disposable plates, cups, cutlery

need

need

need

need

need

need

need

need

Consider needs of others in addition to needs of particular individual

need

need

need for prophylactic estrogen receptor downregulators

need

Lack

Lack

Lack

Lack

Lack

Lack

Lack

Lack

Lack

Lack

Lack

Lack

Lack

Lack

Lack

Lack

Lack

Lack

Lack

Lack

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

Life assurance preliminary report completed

reliable

reliable

reliable

reliable

reliable

reliable

reliable

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

lack of

lack of

lack of

lack of

lack of

lack of

lack of

lack of

lack of

lack of

lack of

lack of

lack of

lack of

lack of

lack of

lack of

lack of

lack of

lack of

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

reliable

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

transportation

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

medical appointments

Unable to coordinate multiple appointments

medical appointments

meetings

meetings

meetings

meetings

meetings

meetings

meetings

meetings

meetings

meetings

meetings

meetings

meetings

meetings

meetings

meetings

meetings

meetings

meetings

meetings

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

daily

daily

daily

daily

daily

daily

daily

daily

daily

daily

daily

daily

daily

daily

daily

daily

daily

daily

daily

daily


HRSNUtilitiesScl
Indicator of utilities need as part of Health-Related Social Needs (HRSN)
Utilities threaten to shut off
In the past 12 months has the electric, gas, oil, or water company threatened to shut off services in your home?
0;1;2
0 = No; 1 = Yes; 2 = Already shut off
Choose one

HRSNUtilitiesScl

HRSNUtilitiesScl

HRSNUtilitiesScl

HRSNUtilitiesScl

HRSNUtilitiesScl

HRSNUtilitiesScl

HRSNUtilitiesScl

Acute inflammation of retroperitoneal lymph node

HRSNUtilitiesScl

HRSNUtilitiesScl

HRSNUtilitiesScl

HRSNUtilitiesScl

swelling of right chest at anterior axillary line

HRSNUtilitiesScl

HRSNUtilitiesScl

Spring truss inguinal rat-tail, single left

HRSNUtilitiesScl

HRSNUtilitiesScl

desquamation of right lateral superior trunk

HRSNUtilitiesScl

HRSNUtilitiesScl

Spring truss inguinal rat-tail, special single left

HRSNUtilitiesScl

HRSNUtilitiesScl

HRSNUtilitiesScl

utilities

utilities

utilities

utilities

utilities

utilities

utilities

utilities

utilities

utilities

utilities

utilities

utilities

utilities

utilities

utilities

utilities

utilities

utilities

utilities

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

Utilities

threaten

threaten

threaten

threaten

threaten

threaten

threaten

threaten

threaten

threaten

threaten

threaten

threaten

threaten

threaten

threaten

threaten

threaten

threaten

Transport of Antigen peptide in to ER (Bos taurus)

threaten

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

electric

electric

electric

electric

electric

electric

electric

electric

electric

electric

electric

electric

electric

electric

electric

electric

electric

electric

electric

electric

gas

gas

gas

gas

gas

gas

gas

gas

gas

gas

gas

gas

gas

gas

gas

gas

gas

gas

gas

gas

oil

oil

oil

oil

oil

oil

oil

oil

oil

oil

oil

oil

oil

oil

oil

oil

oil

Oil, Multi Ingredient Topical application Oil [ZARBEE'S NATURALS BABY SOOTHING CHEST RUB]

oil

oil

Oil, Multi Ingredient Topical application Oil [NEUTROGENA BODY]

oil

water company

water company

water company

water company

water company

water company

water company

water company

water company

water company

water company

water company

water company

water company

water company

water company

water company

water company

water company

water company

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened with punishment or deprivation

threatened

threatened

threatened

threatened

threatened

threatened

threatened

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

services

services

services

services

services

services

services

services

services

services

services

services

services

services

services

services

services

services

services

services

home

home

home

home

home

Home patients hemodialyzing at end of reporting period

home

home

home

home

Home (private home/apt., board/care, assisted living, group home, transistional living)

home

home

home

home

home

home

home

home

home

home

home

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off

shut off


HRSNHurtSafetyScl
Safety scale of the frequency of being physically hurt by someone, as part of Health-Related Social Needs (HRSN)
Safety scale: how often someone physically hurts participant
How often does anyone, including family and friends, physically hurt you?
1;2;3;4;5
1 = Never; 2 = Rarely; 3 = Sometimes; 4 = Fairly often; 5 = Frequently
Choose one.

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

hurt

hurt

hurt

hurt

hurt

hurt

hurt

hurt

hurt

hurt

hurt

hurt

hurt

hurt

hurt

hurt

hurt

hurt

hurt

hurt

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

hurts

hurts

hurts

hurts

hurts

hurts

hurts

hurts

hurts

hurts

hurts

hurts

hurts

hurts

hurts

hurts

hurts

hurts

hurts

hurts

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

I have trouble meeting the needs of my friends

friends

friends

friends

friends

friends

friends

friends

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

physically

hurt you

hurt you

hurt you

hurt you

hurt you

hurt you

hurt you

hurt you

hurt you

hurt you

hurt you

hurt you

hurt you

My child hurt all over his or her body in past 7D

hurt you

hurt you

hurt you

hurt you

hurt you

hurt you

hurt you

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely (less than one attack every 3 months)

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes This Doctor Does Not Listen to Me

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently


HRSNInsultSafetyScl
Safety scale of the frequency of being insulted as part of Health-Related Social Needs (HRSN)
Safety scale: how often someone insults or talks down to participant
How often does anyone, including family and friends, insult or talk down to you?
1;2;3;4;5
1 = Never; 2 = Rarely; 3 = Sometimes; 4 = Fairly often; 5 = Frequently
Choose one.

