Form Coding Instructions
Now I'm going to read you several statements that people have made about their food situation. For these statements, please tell me whether the statement was often true, sometimes true, or never true for (you/your household) in the last 12 months-that is, since last (name of current month)
Source: U.S. Department of Agriculture (USDA)
Fully-Specified Name
- Component
- Within the past 12Mo we worried whether our food would run out before we got money to buy more
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
- U.S. Food Security Survey
Long Common Name
Within the past 12 months we worried whether our food would run out before we got money to buy more [U.S. FSS]
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.63
- Last Updated
- Version 2.70 (MIN)
- Change Reason
- Release 2.70: AnswerListId: Updated answer list to align with form;
- Order vs. Observation
- Observation
Member of these Panels
LOINC |
Long Common Name |
96777-8 |
Accountable health communities (AHC) health-related social needs screening (HRSN) tool |
99593-6 |
American Academy of Family Physicians Social Needs Screening Tool |
99595-1 |
American Academy of Family Physicians Social Needs Screening Tool - short form |
88121-9 |
Hunger Vital Sign [HVS] |
95353-9 |
U.S. Adult Food Security Survey [U.S. FSS] |
95246-5 |
U.S. Household Food Security Survey [U.S. FSS] |
Skip Logic
If affirmative response ("often true" or "sometimes true") to one or more of HH2-HH4, or, response 3 or 4 to HH1, then continue to AD1; if children under age 18 are present in the household, skip to CH1, otherwise skip to End of Food Security Module
Fully-Specified Name
- Component
- In the last 12Mo, we couldn't afford to eat balanced meals
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- U.S. Food Security Survey
Long Common Name
In the last 12 months, we couldn't afford to eat balanced meals [U.S. FSS]
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.70 (MIN)
- Change Reason
- Release 2.70: AnswerListId: Updated answer list to align with form;
- Order vs. Observation
- Observation
Member of these Panels
LOINC |
Long Common Name |
95353-9 |
U.S. Adult Food Security Survey [U.S. FSS] |
95361-2 |
U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS] |
95246-5 |
U.S. Household Food Security Survey [U.S. FSS] |
Skip Logic
If No or DK, Skip AD1a.
Fully-Specified Name
- Component
- In the last 12Mo, did you ever cut the size of your meals or skip meals because there wasn't enough money for food
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- U.S. Food Security Survey
Long Common Name
In the last 12 months, did you ever cut the size of your meals or skip meals because there wasn't enough money for food [U.S. FSS]
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL5584-9
Answer |
Code |
Score |
Answer ID |
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) |
|
0 |
LA32-8 |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) |
|
1 |
LA33-6 |
DK |
|
0 |
LA14226-7 |
Member of these Panels
LOINC |
Long Common Name |
95353-9 |
U.S. Adult Food Security Survey [U.S. FSS] |
95361-2 |
U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS] |
95246-5 |
U.S. Household Food Security Survey [U.S. FSS] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
Fully-Specified Name
- Component
- In the last 12Mo, did you ever eat less than you felt you should because there wasn't enough money for food
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- U.S. Food Security Survey
Long Common Name
In the last 12 months, did you ever eat less than you felt you should because there wasn't enough money for food [U.S. FSS]
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL5584-9
Answer |
Code |
Score |
Answer ID |
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) |
|
0 |
LA32-8 |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) |
|
1 |
LA33-6 |
DK |
|
0 |
LA14226-7 |
Member of these Panels
LOINC |
Long Common Name |
99549-8 |
Health Leads screening panel |
95353-9 |
U.S. Adult Food Security Survey [U.S. FSS] |
95361-2 |
U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS] |
95246-5 |
U.S. Household Food Security Survey [U.S. FSS] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
Fully-Specified Name
- Component
- In the last 12Mo, were you ever hungry but didn't eat because there wasn't enough money for food
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- U.S. Food Security Survey
Long Common Name
In the last 12 months, were you ever hungry but didn't eat because there wasn't enough money for food [U.S. FSS]
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL5584-9
Answer |
Code |
Score |
Answer ID |
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) |
|
0 |
LA32-8 |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) |
|
1 |
LA33-6 |
DK |
|
0 |
LA14226-7 |
Member of these Panels
LOINC |
Long Common Name |
95353-9 |
U.S. Adult Food Security Survey [U.S. FSS] |
95361-2 |
U.S. Household Food Security Survey - Six-Item Short Form [U.S. FSS] |
95246-5 |
U.S. Household Food Security Survey [U.S. FSS] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
Skip Logic
If affirmative response to one or more of questions AD1 through AD4, then continue to AD5 (Adult Stage 3); otherwise, if children under age 18 are present in the household, skip to CH1 (Child Stage 1), otherwise skip to End of Food Security
Fully-Specified Name
- Component
- In the last 12Mo, did you lose weight because there wasn't enough money for food
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- U.S. Food Security Survey
Long Common Name
In the last 12 months, did you lose weight because there wasn't enough money for food [U.S. FSS]
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL5584-9
Answer |
Code |
Score |
Answer ID |
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) |
|
0 |
LA32-8 |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) |
|
1 |
LA33-6 |
DK |
|
0 |
LA14226-7 |
Member of these Panels
LOINC |
Long Common Name |
95353-9 |
U.S. Adult Food Security Survey [U.S. FSS] |
95246-5 |
U.S. Household Food Security Survey [U.S. FSS] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
Skip Logic
If No or DK, skip AD5a.
