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
| Active as of 2024-03-22 |
{
"resourceType" : "Questionnaire",
"id" : "mypain-questionnaire-ufl",
"meta" : {
"versionId" : "10",
"lastUpdated" : "2023-02-13T21:52:31.678+00:00",
"source" : "#AeGzGRdk5zzBNV5w",
"profile" : [
🔗 "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire|2.7"🔗 ,
"http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-shareablequestionnaire"
],
"tag" : [
{
"code" : "lformsVersion: 25.1.3"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The linkId for the item\">LinkId</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the itemcan appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> mypainquestionnaireufl</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">A questionnaire to use with the MyPAIN application for a patient to assess their pain levels, locations, and treatments for use in consultation with a clinician to determine further treatments. Created for UFL pilot.</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">http://fhir.org/guides/cqf/cds4cpm/Questionnaire/mypain-questionnaire-ufl#0.1.0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">My Pain Location. <strong>Where</strong> is the pain you would like to discuss?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Head. What does it feel like?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.1\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Neck. What does it feel like?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.2\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Shoulders. What does it feel like?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.3\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Arms. What does it feel like?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.4\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.6</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Back. What does it feel like?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.6\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.5</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Hands/Wrist. What does it feel like?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.5\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.7</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Abdomen/Pelvis. What does it feel like?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.7\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.8</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Hips. What does it feel like?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.8\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.9\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.9</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Knees. What does it feel like?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.9\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.10\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.10</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Feet/Ankles. What does it feel like?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.10\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.11\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.11</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Everywhere. What does it feel like?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.11\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.1.12\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Text\" class=\"hierarchy\"/> 1.12</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Other, please describe. Other, please describe</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 2</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">My Pain Intensity. Over the past 7 days...</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 2.1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How intense was your <strong>pain at its worst</strong>?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.2.1\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 2.2</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How intense was your <strong>average pain</strong>?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.2.2\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.2.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 2.3</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is your level of <strong>pain right now</strong>?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.2.3\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">My Pain Interference. Over the past 7 days...</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.3.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 3.1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain interfere with your <strong>day to day activities</strong>?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.3.1\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.3.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 3.2</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain interfere with your <strong>work around the home</strong>?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.3.2\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.3.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 3.3</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain interfere with your <strong>ability to participate in social activities</strong>?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.3.3\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.3.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 3.4</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain interfere with your <strong>household chores</strong>?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.3.4\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">My Pain Interference. Over the past 7 days...</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.4.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 4.1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain <em>interfere</em> with <strong>things you usually do for fun</strong>?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.4.1\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.4.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 4.2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain <em>interfere</em> with your <strong>enjoyment of social activities</strong>?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.4.2\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.4.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 4.3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain <em>interfere</em> with your <strong>enjoyment of life</strong>?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.4.3\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.4.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 4.4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain <em>interfere</em> with your <strong>family life</strong>?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.4.4\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 5</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">About My Treatments. What <strong>medications</strong> have you tried for pain?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.5.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 5.1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Over-the-counter</strong> pain reliever (such as Advil, Aleve, Aspirin, Ibuprofen, Motrin, or Tylenol). Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.5.1\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.5.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 5.2</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Prescription nonsteroidal anti-inflammatory</strong> (such as Celebrex). Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.5.2\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.5.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 5.3</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Prescription nerve pain</strong> medication (such as Lyrica, Neurontin, or Cymbalta). Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.5.3\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.5.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 5.4</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Prescription muscle relaxant</strong> (such as Soma or Baclofen). Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.5.4\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.5.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 5.5</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Prescription opioid</strong> medication (such as Vicodin, hydrocodone, oxycodone, codeine, morphine, or tramadol). Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.5.5\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.5.