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

insulted

insulted

insulted

insulted

insulted

insulted

insulted

insulted

insulted

insulted

insulted

insulted

insulted

insulted

insulted

encephalopathy; traumatic, current injury

insulted

insulted

insulted

insulted

insulted

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

insults

insults

insults

insults

insults

insults

insults

insults

insults

[X]Assault by smoke, fire and flames, occurrence at home

insults

insults

insults

insults

insults

insults

insults

insults

[X]Intentional self harm by explosive material, occurrence at sports and athletics area

insults

insults

insults

talks

talks

talks

talks

talks

talks

talks

talks

talks

talks

talks

talks

talks

talks

talks

talks

talks

talks

talks

Talk to Family Members Less Often than Like Due to Hearing Problem

talks

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

insult

insult

insult

insult

insult

insult

insult

Legal intervention involving injury by explosive shell, bystander injured, sequela

insult

insult

insult

insult

insult

insult

insult

insult

insult

insult

insult

insult

Injury due to interaction with the public

insult

talk

TWIK-related alkaline pH activated K+ channel (TALK) (Bos taurus)

talk

talk

TWIK-related alkaline pH activated K+ channel (TALK) (Xenopus tropicalis)

talk

talk

TWIK-related alkaline pH activated K+ channel (TALK) (Mus musculus)

talk

talk

TWIK-related alkaline pH activated K+ channel (TALK) (Saccharomyces cerevisiae)

talk

talk

TWIK-related alkaline pH activated K+ channel (TALK) (Homo sapiens)

talk

talk

TWIK-related alkaline pH activated K+ channel (TALK) (Sus scrofa)

talk

talk

TWIK-related alkaline pH activated K+ channel (TALK) (Gallus gallus)

talk

talk

TWIK-releated acid-sensitive K+ channel (TASK) (Drosophila melanogaster)

talk

talk

talk

talk

TWIK-related spinal cord K+ channel (TRESK) (Bos taurus)

talk

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely (less than one attack every 3 months)

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes This Doctor Does Not Listen to Me

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently


HRSNThreatenSafetyScl
Safety scale of the frequency of being threatened as part of Health-Related Social Needs (HRSN)
Safety scale: how often someone threatens participant
How often does anyone, including family and friends, threaten you with harm?
1;2;3;4;5
1 = Never; 2 = Rarely; 3 = Sometimes; 4 = Fairly often; 5 = Frequently
Choose one.

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened

threatened with punishment or deprivation

threatened

threatened

threatened

threatened

threatened

threatened

threatened

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

threatens

threatens

threatens

threatens

threatens

threatens

threatens

threatens

threatens

threatens

threatens

threatens

threatens

threatens

threatens

threatens

threatens

threatens

threatens

threatens

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

I have trouble meeting the needs of my friends

friends

friends

friends

friends

friends

friends

friends

threaten you with harm

threaten you with harm

threaten you with harm

threaten you with harm

threaten you with harm

threaten you with harm

threaten you with harm

threaten you with harm

threaten you with harm

threaten you with harm

threaten you with harm

threaten you with harm

threaten you with harm

threaten you with harm

threaten you with harm

Intentional self-harm by airgun, initial encounter

threaten you with harm

threaten you with harm

Have you ever been threatened with any kind of a weapon, like a knife, gun, baseball bat, frying pan, scissors, stick, rock or bottle:Find:Pt:^Patient:Ord:LTVH

threaten you with harm

threaten you with harm

threaten you with harm

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Fairly

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently


HRSNScreamSafetyScl
Safety scale of the frequency of being screamed at or cursed at as part of Health-Related Social Needs (HRSN)
Safety scale: how often someone screams or curses at participant
How often does anyone, including family and friends, scream or curse at you?
1;2;3;4;5
1 = Never; 2 = Rarely; 3 = Sometimes; 4 = Fairly often; 5 = Frequently
Choose one.

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

screamed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

cursed at

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

screams

screams

screams

screams

screams

screams

screams

screams

screams

screams

screams

screams

screams

screams

screams

screams

screams

screams

screams

screams

curses

curses

curses

curses

curses

curses

curses

curses

curses

curses

curses

curses

curses

curses

curses

curses

curses

curses

curses

curses

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

family

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

friends

scream

scream

scream

scream

scream

scream

scream

scream

scream

scream

scream

scream

scream

scream

scream

scream

scream

scream

scream

Ice-skater colliding with stationary object

scream

curse

curse

curse

curse

curse

curse

curse

curse

curse

curse

curse

curse

curse

curse

curse

curse

curse

curse

curse

curse

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Sometimes

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently

Frequently


HRSNSafetyScore
Score for safety questions, as part of Health-Related Social Needs (HRSN)
Safety Score
Safety score
4 to 20
calculated sum
Sum the responses to questions 7 - 10.

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

HRSNSafetyScore

biolink:Disease biolink:DiseaseOrPhenotypicFeature biolink:BiologicalEntity biolink:ThingWithTaxon biolink:NamedThing

HRSNSafetyScore

HRSNSafetyScore

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

safety

safety

safety

safety

safety

safety

safety

safety

safety

safety

safety

safety

safety

safety

safety

safety

safety

safety

safety

safety

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

Questions answered in a reasonable length of time

questions

questions

questions

questions

questions

questions

questions

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Score

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

Safety

score

score

score

score

score

score

score

score

score

score

score

score

score

score

score

score

score

score

score

score

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

responses to

responses to

responses to

responses to

responses to

responses to

responses to

responses to

responses to

responses to

responses to

responses to

responses to

responses to

responses to

responses to

responses to

responses to

responses to

responses to

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions


HRSNFinancialStrainScl
Scale of financial strain at as part of Health-Related Social Needs (HRSN)
Financial Strain scale
How hard is it for you to pay for the very basics like food, housing, medical care, and heating? Would you say it is:
0;1;2
0 = Not hard at all; 1 = Very hard; 2 = Somewhat hard
Choose one

