Clinical Decision Support for Chronic Pain Management and Shared Decision-Making IG
0.1.0 - CI Build
Clinical Decision Support for Chronic Pain Management and Shared Decision-Making IG
0.1.0 - CI Build
Clinical Decision Support for Chronic Pain Management and Shared Decision-Making IG, published by CQF. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/cds4cpm/ and changes regularly. See the Directory of published versions
| Draft as of 2020-06-16 |
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This case-sensitive code system <code>http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style=\"white-space:nowrap\">mpq-1000<a name=\"mypain-questionnaire-codes-mpq-1000\"> </a></td><td>Please describe the location(s) of any pain you have had in the past 7 days (e.g., lower back and left hip)</td></tr><tr><td style=\"white-space:nowrap\">mpq-1001<a name=\"mypain-questionnaire-codes-mpq-1001\"> </a></td><td>In the past 7 days - How intense was your pain at its worst?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1002<a name=\"mypain-questionnaire-codes-mpq-1002\"> </a></td><td>In the past 7 days - How intense was your average pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1003<a name=\"mypain-questionnaire-codes-mpq-1003\"> </a></td><td>In the past 7 days - What is your level of pain right now?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1004<a name=\"mypain-questionnaire-codes-mpq-1004\"> </a></td><td>In the past 7 days - How much did pain interfere with your day to day activities?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1005<a name=\"mypain-questionnaire-codes-mpq-1005\"> </a></td><td>In the past 7 days - How much did pain interfere with your work?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1006<a name=\"mypain-questionnaire-codes-mpq-1006\"> </a></td><td>In the past 7 days - How much did pain interfere with your ability to participate in social activities?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1007<a name=\"mypain-questionnaire-codes-mpq-1007\"> </a></td><td>In the past 7 days - How much did pain interfere with your household chores?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1008<a name=\"mypain-questionnaire-codes-mpq-1008\"> </a></td><td>How often have Exercises at home (such as those assigned by a therapist) or outside (such as walking, jogging, swimming) you have tried in the past 6 months helped you with your pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1009<a name=\"mypain-questionnaire-codes-mpq-1009\"> </a></td><td>How often have Sleep positioners or devices (such as additional pillows, padding, etc.) you have tried in the past 6 months helped you with your pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1010<a name=\"mypain-questionnaire-codes-mpq-1010\"> </a></td><td>How often has Stretching you have tried in the past 6 months helped you with your pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1011<a name=\"mypain-questionnaire-codes-mpq-1011\"> </a></td><td>How often has Weight loss or changes in your diet you have tried in the past 6 months helped you with your pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1012<a name=\"mypain-questionnaire-codes-mpq-1012\"> </a></td><td>How often has Setting and reaching activity goals you have tried in the past 6 months helped you with your pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1013<a name=\"mypain-questionnaire-codes-mpq-1013\"> </a></td><td>How often has Ice or heat therapy you have tried in the past 6 months helped you with your pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1014<a name=\"mypain-questionnaire-codes-mpq-1014\"> </a></td><td>How often has Physical therapy you have tried in the past 6 months helped you with your pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1015<a name=\"mypain-questionnaire-codes-mpq-1015\"> </a></td><td>How often has Acupuncture you have tried in the past 6 months helped you with your pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1016<a name=\"mypain-questionnaire-codes-mpq-1016\"> </a></td><td>How often has Chiropractic treatment you have tried in the past 6 months helped you with your pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1017<a name=\"mypain-questionnaire-codes-mpq-1017\"> </a></td><td>How often have Pain relievers (such as Advil, Aleve, Aspirin, Ibuprofen, Motrin, Tylenol) you can buy without a prescription from your doctor that you have used in the last 6 months helped with your pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1018<a name=\"mypain-questionnaire-codes-mpq-1018\"> </a></td><td>How often have Herbal or nutritional pain relievers (such as ginseng or kava kava) that you have used in the last 6 months helped with your pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1019<a name=\"mypain-questionnaire-codes-mpq-1019\"> </a></td><td>How often have Cremes, lotions, gels or