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Text\" class=\"hierarchy\"/> 5.6</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Other</strong>: describe other medications you've tried for pain. Other: describe other medications you've tried for pain</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.5.7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Boolean\" class=\"hierarchy\"/> 5.7</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">I haven't tried any medications for pain.. <strong>I haven't tried any medications for pain.</strong></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 6</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">About My Treatments. What <strong>specialists</strong> have you seen for pain?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 6.1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Chiropractor</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.6.1\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 6.2</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Physical therapist</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.6.2\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 6.3</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Pain management specialist</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.6.3\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 6.4</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Orthopedist</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.6.4\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 6.5</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Psychologist</strong> or <strong>counselor</strong> (such as for group or individual therapy, acceptance & commitment therapy, cognitive behavior therapy). Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.6.5\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 6.6</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Integrative medicine specialist</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.6.6\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Text\" class=\"hierarchy\"/> 6.7</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Other</strong>: describe other specialists you have seen for pain (such as neurologist, spine doctor rheumatologist, or physiatrist). <strong>Other</strong>: describe other specialists you have seen for pain (such as neurologist, spine doctor rheumatologist, or physiatrist)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.6.8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Boolean\" class=\"hierarchy\"/> 6.8</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">I haven't seen any specialists for pain. <strong>I haven't seen any specialists for pain.</strong></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 7</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">About My Treatments. What <strong>procedures</strong> or <strong>physical treatments</strong> have you tried for pain?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.7.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 7.1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Surgery</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.7.1\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.7.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 7.2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Injection</strong> (such as a shot to relieve inflammation). Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.7.2\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.7.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 7.3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Massage</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.7.3\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.7.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 7.4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Dry needling</strong> or <strong>cupping</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.7.4\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.7.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 7.5</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Acupuncture</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.7.5\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.7.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Text\" class=\"hierarchy\"/> 7.6</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Other</strong>: describe other procedures or physical treatments you've tried for pain. Other, please describe</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.7.7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Boolean\" class=\"hierarchy\"/> 7.7</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">I haven't tried any procedures or physical treatments for pain.. <strong>I haven't tried any procedures or physical treatments for pain.</strong></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 8</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">About My Treatments. What <strong>topical treatments</strong> or <strong>devices</strong> have you tried for pain?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.8.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 8.1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Heat</strong> and/or <strong>ice</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.8.1\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.8.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 8.2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Topical medications</strong> (such as creams, lotions, gel, patches, Bengay, Tiger Balm, Salonpas, Biofreeze, or Lidoderm). Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.8.2\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.8.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 8.3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>TENs unit</strong> device. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.8.3\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.8.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 8.4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Bracing</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.8.4\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.8.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Text\" class=\"hierarchy\"/> 8.5</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Other</strong>: describe other topical treatments or devices you've tried for pain. <strong>Other</strong>: describe other topical treatments or devices you've tried for pain</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.8.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Boolean\" class=\"hierarchy\"/> 8.6</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">I haven't tried any topical treatments or devices for pain.. <strong>I haven't tried any topical treatments or devices for pain.</strong></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.9\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 9</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">About My Treatments. What <strong>lifestyle changes</strong> have you tried for pain?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.9.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 9.1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Exercises</strong> or </strong>stretching</strong> (such as walking, yoga, water aerobics). Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.9.1\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.9.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 9.2</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Diet</strong> or <strong>hydration</strong> (such as an anti-inflammatory diet or drinking enough water). Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.9.2\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.9.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 9.3</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Weight loss</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.9.3\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.9.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 9.4</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Stress reduction</strong> (such as relaxation, meditation, mindfulness, laughter). Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.9.4\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.9.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 9.5</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Posture</strong> or <strong>ergonomics</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.9.5\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.9.