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

financial strain

housing

housing

housing

housing

housing

housing

housing

housing

housing

housing

housing

housing

housing

housing

housing

housing

housing

housing

housing

housing

medical care

medical care

medical care

medical care

medical care

medical care

medical care

medical care

medical care

medical care

medical care

medical care

medical care

medical care

medical care

medical care

medical care

medical care

medical care

medical care

heating

heating

heating

heating

heating

heating

heating

heating

heating

heating

heating

heating

heating

heating

heating

heating

heating

heating

heating

heating


HRSNEmploymentScl
Scale rating desire for help finding or keeping employment as part of Health-Related Social Needs (HRSN)
Employment need
Do you want help finding or keeping work or a job?
0;1;2
0 = I do not need or want help; 1 = Yes, help finding work; 2 = Yes, help keeping work
Choose one

desire

desire

desire

desire

desire

desire

desire

Desire to reconnect with previous belief pattern

desire

desire

Potential changes in sexual desire and response

desire

desire

Desire to reconnect with previous customs

desire

desire

desire

desire

Have strong desire or craving for this drug

desire

desire

desire

desire

desire

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

Help patient to identify the information he/she is most interested in obtaining

help finding

help finding

help finding

help finding

help finding

help finding

Help reading hospital materials:Find:Pt:^Patient:Ord

help finding

help finding

help finding

keeping

keeping

keeping

Keeps a list of all medication with dose and frequency

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

Keep Your Child Comfortable and Without Pain

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

employment

employment

employment

employment

employment

employment

employment

employment

employment

employment

employment

employment

employment

employment

employment

employment

employment

employment

employment

employment

employment

employment

biolink:PhenotypicFeature biolink:DiseaseOrPhenotypicFeature biolink:BiologicalEntity biolink:ThingWithTaxon biolink:NamedThing

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

Employment

need

need

need

need

need

need

need

Need for and availability of a raised toilet seat

need

need

need was noted for disposable plates, cups, cutlery

need

need

need

need

need

need

need

need

Consider needs of others in addition to needs of particular individual

need

need

need for prophylactic estrogen receptor downregulators

need

want

want

want

want

want

want

want

want

want

want

want

want

want

want

want

Expression of ideas and wants during 3D assessment period:Find:3D:^Patient:Ord:CMS Assessment

want

want

want

want

want

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

keeping

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

job

job

job

job

job

job

job

job

job

job

job

job

job

job

job

job

job

job

job

job

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

help

help

help

help

help

help

help

help

help

help

help

help

help

Help family with financial planning to pay for immunizations (e.g., insurance coverage and health department clinics)

help

help

help

help

help

help

help

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

help finding

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

help keeping

Hawaii Early Learning Profile (HELP) fine motor

help keeping

help keeping

help keeping

help keeping

help keeping

help keeping

Help the individual to consider personal strengths, resources, and barriers to change

help keeping

help keeping

help keeping

help keeping

Help child to see differences/similarities between self and sibling with special needs

help keeping

help keeping

help keeping

help keeping

Help with laces, buttons, and zippers, as needed

help keeping

help keeping

Your children don't help around the house

help keeping

help keeping

Help pack personal belongings for pass, as needed

help keeping

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work


HRSNHelpDailyActScl
Scale for extent of need for help with daily activities as part of Health-Related Social Needs (HRSN)
Assistance needed with daily activity
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?
0;1;2;3
0 = I don’t need any help; 1 = I get all the help I need; 2 = I could use a little more help; 3 = I need a lot more help
Choose one

extent

extent

extent

extent

extent

extent

extent

extent

extent

extent

extent

extent

extent

extent

extent

extent

extent

extent

extent

extent

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

daily activities

daily activities

daily activities

daily activities

daily activities

daily activities

daily activities

daily activities

daily activities

daily activities affected by emotional condition

daily activities

daily activities

daily activities

daily activities

daily activities affected by physical condition

daily activities

daily activities

daily activities affected by mental condition

daily activities

daily activities

daily activities

daily activities

daily activities

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Needs

Assistance

Assistance

Assistance

Assistance

Assistance

Assistance

Assistance

Assistance

Assistance

Assistance

Assistance

Assistance

Assistance

Extracorporeal or Systemic Assistance and Performance @ Physiological Systems @ Assistance

Assistance

Assistance

Assistance

Assistance

Assistance

Assistance

Assistance

needed

needed

needed

needed

needed

needed

needed

Need for and availability of a raised toilet seat

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

needed

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

daily activity

reason

reason

reason

reason

reason

reason

reason

reason

reason

reason

reason

reason

reason

reason

reason

reason

reason

reason

reason

reason

need

need

need

need

need

need

need

need

need

need was noted for disposable plates, cups, cutlery

need

need

need

need

need

need

need

need

Consider needs of others in addition to needs of particular individual

need

need

need for prophylactic estrogen receptor downregulators

need

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

day-to-day

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

bathing

bathing

bathing

bathing

bathing

bathing

bathing

bathing

bathing

bathing

bathing

bathing

bathing

bathing

bathing

bathing

bathing

bathing

bathing

bathing

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

preparing meals

shopping

shopping

shopping

shopping

shopping

shopping

shopping

shopping

shopping

shopping

shopping

shopping

shopping

shopping

shopping

shopping

shopping

shopping

shopping

shopping

managing finances

managing finances

managing finances

managing finances

managing finances

managing finances

managing finances

Assistance with managing relocation costs and finances

managing finances

managing finances

managing finances

managing finances

Management of financial affairs - finding

managing finances

managing finances

managing finances

managing finances

Occupational activity of managing finances

managing finances

managing finances

finances managed by financial agent with power of attorney

managing finances

managing finances

finances managed by family member with power of attorney

managing finances

help

help

help

help

help

help

help

help

help

help

help

help

help

Help family with financial planning to pay for immunizations (e.g., insurance coverage and health department clinics)

