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 |
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="mypain-questionnaire-ufl"/>
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<lastUpdated value="2023-02-13T21:52:31.678+00:00"/>
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<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,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" 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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<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>
</text>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
<valueCode value="shareable"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
<valueCode value="publishable"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel">
<valueCode value="narrative"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
<valueCode value="computable"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel">
<valueCode value="structured"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability">
<valueCode value="executable"/>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel">
<valueCode value="executable"/>
</extension>
<url
value="http://fhir.org/guides/cqf/cds4cpm/Questionnaire/mypain-questionnaire-ufl"/>
<version value="0.1.0"/>
<name value="mypainquestionnaireufl"/>
<title value="MyPain Questionnaire"/>
<status value="active"/>
<experimental value="false"/>
<subjectType value="Patient"/>
<date value="2024-03-22T17:08:36+00:00"/>
<publisher value="CQF"/>
<contact>
<telecom>
<system value="url"/>
<value
value="http://fhir.org/guides/cqf/cds4cpm/ImplementationGuide/cqf.fhir.cds4cpm"/>
</telecom>
</contact>
<description
value="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 value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
</coding>
</jurisdiction>
<item>
<linkId value="1"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="pain-location"/>
<display
value="Please describe the location(s) of any pain you have had in the past 7 days."/>
</code>
<prefix value="My Pain Location"/>
<text
value="<strong>Where</strong> is the pain you would like to discuss?"/>
<type value="group"/>
<required value="false"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"/>
</extension>
<linkId value="1.1"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1038"/>
<display
value="What type of HEAD pain have you had in the last 7 days?"/>
</code>
<prefix value="Head"/>
<text value="What does it feel like?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="55145008"/>
<display value="Stabbing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="36349006"/>
<display value="Burning"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="27635008"/>
<display value="Aching"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Cramping"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Crushing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="29695002"/>
<display value="Throbbing"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"/>
</extension>
<linkId value="1.2"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1039"/>
<display
value="What type of NECK pain have you had in the last 7 days?"/>
</code>
<prefix value="Neck"/>
<text value="What does it feel like?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="55145008"/>
<display value="Stabbing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="36349006"/>
<display value="Burning"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="27635008"/>
<display value="Aching"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Cramping"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Crushing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="29695002"/>
<display value="Throbbing"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"/>
</extension>
<linkId value="1.3"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1040"/>
<display
value="What type of SHOULDERS pain have you had in the last 7 days?"/>
</code>
<prefix value="Shoulders"/>
<text value="What does it feel like?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="55145008"/>
<display value="Stabbing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="36349006"/>
<display value="Burning"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="27635008"/>
<display value="Aching"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Cramping"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Crushing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="29695002"/>
<display value="Throbbing"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"/>
</extension>
<linkId value="1.4"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1041"/>
<display
value="What type of ARMS pain have you had in the last 7 days?"/>
</code>
<prefix value="Arms"/>
<text value="What does it feel like?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="55145008"/>
<display value="Stabbing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="36349006"/>
<display value="Burning"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="27635008"/>
<display value="Aching"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Cramping"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Crushing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="29695002"/>
<display value="Throbbing"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"/>
</extension>
<linkId value="1.6"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1066"/>
<display
value="What type of BACK pain have you had in the last 7 days?"/>
</code>
<prefix value="Back"/>
<text value="What does it feel like?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="55145008"/>
<display value="Stabbing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="36349006"/>