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Text\" class=\"hierarchy\"/> 9.6</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Other</strong>: describe other lifestyle changes you've tried for pain . <strong>Other</strong>: describe other lifestyle changes you've tried for pain </td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.9.7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Boolean\" class=\"hierarchy\"/> 9.7</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">I haven't tried any lifestyle changes for pain.. <strong>I haven't tried any lifestyle changes for pain.</strong></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.10\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 10</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">About My Treatments. What <strong>alternative treatments</strong> have you tried for pain?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.10.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 10.1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Herbal treatments or supplements</strong> (such as ginseng or kava kava). Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.10.1\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.10.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 10.2</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Aromatherapy</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.10.2\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.10.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 10.3</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>CBD oil</strong>. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.10.3\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.10.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 10.4</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Marijuana</strong> used for medical purposes. Did it work?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-open-choice\">open-choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.10.4\">4 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.10.5\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Text\" class=\"hierarchy\"/> 10.5</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><strong>Other</strong>: describe other alternative treatments you've tried for pain. <strong>Other</strong>: describe other alternative treatments you've tried for pain</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.10.6\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-boolean.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Boolean\" class=\"hierarchy\"/> 10.6</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">I haven't tried any alternative treatments for pain. <strong>I haven't tried any alternative treatments for pain</strong></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-boolean\">boolean</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.11\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Text\" class=\"hierarchy\"/> 11</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">About My Goals. <strong>Activity Goals</strong>: what goals do you have for your daily activities?<br/><br/>Examples: <em>I want to walk my dog daily. I want to continue to play guitar with my son.</em></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item.12\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Text\" class=\"hierarchy\"/> 12</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">About My Goals. <strong>Activity Barriers</strong>: what are the biggest barriers to achieving your daily activity goals?<br/><br/>Example: <em>I have a lot of stress from work that makes my pain worse.</em></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Option Sets</b></p><a name=\"opt-item.1.1\"> </a><p><b>Answer options for 1.1</b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#55145008 ("Stabbing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#36349006 ("Burning")</li><li style=\"font-size: 11px\">http://snomed.info/sct#27635008 ("Aching")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Cramping")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Crushing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.2\"> </a><p><b>Answer options for 1.2</b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#55145008 ("Stabbing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#36349006 ("Burning")</li><li style=\"font-size: 11px\">http://snomed.info/sct#27635008 ("Aching")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Cramping")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Crushing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.3\"> </a><p><b>Answer options for 1.3</b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#55145008 ("Stabbing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#36349006 ("Burning")</li><li style=\"font-size: 11px\">http://snomed.info/sct#27635008 ("Aching")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Cramping")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Crushing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.4\"> </a><p><b>Answer options for 1.4</b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#55145008 ("Stabbing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#36349006 ("Burning")</li><li style=\"font-size: 11px\">http://snomed.info/sct#27635008 ("Aching")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Cramping")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Crushing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.6\"> </a><p><b>Answer options for 1.6</b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#55145008 ("Stabbing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#36349006 ("Burning")</li><li style=\"font-size: 11px\">http://snomed.info/sct#27635008 ("Aching")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Cramping")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Crushing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.5\"> </a><p><b>Answer options for 1.5</b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#55145008 ("Stabbing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#36349006 ("Burning")</li><li style=\"font-size: 11px\">http://snomed.info/sct#27635008 ("Aching")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Cramping")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Crushing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.7\"> </a><p><b>Answer options for 1.7</b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#55145008 ("Stabbing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#36349006 ("Burning")</li><li style=\"font-size: 11px\">http://snomed.info/sct#27635008 ("Aching")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Cramping")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Crushing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.8\"> </a><p><b>Answer options for 1.8</b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#55145008 ("Stabbing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#36349006 ("Burning")</li><li style=\"font-size: 11px\">http://snomed.info/sct#27635008 ("Aching")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Cramping")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Crushing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.9\"> </a><p><b>Answer options for 1.9</b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#55145008 ("Stabbing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#36349006 ("Burning")</li><li style=\"font-size: 11px\">http://snomed.info/sct#27635008 ("Aching")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Cramping")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Crushing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.10\"> </a><p><b>Answer options for 1.10</b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#55145008 ("Stabbing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#36349006 ("Burning")</li><li style=\"font-size: 11px\">http://snomed.info/sct#27635008 ("Aching")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Cramping")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Crushing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.11\"> </a><p><b>Answer options for 1.11</b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#55145008 ("Stabbing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#36349006 ("Burning")</li><li style=\"font-size: 11px\">http://snomed.info/sct#27635008 ("Aching")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Cramping")</li><li style=\"font-size: 11px\">http://snomed.info/sct#279093005 ("Crushing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.2.1\"> </a><p><b>Answer options for 2.1</b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA13879-4 ("Had no pain")</li><li style=\"font-size: 11px\">http://loinc.org#LA6752-5 ("Mild")</li><li style=\"font-size: 11px\">http://loinc.org#LA6751-7 ("Moderate")</li><li style=\"font-size: 11px\">http://loinc.org#LA6750-9 ("Severe")</li><li style=\"font-size: 11px\">http://loinc.org#LA13958-6 ("Very Severe")</li></ul><a name=\"opt-item.2.2\"> </a><p><b>Answer options for 2.2</b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA13879-4 ("Had no pain")</li><li style=\"font-size: 11px\">http://loinc.org#LA6752-5 ("Mild")</li><li style=\"font-size: 11px\">http://loinc.org#LA6751-7 ("Moderate")</li><li style=\"font-size: 11px\">http://loinc.org#LA6750-9 ("Severe")</li><li style=\"font-size: 11px\">http://loinc.org#LA13958-6 ("Very Severe")</li></ul><a name=\"opt-item.2.3\"> </a><p><b>Answer options for 2.3</b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA131-5 ("Had no pain")</li><li style=\"font-size: 11px\">http://loinc.org#LA6752-5 ("Mild")</li><li style=\"font-size: 11px\">http://loinc.org#LA6751-7 ("Moderate")</li><li style=\"font-size: 11px\">http://loinc.org#LA6750-9 ("Severe")</li><li style=\"font-size: 11px\">http://loinc.org#LA13958-6 ("Very Severe")</li></ul><a name=\"opt-item.3.1\"> </a><p><b>Answer options for 3.1</b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 ("Not at all")</li><li style=\"font-size: 11px\">http://loinc.org#LA13863-8 ("A little bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13909-9 ("Somewhat")</li><li style=\"font-size: 11px\">http://loinc.org#LA13902-4 ("Quite a bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13914-9 ("Very much")</li></ul><a name=\"opt-item.3.2\"> </a><p><b>Answer options for 3.2</b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 ("Not at all")</li><li style=\"font-size: 11px\">http://loinc.org#LA13863-8 ("A little bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13909-9 ("Somewhat")</li><li style=\"font-size: 11px\">http://loinc.org#LA13902-4 ("Quite a bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13914-9 ("Very much")</li></ul><a name=\"opt-item.3.3\"> </a><p><b>Answer options for 3.3</b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 ("Not at all")</li><li style=\"font-size: 11px\">http://loinc.org#LA13863-8 ("A little bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13909-9 ("Somewhat")</li><li style=\"font-size: 11px\">http://loinc.org#LA13902-4 ("Quite a bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13914-9 ("Very much")</li></ul><a name=\"opt-item.3.4\"> </a><p><b>Answer options for 3.4</b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 ("Not at all")</li><li style=\"font-size: 11px\">http://loinc.org#LA13863-8 ("A little bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13909-9 ("Somewhat")</li><li style=\"font-size: 11px\">http://loinc.org#LA13902-4 ("Quite a bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13914-9 ("Very much")</li></ul><a name=\"opt-item.4.1\"> </a><p><b>Answer options for 4.1</b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 ("Not at all")</li><li style=\"font-size: 11px\">http://loinc.org#LA13863-8 ("A little bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13909-9 ("Somewhat")</li><li style=\"font-size: 11px\">http://loinc.org#LA13902-4 ("Quite a bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13914-9 ("Very much")</li></ul><a name=\"opt-item.4.2\"> </a><p><b>Answer options for 4.2</b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 ("Not at all")</li><li style=\"font-size: 11px\">http://loinc.org#LA13863-8 ("A little bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13909-9 ("Somewhat")</li><li style=\"font-size: 11px\">http://loinc.org#LA13902-4 ("Quite a bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13914-9 ("Very much")</li></ul><a name=\"opt-item.4.3\"> </a><p><b>Answer options for 4.3</b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 ("Not at all")</li><li style=\"font-size: 11px\">http://loinc.org#LA13863-8 ("A little bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13909-9 ("Somewhat")</li><li style=\"font-size: 11px\">http://loinc.org#LA13902-4 ("Quite a bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13914-9 ("Very much")</li></ul><a name=\"opt-item.4.4\"> </a><p><b>Answer options for 4.4</b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA6568-5 ("Not at all")</li><li style=\"font-size: 11px\">http://loinc.org#LA13863-8 ("A little bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13909-9 ("Somewhat")</li><li style=\"font-size: 11px\">http://loinc.org#LA13902-4 ("Quite a bit")</li><li style=\"font-size: 11px\">http://loinc.org#LA13914-9 ("Very much")</li></ul><a name=\"opt-item.5.1\"> </a><p><b>Answer options for 5.1</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.5.2\"> </a><p><b>Answer options for 5.2</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.5.3\"> </a><p><b>Answer options for 5.3</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.5.4\"> </a><p><b>Answer options for 5.4</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.5.5\"> </a><p><b>Answer options for 5.5</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.6.1\"> </a><p><b>Answer options for 6.1</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.6.2\"> </a><p><b>Answer options for 6.2</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.6.3\"> </a><p><b>Answer options for 6.3</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.6.4\"> </a><p><b>Answer options for 6.4</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.6.5\"> </a><p><b>Answer options for 6.5</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.6.6\"> </a><p><b>Answer options for 6.6</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.7.1\"> </a><p><b>Answer options for 7.1</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.7.2\"> </a><p><b>Answer options for 7.2</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.7.3\"> </a><p><b>Answer options for 7.3</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.7.4\"> </a><p><b>Answer options for 7.4</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.7.5\"> </a><p><b>Answer options for 7.5</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.8.1\"> </a><p><b>Answer options for 8.1</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.8.2\"> </a><p><b>Answer options for 8.2</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.8.3\"> </a><p><b>Answer options for 8.3</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.8.4\"> </a><p><b>Answer options for 8.4</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.9.1\"> </a><p><b>Answer options for 9.1</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.9.2\"> </a><p><b>Answer options for 9.2</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.9.3\"> </a><p><b>Answer options for 9.3</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.9.4\"> </a><p><b>Answer options for 9.4</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.9.5\"> </a><p><b>Answer options for 9.5</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.10.1\"> </a><p><b>Answer options for 10.1</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.10.2\"> </a><p><b>Answer options for 10.2</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.10.3\"> </a><p><b>Answer options for 10.3</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul><a name=\"opt-item.10.4\"> </a><p><b>Answer options for 10.4</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1019 ("Not at all")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1020 ("Slightly")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1021 ("Moderately")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1022 ("Greatly")</li></ul></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" : "publishable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
"valueCode" : "narrative"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "computable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
"valueCode" : "structured"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "executable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
"valueCode" : "executable"
}
],
"url" : "http://fhir.org/guides/cqf/cds4cpm/Questionnaire/mypain-questionnaire-ufl",
"version" : "0.1.0",
"name" : "mypainquestionnaireufl",
"title" : "MyPain Questionnaire",
"status" : "active",
"experimental" : false,
"subjectType" : [
"Patient"
],
"date" : "2024-03-22T17:08:36+00:00",
"publisher" : "CQF",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://fhir.org/guides/cqf/cds4cpm/ImplementationGuide/cqf.fhir.cds4cpm"
}
]
}
],
"description" : "A questionnaire to use with the MyPAIN application for a patient to assess their pain levels, locations, and treatments for use in consultation with a clinician to determine further treatments. Created for UFL pilot.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"item" : [
{
"linkId" : "1",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "pain-location",
"display" : "Please describe the location(s) of any pain you have had in the past 7 days."
