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| Page standards status: Informative |
Generated Narrative: QuestionnaireResponse prapare-example
| LinkID | Text | Definition | Answer |
|---|---|---|---|
  prapare-example | Questionnaire:Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] | ||
  /93025-5 | Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE] | ||
  /93043-8 | Personal characteristics | ||
  /93043-8/93035-4 | Has season or migrant farm work been your or your family's main source of income at any point in past 2 years [PRAPARE] | LOINC LA33-6: Yes | |
| /93043-8/54899-0 | Preferred language | LOINC LA43-5: English | |
| /93042-0 | Family and home | ||
| /93042-0/63512-8 | How many people are living or staying at this address [#] | 6 | |
| /93042-0/71802-3 | Housing status | LOINC LA30190-5: I do not have housing (staying with others, in a hotel, in a shelter, living outside on the street, on a beach, in a car, or in a park) | |
| /93042-0/93033-9 | Are you worried about losing your housing [PRAPARE] | LOINC LA30122-8: I choose not to answer this question | |
| /93042-0/56799-0 | Address | Broadway | |
| /93041-2 | Money and resources | ||
| /93041-2/82589-3 | Highest level of educ | LOINC LA30191-3: Less than high school degree | |
| /93041-2/67875-5 | Employment status current | LOINC LA17956-6: Unemployed | |
| /93041-2/63586-2 | What was your best estimate of the total income of all family members from all sources, before taxes, in last year [PhenX] | 25000 | |
| /93041-2/93031-3 | 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] | ||
| /93041-2/93030-5 | Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living | LOINC LA30134-3: Yes, it has kept me from non-medical meetings, appointments, work, or from getting things that I need | |
| /93040-4 | Social and emotional health | ||
| /93040-4/93029-7 | How often do you see or talk to people that you care about and feel close to [PRAPARE] | LOINC LA30130-1: 1 or 2 times a week | |
| /93040-4/93038-8 | Stress is when someone feels tense, nervous, anxious or can't sleep at night because their mind is troubled. How stressed are you? | LOINC LA13909-9: Somewhat | |
| /93039-6 | Optional additional questions | ||
| /93039-6/93028-9 | 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] | LOINC LA32-8: No | |
| /93039-6/93027-1 | Are you a refugee | LOINC LA32-8: No | |
| /93039-6/93026-3 | Do you feel physically and emotionally safe where you currently live [PRAPARE] | LOINC LA32-8: No | |
| /93039-6/76501-6 | Within the last year, have you been afraid of your partner or ex-partner | LOINC LA32-8: No | |
| Documentation for this format | |||
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