<display value="Burning"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="27635008"/>
<display value="Aching"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Cramping"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Crushing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="29695002"/>
<display value="Throbbing"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"/>
</extension>
<linkId value="1.5"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1067"/>
<display
value="What type of HANDS/WRIST pain have you had in the last 7 days?"/>
</code>
<prefix value="Hands/Wrist"/>
<text value="What does it feel like?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="55145008"/>
<display value="Stabbing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="36349006"/>
<display value="Burning"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="27635008"/>
<display value="Aching"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Cramping"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Crushing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="29695002"/>
<display value="Throbbing"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"/>
</extension>
<linkId value="1.7"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1068"/>
<display
value="What type of ABDOMEN/PELVIS pain have you had in the last 7 days?"/>
</code>
<prefix value="Abdomen/Pelvis"/>
<text value="What does it feel like?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="55145008"/>
<display value="Stabbing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="36349006"/>
<display value="Burning"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="27635008"/>
<display value="Aching"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Cramping"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Crushing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="29695002"/>
<display value="Throbbing"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"/>
</extension>
<linkId value="1.8"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1047"/>
<display
value="What type of HIPS pain have you had in the last 7 days?"/>
</code>
<prefix value="Hips"/>
<text value="What does it feel like?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="55145008"/>
<display value="Stabbing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="36349006"/>
<display value="Burning"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="27635008"/>
<display value="Aching"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Cramping"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Crushing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="29695002"/>
<display value="Throbbing"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"/>
</extension>
<linkId value="1.9"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1049"/>
<display
value="What type of KNEES pain have you had in the last 7 days?"/>
</code>
<prefix value="Knees"/>
<text value="What does it feel like?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="55145008"/>
<display value="Stabbing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="36349006"/>
<display value="Burning"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="27635008"/>
<display value="Aching"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Cramping"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Crushing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="29695002"/>
<display value="Throbbing"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"/>
</extension>
<linkId value="1.10"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1069"/>
<display
value="What type of FEET/ANKLES pain have you had in the last 7 days?"/>
</code>
<prefix value="Feet/Ankles"/>
<text value="What does it feel like?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="55145008"/>
<display value="Stabbing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="36349006"/>
<display value="Burning"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="27635008"/>
<display value="Aching"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Cramping"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Crushing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="29695002"/>
<display value="Throbbing"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"/>
</extension>
<linkId value="1.11"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1052"/>
<display
value="What type of EVERYWHERE pain have you had in the last 7 days?"/>
</code>
<prefix value="Everywhere"/>
<text value="What does it feel like?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="55145008"/>
<display value="Stabbing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="36349006"/>
<display value="Burning"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="27635008"/>
<display value="Aching"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Cramping"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="279093005"/>
<display value="Crushing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="29695002"/>
<display value="Throbbing"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="1.12"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1053"/>
<display
value="What OTHER pain have you had in the last 7 days? Please describe"/>
</code>
<prefix value="Other, please describe"/>
<text value="Other, please describe"/>
<type value="text"/>
<required value="false"/>
</item>
</item>
<item>
<linkId value="2"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="my-pain-intensity"/>
<display value="Over the past 7 days..."/>
</code>
<prefix value="My Pain Intensity"/>
<text value="Over the past 7 days..."/>
<type value="group"/>
<required value="false"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical value="http://loinc.org/vs/LL2949-7"/>
</extension>
<linkId value="2.1"/>
<code>
