Representing Exposure to Violence (Intimate Partner Violence)

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Type Standard / Implementation Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Rating 1
Limitations, Dependencies, and Preconditions for Consideration Applicable Value Set(s) and Starter Set(s)
  • The HARK (Humiliation, Afraid, Rape, Kick) is a four-question screen for identifying women who have experienced intimate partner violence (IPV) in the past year and may help women disclose IPV in general practice. It is best suited for use with this interoperability need.
  • See LOINC projects in the Interoperability Proving Ground.

HARK panel LOINC® code 76499-3

  HARK member codes:

  LOINC® code 76500-8 (with LOINC® answer list ID LL963-0)

  LOINC® code 76501-6 (with LOINC® answer list ID LL963-0)

  LOINC® code 76502-4 (with LOINC® answer list ID LL963-0)

  LOINC® code 76503-2 (with LOINC® answer list ID LL963-0)

  HARK total score LOINC® code 76504-0


Additional questions needed

Additional questions needed 

Exposure to firearms, I do not see a viable code set for this. It should be a single question and answer

Has the patient or significant other been incarcerated?

We applaud adding Social Determinates being added to ISA.

Since this LOINC code and…

Since this LOINC code and answer set has been developed (30 behavior and functional status variables suggested by the IOM report and adopted for requirement in the last MU NPRM), the adoption level could now be very high.

Re: patient/significant…

Re: patient/significant other been incarcerated: may be a privacy concern about this one, though, would likely have predictive value.