| 85461-2 | Home environment safety and stability - visual analog rating:Score:Pt:^Patient:Qn:ePCAM | required |
| 85462-0 | Daily activities impact on well-being - visual analog rating:Score:Pt:^Patient:Qn:ePCAM | required |
| 85463-8 | Social network - visual analog rating:Score:Pt:^Patient:Qn:ePCAM | required |
| 85464-6 | Financial resources - visual analog rating:Score:Pt:^Patient:Qn:ePCAM | required |
| 85448-9 | Social enviromental total:Score:Pt:^Patient:Qn:ePCAM | |
| 85449-7 | Social enviromental domain risk level:NFr:Pt:^Patient:Qn:ePCAM | |