}
],
"prefix" : "My Pain Location",
"text" : "<strong>Where</strong> is the pain you would like to discuss?",
"type" : "group",
"required" : false,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"
}
],
"linkId" : "1.1",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1038",
"display" : "What type of HEAD pain have you had in the last 7 days?"
}
],
"prefix" : "Head",
"text" : "What does it feel like?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "55145008",
"display" : "Stabbing"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "36349006",
"display" : "Burning"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "27635008",
"display" : "Aching"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "279093005",
"display" : "Cramping"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "279093005",
"display" : "Crushing"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "29695002",
"display" : "Throbbing"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"
}
],
"linkId" : "1.2",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1039",
"display" : "What type of NECK pain have you had in the last 7 days?"
}
],
"prefix" : "Neck",
"text" : "What does it feel like?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "55145008",
"display" : "Stabbing"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "36349006",
"display" : "Burning"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "27635008",
"display" : "Aching"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "279093005",
"display" : "Cramping"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "279093005",
"display" : "Crushing"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "29695002",
"display" : "Throbbing"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"
}
],
"linkId" : "1.3",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1040",
"display" : "What type of SHOULDERS pain have you had in the last 7 days?"
}
],
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"display" : "Over the past 7 days..."
}
],
"prefix" : "My Pain Interference",
"text" : "Over the past 7 days...",
"type" : "group",
"required" : false,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://loinc.org/vs/LL1017-4"
}
],
"linkId" : "3.1",
"code" : [
{
"system" : "http://loinc.org",
"code" : "61758-9",
"display" : "How much did pain interfere with your day to day activities in past 7 days"
}
],
"text" : "How much did pain interfere with your <strong>day to day activities</strong>?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13863-8",
"display" : "A little bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13909-9",
"display" : "Somewhat"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13902-4",
"display" : "Quite a bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13914-9",
"display" : "Very much"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://loinc.org/vs/LL1017-4"
}
],
"linkId" : "3.2",
"code" : [
{
"system" : "http://loinc.org",
"code" : "61769-6",
"display" : "How much did pain interfere with work around the home in past 7 days"
}
],
"text" : "How much did pain interfere with your <strong>work around the home</strong>?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13863-8",
"display" : "A little bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13909-9",
"display" : "Somewhat"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13902-4",
"display" : "Quite a bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13914-9",
"display" : "Very much"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://loinc.org/vs/LL1017-4"
}
],
"linkId" : "3.3",
"code" : [
{
"system" : "http://loinc.org",
"code" : "61773-8",
"display" : "How much did pain interfere with your ability to participate in social activities in past 7 days"
}
],
"text" : "How much did pain interfere with your <strong>ability to participate in social activities</strong>?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13863-8",
"display" : "A little bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13909-9",
"display" : "Somewhat"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13902-4",
"display" : "Quite a bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13914-9",
"display" : "Very much"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://loinc.org/vs/LL1017-4"
}
],
"linkId" : "3.4",
"code" : [
{
"system" : "http://loinc.org",
"code" : "61775-3",
"display" : "How much did pain interfere with your household chores in past 7 days"
}
],
"text" : "How much did pain interfere with your <strong>household chores</strong>?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13863-8",
"display" : "A little bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13909-9",
"display" : "Somewhat"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13902-4",
"display" : "Quite a bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13914-9",
"display" : "Very much"
}
}
]
}
]
},
{
"linkId" : "4",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "my-pain-interference",
"display" : "Thinking about your overall pain, in the past 7 days, please respond to the questions below:"
}
],
"prefix" : "My Pain Interference",
"text" : "Over the past 7 days...",
"type" : "group",
"required" : false,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://loinc.org/vs/LL1017-4"
}
],
"linkId" : "4.1",
"code" : [
{
"system" : "http://loinc.org",
"code" : "61761-3",
"display" : "How much did pain interfere with the things you usually do for fun in past 7 days"
}
],