help

help

help

help

help

help

help

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

need

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

need lot more

need lot more

need lot more

need lot more

need lot more

need lot more

need lot more

need lot more

need lot more

need lot more

need lot more

need lot more

need lot more

Determine need for more visits from family and friends

need lot more

need lot more

Need help getting out of bed, showered, or dressed

need lot more

need lot more

need lot more

need lot more

need lot more

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help


HRSNLonelinessScl
Indicator of frequency of feeling loneliness or isolation as part of Health-Related Social Needs (HRSN)
Feelings of loneliness or isolation
How often do you feel lonely or isolated from those around you?
0;1;2;3;4
0 = Never; 1 = Rarely; 2 = Sometimes; 3 = Often; 4 = Always
Choose one

HRSNLonelinessScl

HRSNLonelinessScl

HRSNLonelinessScl

HRSNLonelinessScl

HRSNLonelinessScl

Spinal cord, roots and ganglia structure

HRSNLonelinessScl

HRSNLonelinessScl

HRSNLonelinessScl

HRSNLonelinessScl

recurrent subluxation of left radial head

HRSNLonelinessScl

HRSNLonelinessScl

HRSNLonelinessScl

HRSNLonelinessScl

HRSNLonelinessScl

HRSNLonelinessScl

HRSNLonelinessScl

HRSNLonelinessScl

desquamation of right lateral superior trunk

HRSNLonelinessScl

HRSNLonelinessScl

HRSNLonelinessScl

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

feeling

feeling

feeling

feeling

feeling

feeling

feeling

feeling

feeling

feeling

feeling

feeling

feeling

feeling

feeling

feeling

feeling

feeling

feeling

feeling

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

Feelings

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

loneliness

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

isolation

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

often

feel

feel

feel

feel

feel

feel

feel

feel

feel

feel

feel

STAB1 (FEEL-1) binds ligands (Mus musculus)

feel

feel

feel

feel

STAB1 (FEEL-1) binds ligands (Gallus gallus)

feel

feel

feel

feel

feel

lonely

lonely

lonely

lonely

lonely

lonely

lonely

lonely

lonely

lonely

lonely

lonely

lonely

lonely

lonely

lonely

lonely

lonely

lonely

lonely

isolated

isolated

isolated

isolated

isolated

isolated

isolated

isolated

isolated

isolated

isolated

Isolated cases (see Miscellaneous below)

isolated

isolated

isolated

isolated

isolated

isolated

isolated

isolated

isolated

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely (less than one attack every 3 months)

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely

Rarely


HRSNNonEnglishYN
Indicator of not speaking English at home, as part of Health-Related Social Needs (HRSN)
Non-English speaking at home
Do you speak a language other than English at home?
0;1
0 = No; 1 = Yes
Choose one

HRSNNonEnglishYN

HRSNNonEnglishYN

HRSNNonEnglishYN

HRSNNonEnglishYN

HRSNNonEnglishYN

HRSNNonEnglishYN

HRSNNonEnglishYN

HRSNNonEnglishYN

HRSNNonEnglishYN

History of release of entrapment of peripheral nerve

HRSNNonEnglishYN

HRSNNonEnglishYN

HRSNNonEnglishYN

HRSNNonEnglishYN

gangrenous recurrent inguinal hernia on right

HRSNNonEnglishYN

HRSNNonEnglishYN

HRSNNonEnglishYN

HRSNNonEnglishYN

Nonverbal vocal complaints while at rest

HRSNNonEnglishYN

HRSNNonEnglishYN

HRSNNonEnglishYN

speaking

speaking

speaking

speaking

speaking

speaking

speaking

speaking

speaking

Speak in a distinct manner with an appropriate pace, volume, and tone

speaking

speaking

speaking

speaking

speaking

speaking

speaking

speaking

speaking

speaking

speaking

English

English

English

English

English

English

English

English

English

English

English

English

English

English

English

English

English

English

English

English

home

home

home

home

home

Home patients hemodialyzing at end of reporting period

home

home

home

home

Home (private home/apt., board/care, assisted living, group home, transistional living)

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

speak

speak

speak

speak

speak

speak

speak

speak

speak

speak

speak

speak

speak

speak

speak

speak

speak

speak

speak

speak

language

language

language

language

language

language

language

language

language

language

language

language

language

language

language

language

language

language

language

language

English

English

English

English

English

English

English

English

English

English

English

English

English

English

English

English

English

English

English

English

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home

home


HRSNNeedEducationYN
Indicator of wanting help with education as part of Health-Related Social Needs (HRSN)
Want help with school or training
Do you want help with school or training? For example, starting or completing job training or getting a high school diploma, GED or equivalent.
0;1
0 = No; 1 = Yes
Choose one

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

neurorrhaphy of foot with single strand graft up to 4 cm

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

HRSNNeedEducationYN

help with

help with

help with

help with

help with

Help out when you are short of money by giving or loaning you money

help with

help with

Help from another person is usually needed for dressing & grooming, arising, eating, &or walking

help with

help with

help with

help with

Help family with financial planning to pay for immunizations (e.g., insurance coverage and health department clinics)

help with

help with

More dependent. Help with half, slower, etc. Difficulty with everything.