patches applied to the skin (for example Bengay, Tiger Balm or BioFreeze) that you have used in the last 6 months helped with your pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1020<a name=\"mypain-questionnaire-codes-mpq-1020\"> </a></td><td>How often have prescription Opioid medications (such as hydrocodone, oxycodone, codeine, morphine and fentanyl) helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1021<a name=\"mypain-questionnaire-codes-mpq-1021\"> </a></td><td>How often have prescription Cortisone injections (a shot to relieve inflammation) helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1022<a name=\"mypain-questionnaire-codes-mpq-1022\"> </a></td><td>How often have prescription Non-opioid medications as prescribed by a doctor (such as Celebrex, Cymbalta) helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1023<a name=\"mypain-questionnaire-codes-mpq-1023\"> </a></td><td>How often has Yoga helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1024<a name=\"mypain-questionnaire-codes-mpq-1024\"> </a></td><td>How often has Massage helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1025<a name=\"mypain-questionnaire-codes-mpq-1025\"> </a></td><td>How often has Meditation helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1026<a name=\"mypain-questionnaire-codes-mpq-1026\"> </a></td><td>How often has Relaxation or mindfulness-based training helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1027<a name=\"mypain-questionnaire-codes-mpq-1027\"> </a></td><td>How often has Group or individual therapy for pain helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1028<a name=\"mypain-questionnaire-codes-mpq-1028\"> </a></td><td>How often has Acceptance and commitment therapy helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1029<a name=\"mypain-questionnaire-codes-mpq-1029\"> </a></td><td>How often has Sleep management (such as a sleep study or CPAP) helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1030<a name=\"mypain-questionnaire-codes-mpq-1030\"> </a></td><td>How often has Aromatherapy helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1031<a name=\"mypain-questionnaire-codes-mpq-1031\"> </a></td><td>How often have Crystals helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1032<a name=\"mypain-questionnaire-codes-mpq-1032\"> </a></td><td>How often have Essential oils helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1033<a name=\"mypain-questionnaire-codes-mpq-1033\"> </a></td><td>How often has Music therapy helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1034<a name=\"mypain-questionnaire-codes-mpq-1034\"> </a></td><td>Have you tried any Other new treatments to help with your pain in the last 6 months? Please describe</td></tr><tr><td style=\"white-space:nowrap\">mpq-1035<a name=\"mypain-questionnaire-codes-mpq-1035\"> </a></td><td>What are your most important activity goals? For example: I’d like to be able to walk without pain.</td></tr><tr><td style=\"white-space:nowrap\">mpq-1036<a name=\"mypain-questionnaire-codes-mpq-1036\"> </a></td><td>What are the biggest barriers to achieving your activity goals? For example: I have a lot of stress from work which makes my pain worse.</td></tr><tr><td style=\"white-space:nowrap\">mpq-1037<a name=\"mypain-questionnaire-codes-mpq-1037\"> </a></td><td>DEPRECATED</td></tr><tr><td style=\"white-space:nowrap\">mpq-1038<a name=\"mypain-questionnaire-codes-mpq-1038\"> </a></td><td>What type of HEAD pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1039<a name=\"mypain-questionnaire-codes-mpq-1039\"> </a></td><td>What type of NECK pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1040<a name=\"mypain-questionnaire-codes-mpq-1040\"> </a></td><td>What type of SHOULDERS pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1041<a name=\"mypain-questionnaire-codes-mpq-1041\"> </a></td><td>What type of ARMS pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1042<a name=\"mypain-questionnaire-codes-mpq-1042\"> </a></td><td>What type of UPPER BACK pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1043<a name=\"mypain-questionnaire-codes-mpq-1043\"> </a></td><td>What type of LOWER BACK pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1044<a name=\"mypain-questionnaire-codes-mpq-1044\"> </a></td><td>What type of HANDS pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1045<a name=\"mypain-questionnaire-codes-mpq-1045\"> </a></td><td>What type of ABDOMEN pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1046<a name=\"mypain-questionnaire-codes-mpq-1046\"> </a></td><td>What type of PELVIS pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1047<a name=\"mypain-questionnaire-codes-mpq-1047\"> </a></td><td>What type of HIPS pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1048<a name=\"mypain-questionnaire-codes-mpq-1048\"> </a></td><td>What type of UPPER LEGS pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1049<a