Reference
This page is a reading reference, not an exercise. It shows, for all ten practice cases, how the case content maps to the five social determinant domains used by Healthy People 2030, which of the selectable risk answers this project has tagged to each domain, and roughly what share of the risk marks each of those answers represents. Nothing on this page is scored, nothing here changes an attempt, and the domain a tag names is not itself part of the marking.
Every case is scored out of 100 on the same five-category rubric (version 2026-09-12.v2). Marking looks only at which individual answers you select and whether each of those answers is one the case establishes. The domain grouping on this page is a reading aid laid over those same answers: no marks are added or removed for a domain, and no domain is selected or scored anywhere in a case.
The 25 risk marks are shared evenly among the answers a case establishes, so each figure shown below is an approximate share of that one category, rounded for reading. It is not a promise of how much a finished score moves: category totals are rounded, and some answers also carry weight in the safety-and-access category, so shares can overlap and will not add up neatly. An answer the case does not establish earns nothing and subtracts 3, because recording an assumption as a finding causes real harm.
These two labels describe the domain note only, not the answers listed underneath it. Stated means the fictional case says the facts behind that domain. Possible mechanism means the domain is a reasonable thing to ask about while the case leaves it open.
A domain marked as a possible mechanism can still contain answers the case does establish, and those answers earn their marks normally — the heat case without symptoms is an example, where her own unanswered question about her blood-pressure tablet is stated in the brief even though her access to a clinician is not. Whether an answer earns marks is shown on the answer itself, by its own badge below, and never by the domain label above it.
Domain names follow Healthy People 2030 — Social Determinants of Health. The mapping of each fictional case to a domain is this project’s own reading, and has not been reviewed by anyone else.
Appears in 10 of 10 cases.
Not established in this case. Utility and repair costs often shape whether cooling is possible, which is worth asking about rather than assuming.
Public sources read for this case
Food runs out within about two days and she has roughly $18 until Friday.
She states food for tonight and part of tomorrow with no plan after that.
She receives WIC but not SNAP and has not been screened. The risk is an unchecked eligibility question, not a guaranteed benefit.
Public sources read for this case
An eviction notice with no plan after this month.
Eviction notice plus a temporary arrangement with a stated end point.
Public sources read for this case
Not established in this case. Withdrawal from work or routine can affect income, which is a question to ask rather than a finding to record.
Public sources read for this case
She is uninsured and says cost is holding her back.
She states this. The right response is helping her get a clear answer from financial counseling, not predicting eligibility.
Public sources read for this case
She states the repair cost is more than she can afford this month.
She states it. It is why the cooling has stayed broken for two days.
Public sources read for this case
Two days of food left, and he is uninsured.
He states it. It sets the timeline the plan has to beat.
Stated: he works night shifts and sleeps in the morning, and the pantry opens three days a week. The case does not say which hours those are, so the supported finding is a scheduling constraint that has to be verified with the provider, not a proven clash.
Public sources read for this case
The family lost their rental and is in a temporary arrangement.
Stated: he lost his rental, is staying in a relative's garage apartment, and called about shelter paperwork. Whether that paperwork has a deadline is not stated in the case, which is why it is asked rather than recorded.
Public sources read for this case
Job loss three weeks ago and loss of health coverage with it.
Stated directly and it is the event the rest follows from.
Public sources read for this case
Uninsured and frightened about cost while an urgent sign is present.
She states she has been putting off care because she does not know the cost.
Public sources read for this case
Appears in 4 of 10 cases.
School meals ended for the summer, which changed the household food supply.
She names the end of school meals as what changed. It is a calendar-driven food gap.
Public sources read for this case
Not established here. Night symptoms and moves can affect attendance and learning, which is worth asking about.
Public sources read for this case
She was given Spanish forms she could not read.
Public sources read for this case
Not established here. Repeated attacks and moves can affect school attendance, which is worth asking about later.
Public sources read for this case
Appears in 10 of 10 cases.
He lives with diabetes and uses insulin, so ongoing care matters here.
Stated in the case. It affects how quickly a heat illness can become serious and what follow-up he needs.
He states the preference himself. A language-concordant Spanish-speaking professional or a qualified interpreter can both meet it; preferring Spanish is not a deficit, and the point is to confirm suitable support rather than assume which form it takes.
Public sources read for this case
A clinician-recommended follow-up was missed because the trip could not be made.
She states the clinic asked her to return about three months ago and she could not travel. Whether immunizations are due is unknown until the records are reviewed — eight months since a check-up is not on its own evidence of being overdue.
