standard drinks [b] 3 or 4 containing [c] 5 or 6 alcohol do you [d] 7 to 9 have on a typical [e] 10 or more day? [SAMHSA] How often do [a] Never 68520-6 LL2181-7 you have six or [b] Less than monthly more drinks on [c] Monthly one occasion? [d] Weekly [SAMHSA] [e] Daily or almost daily N/A [Total score N/A [AUDIT-C]] Social Are you married For example, these LOINC® code LOINC® code Connection or living together categories form an pending pending and Isolation with someone in ordinal scale assessing (NHANES a partnership at the number of types of III) the time of social relationships on questioning? which a person is connected and not In a typical week, isolated, and has standard how many times scoring. Individuals do you talk on the receive one point for each telephone with of the following: being family, friends, or married or living together neighbors? with someone in a partnership at the time of How often do questioning, averaging you get together three or more social with friends or interactions per week relatives? (assessed with questions one and two, above), How often do reporting attending you attend church church or other religious or religious services more than four services? times per (assessed with question three, How often do above), and reporting that you attend they belong to a club or meetings of the organization (assess with clubs or question four, above). A organizations you score of 0 represents the belong to? highest level of social isolation and a score of 4 represents the lowest level of social isolation. Exposure to Within the last Pending LOINC® code LOINC® code violence: year, have you pending pending Intimate been humiliated
standard drinks containing alcohol do you have on a typical day? [SAMHSA] How often do you have six or more drinks on one occasion? [SAMHSA] [Total score [AUDIT-C]] [b] 3 or 4 [c] 5 or 6 [d] 7 to 9 [e] 10 or more [a] Never [b] Less than monthly [c] Monthly [d] Weekly [e] Daily or almost daily N/A 68520-6 LL2181-7 N/A Social Connection and Isolation (NHANES III) Are you married or living together with someone in a partnership at the time of questioning? In a typical week, how many times do you talk on the telephone with family, friends, or neighbors? How often do you get together with friends or relatives? How often do you attend church or religious services? How often do you attend meetings of the clubs or organizations you belong to? For example, these categories form an ordinal scale assessing the number of types of social relationships on which a person is connected and not isolated, and has standard scoring. Individuals receive one point for each of the following: being married or living together with someone in a partnership at the time of questioning, averaging three or more social interactions per week (assessed with questions one and two, above), reporting attending church or other religious services more than four times per (assessed with question three, above), and reporting that they belong to a club or organization (assess with question four, above). A score of 0 represents the highest level of social isolation and a score of 4 represents the lowest level of social isolation. LOINC® code pending LOINC® code pending Exposure to violence: Intimate Within the last year, have you been humiliated Pending LOINC® code pending LOINC® code pending
2015_editionnprm_ofr_disclaimer_3-20-15.docx