name=\"mypain-questionnaire-codes-mpq-1049\"> </a></td><td>What type of KNEES pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1050<a name=\"mypain-questionnaire-codes-mpq-1050\"> </a></td><td>What type of LOWER LEGS pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1051<a name=\"mypain-questionnaire-codes-mpq-1051\"> </a></td><td>What type of FEET pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1052<a name=\"mypain-questionnaire-codes-mpq-1052\"> </a></td><td>What type of EVERYWHERE pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1053<a name=\"mypain-questionnaire-codes-mpq-1053\"> </a></td><td>What OTHER pain have you had in the last 7 days? Please describe</td></tr><tr><td style=\"white-space:nowrap\">mpq-1054<a name=\"mypain-questionnaire-codes-mpq-1054\"> </a></td><td>How often have Other strategies or methods you have tried in the last 6 months helped with your pain? Please describe</td></tr><tr><td style=\"white-space:nowrap\">mpq-1055<a name=\"mypain-questionnaire-codes-mpq-1055\"> </a></td><td>Have you used any Other items you can buy without a prescription from your doctor to help with your pain in the last 6 months? Please describe</td></tr><tr><td style=\"white-space:nowrap\">mpq-1056<a name=\"mypain-questionnaire-codes-mpq-1056\"> </a></td><td>How often has Medical marijuana helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1057<a name=\"mypain-questionnaire-codes-mpq-1057\"> </a></td><td>Have you used any Other prescription medications to help with your pain in the last 6 months?: Please describe</td></tr><tr><td style=\"white-space:nowrap\">mpq-1058<a name=\"mypain-questionnaire-codes-mpq-1058\"> </a></td><td>How often has Cognitive behavioral therapy helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1059<a name=\"mypain-questionnaire-codes-mpq-1059\"> </a></td><td>Have you tried any Other mind-body techniques or therapies to help with your pain in the last 6 months? Please describe</td></tr><tr><td style=\"white-space:nowrap\">mpq-1060<a name=\"mypain-questionnaire-codes-mpq-1060\"> </a></td><td>How often has CBD oil helped with your pain in the last 6 months?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1061<a name=\"mypain-questionnaire-codes-mpq-1061\"> </a></td><td>Did the patient view the 4 flat tires video</td></tr><tr><td style=\"white-space:nowrap\">mpq-1062<a name=\"mypain-questionnaire-codes-mpq-1062\"> </a></td><td>Did the patient access the US Chronic Pain website</td></tr><tr><td style=\"white-space:nowrap\">mpq-1063<a name=\"mypain-questionnaire-codes-mpq-1063\"> </a></td><td>Please indicate your level of agreement with the following statement: Using the MyPAIN tool has helped me begin preparing for a conversation with my provider about managing my pain.</td></tr><tr><td style=\"white-space:nowrap\">mpq-1064<a name=\"mypain-questionnaire-codes-mpq-1064\"> </a></td><td>Do you have any other feedback or thoughts to share on your use of MyPAIN?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1065<a name=\"mypain-questionnaire-codes-mpq-1065\"> </a></td><td>When did the patient submit their questionnaire response?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1066<a name=\"mypain-questionnaire-codes-mpq-1066\"> </a></td><td>What type of BACK pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1067<a name=\"mypain-questionnaire-codes-mpq-1067\"> </a></td><td>What type of HANDS/WRIST pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1068<a name=\"mypain-questionnaire-codes-mpq-1068\"> </a></td><td>What type of ABDOMEN/PELVIS pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1069<a name=\"mypain-questionnaire-codes-mpq-1069\"> </a></td><td>What type of FEET/ANKLES pain have you had in the last 7 days?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1070<a name=\"mypain-questionnaire-codes-mpq-1070\"> </a></td><td>Over-the-counter pain reliever (such as Advil, Aleve, Aspirin, Ibuprofen, Motrin, or Tylenol)</td></tr><tr><td style=\"white-space:nowrap\">mpq-1071<a name=\"mypain-questionnaire-codes-mpq-1071\"> </a></td><td>Prescription nonsteroidal anti-inflammatory (such as Celebrex)</td></tr><tr><td style=\"white-space:nowrap\">mpq-1072<a name=\"mypain-questionnaire-codes-mpq-1072\"> </a></td><td>Prescription nerve pain medication (such as Lyrica, Neurontin, or Cymbalta)</td></tr><tr><td style=\"white-space:nowrap\">mpq-1073<a name=\"mypain-questionnaire-codes-mpq-1073\"> </a></td><td>Prescription muscle relaxant (such as Soma or Baclofen)</td></tr><tr><td style=\"white-space:nowrap\">mpq-1074<a name=\"mypain-questionnaire-codes-mpq-1074\"> </a></td><td>Prescription opioid medication (such as Vicodin, hydrocodone, oxycodone, codeine, morphine, or tramadol)</td></tr><tr><td style=\"white-space:nowrap\">mpq-1075<a name=\"mypain-questionnaire-codes-mpq-1075\"> </a></td><td>Other: describe other medications you've tried for pain</td></tr><tr><td style=\"white-space:nowrap\">mpq-1076<a name=\"mypain-questionnaire-codes-mpq-1076\"> </a></td><td>I haven't tried any medications for pain.