"text" : "How much did pain <em>interfere</em> with <strong>things you usually do for fun</strong>?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13863-8",
"display" : "A little bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13909-9",
"display" : "Somewhat"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13902-4",
"display" : "Quite a bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13914-9",
"display" : "Very much"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://loinc.org/vs/LL1017-4"
}
],
"linkId" : "4.2",
"code" : [
{
"system" : "http://loinc.org",
"code" : "61777-9",
"display" : "How much did pain interfere with your enjoyment of social activities in past 7 days"
}
],
"text" : "How much did pain <em>interfere</em> with your <strong>enjoyment of social activities</strong>?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13863-8",
"display" : "A little bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13909-9",
"display" : "Somewhat"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13902-4",
"display" : "Quite a bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13914-9",
"display" : "Very much"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://loinc.org/vs/LL1017-4"
}
],
"linkId" : "4.3",
"code" : [
{
"system" : "http://loinc.org",
"code" : "61794-4",
"display" : "How much did pain interfere with your enjoyment of life in past 7 days"
}
],
"text" : "How much did pain <em>interfere</em> with your <strong>enjoyment of life</strong>?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13863-8",
"display" : "A little bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13909-9",
"display" : "Somewhat"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13902-4",
"display" : "Quite a bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13914-9",
"display" : "Very much"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://loinc.org/vs/LL1017-4"
}
],
"linkId" : "4.4",
"code" : [
{
"system" : "http://loinc.org",
"code" : "61762-1",
"display" : "How much did pain interfere with your family life in past 7 days"
}
],
"text" : "How much did pain <em>interfere</em> with your <strong>family life</strong>?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA6568-5",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13863-8",
"display" : "A little bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13909-9",
"display" : "Somewhat"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13902-4",
"display" : "Quite a bit"
}
},
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA13914-9",
"display" : "Very much"
}
}
]
}
]
},
{
"linkId" : "5",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "about-my-treatments",
"display" : "What have you tried in the <strong>past 6 months</strong> to help you with your pain? Select all answers that apply. We also want to know if it worked for you."
}
],
"prefix" : "About My Treatments",
"text" : "What <strong>medications</strong> have you tried for pain?",
"type" : "group",
"required" : false,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "5.1",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1070",
"display" : "Over-the-counter pain reliever (such as Advil, Aleve, Aspirin, Ibuprofen, Motrin, or Tylenol)"
}
],
"prefix" : "<strong>Over-the-counter</strong> pain reliever (such as Advil, Aleve, Aspirin, Ibuprofen, Motrin, or Tylenol)",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "5.2",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1071",
"display" : "Prescription nonsteroidal anti-inflammatory (such as Celebrex)"
}
],
"prefix" : "<strong>Prescription nonsteroidal anti-inflammatory</strong> (such as Celebrex)",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "5.3",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1072",
"display" : "Prescription nerve pain medication (such as Lyrica, Neurontin, or Cymbalta)"
}
],
"prefix" : "<strong>Prescription nerve pain</strong> medication (such as Lyrica, Neurontin, or Cymbalta)",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "5.4",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1073",
"display" : "Prescription muscle relaxant (such as Soma or Baclofen)"
}
],
"prefix" : "<strong>Prescription muscle relaxant</strong> (such as Soma or Baclofen)",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "5.5",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1074",
"display" : "Prescription opioid medication (such as Vicodin, hydrocodone, oxycodone, codeine, morphine, or tramadol)"
}
],
"prefix" : "<strong>Prescription opioid</strong> medication (such as Vicodin, hydrocodone, oxycodone, codeine, morphine, or tramadol)",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"linkId" : "5.6",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1075",
"display" : "Other: describe other medications you've tried for pain"
}
],
"prefix" : "<strong>Other</strong>: describe other medications you've tried for pain",
"text" : "Other: describe other medications you've tried for pain",
"type" : "text",
"required" : false
},
{
"linkId" : "5.7",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1076",
"display" : "I haven't tried any medications for pain."
}
],
"prefix" : "I haven't tried any medications for pain.",
"text" : "<strong>I haven't tried any medications for pain.</strong>",
"type" : "boolean",
"required" : false
}
]
},
{
"linkId" : "6",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "about-my-treatments",
"display" : "What <strong>specialists</strong> have you seen for pain?"
