| Code | Display | Comments |
|---|
 93028-9 | Have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility in past 1 year [PRAPARE] | |
| 93025-5 | Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] | |
| 69861-3 | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a physician's office or shopping | |
| 93027-1 | Are you a refugee | |
| 81375-8 | Self assessment of health status [Reported] | |
| 93034-7 | Discharged from the U.S. Armed Forces | |
| 68516-4 | On those days that you engage in moderate to strenuous exercise, how many minutes, on average, do you exercise | |
| 96782-8 | Wants help with school or training | |
| 93029-7 | How often do you see or talk to people that you care about and feel close to [PRAPARE] | |
| 68517-2 | How many times in the past year have you have X or more drinks in a day | |
| 96842-0 | How often have you used any tobacco product in past 12 months | |
| 88123-5 | Within the past 12 months the food we bought just didn't last and we didn't have money to get more [U.S. FSS] | |
| 76501-6 | Within the last year, have you been afraid of your partner or ex-partner | |
| 95618-5 | Physically hurt you [HITS] | |
| 93038-8 | Stress level | |
| 69858-9 | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions | |
| 93159-2 | How often do you feel lonely or isolated from those around you [CMS Assessment] | |
| 96780-2 | Wants help finding or keeping work or a job | |
| 44250-9 | Little interest or pleasure in doing things in last 2 weeks | |
| 68524-8 | How many times in the past year have you used an illegal drug or used a prescription medication for non-medical reasons | |
| 88121-9 | Hunger Vital Sign [HVS] | |
| 93026-3 | Do you feel physically and emotionally safe where you currently live [PRAPARE] | |
| 82589-3 | Highest level of education | |
| 89555-7 | How many days per week did you engage in moderate to strenuous physical activity in the last 30 days | |
| 96781-0 | Able to get help with daily activities when needed | |
| 95530-2 | Prescription drug use for non-medical reasons in the past year | |
| 56799-0 | Address | |
| 63586-2 | What was your best estimate of the total income of all family members from all sources, before taxes, in last year [PhenX] | |
| 96779-4 | Has the electric, gas, oil, or water company threatened to shut off services in your home in past 12 months | |
| 93677-3 | Do you need help with legal issues [WellRx] | |
| 63512-8 | How many people are living or staying at this address [#] | |
| 76437-3 | Primary insurance | |
| 88124-3 | Food insecurity risk [HVS] | |
| 32624-9 | Race | |
| 97023-6 | Accountable health communities (AHC) health-related social needs (HRSN) supplemental questions | |
| 93035-4 | Has season or migrant farm work been your or your family's main source of income at any point in past 2 years [PRAPARE] | |
| 54899-0 | Preferred language | |
| 93033-9 | Are you worried about losing your housing [PRAPARE] | |
| 93031-3 | Have you or any family members you live with been unable to get any of the following when it was really needed in past 1 year [PRAPARE] | |
| 56051-6 | Hispanic or Latino | |
| 88122-7 | Within the past 12 months we worried whether our food would run out before we got money to buy more [U.S. FSS] | |
| 93030-5 | Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living | |
| 97027-7 | Speaks a language other than English at home | |
| 71802-3 | Housing status | |
| 44255-8 | Feeling down, depressed, or hopeless in last 2 weeks | |
| 67875-5 | Employment status - current | |
| 76513-1 | How hard is it for you to pay for the very basics like food, housing, medical care, and heating | |
jurisdiction[0]
Concept