</td></tr><tr><td style=\"white-space:nowrap\">mpq-1077<a name=\"mypain-questionnaire-codes-mpq-1077\"> </a></td><td>I haven't seen any specialists for pain</td></tr><tr><td style=\"white-space:nowrap\">mpq-1078<a name=\"mypain-questionnaire-codes-mpq-1078\"> </a></td><td>Dry needling or cupping</td></tr><tr><td style=\"white-space:nowrap\">mpq-1079<a name=\"mypain-questionnaire-codes-mpq-1079\"> </a></td><td>Acupuncture</td></tr><tr><td style=\"white-space:nowrap\">mpq-1080<a name=\"mypain-questionnaire-codes-mpq-1080\"> </a></td><td>I haven't tried any procedures or physical treatments for pain.</td></tr><tr><td style=\"white-space:nowrap\">mpq-1081<a name=\"mypain-questionnaire-codes-mpq-1081\"> </a></td><td>I haven't tried any topical treatments or devices for pain.</td></tr><tr><td style=\"white-space:nowrap\">mpq-1082<a name=\"mypain-questionnaire-codes-mpq-1082\"> </a></td><td>I haven't tried any lifestyle changes for pain.</td></tr><tr><td style=\"white-space:nowrap\">mpq-1083<a name=\"mypain-questionnaire-codes-mpq-1083\"> </a></td><td>What topical treatments or devices have you tried for pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1084<a name=\"mypain-questionnaire-codes-mpq-1084\"> </a></td><td>What alternative treatments have you tried for pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1085<a name=\"mypain-questionnaire-codes-mpq-1085\"> </a></td><td>I haven’t tried any alternative treatments for pain</td></tr><tr><td style=\"white-space:nowrap\">mpq-1086<a name=\"mypain-questionnaire-codes-mpq-1086\"> </a></td><td>What specialists have you seen for pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1087<a name=\"mypain-questionnaire-codes-mpq-1087\"> </a></td><td>Chiropractor</td></tr><tr><td style=\"white-space:nowrap\">mpq-1088<a name=\"mypain-questionnaire-codes-mpq-1088\"> </a></td><td>Physical therapist</td></tr><tr><td style=\"white-space:nowrap\">mpq-1089<a name=\"mypain-questionnaire-codes-mpq-1089\"> </a></td><td>Pain management specialist</td></tr><tr><td style=\"white-space:nowrap\">mpq-1090<a name=\"mypain-questionnaire-codes-mpq-1090\"> </a></td><td>Orthopedist</td></tr><tr><td style=\"white-space:nowrap\">mpq-1091<a name=\"mypain-questionnaire-codes-mpq-1091\"> </a></td><td>Psychologist or counselor</td></tr><tr><td style=\"white-space:nowrap\">mpq-1092<a name=\"mypain-questionnaire-codes-mpq-1092\"> </a></td><td>Integrative medicine specialist</td></tr><tr><td style=\"white-space:nowrap\">mpq-1093<a name=\"mypain-questionnaire-codes-mpq-1093\"> </a></td><td>Other: describe other specialists you have seen for pain (such as neurologist, spine doctor rheumatologist, or physiatrist)</td></tr><tr><td style=\"white-space:nowrap\">mpq-1094<a name=\"mypain-questionnaire-codes-mpq-1094\"> </a></td><td>Surgery</td></tr><tr><td style=\"white-space:nowrap\">mpq-1095<a name=\"mypain-questionnaire-codes-mpq-1095\"> </a></td><td>Injection (such as a shot to relieve inflammation)</td></tr><tr><td style=\"white-space:nowrap\">mpq-1096<a name=\"mypain-questionnaire-codes-mpq-1096\"> </a></td><td>Massage</td></tr><tr><td style=\"white-space:nowrap\">mpq-1097<a name=\"mypain-questionnaire-codes-mpq-1097\"> </a></td><td>Other: describe other procedures or physical treatments you've tried for pain</td></tr><tr><td style=\"white-space:nowrap\">mpq-1098<a name=\"mypain-questionnaire-codes-mpq-1098\"> </a></td><td>What topical treatments or devices have you tried for pain?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1099<a name=\"mypain-questionnaire-codes-mpq-1099\"> </a></td><td>Heat and/or ice</td></tr><tr><td style=\"white-space:nowrap\">mpq-1100<a name=\"mypain-questionnaire-codes-mpq-1100\"> </a></td><td>Topical medications (such as creams, lotions, gel, patches, Bengay, Tiger Balm, Salonpas, Biofreeze, or Lidoderm)</td></tr><tr><td style=\"white-space:nowrap\">mpq-1101<a name=\"mypain-questionnaire-codes-mpq-1101\"> </a></td><td>TENs unit</td></tr><tr><td style=\"white-space:nowrap\">mpq-1102<a name=\"mypain-questionnaire-codes-mpq-1102\"> </a></td><td>Bracing</td></tr><tr><td style=\"white-space:nowrap\">mpq-1103<a name=\"mypain-questionnaire-codes-mpq-1103\"> </a></td><td>Other: describe other topical treatments or devices you've tried for pain</td></tr><tr><td style=\"white-space:nowrap\">mpq-1104<a name=\"mypain-questionnaire-codes-mpq-1104\"> </a></td><td>Exercises or stretching (such as walking, yoga, water aerobics)</td></tr><tr><td style=\"white-space:nowrap\">mpq-1105<a name=\"mypain-questionnaire-codes-mpq-1105\"> </a></td><td>Diet or hydration (such as an anti-inflammatory diet or drinking enough water)</td></tr><tr><td style=\"white-space:nowrap\">mpq-1106<a name=\"mypain-questionnaire-codes-mpq-1106\"> </a></td><td>Weight loss</td></tr><tr><td