<system value="http://loinc.org"/>
<code value="75262-6"/>
<display
value="How intense was your pain at its worse in the past 7 days"/>
</code>
<text
value="How intense was your <strong>pain at its worst</strong>?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13879-4"/>
<display value="Had no pain"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6752-5"/>
<display value="Mild"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6751-7"/>
<display value="Moderate"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6750-9"/>
<display value="Severe"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13958-6"/>
<display value="Very Severe"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical value="http://loinc.org/vs/LL2949-7"/>
</extension>
<linkId value="2.2"/>
<code>
<system value="http://loinc.org"/>
<code value="75261-8"/>
<display
value="How intense was your average pain in the past 7 days"/>
</code>
<text
value="How intense was your <strong>average pain</strong>?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13879-4"/>
<display value="Had no pain"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6752-5"/>
<display value="Mild"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6751-7"/>
<display value="Moderate"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6750-9"/>
<display value="Severe"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13958-6"/>
<display value="Very Severe"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical value="http://loinc.org/vs/LL2951-3"/>
</extension>
<linkId value="2.3"/>
<code>
<system value="http://loinc.org"/>
<code value="75260-0"/>
<display value="What is your level of pain right now"/>
</code>
<text
value="What is your level of <strong>pain right now</strong>?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA131-5"/>
<display value="Had no pain"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6752-5"/>
<display value="Mild"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6751-7"/>
<display value="Moderate"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6750-9"/>
<display value="Severe"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13958-6"/>
<display value="Very Severe"/>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="3"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="my-pain-interference"/>
<display value="Over the past 7 days..."/>
</code>
<prefix value="My Pain Interference"/>
<text value="Over the past 7 days..."/>
<type value="group"/>
<required value="false"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical value="http://loinc.org/vs/LL1017-4"/>
</extension>
<linkId value="3.1"/>
<code>
<system value="http://loinc.org"/>
<code value="61758-9"/>
<display
value="How much did pain interfere with your day to day activities in past 7 days"/>
</code>
<text
value="How much did pain interfere with your <strong>day to day activities</strong>?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13863-8"/>
<display value="A little bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13909-9"/>
<display value="Somewhat"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13902-4"/>
<display value="Quite a bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13914-9"/>
<display value="Very much"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical value="http://loinc.org/vs/LL1017-4"/>
</extension>
<linkId value="3.2"/>
<code>
<system value="http://loinc.org"/>
<code value="61769-6"/>
<display
value="How much did pain interfere with work around the home in past 7 days"/>
</code>
<text
value="How much did pain interfere with your <strong>work around the home</strong>?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13863-8"/>
<display value="A little bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13909-9"/>
<display value="Somewhat"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13902-4"/>
<display value="Quite a bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13914-9"/>
<display value="Very much"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical value="http://loinc.org/vs/LL1017-4"/>
</extension>
<linkId value="3.3"/>
<code>
<system value="http://loinc.org"/>
<code value="61773-8"/>
<display
value="How much did pain interfere with your ability to participate in social activities in past 7 days"/>
</code>
<text
value="How much did pain interfere with your <strong>ability to participate in social activities</strong>?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13863-8"/>
<display value="A little bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13909-9"/>
<display value="Somewhat"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13902-4"/>
<display value="Quite a bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13914-9"/>
<display value="Very much"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical value="http://loinc.org/vs/LL1017-4"/>
</extension>
<linkId value="3.4"/>
<code>
<system value="http://loinc.org"/>
<code value="61775-3"/>
<display
value="How much did pain interfere with your household chores in past 7 days"/>
</code>
<text
value="How much did pain interfere with your <strong>household chores</strong>?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13863-8"/>
<display value="A little bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13909-9"/>
<display value="Somewhat"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13902-4"/>
<display value="Quite a bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13914-9"/>
<display value="Very much"/>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="4"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="my-pain-interference"/>
<display
value="Thinking about your overall pain, in the past 7 days, please respond to the questions below:"/>
</code>
<prefix value="My Pain Interference"/>
