Version 2.78

105239-8 Many people have been held in jail or prison for a night or more at some point in their lives. Please think about your immediate family, including parents; brothers; sisters; children; and your current spouse, current romantic partner, or anyone else you have had a child with. Please include step, foster, and adoptive family members. Confidentially and for statistical purposes only, have any members of your immediate family NOT including yourself, ever been held in jail or prison for one night or longer?

Fully-Specified Name

Component
Confidentially and for statistical purposes only, have any members of your immediate family NOT including yourself, ever been held in jail or prison for one night or longer
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam except self jail night

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
Many people have been held in jail or prison for a night or more at some point in their lives. Please think about your immediate family, including parents; brothers; sisters; children; and your current spouse, current romantic partner, or anyone else you have had a child with. Please include step, foster, and adoptive family members. Confidentially and for statistical purposes only, have any members of your immediate family NOT including yourself, ever been held in jail or prison for one night or longer?
Source
PX281001010000

Example Answer List LL6617-6

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) Y LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) N LA32-8

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105247-1 Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Anyone else you have had a child with

Fully-Specified Name

Component
Family members in category group: step, foster, adoptive. Anyone else you have had a child with
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam step,fos,adopt, else

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Anyone else you have had a child with
Source
PX281001020800

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105242-2 Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Brother(s)

Fully-Specified Name

Component
Family members in category group: step, foster, adoptive. Brother(s)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam step,fos,adopt, bro

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Brother(s)
Source
PX281001020300

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105245-5 Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Daughter(s)

Fully-Specified Name

Component
Family members in category group: step, foster, adoptive. Daughter(s)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam step,fos,adopt, dau

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Daughter(s)
Source
PX281001020600

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105240-6 Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Father(s)

Fully-Specified Name

Component
Family members in category group: step, foster, adoptive. Father(s)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam step,fos,adopt, fath

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Father(s)
Source
PX281001020100

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105255-4 You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Anyone else you have had a child with

Fully-Specified Name

Component
Held in jail or prison one night or longer. step, foster, and adoptive family members. Anyone else you have had a child with
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam jail night step,fost, adopt, other

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Anyone else you have had a child with
Source
PX281001030108

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105250-5 You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Brother(s)

Fully-Specified Name

Component
Held in jail or prison one night or longer. step, foster, and adoptive family members. Brother(s)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam jail night step,fost, adopt, brother

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Brother(s)
Source
PX281001030103

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105253-9 You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Daughter(s)

Fully-Specified Name

Component
Held in jail or prison one night or longer. step, foster, and adoptive family members. Daughter(s)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam jail night step,fost, adopt, dau

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Daughter(s)
Source
PX281001030106

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105248-9 You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Father(s)

Fully-Specified Name

Component
Held in jail or prison one night or longer. step, foster, and adoptive family members. Father(s)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam jail night step,fost, adopt, father

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Father(s)
Source
PX281001030101

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105249-7 You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Mother(s)

Fully-Specified Name

Component
Held in jail or prison one night or longer. step, foster, and adoptive family members. Mother(s)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam jail night step,fost, adopt, mother

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Mother(s)
Source
PX281001030102

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105251-3 You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Sister(s)

Fully-Specified Name

Component
Held in jail or prison one night or longer. step, foster, and adoptive family members. Sister(s)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam jail night step,fost, adopt, brother

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Sister(s)
Source
PX281001030104

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105252-1 You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Son(s)

Fully-Specified Name

Component
Held in jail or prison one night or longer. step, foster, and adoptive family members. Son(s)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam jail night step,fost, adopt, son

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Son(s)
Source
PX281001030105

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105254-7 You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Current spouse or romantic partner

Fully-Specified Name

Component
Held in jail or prison one night or longer. step, foster, and adoptive family members. Current spouse or romantic partner
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam jail night step,fost, adopt, spouse

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
You mentioned a moment ago that a member of your immediate family has been held in jail or prison for one night or longer. How many people from the following groups have ever been held in jail or prison for one night or longer? Include step, foster, and adoptive family members. Current spouse or romantic partner
Source
PX281001030107

Example Answer List LL6852-9

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105241-4 Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Mother(s)

Fully-Specified Name

Component
Family members in category group: step, foster, adoptive. Mother(s)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam step, fos, adopt,mom

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Mother(s)
Source
PX281001020200

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105243-0 Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Sister(s)

Fully-Specified Name

Component
Family members in category group: step, foster, adoptive. Sister(s)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam step,fos,adopt, sis

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Sister(s)
Source
PX281001020400

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105244-8 Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Son(s)

Fully-Specified Name

Component
Family members in category group: step, foster, adoptive. Son(s)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam step,fos,adopt, son

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Son(s)
Source
PX281001020500

Example Answer List LL6616-8

Answer Code Score Answer ID
0 LA6111-4
1 LA6112-2
2 LA34475-6
3+ LA11843-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105246-3 Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Current spouse or romantic partner

Fully-Specified Name

Component
Family members in category group: step, foster, adoptive. Current spouse or romantic partner
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Fam step,fos,adopt, spou

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
Thinking again about your immediate family, how many family members do you have in each of the groups listed below? Include step, foster, and adoptive family members. Current spouse or romantic partner
Source
PX281001020700

Example Answer List LL6852-9

Answer Code Score Answer ID
0 0 LA6111-4
1 1 LA6112-2

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

105256-2 Thinking about your immediate family members who have been held in jail or prison, what was the longest amount of time that any one of your family members spent in jail or prison?

Fully-Specified Name

Component
Longest amount of time family members spent in jail or prison
Property
Time
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Longest time prison

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
Thinking about your immediate family members who have been held in jail or prison, what was the longest amount of time that any one of your family members spent in jail or prison?
Source
PX281001030201

Example Answer List LL6825-5

Answer Code Score Answer ID
1 = 1 day LA34367-5
2 = 2 days to a month LA34368-3
3 = Between a month and a year LA34369-1
4 = 1-5 years LA34370-9
5 = 6-10 years LA34371-7
6 = More than 10 years LA34372-5

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001

Example Units

Unit Source
d Example UCUM Units

105257-0 Now, we would like you to think about any other, more extended, family members you feel close with who are not included in the earlier groups. As far as you are aware, have any of those other family members you feel close with ever been held in a jail or prison for a night or more at some point in their lives?

Fully-Specified Name

Component
Family members you feel close with held in a jail or prison for a night or more at some point in their lives
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Additional Names

Short Name
Other close family jail night

Basic Attributes

Class
PHENX
Type
Clinical
First Released
Version 2.78
Last Updated
Version 2.78
Order vs. Observation
Observation

Survey Question

Text
Now, we would like you to think about any other, more extended, family members you feel close with who are not included in the earlier groups. As far as you are aware, have any of those other family members you feel close with ever been held in a jail or prison for a night or more at some point in their lives?
Source
PX281001040000

Example Answer List LL6826-3

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) 1 LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) 2 LA32-8
Not sure 77 LA12693-0

Member of these Panels

LOINC Long Common Name
105258-8 PhenX - family history of incarceration protocol 281001