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