Food Insecurity is the first of three Social Determinants of Health domains the Gravity Project will address during Phase 1 work.
Click here for food-related terminology, definitions and source materials. These are the definitions and descriptions we will be using to guide community discussions around food insecurity data elements.
Interventions Straw Poll
Recognizing that the interventions framework (as shown here) is an initial attempt, please vote below. If you need further clarity on structure or definitions prior to voting please email the team at email@example.com .
|ConfiForms (Form View) Registrations Control|
Data Element Submission
Working Draft Data Elements
This is where we will post data items that have been submitted and adjudicated. These data elements will be the focus of our workgroup discussions. If there are data elements you are aware of that are not included here, please click here to submit them as soon as possible.
Food Insecurity Master List
The Food Insecurity Master List is used to track all adjudicated data elements for the food insecurity domain. The latest version will be posted here as it is updated.
<a href = "https://confluence.hl7.org/download/attachments/55938680/Food%20Security%20MASTER%20as%20of%2020190817.xlsx?version=1&modificationDate=1566080630318&api=v2" download="Food Insecurity MASTER as of 20190817.xlsx">Click here to download the current Food Insecurity Master</a>
Food Insecurity Adjudicated Data Element Submissions
Adjudicated food insecurity data element submissions will be posted here as they are completed to allow project participants and submitters to see the dispositions of each submitted data element or concept.
|document link goes here|
Name and org go here
|XXAug2019||Observations or points of interest go here|
Adjudicated Data Element Submission Statistics
Below is a list of how many of each food insecurity data element type has been adjudicated as of the date listed.
|18Jul19||9 tools / 34 questions|
Terminology, Definitions and Resources
Definition or Description
There are many ways to measure food store access for individuals and for neighborhoods, and many ways to define which areas are food deserts—neighborhoods that lack healthy food sources. Most measures and definitions take into account at least some of the following indicators of access:
The Food Access Research Atlas maps census tracts that are both low income (li) and low access (la), as measured by the different distance demarcations. This tool provides researchers and other users multiple ways to understand the characteristics that can contribute to food deserts, including income level, distance to supermarkets, and vehicle access.
Access by all people at all times to enough food for an active, healthy life.
|Food security range: high food security||No reported indications of food-access problems or limitations.||https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/definitions-of-food-security/#ranges|
|Food security range: marginal food security||One or two reported indications—typically of anxiety over food sufficiency or shortage of food in the house. Little or no indication of changes in diets or food intake.||https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/definitions-of-food-security/#ranges|
|Food insecurity||Limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire acceptable foods in socially acceptable ways.|
Bickel G, Nord M, Price C, Hamilton W, Cook J. Guide To Measuring Household Food Security, Revised 2000. Alexandria, VA: US Department of Agriculture, Food and Nutrition Service; 2000.
|Food insecurity range: low food security|
Reports of reduced quality, variety, or desirability of diet. Little or no indication of reduced food intake.
|Food insecurity range: very low food security||Reports of multiple indications of disrupted eating patterns and reduced food intake.|
|Hunger||Term should refer to a potential consequence of food insecurity that, because of prolonged, involuntary lack of food, results in discomfort, illness, weakness, or pain that goes beyond the usual uneasy sensation.||https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-us/definitions-of-food-security/#CNSTAT|
|Value Set Subject Matter Expert|
|EMI Advisors, LLC|
|Value Set Subject Matter Expert||Lisa Nelson||EMI Advisors, LLC|
|Food Insecurity Subject Matter Expert||Sarah DeSilvey||Larner College of Medicine at the University of Vermont|
|Food Insecurity Subject Matter Expert|
|Academy of Nutrition and Dietetics|
|ConfiForms Form Definition|