Social Context

Occupation, education, household, relationships, caregiver roles, housing, transportation, food access, finances, safety, and legal stressors.

Tobacco, alcohol, cannabis, recreational drugs, sexual health, exercise, and social connection.

WHO-5 Administered

WHO-5 Below Threshold

Determinants Spokes

Item 1

Label: Sleep and Rest
Spoke ID: sleep-rest

Item 2

Label: Nutrition
Spoke ID: nutrition

Item 3

Label: Movement
Spoke ID: movement

Item 4

Label: Stress Load
Spoke ID: stress-load

Item 5

Label: Relationships
Spoke ID: relationships

Item 6

Label: Environment
Spoke ID: environment

Item 7

Label: Purpose
Spoke ID: purpose

Item 8

Label: Community
Spoke ID: community

Item 9

Label: Resilience
Spoke ID: resilience

Item 10

Label: Access and Resources
Spoke ID: access-resources

Status

active

Variant

adult

Who5 Items

Item 1

Label: Cheerful and in Good Spirits
Item ID: who5-1

Item 2

Label: Calm and Relaxed
Item ID: who5-2

Item 3

Label: Active and Vigorous
Item ID: who5-3

Item 4

Label: Fresh and Rested
Item ID: who5-4

Item 5

Label: Daily Life Filled with Interest
Item ID: who5-5

Who5 Instrument Version

who5-v1

Promis10 Instrument Version

promis10-adult-v1

Substance & Social Detail

Tobacco / nicotine:

Alcohol:

Cannabis:

Other substances:

Occupation / exposures:

Housing:

Relationships / supports:

Food security:

Transportation:

Safety at home:

Plan and Follow-Up

Focus	Documentation
Assessment	Clinical impression, pattern or matrix priorities, red flags, patient goals, and uncertainty. Clinical impression: Priority concerns / red flags: Patient goals:
Recommendations	Nutrition, lifestyle, supplements, labs, education, referrals, and consent-sensitive items. Plan / recommendations: Labs / referrals: Education / consent:
Monitoring	Response markers, adverse-effect monitoring, reassessment cadence, and escalation criteria. Monitoring markers: Follow-up interval: Escalation criteria:

Focus

Documentation

Assessment

Clinical impression, pattern or matrix priorities, red flags, patient goals, and uncertainty.

Clinical impression:

Priority concerns / red flags:

Patient goals:

Recommendations

Nutrition, lifestyle, supplements, labs, education, referrals, and consent-sensitive items.

Plan / recommendations:

Labs / referrals:

Education / consent:

Monitoring

Response markers, adverse-effect monitoring, reassessment cadence, and escalation criteria.

Monitoring markers:

Follow-up interval:

Escalation criteria:

Social Context

Determinants Assessment

Details

Item 1

Item 2

Item 3

Item 4

Item 5

Item 6

Item 7

Item 8

Item 9

Item 10

Item 1

Item 2

Item 3

Item 4

Item 5

Substance & Social Detail

Plan and Follow-Up

General - Social History

Preview