| Answer | Yes | LA33-6 |
| Answer | No | LA32-8 |
| Answer | Don't know/not sure | LA14619-3 |
| Answer | Refused | LA4389-8 |
| answers-for | Need help getting to essential places | 100308-6 |
| answers-for | Need help to make sure there is enough food, medicines or any other things needed in house | 100311-0 |
| answers-for | Need help with household things such as cook meals, help feed, or provide correct medicines each day | 100313-6 |
| answers-for | Need help with house cleaning or yard work | 100314-4 |
| answers-for | Need help getting out of bed, showered, or dressed | 100315-1 |
| answers-for | Need help to make sure bills get paid | 100316-9 |
| answers-for | Have help with finances AndOr financial decisions | 100318-5 |
| answers-for | Financial support person usually asks for permission before making decisions | 100320-1 |
| answers-for | Financial support person usually makes good decisions about finances | 100321-9 |
| answers-for | Have access to paperwork for financial decisions made | 100322-7 |
| answers-for | Financial support person forged signature | 100323-5 |
| answers-for | Coercion of financial support person for signing a document in order to get money or possessions | 100324-3 |
| answers-for | Experienced theft by support person | 100325-0 |
| answers-for | Money spent or property sold without permission | 100326-8 |
| answers-for | Stranger forged signature for financial gain | 100327-6 |
| answers-for | Stranger forced document signature for financial gain | 100328-4 |
| answers-for | Feared for safety due to verbal attack | 100329-2 |
| answers-for | Felt humiliated due to ridicule | 100330-0 |
| answers-for | Coerced to do something | 100331-8 |
| answers-for | Ignored by close friend or relative for extended period | 100332-6 |
| answers-for | Physically hit or threatened | 100333-4 |
| answers-for | Been physically hurt with some degree of injury | 100334-2 |
| answers-for | Coerced sexual activity | 100335-9 |
| answers-for | Coerced touching of private body parts of self or others | 100336-7 |
| answers-for | Coerced to undress or expose private body area | 100337-5 |
| answers-for | Photographed in any degree of nudity without consent | 100338-3 |
| answers-for | Experienced attempted physical restraint | 100339-1 |
| answers-for | Did you live with anyone who was depressed, mentally ill, or suicidal--before 18 years old [ACE.BRFSS] | 82141-3 |
| answers-for | Did you live with anyone who was a problem drinker or alcoholic--before 18 years old [ACE.BRFSS] | 82142-1 |
| answers-for | Did you live with anyone who used illegal street drugs or who abused prescription medications--before 18 years old [ACE.BRFSS] | 82143-9 |
| answers-for | Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility--before 18 years old [ACE.BRFSS] | 82144-7 |
| answers-for | Shot up or injected any non-prescription drugs Lifetime | 91568-6 |
| answers-for | Used erectile dysfunction drug in past 12 months | 91572-8 |
| answers-for | Lived with someone who smoked regularly inside the home during childhood | 92278-1 |
| LONG_COMMON_NAME | en-US | Yes | No | DK/NS | Refused |
LOINC Version: 2.77
FHIR