style=\"white-space:nowrap\">mpq-1107<a name=\"mypain-questionnaire-codes-mpq-1107\"> </a></td><td>Stress reduction (such as relaxation, meditation, mindfulness, laughter)</td></tr><tr><td style=\"white-space:nowrap\">mpq-1108<a name=\"mypain-questionnaire-codes-mpq-1108\"> </a></td><td>Posture or ergonomics</td></tr><tr><td style=\"white-space:nowrap\">mpq-1109<a name=\"mypain-questionnaire-codes-mpq-1109\"> </a></td><td>Other: describe other lifestyle changes you've tried for pain</td></tr><tr><td style=\"white-space:nowrap\">mpq-1110<a name=\"mypain-questionnaire-codes-mpq-1110\"> </a></td><td>Herbal treatments or supplements (such as ginseng or kava kava)</td></tr><tr><td style=\"white-space:nowrap\">mpq-1111<a name=\"mypain-questionnaire-codes-mpq-1111\"> </a></td><td>Aromatherapy</td></tr><tr><td style=\"white-space:nowrap\">mpq-1112<a name=\"mypain-questionnaire-codes-mpq-1112\"> </a></td><td>CBD oil</td></tr><tr><td style=\"white-space:nowrap\">mpq-1113<a name=\"mypain-questionnaire-codes-mpq-1113\"> </a></td><td>Marijuana used for medical purposes</td></tr><tr><td style=\"white-space:nowrap\">mpq-1114<a name=\"mypain-questionnaire-codes-mpq-1114\"> </a></td><td>Other: describe other alternative treatments you've tried for pain</td></tr><tr><td style=\"white-space:nowrap\">mpq-1115<a name=\"mypain-questionnaire-codes-mpq-1115\"> </a></td><td>Activity Goals: what goals do you have for your daily activities?</td></tr><tr><td style=\"white-space:nowrap\">mpq-1116<a name=\"mypain-questionnaire-codes-mpq-1116\"> </a></td><td>"Activity Goals: what are the biggest barriers to achieving your daily activity goals?</td></tr><tr><td style=\"white-space:nowrap\">pain-location<a name=\"mypain-questionnaire-codes-pain-location\"> </a></td><td>Please describe the location(s) of any pain you have had in the past 7 days.</td></tr><tr><td style=\"white-space:nowrap\">my-pain-intensity<a name=\"mypain-questionnaire-codes-my-pain-intensity\"> </a></td><td>Thinking about your overall pain, in the past 7 days, please respond to the questions below:</td></tr><tr><td style=\"white-space:nowrap\">my-pain-interference<a name=\"mypain-questionnaire-codes-my-pain-interference\"> </a></td><td>Thinking about your overall pain, in the past 7 days, please respond to the questions below:</td></tr><tr><td style=\"white-space:nowrap\">about-my-treatments<a name=\"mypain-questionnaire-codes-about-my-treatments\"> </a></td><td>My Treatments Questionnaire Grouping Code</td></tr><tr><td style=\"white-space:nowrap\">about-my-goals<a name=\"mypain-questionnaire-codes-about-my-goals\"> </a></td><td>We'd like to know more about you and your goals</td></tr><tr><td style=\"white-space:nowrap\">mypain-feedback<a name=\"mypain-questionnaire-codes-mypain-feedback\"> </a></td><td>Feedback on your use of MyPAIN</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "shareable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "computable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "publishable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "executable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
"valueCode" : "structured"
}
],
"url" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"version" : "0.1.0",
"name" : "MyPAINQuestionnaireCodes",
"title" : "MyPAIN Questionnaire Codes",
"status" : "draft",
"experimental" : false,
"date" : "2020-06-16T13:21:03-06:00",
"publisher" : "CQF",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://fhir.org/guides/cqf/cds4cpm/ImplementationGuide/cqf.fhir.cds4cpm"
}
]
}
],
"description" : "Code system for questions from questionnaire used in MyPAIN and Pain Manager",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"caseSensitive" : true,
"valueSet" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/mypain-questionnaire-codes",
"content" : "complete",
"concept" : [
{
"code" : "mpq-1000",
"display" : "Please describe the location(s) of any pain you have had in the past 7 days (e.g., lower back and left hip)",
"property" : [
{
"code" : "http://hl7.org/fhir/concept-properties#status",
"valueCode" : "retired"
}
]
},
{
"code" : "mpq-1001",
"display" : "In the past 7 days - How intense was your pain at its worst?",
"property" : [
{
"code" : "http://hl7.org/fhir/concept-properties#status",
"valueCode" : "retired"
}
]
},
{
"code" : "mpq-1002",
"display" : "In the past 7 days - How intense was your average pain?",
"property" : [
{
"code" : "http://hl7.org/fhir/concept-properties#status",
"valueCode" : "retired"
}
]
},
{
"code" : "mpq-1003",
"display" : "In the past 7 days - What is your level of pain right now?",
"property" : [
{
"code" : "http://hl7.org/fhir/concept-properties#status",
"valueCode" : "retired"
}
]
},
{
"code" : "mpq-1004",
"display" : "In the past 7 days - How much did pain interfere with your day to day activities?",
"property" : [
{
"code" : "http://hl7.org/fhir/concept-properties#status",
"valueCode" : "retired"
}
