ACORN

(September 2021)

Survey Question

Subject

(SNOMED / LOINC / proposed new concept)

Attribute

(proposed attribute)

Object

(SNOMED / LOINC / proposed new concept)

(1) In the past two months, have you been living in stable housing that you own, rent, or stay in as part of a household?¹

a. Yes – Living in stable housing

b. No – Not living in stable housing

(SNOMED) 116154003 "patient" (person)

"has_lived_in” (proposed attribute)

(SNOMED) 264362003 "home" (environment)

(LOINC) LA18839-3 "patient lives in own home"

(proposed new concept) "rented housing"

(proposed new concept) "as a part of the household"

(SNOMED) 276104006 "home unsettled" (finding)

(1.1) Are you worried or concerned that in the next two months you may NOT have stable housing that you own, rent, or stay in as part of a household?¹

i. Yes – worried about housing near future

ii. No – Not worried about housing near future

(LOINC) 99550-6 "worried about housing stability in next two months"

(LOINC) 99550-6 "Not worried about housing stability in next two months"

"inheres_in"

"without” (unapproved attribute)

(SNOMED) 116154003 "patient” (person)

(proposed new concept) "worry about housing in near future"

(1.2) Where have you lived for MOST of the past two months?¹

a. Apartment / House / Room (no government subsidy)

b. Apartment / House / Room (with government subsidy)

c. With Friend/Family

d. Motel/Hotel

e.Short-term Institution like Hospital, Rehab Center, Drug Treatment Center

f. Homeless Shelter

g. Anywhere outside (e.g. Street, Vehicle, Abandoned Building)

h. Other

(SNOMED) 116154003 "patient" (person)

"has_lived_in" (proposed attribute)

"has_lived_with" (proposed attribute)

"has_lived_in" (proposed attribute)

"has_lived_as" (proposed attribute)

(proposed new concept) "Apartment/House/Room (no government subsidy)"

(proposed new concept) "Apartment/House/Room (with government subsidy)"

(SNOMED) "family" (social concept)

(proposed new concept) "friend"

(SNOMED) 224674008 "motel" (environment)

(SNOMED) 257629009 "hotel" (environment)

(SNOMED) 43741000 "site of care" (environment)

(SNOMED) 22232009 "hospital" (environment)

(SNOMED) 44860005 "free-standing rehabilitation clinic" (environment)

(SNOMED) 20078004 "substance abuse treatment center" (environment)

(LOINC) 95421-4 "whether patient resides in a congregate care setting"

(LOINC) LL2148-6 "homeless"

(1.3) Are you currently without a place to stay?

a. Yes

b. No

(SNOMED) 116154003 "patient" (person)

"has_access_to" (proposed attribute)

(proposed new concept) "steady place to stay"

(2.1) Within the past 12 months, you worried whether your food would run out before you got money to buy more.²

a. Often true

b. Sometimes true

c. Never true

(SNOMED) 116154003 "patient" (person)

(LOINC) 88122-7 "(I/we) worried whether (my/our) food would run out before (I/we) got money to buy more"

"has_experienced" (proposed attribute)

"has_truth_value" (proposed attribute)

(LOINC) 88122-7 "(I/we) worried whether (my/our) food would run out before (I/we) got money to buy more"

(LOINC) LA28397-4 "often true"

(LOINC) LA6729-3 "sometimes true"

(LOINC) LA28398-8 "never true"

(2.2) Within the past 12 months, the food you bought just didn’t last and you didn’t have money to get more.²

a. Often true

b. Sometimes true

c. Never true

(SNOMED) 116154003 "patient" (person)

(LOINC) 88123-5 "the food that (I/we) bought just didn't last, and (I/we) didn't have money to get more"

"has_experienced" (proposed attribute)

"has_truth_value" (proposed attribute)

(LOINC) 88123-5 "the food that (I/we) bought just didn't last, and (I/we) didn't have money to get more"

(LOINC) LA28397-4 "often true"

(LOINC) LA6729-3 "sometimes true"

(LOINC) LA28398-8 "never true"

(2.3) Do you need help getting food for this week?

a. Yes

b. No

(SNOMED) 116154003 "patient" (person)

"has_need_for" (proposed attribute)

(proposed new concept) "help getting food this week"

(3) How often do you have trouble paying for your utilities (i.e., electric, gas, oil, water, or phone)?³

a. Often

b. Sometimes

c. Never

(SNOMED) 116154003 "patient" (person)

(LOINC) 93670-8 "do you have trouble paying for your gas or electricity bills"

"has_experienced" (proposed attribute)

"has_value" (proposed attribute)

(LOINC) 93670-8 "do you have trouble paying for your gas or electricity bills"

(LOINC) LA10044-8 "often"

(LOINC) LA10082-8 "sometimes"

(LOINC) LA6270-8 "never"

(3.1) Has the electric, gas, oil, or water company threatened to shut off services in your home?4

a. Yes

b. No

c. Already shut off

(LOINC) 96779-4 "has the electric, gas, oil, or water company threatened to shut of services in your home in past 12 months"

(LOINC) LA32002-0 "already shut off"

"experienced_by"

(proposed attribute)

"experienced_by"

(proposed attribute)

(SNOMED) 116154003 "patient" (person)

(4) How often has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living?⁵

a. Often

b. Sometimes

c. Never

(SNOMED) 116154003 "patient" (person)

(LOINC) 93030-5 "has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"

"has_experienced" (proposed attribute)