<text value="Over the past 7 days..."/>
<type value="group"/>
<required value="false"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical value="http://loinc.org/vs/LL1017-4"/>
</extension>
<linkId value="4.1"/>
<code>
<system value="http://loinc.org"/>
<code value="61761-3"/>
<display
value="How much did pain interfere with the things you usually do for fun in past 7 days"/>
</code>
<text
value="How much did pain <em>interfere</em> with <strong>things you usually do for fun</strong>?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13863-8"/>
<display value="A little bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13909-9"/>
<display value="Somewhat"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13902-4"/>
<display value="Quite a bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13914-9"/>
<display value="Very much"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical value="http://loinc.org/vs/LL1017-4"/>
</extension>
<linkId value="4.2"/>
<code>
<system value="http://loinc.org"/>
<code value="61777-9"/>
<display
value="How much did pain interfere with your enjoyment of social activities in past 7 days"/>
</code>
<text
value="How much did pain <em>interfere</em> with your <strong>enjoyment of social activities</strong>?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13863-8"/>
<display value="A little bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13909-9"/>
<display value="Somewhat"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13902-4"/>
<display value="Quite a bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13914-9"/>
<display value="Very much"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical value="http://loinc.org/vs/LL1017-4"/>
</extension>
<linkId value="4.3"/>
<code>
<system value="http://loinc.org"/>
<code value="61794-4"/>
<display
value="How much did pain interfere with your enjoyment of life in past 7 days"/>
</code>
<text
value="How much did pain <em>interfere</em> with your <strong>enjoyment of life</strong>?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13863-8"/>
<display value="A little bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13909-9"/>
<display value="Somewhat"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13902-4"/>
<display value="Quite a bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13914-9"/>
<display value="Very much"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical value="http://loinc.org/vs/LL1017-4"/>
</extension>
<linkId value="4.4"/>
<code>
<system value="http://loinc.org"/>
<code value="61762-1"/>
<display
value="How much did pain interfere with your family life in past 7 days"/>
</code>
<text
value="How much did pain <em>interfere</em> with your <strong>family life</strong>?"/>
<type value="choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA6568-5"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13863-8"/>
<display value="A little bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13909-9"/>
<display value="Somewhat"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13902-4"/>
<display value="Quite a bit"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://loinc.org"/>
<code value="LA13914-9"/>
<display value="Very much"/>
</valueCoding>
</answerOption>
</item>
</item>
<item>
<linkId value="5"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="about-my-treatments"/>
<display
value="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."/>
</code>
<prefix value="About My Treatments"/>
<text
value="What <strong>medications</strong> have you tried for pain?"/>
<type value="group"/>
<required value="false"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="5.1"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1070"/>
<display
value="Over-the-counter pain reliever (such as Advil, Aleve, Aspirin, Ibuprofen, Motrin, or Tylenol)"/>
</code>
<prefix
value="<strong>Over-the-counter</strong> pain reliever (such as Advil, Aleve, Aspirin, Ibuprofen, Motrin, or Tylenol)"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="5.2"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1071"/>
<display
value="Prescription nonsteroidal anti-inflammatory (such as Celebrex)"/>
</code>
<prefix
value="<strong>Prescription nonsteroidal anti-inflammatory</strong> (such as Celebrex)"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="5.3"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1072"/>
<display
value="Prescription nerve pain medication (such as Lyrica, Neurontin, or Cymbalta)"/>
</code>
<prefix
value="<strong>Prescription nerve pain</strong> medication (such as Lyrica, Neurontin, or Cymbalta)"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="5.4"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1073"/>
<display
value="Prescription muscle relaxant (such as Soma or Baclofen)"/>
</code>
<prefix
value="<strong>Prescription muscle relaxant</strong> (such as Soma or Baclofen)"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="5.5"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1074"/>
<display
value="Prescription opioid medication (such as Vicodin, hydrocodone, oxycodone, codeine, morphine, or tramadol)"/>
</code>
<prefix
value="<strong>Prescription opioid</strong> medication (such as Vicodin, hydrocodone, oxycodone, codeine, morphine, or tramadol)"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="5.6"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1075"/>
<display
value="Other: describe other medications you've tried for pain"/>
</code>
<prefix
value="<strong>Other</strong>: describe other medications you've tried for pain"/>
<text value="Other: describe other medications you've tried for pain"/>
<type value="text"/>
<required value="false"/>
</item>
<item>
<linkId value="5.7"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1076"/>