]
},
{
"code" : "mpq-1005",
"display" : "In the past 7 days - How much did pain interfere with your work?",
"property" : [
{
"code" : "http://hl7.org/fhir/concept-properties#status",
"valueCode" : "retired"
}
]
},
{
"code" : "mpq-1006",
"display" : "In the past 7 days - How much did pain interfere with your ability to participate in social activities?",
"property" : [
{
"code" : "http://hl7.org/fhir/concept-properties#status",
"valueCode" : "retired"
}
]
},
{
"code" : "mpq-1007",
"display" : "In the past 7 days - How much did pain interfere with your household chores?",
"property" : [
{
"code" : "http://hl7.org/fhir/concept-properties#status",
"valueCode" : "retired"
}
]
},
{
"code" : "mpq-1008",
"display" : "How often have Exercises at home (such as those assigned by a therapist) or outside (such as walking, jogging, swimming) you have tried in the past 6 months helped you with your pain?"
},
{
"code" : "mpq-1009",
"display" : "How often have Sleep positioners or devices (such as additional pillows, padding, etc.) you have tried in the past 6 months helped you with your pain?"
},
{
"code" : "mpq-1010",
"display" : "How often has Stretching you have tried in the past 6 months helped you with your pain?"
},
{
"code" : "mpq-1011",
"display" : "How often has Weight loss or changes in your diet you have tried in the past 6 months helped you with your pain?"
},
{
"code" : "mpq-1012",
"display" : "How often has Setting and reaching activity goals you have tried in the past 6 months helped you with your pain?"
},
{
"code" : "mpq-1013",
"display" : "How often has Ice or heat therapy you have tried in the past 6 months helped you with your pain?"
},
{
"code" : "mpq-1014",
"display" : "How often has Physical therapy you have tried in the past 6 months helped you with your pain?"
},
{
"code" : "mpq-1015",
"display" : "How often has Acupuncture you have tried in the past 6 months helped you with your pain?"
},
{
"code" : "mpq-1016",
"display" : "How often has Chiropractic treatment you have tried in the past 6 months helped you with your pain?"
},
{
"code" : "mpq-1017",
"display" : "How often have Pain relievers (such as Advil, Aleve, Aspirin, Ibuprofen, Motrin, Tylenol) you can buy without a prescription from your doctor that you have used in the last 6 months helped with your pain?"
},
{
"code" : "mpq-1018",
"display" : "How often have Herbal or nutritional pain relievers (such as ginseng or kava kava) that you have used in the last 6 months helped with your pain?"
},
{
"code" : "mpq-1019",
"display" : "How often have Cremes, lotions, gels or patches applied to the skin (for example Bengay, Tiger Balm or BioFreeze) that you have used in the last 6 months helped with your pain?"
},
{
"code" : "mpq-1020",
"display" : "How often have prescription Opioid medications (such as hydrocodone, oxycodone, codeine, morphine and fentanyl) helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1021",
"display" : "How often have prescription Cortisone injections (a shot to relieve inflammation) helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1022",
"display" : "How often have prescription Non-opioid medications as prescribed by a doctor (such as Celebrex, Cymbalta) helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1023",
"display" : "How often has Yoga helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1024",
"display" : "How often has Massage helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1025",
"display" : "How often has Meditation helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1026",
"display" : "How often has Relaxation or mindfulness-based training helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1027",
"display" : "How often has Group or individual therapy for pain helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1028",
"display" : "How often has Acceptance and commitment therapy helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1029",
"display" : "How often has Sleep management (such as a sleep study or CPAP) helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1030",
"display" : "How often has Aromatherapy helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1031",
"display" : "How often have Crystals helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1032",
"display" : "How often have Essential oils helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1033",
"display" : "How often has Music therapy helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1034",
"display" : "Have you tried any Other new treatments to help with your pain in the last 6 months? Please describe"
},
{
"code" : "mpq-1035",
"display" : "What are your most important activity goals? For example: I’d like to be able to walk without pain."
},
{
"code" : "mpq-1036",
"display" : "What are the biggest barriers to achieving your activity goals? For example: I have a lot of stress from work which makes my pain worse."
