Representing Stress

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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)
  • A single-question stress measure primarily tested in Scandinavian populations is part of the Occupational Stress Questionnaire™ (Q41) developed by the Finnish Institute of Occupational Health is best suited for this interoperability need.
  • See LOINC projects in the Interoperability Proving Ground.

Occupational Stress Questionnaire™ Q41 LOINC® code 76542-0

LOINC® answer list LL3267-3


LOINC cited is insufficient

76542-0 is stated to be Occupational Stress Questionnaire.  Stress has multiple causes, Occupational, Personal, etc.  This needs exploration and better difinition 


Do you feel stress - tense, restless, nervous, or anxious, or unable to sleep at night because your mind is troubled all the time - these days [OSQ]

supplemental LONIC suggestion 


Now thinking about your mental health, which includes stress, depression, and problems with emotions, for how many days during the past 30 days was your mental health not good [HRQOL]


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.

This is the specific one…

This is the specific one chosen (from a Finnish survey instrument by the IOM report and required by ONC), it is what is in there.