<display value="I haven't tried any medications for pain."/>
</code>
<prefix value="I haven't tried any medications for pain."/>
<text
value="<strong>I haven't tried any medications for pain.</strong>"/>
<type value="boolean"/>
<required value="false"/>
</item>
</item>
<item>
<linkId value="6"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="about-my-treatments"/>
<display
value="What <strong>specialists</strong> have you seen for pain?"/>
</code>
<prefix value="About My Treatments"/>
<text
value="What <strong>specialists</strong> have you seen for pain?"/>
<type value="group"/>
<required value="false"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="6.1"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1087"/>
<display value="Chiropractor"/>
</code>
<prefix value="<strong>Chiropractor</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="6.2"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1088"/>
<display value="Physical therapist"/>
</code>
<prefix value="<strong>Physical therapist</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="6.3"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1089"/>
<display value="Pain management specialist"/>
</code>
<prefix
value="<strong>Pain management specialist</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="6.4"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1090"/>
<display value="Orthopedist"/>
</code>
<prefix value="<strong>Orthopedist</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="6.5"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1091"/>
<display value="Psychologist or counselor"/>
</code>
<prefix
value="<strong>Psychologist</strong> or <strong>counselor</strong> (such as for group or individual therapy, acceptance & commitment therapy, cognitive behavior therapy)"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="6.6"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1092"/>
<display value="Integrative medicine specialist"/>
</code>
<prefix
value="<strong>Integrative medicine specialist</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="6.7"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1093"/>
<display
value="Other: describe other specialists you have seen for pain (such as neurologist, spine doctor rheumatologist, or physiatrist)"/>
</code>
<prefix
value="<strong>Other</strong>: describe other specialists you have seen for pain (such as neurologist, spine doctor rheumatologist, or physiatrist)"/>
<text
value="<strong>Other</strong>: describe other specialists you have seen for pain (such as neurologist, spine doctor rheumatologist, or physiatrist)"/>
<type value="text"/>
<required value="false"/>
</item>
<item>
<linkId value="6.8"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1077"/>
<display value="I haven't seen any specialists for pain"/>
</code>
<prefix value="I haven't seen any specialists for pain"/>
<text
value="<strong>I haven't seen any specialists for pain.</strong>"/>
<type value="boolean"/>
<required value="false"/>
</item>
</item>
<item>
<linkId value="7"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="about-my-treatments"/>
<display
value="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)?"/>
</code>
<prefix value="About My Treatments"/>
<text
value="What <strong>procedures</strong> or <strong>physical treatments</strong> have you tried for pain?"/>
<type value="group"/>
<required value="false"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="7.1"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1094"/>
<display value="Surgery"/>
</code>
<prefix value="<strong>Surgery</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="7.2"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1095"/>
<display value="Injection (such as a shot to relieve inflammation)"/>
</code>
<prefix
value="<strong>Injection</strong> (such as a shot to relieve inflammation)"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="7.3"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1096"/>
<display value="Massage"/>
</code>
<prefix value="<strong>Massage</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="7.4"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1078"/>
<display value="Dry needling or cupping"/>
</code>
<prefix
value="<strong>Dry needling</strong> or <strong>cupping</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="7.5"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1079"/>
<display value="Acupuncture"/>
</code>
<prefix value="<strong>Acupuncture</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="7.6"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1097"/>
<display
value="Other: describe other procedures or physical treatments you've tried for pain"/>
</code>
<prefix
value="<strong>Other</strong>: describe other procedures or physical treatments you've tried for pain"/>
<text value="Other, please describe"/>
<type value="text"/>
<required value="false"/>
</item>
<item>
<linkId value="7.7"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1080"/>
<display
value="I haven't tried any procedures or physical treatments for pain."/>
</code>
<prefix
value="I haven't tried any procedures or physical treatments for pain."/>
<text
value="<strong>I haven't tried any procedures or physical treatments for pain.</strong>"/>
<type value="boolean"/>
<required value="false"/>
</item>
</item>
<item>
<linkId value="8"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="about-my-treatments"/>
<display
value="What topical treatments or devices have you tried for pain?"/>
</code>
<prefix value="About My Treatments"/>
<text
value="What <strong>topical treatments</strong> or <strong>devices</strong> have you tried for pain?"/>
<type value="group"/>
<required value="false"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="8.1"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1099"/>