},
{
"code" : "mpq-1037",
"display" : "DEPRECATED",
"property" : [
{
"code" : "http://hl7.org/fhir/concept-properties#status",
"valueCode" : "retired"
}
]
},
{
"code" : "mpq-1038",
"display" : "What type of HEAD pain have you had in the last 7 days?"
},
{
"code" : "mpq-1039",
"display" : "What type of NECK pain have you had in the last 7 days?"
},
{
"code" : "mpq-1040",
"display" : "What type of SHOULDERS pain have you had in the last 7 days?"
},
{
"code" : "mpq-1041",
"display" : "What type of ARMS pain have you had in the last 7 days?"
},
{
"code" : "mpq-1042",
"display" : "What type of UPPER BACK pain have you had in the last 7 days?"
},
{
"code" : "mpq-1043",
"display" : "What type of LOWER BACK pain have you had in the last 7 days?"
},
{
"code" : "mpq-1044",
"display" : "What type of HANDS pain have you had in the last 7 days?"
},
{
"code" : "mpq-1045",
"display" : "What type of ABDOMEN pain have you had in the last 7 days?"
},
{
"code" : "mpq-1046",
"display" : "What type of PELVIS pain have you had in the last 7 days?"
},
{
"code" : "mpq-1047",
"display" : "What type of HIPS pain have you had in the last 7 days?"
},
{
"code" : "mpq-1048",
"display" : "What type of UPPER LEGS pain have you had in the last 7 days?"
},
{
"code" : "mpq-1049",
"display" : "What type of KNEES pain have you had in the last 7 days?"
},
{
"code" : "mpq-1050",
"display" : "What type of LOWER LEGS pain have you had in the last 7 days?"
},
{
"code" : "mpq-1051",
"display" : "What type of FEET pain have you had in the last 7 days?"
},
{
"code" : "mpq-1052",
"display" : "What type of EVERYWHERE pain have you had in the last 7 days?"
},
{
"code" : "mpq-1053",
"display" : "What OTHER pain have you had in the last 7 days? Please describe"
},
{
"code" : "mpq-1054",
"display" : "How often have Other strategies or methods you have tried in the last 6 months helped with your pain? Please describe"
},
{
"code" : "mpq-1055",
"display" : "Have you used any Other items you can buy without a prescription from your doctor to help with your pain in the last 6 months? Please describe"
},
{
"code" : "mpq-1056",
"display" : "How often has Medical marijuana helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1057",
"display" : "Have you used any Other prescription medications to help with your pain in the last 6 months?: Please describe"
},
{
"code" : "mpq-1058",
"display" : "How often has Cognitive behavioral therapy helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1059",
"display" : "Have you tried any Other mind-body techniques or therapies to help with your pain in the last 6 months? Please describe"
},
{
"code" : "mpq-1060",
"display" : "How often has CBD oil helped with your pain in the last 6 months?"
},
{
"code" : "mpq-1061",
"display" : "Did the patient view the 4 flat tires video"
},
{
"code" : "mpq-1062",
"display" : "Did the patient access the US Chronic Pain website"
},
{
"code" : "mpq-1063",
"display" : "Please indicate your level of agreement with the following statement: Using the MyPAIN tool has helped me begin preparing for a conversation with my provider about managing my pain."
},
{
"code" : "mpq-1064",
"display" : "Do you have any other feedback or thoughts to share on your use of MyPAIN?"
},
{
"code" : "mpq-1065",
"display" : "When did the patient submit their questionnaire response?"
},
{
"code" : "mpq-1066",
"display" : "What type of BACK pain have you had in the last 7 days?"
},
{
"code" : "mpq-1067",
"display" : "What type of HANDS/WRIST pain have you had in the last 7 days?"
},
{
"code" : "mpq-1068",
"display" : "What type of ABDOMEN/PELVIS pain have you had in the last 7 days?"
},
{
"code" : "mpq-1069",
"display" : "What type of FEET/ANKLES pain have you had in the last 7 days?"
},
{
"code" : "mpq-1070",
"display" : "Over-the-counter pain reliever (such as Advil, Aleve, Aspirin, Ibuprofen, Motrin, or Tylenol)"
},
{
"code" : "mpq-1071",
"display" : "Prescription nonsteroidal anti-inflammatory (such as Celebrex)"
},
{
"code" : "mpq-1072",
"display" : "Prescription nerve pain medication (such as Lyrica, Neurontin, or Cymbalta)"
},
{
"code" : "mpq-1073",
"display" : "Prescription muscle relaxant (such as Soma or Baclofen)"
},
{
"code" : "mpq-1074",
"display" : "Prescription opioid medication (such as Vicodin, hydrocodone, oxycodone, codeine, morphine, or tramadol)"
},
{
"code" : "mpq-1075",
"display" : "Other: describe other medications you've tried for pain"
},
{
"code" : "mpq-1076",
"display" : "I haven't tried any medications for pain."