help with

help with

help with

help with

help with

help with

Help from another person usually needed for hygiene, reach, gripping and opening things, &or errands and chores:Find:Pt:^Patient:Nom:HAQ

help with

education

education

education

education

education

education

education

education

education

education

education

education

education

education

education

education

education

education

education

education

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

school

school

school

school

school

school

school

school

school

school

school

school

school

school

school

school

school

school

school

school

training

training

training

training

training

training

training

training

training

Functional training programs: Task training

training

training

training

training

training

training

training

training

training

training

training

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

help

school

school

school

school

school

school

school

school

school

school

school

school

school

school

school

school

school

school

school

school

training

training

training

training

training

training

training

training

training

training

training

training

training

training

training

training

training

training

training

training

completing

completing

completing

completing

completing

completing

completing

completing

completing

completing

completing

completing

completing

completing

completing

Completion Status for valid values - Complete

completing

completing

completing

completing

completing

job

job

job

job

job

job

job

job

job

job

job

job

job

job

job

job

job

job

job

job

training

training

training

training

training

training

training

training

training

training

training

training

training

training

training

training

training

training

training

training

high school diploma

high school diploma

high school diploma

high school diploma

high school diploma

high school diploma

high school diploma

high school diploma

high school diploma

high school diploma

high school diploma

Education about high school completion program for attainment of diploma

high school diploma

high school diploma

high school diploma

high school diploma

high school diploma

high school diploma

high school diploma

high school diploma

high school diploma

GED

GED

GED

GED

GED

GED

GED

GED

GED

GED

GED

GED

GED

GED

GED

GED

GED

GED

GED

GED

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent

equivalent


HRSNPhysActNumDay
Number of days per week that the participant engages in moderate exercise, as part of Health-Related Social Needs (HRSN)
Number of Days
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)?
0;1;2;3;4;5;6;7
0 = 0 day; 1 = 1 day; 2 = 2 days; 3 = 3 days; 4 = 4 days; 5 = 5 days; 6 = 6 days; 7 = 7 days
Choose one.

HRSNPhysActNumDay

HRSNPhysActNumDay

HRSNPhysActNumDay

HRSNPhysActNumDay

HRSNPhysActNumDay

Progressive reticulate hyperpigmentation (axillae, groin, perineal, perianal)

HRSNPhysActNumDay

HRSNPhysActNumDay

HRSNPhysActNumDay

HRSNPhysActNumDay

Hormone replacement therapy bleed pattern - normal

HRSNPhysActNumDay

HRSNPhysActNumDay

HRSNPhysActNumDay

HRSNPhysActNumDay

Hypertension secondary to renal disease, postpartum

HRSNPhysActNumDay

HRSNPhysActNumDay

HRSNPhysActNumDay

HRSNPhysActNumDay

hormone and synthetic substitute toxicity

HRSNPhysActNumDay

HRSNPhysActNumDay

streptoccocal; nephritis, rapidly progressive

HRSNPhysActNumDay

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

week

week

week

week

week

week

week

week

week

week

week

week

week

week

week

week

week

week

week

week

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

participant

engages

engages

engages

engages

engages

Engages in activities consistent with personal values

engages

engages

engages

engages

engages

engages

engages

engages

engages

engages

Seek information on employee concerns for patient care and the work environment

engages

engages

engages

engages

GOSE - Social and Leisure Activities: Engage Regular Social and Leisure Activities Before Injury

engages

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Days

Days

Days

Days

Days

Days

Days

Days

Days

Days

Days

Days

Days

Days

Days

Days

Days

Days

Days

Days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

activities

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

work

average

average

average

average

average

average

average

average

average

average

average

average

average

average

average

average

average

average

average

average

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

days per

week

week

week

week

week

week

week

week

week

week

week

week

week

week

week

week

week

week

week

week

engage

engage

engage

engage

engage

Engage the patient in structured activities (e.g., music therapy, reading, painting, drawing, supervised outdoor activities), as appropriate for setting

engage

engage

engage

engage

patient engaged in recreational activity at time of event

engage

engage

engage

engage

engage

engage

engage

engage

Members' engagement in response to event

engage

engage

Seeks current information about alcohol use

engage

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

moderate

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

exercise

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

walking fast

running

running

running

running

running

running

running

running

running

running

running

running

running

running

running

running

running

running

running

running

jogging

jogging

jogging

jogging

jogging

jogging

jogging

jogging

jogging

jogging

jogging

jogging

jogging

jogging

jogging

jogging

jogging

jogging

jogging

jogging

dancing

dancing

dancing

dancing

dancing

dancing

dancing

dancing

dancing

dancing

dancing

dancing

dancing

dancing

dancing

dancing

dancing

dancing

dancing

dancing

swimming

swimming

swimming

swimming

swimming

swimming

swimming

swimming

swimming

swimming

swimming

swimming

swimming

swimming

swimming

swimming

swimming

swimming

swimming

swimming

biking

biking

biking

biking

biking

biking

biking

biking

biking

biking

biking

biking

biking

biking

biking

biking

biking

biking

biking

biking

activities)

activities)

activities)

activities)

activities)

activities)

activities)

activities)

activities)

activities)

activities)

activities)

activities)

activities)

activities)

activities)

activities)

activities)

activities)

activities)

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

Choose

Choose

Choose

Choose

Choose

Choose

Choose

Choose

Choose

Choose content relevant to the level of the learner.

Choose

Choose

Choose

Choose

Choose group members who are willing to participate actively and take responsibility for own problems

Choose

Choose

Choose

Choose

Choose

Choose

Choose


HRSNNumberOfMinutes
Indicator of need help as part of Health-Related Social Needs (HRSN)
Number of Minutes
On average, how many minutes did you usually spend exercising at this level on one of those days?
0;10;20;30;40;50;60;90;120;150
0 = o minute;10 = 10 minutes; 20 = 20 minutes; 30 = 30 minutes; 40 = 40 minutes; 50 = 50 minutes; 60 = 60 minutes; 90 = 90 minutes; 120 = 120 minutes; 150 =150 minutes or greater
Choose one.