Public sources read for this case
The rescue inhaler is nearly empty and the refill lapsed during the move, and she asks for a qualified Spanish interpreter whenever clinical instructions are explained.
Night symptoms, more frequent inhaler use, and two emergency visits in a month.
She asks for one specifically for medical conversations rather than relying on family. Asthma instructions are detailed, and precision matters more than convenience.
Public sources read for this case
He states he has had no contact with VA mental health care since two missed appointments and does not know who his provider is now.
He states that he has had no contact with VA mental health care since the missed appointments and does not know who his provider is now. The missed appointments alone would not establish that; his own statement does.
Public sources read for this case
No prenatal visits at about 32 weeks and no established provider.
Stated directly. Late entry to prenatal care needs prompt clinical contact.
She says she was given Spanish forms she could not read. Treating Spanish as her language is itself a safety failure.
Public sources read for this case
She states she lives with high blood pressure, takes a daily tablet, and has asked whether the heat and the extra water affect it, with no one asked yet. That much is stated. Whether she has a clinician she can reach quickly is not stated, which is why the practiced step is an unanswered medicine question routed to a pharmacist or clinician rather than a care-access finding.
Her age and her high blood pressure are both stated. This is a reason to act today, not evidence that she is unwell.
Public sources read for this case
Not established here. He is uninsured, so whether he has a usual source of care is worth asking rather than assuming.
Public sources read for this case
Quick-relief medicine is not working and she has no clinical contact in progress.
Stated in the case. It matters for the clinical handover and for what happens after discharge.
Public sources read for this case
Uninsured since the job loss, with no current behavioral health contact.
Stated: coverage ended with the job, and she has never seen a counselor.
Public sources read for this case
An urgent warning sign with no interpreter available and no clinical contact yet in progress.
She names Mam, with very limited Spanish and no English. Proceeding in Spanish would be treating a convenience as her language.
Public sources read for this case
Appears in 10 of 10 cases.
Housing without working cooling during extreme heat.
Stated directly in the case and the reason the exposure continues hour after hour.
Public sources read for this case
No vehicle, a 25-minute walk to the nearest stop, and two transfers to the clinic.
No vehicle, a 25-minute walk to the stop, and two transfers to the clinic.
Public sources read for this case
Reported indoor smoke and heavy dust where Marcus sleeps, in temporary housing.
Stated in the case information by the parent, unlike triggers such as mold that would require inspection.
Public sources read for this case
A firearm is in the home, so lethal means are within reach.
Public sources read for this case
Not established in this case. Distance and available transport can decide whether a visit happens, so it is worth asking.
Public sources read for this case
No working cooling in the home during an extreme-heat advisory.
Stated directly, and it is the exposure that continues until something changes.
Public sources read for this case
Four miles with no footpath and no vehicle; the on-demand service does not cover his address.
Four miles with no footpath, no vehicle, and a service that told him his address is outside its zones. The gap is coverage, not availability.
Public sources read for this case
A garage apartment as temporary housing during an asthma emergency.
Public sources read for this case
Not established in this case. Housing stability after a job loss is worth asking about rather than assuming.
Public sources read for this case
Not established here. How quickly she can physically reach emergency care matters and has to be asked.
Public sources read for this case
Appears in 9 of 10 cases.
He lives alone with no agreed check-in plan, and a neighbor who checks informally.
He lives alone, and the checking that happens is informal rather than an agreed plan with a time and a named backup. Nothing in the case supports describing him as neglected or isolated.
Public sources read for this case
A neighbor sometimes shares rides; how dependable that is has not been established.
Public sources read for this case
She says fear of being reported is limiting her help-seeking.
She says so. Left unaddressed, it undoes every referral made.
Public sources read for this case
About three weeks of withdrawal from usual contact, reported by the peer specialist and confirmed by him.
Reported by the peer specialist and confirmed by him.
Public sources read for this case
A promotora she trusts made the introduction.
She raises it herself. It is her stated concern, and nothing more should be read into it.
Public sources read for this case
A daughter nearby with air conditioning who has offered to host her.
Public sources read for this case
He says a failed referral has cost him trust in referrals generally.
He says so directly. Unaddressed, it means the next plan is not acted on either.
Public sources read for this case
Withdrawal from friends, living with her sister.
She states it. It is a change from how she usually lives, not a diagnosis.
Public sources read for this case
A neighbor is the only available language bridge and is willing to stay with her.
Public sources read for this case
Every resident and case circumstance on this page is invented. Real San Antonio locations and service providers supply context only. The figures describe roughly how this practice exercise is marked; they are not a measure of anyone’s competence, and neither the domain mapping nor the marking has been independently reviewed.