},
{
"code" : "mpq-1077",
"display" : "I haven't seen any specialists for pain"
},
{
"code" : "mpq-1078",
"display" : "Dry needling or cupping"
},
{
"code" : "mpq-1079",
"display" : "Acupuncture"
},
{
"code" : "mpq-1080",
"display" : "I haven't tried any procedures or physical treatments for pain."
},
{
"code" : "mpq-1081",
"display" : "I haven't tried any topical treatments or devices for pain."
},
{
"code" : "mpq-1082",
"display" : "I haven't tried any lifestyle changes for pain."
},
{
"code" : "mpq-1083",
"display" : "What topical treatments or devices have you tried for pain?"
},
{
"code" : "mpq-1084",
"display" : "What alternative treatments have you tried for pain?"
},
{
"code" : "mpq-1085",
"display" : "I haven’t tried any alternative treatments for pain"
},
{
"code" : "mpq-1086",
"display" : "What specialists have you seen for pain?"
},
{
"code" : "mpq-1087",
"display" : "Chiropractor"
},
{
"code" : "mpq-1088",
"display" : "Physical therapist"
},
{
"code" : "mpq-1089",
"display" : "Pain management specialist"
},
{
"code" : "mpq-1090",
"display" : "Orthopedist"
},
{
"code" : "mpq-1091",
"display" : "Psychologist or counselor"
},
{
"code" : "mpq-1092",
"display" : "Integrative medicine specialist"
},
{
"code" : "mpq-1093",
"display" : "Other: describe other specialists you have seen for pain (such as neurologist, spine doctor rheumatologist, or physiatrist)"
},
{
"code" : "mpq-1094",
"display" : "Surgery"
},
{
"code" : "mpq-1095",
"display" : "Injection (such as a shot to relieve inflammation)"
},
{
"code" : "mpq-1096",
"display" : "Massage"
},
{
"code" : "mpq-1097",
"display" : "Other: describe other procedures or physical treatments you've tried for pain"
},
{
"code" : "mpq-1098",
"display" : "What topical treatments or devices have you tried for pain?"
},
{
"code" : "mpq-1099",
"display" : "Heat and/or ice"
},
{
"code" : "mpq-1100",
"display" : "Topical medications (such as creams, lotions, gel, patches, Bengay, Tiger Balm, Salonpas, Biofreeze, or Lidoderm)"
},
{
"code" : "mpq-1101",
"display" : "TENs unit"
},
{
"code" : "mpq-1102",
"display" : "Bracing"
},
{
"code" : "mpq-1103",
"display" : "Other: describe other topical treatments or devices you've tried for pain"
},
{
"code" : "mpq-1104",
"display" : "Exercises or stretching (such as walking, yoga, water aerobics)"
},
{
"code" : "mpq-1105",
"display" : "Diet or hydration (such as an anti-inflammatory diet or drinking enough water)"
},
{
"code" : "mpq-1106",
"display" : "Weight loss"
},
{
"code" : "mpq-1107",
"display" : "Stress reduction (such as relaxation, meditation, mindfulness, laughter)"
},
{
"code" : "mpq-1108",
"display" : "Posture or ergonomics"
},
{
"code" : "mpq-1109",
"display" : "Other: describe other lifestyle changes you've tried for pain"
},
{
"code" : "mpq-1110",
"display" : "Herbal treatments or supplements (such as ginseng or kava kava)"
},
{
"code" : "mpq-1111",
"display" : "Aromatherapy"
},
{
"code" : "mpq-1112",
"display" : "CBD oil"
},
{
"code" : "mpq-1113",
"display" : "Marijuana used for medical purposes"
},
{
"code" : "mpq-1114",
"display" : "Other: describe other alternative treatments you've tried for pain"
},
{
"code" : "mpq-1115",
"display" : "Activity Goals: what goals do you have for your daily activities?"
},
{
"code" : "mpq-1116",
"display" : "\"Activity Goals: what are the biggest barriers to achieving your daily activity goals?"
},
{
"code" : "pain-location",
"display" : "Please describe the location(s) of any pain you have had in the past 7 days."
},
{
"code" : "my-pain-intensity",
"display" : "Thinking about your overall pain, in the past 7 days, please respond to the questions below:"
},
{
"code" : "my-pain-interference",
"display" : "Thinking about your overall pain, in the past 7 days, please respond to the questions below:"
},
{
"code" : "about-my-treatments",
"display" : "My Treatments Questionnaire Grouping Code"
},
{
"code" : "about-my-goals",
"display" : "We'd like to know more about you and your goals"
},
{
"code" : "mypain-feedback",
"display" : "Feedback on your use of MyPAIN"
}
]
}
IG © 2019+ CQF. Package cqf.fhir.cds4cpm#0.1.0 based on FHIR 4.0.1. Generated 2024-03-22
Links: Table of Contents |
QA Report
| Version History 
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