HRSNNumberOfMinutes

HRSNNumberOfMinutes

HRSNNumberOfMinutes

HRSNNumberOfMinutes

HRSNNumberOfMinutes

HRSNNumberOfMinutes

HRSNNumberOfMinutes

HRSNNumberOfMinutes

HRSNNumberOfMinutes

Heberden's nodes of little finger of right hand

HRSNNumberOfMinutes

HRSNNumberOfMinutes

Heberden's nodes of finger of right hand

HRSNNumberOfMinutes

HRSNNumberOfMinutes

HRSNNumberOfMinutes

HRSNNumberOfMinutes

HRSNNumberOfMinutes

HRSNNumberOfMinutes

HRSNNumberOfMinutes

HRSNNumberOfMinutes

Heberden's nodes of ring finger of right hand

HRSNNumberOfMinutes

Indicator need help

Indicator need help

Indicator need help

Indicator need help

Indicator need help

Indicator need help

Indicator need help

Indicator need help

Indicator need help

Indicator need help

Indicator need help

Indicator need help

Indicator need help

assessment for fall risk: impression and score

Indicator need help

Indicator need help

Indicator need help

Indicator need help

Indicator need help

Indicator need help

Indicator need help

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Number

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

Minutes

average

average

average

average

average

average

average

average

average

average

average

average

average

average

average

average

average

average

average

average

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

usually

usually

usually

usually

usually

usually

usually

usually

usually

usually

usually

usually

usually

usually

usually

usually

usually

usually

usually

usually

exercising

exercising

exercising

exercising

exercising

exercising

exercising

exercising

exercising

exercising

exercising

exercising

exercising

exercising

exercising

exercising

exercising

exercising

exercising

exercising

level

level

level

level

level

level

level

level

level

level

level

level

level

level

level

Measurement of level of substance in blood

level

level

level

level

Lipoprotein level, electrophoretic separation and quantitation

level

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

minutes

greater

greater

greater

greater

greater

greater

greater

greater

greater

greater

greater

greater

greater

greater

greater

greater

greater

greater

greater

greater


HRSNPhysicalActivCalc
Determination of Physical Activity Need (calculated/derived) - calculated amount of physical activity
Determination of Physical Activity Need (calculated/derived) - calculated amount of physical activity
Physical Activity Need calculation
Calculate [“number of days” selected] x [“number of minutes” selected] = [number of minutes of exercise per week]

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determine patient's desire and preference for truth in the situation

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Need

Need

Need

Need

Need

Need

Need

Need for and availability of a raised toilet seat

Need

Need

need was noted for disposable plates, cups, cutlery

Need

Need

Need

Need

Need

Need

Need

Need

Consider needs of others in addition to needs of particular individual

Need

Need

need for prophylactic estrogen receptor downregulators

Need

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount removed by therapeutic phlebotomy

amount

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Determination

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

amount

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

physical activity

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

Need

calculation

calculation

calculation

calculation

calculation

calculation

calculation

calculation

calculation

calculation

calculation

calculation

calculation

calculation

calculation

calculation

calculation

calculation

calculation

calculation

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Determine patient's daily living expenses

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

Calculate [“number of days

selected [“number of minutes [number of minutes of exercise per week

Selects food and fluid consistent with prescribed diet

Choose the picture that most closely resembles your, or your childs, body shape:Find:Pt:^Patient:Nom:PhenX

Choose the number of the activity you would most like to be able to do without any difficulty:Find:Pt:^Patient:Nom:OPTIMAL

Compared to what you expected, how do you rate the effectiveness of the treatment so far:Find:Pt:^Patient:Ord:FACIT

WHYMPI significant-other responses subscale: solicitous responses

{56 (elexacaftor 50 MG / ivacaftor 37.5 MG / tezacaftor 25 MG Oral Tablet) / 28 (ivacaftor 75 MG Oral Tablet) } Pack


HRSNAlcoholUseScl
Scale for frequency of over-drinking, as part of Health-Related Social Needs (HRSN)
Alcohol use scale
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)? One drink is 12 ounces of beer, 5 ounces of wine, or 1.5 ounces of 80-proof spirits.
0;1;2;3;4
0 = Never; 1 = Once or Twice; 2 = Monthly; 3 = Weekly; 4 = Daily or Almost Daily
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.

 Choose one

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

over-drinking

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

months

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

drinks

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

day

drink

drink

drink

drink

drink

drink

drink

drink

drink

drink

drink

drink

drink

drinking in moderation (two drinks/day or fewer)

drink

drink

drink

drink

drink

drink

drink

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

beer

beer

beer

beer

beer

beer

beer

beer

beer

beer

beer

beer

beer

beer

beer

beer

beer

beer

beer

beer

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

ounces

wine

wine

wine

wine

wine

wine

wine

wine

wine

wine

wine

wine

wine

wine

wine

wine

wine

wine

wine

wine

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

ounces 80-proof spirits

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly but not weekly (i.e., 1-3 per month)

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

Questions answered in a reasonable length of time

questions

questions

questions

questions

questions

questions

questions

experience

experience

experience

experience

experience

experience

experience

experience

experience

experience

experience

experience

experience

experience

experience

experience

experience

experience

experience

experience

alcohol

alcohol

alcohol

alcohol

alcohol

alcohol

alcohol

alcohol

alcohol

Alcohol (ethanol); any specimen except breath

alcohol

alcohol

alcohol

alcohol

alcohol

alcohol

alcohol

alcohol

alcohol

alcohol

How often do you have a drink containing alcohol

alcohol

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

smoking cigarettes starting upon awakening

cigarettes

cigarettes

cigarettes

cigarettes

smoking cigarettes - trivial (< 1 / day)