"has_value" (proposed attribute)

(LOINC) 93030-5 "has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"

(LOINC) LA10044-8 "often"

(LOINC) LA10082-8 "sometimes"

(LOINC) LA6270-8 "never"

(4.1) Do you have an upcoming appointment that you need transportation assistance to?

a. Yes

b. No

(SNOMED) 116154003 "patient" (person)

"has_realization"

(SNOMED) 390840006 "next appointment" (finding)

(SNOMED) 266934004 "transport problems" (finding)

(5) Do you currently have any legal issues you need help with?

a. Yes

b. No

(SNOMED) 116154003 "patient" (person)

"has_need_for" (proposed attribute)

(LOINC) 93677-3 "do you need help with legal issues"

(6) How often do you feel lonely or isolated from those around you?^{6, 7}

a. Often

b. Sometimes

c. Never

(SNOMED) 267076002 "feeling lonely" (finding)

(SNOMED) 307048004 "feeling isolated" (finding)

(SNOMED) 267076002 "feeling lonely" (finding)

(SNOMED) 307048004 "feeling isolated" (finding)

"experienced_by"

(proposed attribute)

"experienced_by"

(proposed attribute)

"has_value" (proposed attribute)

(SNOMED) 116154003 "patient" (person)

(LOINC) LA10044-8 "often"

(LOINC) LA10082-8 "sometimes"

(LOINC) LA6270-8 "never"

(LOINC) LA10044-8 "often"

(LOINC) LA10082-8 "sometimes"

(LOINC) LA6270-8 "never"

(7) How often does anyone close to you physically hurt you or threaten you with harm?⁸

a. Often

b. Sometimes

c. Never

(SNOMED)394863008 "non-family member" (person)

(SNOMED) 3030701001 "person in the family" (person)

(LOINC) 95619-3 "hurts, insults, threatens, and screams (hits)"

"has_behavior" (proposed attribute)

"has_value" (proposed attribute)

(LOINC) 95619-3 "hurts, insults, threatens, and screams (hits)"

(LOINC) LA10044-8 "often"

(LOINC) LA10082-8 "sometimes"

(LOINC) LA6270-8 "never"

(8) Do you want help finding or keeping work or a job?⁹

a. Yes, help finding work

b. Yes, help keeping work

c. I do not need or want help

(SNOMED) 116154003 "patient" (person)

"has_desire_for" (proposed attribute)

(LOINC) LL5838-6 "help finding work"

(LOINC) LA31981-6 "yes, help finding work"

(LOINC) LA31982-4 "yes, help keeping work"

(LOINC) LA31983-2 "I do not need or want help"

(proposed new concept) "help finding a job"

(proposed new concept) "help keeping a job"

(9) Do you want more information about educational benefits and resources for Veterans?

a. Yes

b. No

(SNOMED) 116154003 "patient" (person)

"has_need_for" (proposed attribute)

(proposed new concept) "information about Veterans educational benefits"

(proposed new concept) "information about Veterans educational resources"

(10) Do you have access to any of the following devices? (Please select all that apply.)

Simple cell phone (flip phone)

Smartphone (a cell phone with a touch screen and internet)

Computer (laptop, desktop, or tablet such as an iPad)

None

(SNOMED) 116154003 "patient" (person)

"has_access_to" (proposed attribute)

(proposed new concept) "cell phone"

(proposed new concept) "smartphone"

(SNOMED) 360307003 "computer equipment" (physical object)

(11) Do you have access to affordable and reliable internet at home?

a. Yes

b. No

c. I don’t want internet access at home

(SNOMED) 116154003 "patient" (person)

"has_access_to" (proposed attribute)

"has_desire_for" (proposed attribute)

(proposed new concept) "reliable internet at home"

(proposed new concept) "affordable internet at home"

(proposed new concept) "I don't want internet access at home"

(12) How often do you run out of phone minutes and/or data before the end of the month?

a. Often

b. Sometimes

c. Never

d. I don’t have a cellphone (flip phone or smartphone)

(SNOMED) 116154003 "patient" (person)

(proposed new concept) "runs out of phone minutes"

(SNOMED) 116154003 "patient" (person)

"has_experienced" (proposed attribute)

"has_value" (proposed attribute)

"without” (unapproved attribute)

(proposed new concept) "runs out of phone minutes"

(LOINC) LA10044-8 "often"

(LOINC) LA10082-8 "sometimes"

(LOINC) LA6270-8 "never"

(proposed new concept) "cell phone"

(13) Veterans can now have video visits with their care team from home or another location of their choice. Would you like help setting up a future video visit with a member of your VA care team?

a. Yes

b. No

c. I already know how to do video visits/don’t need help

d. I don’t know what a video visit is

(SNOMED) 116154003 "patient" (person)

"has_access_to" (proposed attribute)

"has_need_for" (proposed attribute)

(SNOMED) 448337001 "telemedicine consult with patient" (procedure)

(proposed new concept) "no help"

(SNOMED) 409073007 "education" (procedure)

(13.1) Do you need help learning to use a smartphone, tablet, or computer for video visits at the VA?

a. Yes

b. No

c. I don’t have any of these devices

(SNOMED) 116154003 "patient" (person)

"has_desire_for" (proposed attribute)

"without” (unapproved attribute)

(proposed new concept) "help learning to use smartphone"

(proposed new concept) "help learning to use computer"

(SNOMED) 360307003 "computer equipment" (physical object)