}
],
"prefix" : "About My Treatments",
"text" : "What <strong>specialists</strong> have you seen for pain?",
"type" : "group",
"required" : false,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "6.1",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1087",
"display" : "Chiropractor"
}
],
"prefix" : "<strong>Chiropractor</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "6.2",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1088",
"display" : "Physical therapist"
}
],
"prefix" : "<strong>Physical therapist</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "6.3",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1089",
"display" : "Pain management specialist"
}
],
"prefix" : "<strong>Pain management specialist</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "6.4",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1090",
"display" : "Orthopedist"
}
],
"prefix" : "<strong>Orthopedist</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "6.5",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1091",
"display" : "Psychologist or counselor"
}
],
"prefix" : "<strong>Psychologist</strong> or <strong>counselor</strong> (such as for group or individual therapy, acceptance & commitment therapy, cognitive behavior therapy)",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"linkId" : "6.6",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1092",
"display" : "Integrative medicine specialist"
}
],
"prefix" : "<strong>Integrative medicine specialist</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"linkId" : "6.7",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1093",
"display" : "Other: describe other specialists you have seen for pain (such as neurologist, spine doctor rheumatologist, or physiatrist)"
}
],
"prefix" : "<strong>Other</strong>: describe other specialists you have seen for pain (such as neurologist, spine doctor rheumatologist, or physiatrist)",
"text" : "<strong>Other</strong>: describe other specialists you have seen for pain (such as neurologist, spine doctor rheumatologist, or physiatrist)",
"type" : "text",
"required" : false
},
{
"linkId" : "6.8",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1077",
"display" : "I haven't seen any specialists for pain"
}
],
"prefix" : "I haven't seen any specialists for pain",
"text" : "<strong>I haven't seen any specialists for pain.</strong>",
"type" : "boolean",
"required" : false
}
]
},
{
"linkId" : "7",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "about-my-treatments",
"display" : "Have you used any of the following <strong>items you can buy without a prescription from your doctor</strong> to help with your pain in the <strong>last 6 months</strong> (select all that apply)?"
}
],
"prefix" : "About My Treatments",
"text" : "What <strong>procedures</strong> or <strong>physical treatments</strong> have you tried for pain?",
"type" : "group",
"required" : false,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "7.1",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1094",
"display" : "Surgery"
}
],
"prefix" : "<strong>Surgery</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "7.2",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1095",
"display" : "Injection (such as a shot to relieve inflammation)"
}
],
"prefix" : "<strong>Injection</strong> (such as a shot to relieve inflammation)",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "7.3",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1096",
"display" : "Massage"
}
],
"prefix" : "<strong>Massage</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "7.4",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1078",
"display" : "Dry needling or cupping"
}
],
"prefix" : "<strong>Dry needling</strong> or <strong>cupping</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "7.5",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1079",
"display" : "Acupuncture"
}
],
"prefix" : "<strong>Acupuncture</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"linkId" : "7.6",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1097",
"display" : "Other: describe other procedures or physical treatments you've tried for pain"
}
],
"prefix" : "<strong>Other</strong>: describe other procedures or physical treatments you've tried for pain",
"text" : "Other, please describe",
"type" : "text",
"required" : false
},
{
"linkId" : "7.7",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1080",
"display" : "I haven't tried any procedures or physical treatments for pain."
}
],
"prefix" : "I haven't tried any procedures or physical treatments for pain.",
"text" : "<strong>I haven't tried any procedures or physical treatments for pain.</strong>",
"type" : "boolean",
"required" : false
}
]
},
{
"linkId" : "8",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "about-my-treatments",
"display" : "What topical treatments or devices have you tried for pain?"
}
],
"prefix" : "About My Treatments",
"text" : "What <strong>topical treatments</strong> or <strong>devices</strong> have you tried for pain?",
"type" : "group",
"required" : false,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "8.1",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1099",
"display" : "Heat and/or ice"
}
],
"prefix" : "<strong>Heat</strong> and/or <strong>ice</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "8.2",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1100",
"display" : "Topical medications (such as creams, lotions, gel, patches, Bengay, Tiger Balm, Salonpas, Biofreeze, or Lidoderm)"
}
],
"prefix" : "<strong>Topical medications</strong> (such as creams, lotions, gel, patches, Bengay, Tiger Balm, Salonpas, Biofreeze, or Lidoderm)",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "8.3",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1101",
"display" : "TENs unit"
}
],
"prefix" : "<strong>TENs unit</strong> device",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "8.4",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1102",
"display" : "Bracing"
}
],
"prefix" : "<strong>Bracing</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"linkId" : "8.5",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1103",
"display" : "Other: describe other topical treatments or devices you've tried for pain"
}
],
"prefix" : "<strong>Other</strong>: describe other topical treatments or devices you've tried for pain",
"text" : "<strong>Other</strong>: describe other topical treatments or devices you've tried for pain",
"type" : "text",
"required" : false
},
{
"linkId" : "8.6",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1081",
"display" : "I haven't tried any topical treatments or devices for pain."