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

smoking cigarettes starting only in afternoon or evening

cigarettes

drugs

drugs

drugs

drugs

drugs

drugs

drugs

drugs

drugs

drugs

drugs

drugs

drugs

drugs

drugs

drugs

drugs

drugs

drugs

drugs

substances

substances

substances

substances

substances

Substances that you have ever tried and failed to control, cut down or stop using:Type:Pt:^Patient:Nom:NIDA

substances

substances

substances

substances

substances

substances

substances

substances

substances

substances

substances

substances

substances

substances

substances

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

doctor

doctor

doctor

doctor

doctor

doctor

doctor

doctor

doctor

doctor

doctor

doctor

doctor

doctor

doctor

doctor

doctor

doctor

doctor

doctor

pain

pain

pain

pain

pain

pain

pain

pain

pain

pain

pain

pain

pain

pain

pain

pain

pain

pain

pain

Pain (sharp, boring, drilling, piercing)

pain

pain

pain

medications)

medications)

medications)

medications)

medications)

medications)

medications)

medications)

medications)

medications)

medications)

medications)

medications)

medications)

medications)

medications)

medications)

Medication administered before lab visit

medications)

medications)

medications)

doses

doses

doses

doses

doses

Drug dose (for transmitting doses for pharmacokinetics)

doses

doses

doses

doses

doses

doses

doses

doses

doses

doses

doses

doses

doses

doses

doses

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

prescribed

question

question

question

question

question

question

question

question

question

question

question

question

question

question

question

question

question

question

question

question

illicit

illicit

illicit

illicit

illicit

illicit

illicit

illicit

illicit

Illicit drug injection in last 12 months

illicit

illicit

illicit

illicit

illicit

illicit

illicit

illicit

illicit

illicit

illicit

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

illegal drug use

community

community

community

community

community

community

community

Community (private home/apt., board/care, assisted living, group home)

community

community

community

community

community

community

community

community

community

community

community

community

community

services

services

services

services

services

services

services

services

services

services

services

services

services

services

services

services

services

services

services

services


HRSNTobaccoUseScl
Scale for frequency of using tobacco as part of Health-Related Social Needs (HRSN)
Tobacco use scale
How many times in the past 12 months have you used tobacco products (like cigarettes, cigars, snuff, chew, electronic cigarettes)?
0;1;2;3;4
0 = Never; 1 = Once or Twice; 2 = Monthly; 3 = Weekly; 4 = Daily or Almost Daily
Choose one

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

Tobacco

used

used

used

used

used

used

used

used

used

used

used

Used Family or Friend's Smartphone or Tablet

used

used

used

used

used

used

used

used

used

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

tobacco products

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigarettes

cigars

cigars

cigars

cigars

cigars

cigars

cigars

cigars

cigars

cigars

cigars

cigars

cigars

cigars

cigars

cigars

cigars

cigars

cigars

cigars

snuff

snuff

snuff

snuff

snuff

snuff

snuff

snuff

snuff

snuff

snuff

snuff

snuff

snuff

snuff

snuff

snuff

snuff

snuff

snuff

chew

chew

chew

chew

chew

chew

chew

chew

chew

chew

chew

chew

chew

chew

chew

chew

chew

chew

chew

chew

electronic

electronic

electronic

electronic

electronic

electronic

electronic

electronic

electronic

electronic

electronic

electronic

electronic

electronic

electronic

electronic

electronic

Initial insertion of lead [electrode], not otherwise specified

electronic

electronic

electronic

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

cigarettes)

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily


HRSNRxDrugMisuseScl
Scale for frequency of prescription drug misuse as part of Health-Related Social Needs (HRSN)
Prescription drug use scale
How many times in the past year have you used prescription drugs for non-medical reasons?
0;1;2;3;4
0 = Never; 1 = Once or Twice; 2 = Monthly; 3 = Weekly; 4 = Daily or Almost Daily
Choose one

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

prescription drug misuse

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

Prescription

drug

drug

drug

drug

drug

drug

drug

drug

drug

drug

drug

drug

drug

drug

drug

drug

drug

drug

drug

drug

use past year

use past year

use past year

use past year

use past year

use past year

use past year

use past year

use past year

use past year

use past year

During the past 3Mo, how often have you had a strong desire or urge to use cannabis

use past year

use past year

Are you currently using them - within the last Mo

use past year

use past year

use past year

use past year

use past year

use past year

use past year

used

used

used

used

used

used

used

used

used

used

used

used

used

used

used

used

used

used

used

used

prescription drugs

prescription drugs

prescription drugs

prescription drugs

prescription drugs

prescription drugs

prescription drugs

prescription drugs

prescription drugs

prescription drugs

prescription drugs

prescription drugs

prescription drugs

prescription drugs

prescription drugs

prescription drugs

prescription drugs

taking prescription drugs without prescription

prescription drugs

prescription drugs

prescription drugs

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

non-medical

reasons

reasons

reasons

reasons

reasons

reasons

reasons

reasons

reasons

reasons

reasons

reasons

reasons

reasons

reasons

reasons

reasons

reasons

reasons

reasons

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly but not weekly (i.e., 1-3 per month)

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily


HRSNIllegalDrugUseScl
Scale for frequency of illegal drugs use as part of Health-Related Social Needs (HRSN)
Illegal drug use scale
How many times in the past year have you used illegal drugs?
0;1;2;3;4
0 = Never; 1 = Once or Twice; 2 = Monthly; 3 = Weekly; 4 = Daily or Almost Daily
Choose one