Fully-Specified Name
- Component
- In the last 12Mo, did you ever not eat for a whole day because there wasn't enough money for food
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- U.S. Food Security Survey
Long Common Name
In the last 12 months, did you ever not eat for a whole day because there wasn't enough money for food [U.S. FSS]
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.71 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL5584-9
Answer |
Code |
Score |
Answer ID |
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) |
|
0 |
LA32-8 |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) |
|
1 |
LA33-6 |
DK |
|
0 |
LA14226-7 |
Member of these Panels
LOINC |
Long Common Name |
95353-9 |
U.S. Adult Food Security Survey [U.S. FSS] |
95246-5 |
U.S. Household Food Security Survey [U.S. FSS] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
Skip Logic
Households with no child under age 18, skip to End of Food Security Module.
Form Coding Instructions
Now I'm going to read you several statements that people have made about the food situation of their children. For these statements, please tell me whether the statement was often true, sometimes true, or never true in the last 12 months for (your child/children living in the household who are under 18 years old)
Source: U.S. Department of Agriculture (USDA)
Fully-Specified Name
- Component
- In the last 12Mo, I relied on only a few kinds of low-cost food to feed my children because I was running out of money to buy food
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- U.S. Food Security Survey
Long Common Name
In the last 12 months, I relied on only a few kinds of low-cost food to feed my children because I was running out of money to buy food [U.S. FSS]
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69 (MIN)
- Order vs. Observation
- Observation
Member of these Panels
LOINC |
Long Common Name |
95246-5 |
U.S. Household Food Security Survey [U.S. FSS] |
Fully-Specified Name
- Component
- In the last 12Mo, did you ever cut the size of any of the children's meals or skip meals because there wasn't enough money for food
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- U.S. Food Security Survey
Long Common Name
In the last 12 months, did you ever cut the size of any of the children's meals or skip meals because there wasn't enough money for food [U.S. FSS]
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL5584-9
Answer |
Code |
Score |
Answer ID |
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) |
|
0 |
LA32-8 |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) |
|
1 |
LA33-6 |
DK |
|
0 |
LA14226-7 |
Member of these Panels
LOINC |
Long Common Name |
95246-5 |
U.S. Household Food Security Survey [U.S. FSS] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
Skip Logic
If No or DK, skip CH5a.
Fully-Specified Name
- Component
- In the last 12Mo, did any of the children ever skip meals because there wasn't enough money for food
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- U.S. Food Security Survey
Long Common Name
In the last 12 months, did any of the children ever skip meals because there wasn't enough money for food [U.S. FSS]
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL5584-9
Answer |
Code |
Score |
Answer ID |
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) |
|
0 |
LA32-8 |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) |
|
1 |
LA33-6 |
DK |
|
0 |
LA14226-7 |
Member of these Panels
LOINC |
Long Common Name |
95246-5 |
U.S. Household Food Security Survey [U.S. FSS] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
Fully-Specified Name
- Component
- In the last 12Mo, were the children ever hungry but you just couldn't afford more food
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- U.S. Food Security Survey
Long Common Name
In the last 12 months, were the children ever hungry but you just couldn't afford more food [U.S. FSS]
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL5584-9
Answer |
Code |
Score |
Answer ID |
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) |
|
0 |
LA32-8 |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) |
|
1 |
LA33-6 |
DK |
|
0 |
LA14226-7 |
Member of these Panels
LOINC |
Long Common Name |
95246-5 |
U.S. Household Food Security Survey [U.S. FSS] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.
Fully-Specified Name
- Component
- In the last 12Mo, did any of the children ever not eat for a whole day because there wasn't enough money for food
- Property
- Find
- Time
- 12Mo
- System
- ^Patient
- Scale
- Ord
- Method
- U.S. Food Security Survey
Long Common Name
In the last 12 months, did any of the children ever not eat for a whole day because there wasn't enough money for food [U.S. FSS]
Basic Attributes
- Class
- SURVEY.SDOH
- Type
- Surveys
- First Released
- Version 2.68
- Last Updated
- Version 2.69 (MIN)
- Order vs. Observation
- Observation
Normative Answer List LL5584-9
Answer |
Code |
Score |
Answer ID |
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) |
|
0 |
LA32-8 |
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) |
|
1 |
LA33-6 |
DK |
|
0 |
LA14226-7 |
Member of these Panels
LOINC |
Long Common Name |
95246-5 |
U.S. Household Food Security Survey [U.S. FSS] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to http://www.snomed.org/snomed-ct/get-snomed-ct or info@snomed.org<mailto:info@snomed.org>. This may incur a fee in SNOMED International non-Member countries.