}
],
"prefix" : "I haven't tried any topical treatments or devices for pain.",
"text" : "<strong>I haven't tried any topical treatments or devices for pain.</strong>",
"type" : "boolean",
"required" : false
}
]
},
{
"linkId" : "9",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "about-my-treatments",
"display" : "What lifestyle changes have you tried for pain?"
}
],
"prefix" : "About My Treatments",
"text" : "What <strong>lifestyle changes</strong> have you tried for pain?",
"type" : "group",
"required" : false,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "9.1",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1104",
"display" : "Exercises or stretching (such as walking, yoga, water aerobics)"
}
],
"prefix" : "<strong>Exercises</strong> or </strong>stretching</strong> (such as walking, yoga, water aerobics)",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "9.2",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1105",
"display" : "Diet or hydration (such as an anti-inflammatory diet or drinking enough water)"
}
],
"prefix" : "<strong>Diet</strong> or <strong>hydration</strong> (such as an anti-inflammatory diet or drinking enough water)",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "9.3",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1106",
"display" : "Weight loss"
}
],
"prefix" : "<strong>Weight loss</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "9.4",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1107",
"display" : "Stress reduction (such as relaxation, meditation, mindfulness, laughter)"
}
],
"prefix" : "<strong>Stress reduction</strong> (such as relaxation, meditation, mindfulness, laughter)",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "9.5",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1108",
"display" : "Posture or ergonomics"
}
],
"prefix" : "<strong>Posture</strong> or <strong>ergonomics</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"linkId" : "9.6",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1109",
"display" : "Other: describe other lifestyle changes you've tried for pain"
}
],
"prefix" : "<strong>Other</strong>: describe other lifestyle changes you've tried for pain ",
"text" : "<strong>Other</strong>: describe other lifestyle changes you've tried for pain ",
"type" : "text",
"required" : false
},
{
"linkId" : "9.7",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1082",
"display" : "I haven't tried any lifestyle changes for pain."
}
],
"prefix" : "I haven't tried any lifestyle changes for pain.",
"text" : "<strong>I haven't tried any lifestyle changes for pain.</strong>",
"type" : "boolean",
"required" : false
}
]
},
{
"linkId" : "10",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "about-my-treatments",
"display" : "What alternative treatments have you tried for pain?"
}
],
"prefix" : "About My Treatments",
"text" : "What <strong>alternative treatments</strong> have you tried for pain?",
"type" : "group",
"required" : false,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "10.1",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1110",
"display" : "Herbal treatments or supplements (such as ginseng or kava kava)"
}
],
"prefix" : "<strong>Herbal treatments or supplements</strong> (such as ginseng or kava kava)",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "10.2",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1111",
"display" : "Aromatherapy"
}
],
"prefix" : "<strong>Aromatherapy</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "10.3",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1112",
"display" : "CBD oil"
}
],
"prefix" : "<strong>CBD oil</strong>",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
}
],
"linkId" : "10.4",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1113",
"display" : "Marijuana used for medical purposes"
}
],
"prefix" : "<strong>Marijuana</strong> used for medical purposes",
"text" : "Did it work?",
"type" : "open-choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1019",
"display" : "Not at all"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1020",
"display" : "Slightly"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1021",
"display" : "Moderately"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1022",
"display" : "Greatly"
}
}
]
},
{
"linkId" : "10.5",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1114",
"display" : "Other: describe other alternative treatments you've tried for pain"
}
],
"prefix" : "<strong>Other</strong>: describe other alternative treatments you've tried for pain",
"text" : "<strong>Other</strong>: describe other alternative treatments you've tried for pain",
"type" : "text",
"required" : false
},
{
"linkId" : "10.6",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1085",
"display" : "I haven't tried any alternative treatments for pain"
}
],
"prefix" : "I haven't tried any alternative treatments for pain",
"text" : "<strong>I haven't tried any alternative treatments for pain</strong>",
"type" : "boolean",
"required" : false
}
]
},
{
"linkId" : "11",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1035",
"display" : "Activity Goals: what goals do you have for your daily activities?"
}
],
"prefix" : "About My Goals",
"text" : "<strong>Activity Goals</strong>: what goals do you have for your daily activities?<br/><br/>Examples: <em>I want to walk my dog daily. I want to continue to play guitar with my son.</em>",
"type" : "text",
"required" : false
},
{
"linkId" : "12",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"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."
}
],
"prefix" : "About My Goals",
"text" : "<strong>Activity Barriers</strong>: what are the biggest barriers to achieving your daily activity goals?<br/><br/>Example: <em>I have a lot of stress from work that makes my pain worse.</em>",
"type" : "text",
"required" : false
}
]
}
IG © 2019+ CQF. Package cqf.fhir.cds4cpm#0.1.0 based on FHIR 4.0.1. Generated 2024-03-22
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