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

frequency

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

illegal drugs use

Illegal drug use in the past 1Y:Find:1Y:^Patient:Ord

illegal drugs use

drug use

drug use

drug use

drug use

drug use

drug use

drug use

drug use

drug use

drug use

drug use

drug use

drug use

drug use

drug use

drug use

drug use

Drug use in unapproved therapeutic environment

drug use

drug use

drug use

times past year

times past year

times past year

times past year

times past year

times past year

times past year

times past year

times past year

times past year

times past year

times past year

times past year

times past year

times past year

Three times a week on Tuesday, Thursday and Saturday

times past year

times past year

times past year

times past year

times past year

used

used

used

used

used

used

used

used

used

used

used

used

used

used

used

used

used

used

used

used

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

illegal drugs

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Never

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Once

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Twice

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Monthly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Weekly

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily

Daily


HRSNLittleInterest
Indicator of little interest as part of Health-Related Social Needs (HRSN)
Little interest or pleasure in doing things?
Over the past 2 weeks, how often have you been bothered by any of the following problems? Little interest or pleasure in doing things?
0;1;2;3
0 = Not at all; 1 = Several days; 2 = More than half the days; 3 = Nearly every day
Over the past 2 weeks, how often have you been bothered by any of the following problems? Choose one.

HRSNLittleInterest

HRSNLittleInterest

HRSNLittleInterest

HRSNLittleInterest

HRSNLittleInterest

HRSNLittleInterest

HRSNLittleInterest

HRSNLittleInterest

HRSNLittleInterest

radical excision of reactive inflammatory lesion of lip greater than 1.25 cm

HRSNLittleInterest

HRSNLittleInterest

HRSNLittleInterest

HRSNLittleInterest

Release Right Sublingual Gland, Percutaneous Approach

HRSNLittleInterest

HRSNLittleInterest

HRSNLittleInterest

HRSNLittleInterest

HRSNLittleInterest

HRSNLittleInterest

Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; less than 3 cm

HRSNLittleInterest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

Pleasure - Animals raised for recreation

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

bothered

bothered

bothered

bothered

bothered

Bothered by Things That Usually Don't Bother Me

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

Bothered by things that are not usually bothersome

bothered

bothered

bothered

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

interest

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

pleasure

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems


HRSNDepression
Indicator of depression as part of Health-Related Social Needs (HRSN)
Feeling down, depressed, or hopeless?
Over the past 2 weeks, how often have you been bothered by any of the following problems? Feeling down, depressed, or hopeless?
0;1;2;3
0 = Not at all; 1 = Several days; 2 = More than half the days; 3 = Nearly every day
Choose one

HRSNDepression

HRSNDepression

HRSNDepression

HRSNDepression

HRSNDepression

HRSNDepression

HRSNDepression

HRSNDepression

HRSNDepression

HRSNDepression

HRSNDepression

HRSNDepression

HRSNDepression

Sustained Release Parenteral Dosage Form

HRSNDepression

HRSNDepression

Transrectal drainage of retroperitoneal fluid with catheter

HRSNDepression

HRSNDepression

HRSNDepression

HRSNDepression

HRSNDepression

depression

depression

depression

depression

depression

depression

depression

depression

depression

depression

depression

depression

depression

depression

depression

depression

depression

depression

depression

depression

depressed

depressed

depressed

depressed, but unlike previous grieving for a death or loss

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

weeks

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

bothered

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

problems

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

depressed

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless

hopeless


HRSNMentHlthSubScl
Calculated sum of responses to questions 23.1 and 23.2
Calculated sum of responses to questions 23.1 and 23.2
Mental health subscale: sum of responses to questions 23.1 and 23.2
0 to 6
calculated sum
Sum responses to questions 23.1 and 23.2

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

Calculated

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

Respond accordingly to patient's perceptions (e.g., temperature, pain, and fear of drowning)

responses

responses

responses

responses

responses

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

Questions answered in a reasonable length of time

questions

questions

questions

questions

questions

questions

questions

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

sum of

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

calculated

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

sum

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

responses

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions

questions


HRSNStressScl
Scale of extent to which stress is felt, as part of Health-Related Social Needs (HRSN)
Stress scale
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?
0;1;2;3;4
0 = Not at all; 1 = A little bit; 2 = Somewhat; 3 = Quite a bit; 4 = Very much
Choose one

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

Stress

situation

situation

situation

situation

situation

situation

situation

situation

situation

situation

situation

situation

situation

situation

situation

situation

situation

situation

situation

situation

person

person

person

person

person

person

person

person

person

person

person

person

person

person

person

person

person

person

person

person

tense

tense

tense

tense

tense

tense

tense

tense

tense

tense

tense

tense

tense

tense

tense

tense

tense

tense

tense

tense

restless

restless

restless

restless

restless

restless

restless

restless

restless

restless

restless

restless

restless

restless

restless

restless

restless

restless

restless

restless

nervous

nervous

nervous

nervous

nervous

nervous

nervous

nervous

nervous

nervous

nervous

nervous

nervous

nervous

nervous

nervous

nervous

nervous

nervous

nervous

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

anxious

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sleep at

unable to sit for more than specified duration

unable to sleep at

unable to sleep at

unable to sleep at

night

night

night

night

night

night

night

night

night

night

night

night

night

night

night

night

night

night

night

night

mind

mind

mind

mind

mind

mind

mind

mind

mind

mind

mind

mind

mind

mind

mind

mind

mind

mind

mind

mind

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

troubled all

feel

feel

feel

feel

feel

feel

feel

feel

feel

feel

feel

STAB1 (FEEL-1) binds ligands (Mus musculus)

feel

feel

feel

feel

STAB1 (FEEL-1) binds ligands (Gallus gallus)

feel

feel

feel

feel

feel

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

stress

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days

days