<display value="Heat and/or ice"/>
</code>
<prefix
value="<strong>Heat</strong> and/or <strong>ice</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="8.2"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1100"/>
<display
value="Topical medications (such as creams, lotions, gel, patches, Bengay, Tiger Balm, Salonpas, Biofreeze, or Lidoderm)"/>
</code>
<prefix
value="<strong>Topical medications</strong> (such as creams, lotions, gel, patches, Bengay, Tiger Balm, Salonpas, Biofreeze, or Lidoderm)"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="8.3"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1101"/>
<display value="TENs unit"/>
</code>
<prefix value="<strong>TENs unit</strong> device"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="8.4"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1102"/>
<display value="Bracing"/>
</code>
<prefix value="<strong>Bracing</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="8.5"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1103"/>
<display
value="Other: describe other topical treatments or devices you've tried for pain"/>
</code>
<prefix
value="<strong>Other</strong>: describe other topical treatments or devices you've tried for pain"/>
<text
value="<strong>Other</strong>: describe other topical treatments or devices you've tried for pain"/>
<type value="text"/>
<required value="false"/>
</item>
<item>
<linkId value="8.6"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1081"/>
<display
value="I haven't tried any topical treatments or devices for pain."/>
</code>
<prefix
value="I haven't tried any topical treatments or devices for pain."/>
<text
value="<strong>I haven't tried any topical treatments or devices for pain.</strong>"/>
<type value="boolean"/>
<required value="false"/>
</item>
</item>
<item>
<linkId value="9"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="about-my-treatments"/>
<display value="What lifestyle changes have you tried for pain?"/>
</code>
<prefix value="About My Treatments"/>
<text
value="What <strong>lifestyle changes</strong> have you tried for pain?"/>
<type value="group"/>
<required value="false"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="9.1"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1104"/>
<display
value="Exercises or stretching (such as walking, yoga, water aerobics)"/>
</code>
<prefix
value="<strong>Exercises</strong> or </strong>stretching</strong> (such as walking, yoga, water aerobics)"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="9.2"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1105"/>
<display
value="Diet or hydration (such as an anti-inflammatory diet or drinking enough water)"/>
</code>
<prefix
value="<strong>Diet</strong> or <strong>hydration</strong> (such as an anti-inflammatory diet or drinking enough water)"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="9.3"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1106"/>
<display value="Weight loss"/>
</code>
<prefix value="<strong>Weight loss</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="9.4"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1107"/>
<display
value="Stress reduction (such as relaxation, meditation, mindfulness, laughter)"/>
</code>
<prefix
value="<strong>Stress reduction</strong> (such as relaxation, meditation, mindfulness, laughter)"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="9.5"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1108"/>
<display value="Posture or ergonomics"/>
</code>
<prefix
value="<strong>Posture</strong> or <strong>ergonomics</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="9.6"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1109"/>
<display
value="Other: describe other lifestyle changes you've tried for pain"/>
</code>
<prefix
value="<strong>Other</strong>: describe other lifestyle changes you've tried for pain "/>
<text
value="<strong>Other</strong>: describe other lifestyle changes you've tried for pain "/>
<type value="text"/>
<required value="false"/>
</item>
<item>
<linkId value="9.7"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1082"/>
<display value="I haven't tried any lifestyle changes for pain."/>
</code>
<prefix value="I haven't tried any lifestyle changes for pain."/>
<text
value="<strong>I haven't tried any lifestyle changes for pain.</strong>"/>
<type value="boolean"/>
<required value="false"/>
</item>
</item>
<item>
<linkId value="10"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="about-my-treatments"/>
<display value="What alternative treatments have you tried for pain?"/>
</code>
<prefix value="About My Treatments"/>
<text
value="What <strong>alternative treatments</strong> have you tried for pain?"/>
<type value="group"/>
<required value="false"/>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="10.1"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1110"/>
<display
value="Herbal treatments or supplements (such as ginseng or kava kava)"/>
</code>
<prefix
value="<strong>Herbal treatments or supplements</strong> (such as ginseng or kava kava)"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="10.2"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1111"/>
<display value="Aromatherapy"/>
</code>
<prefix value="<strong>Aromatherapy</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="10.3"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1112"/>
<display value="CBD oil"/>
</code>
<prefix value="<strong>CBD oil</strong>"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<extension
url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/questionnaire-item-control"/>
<code value="drop-down"/>
<display value="Drop down"/>
</coding>
<text value="Drop down"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource">
<valueCanonical
value="http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"/>
</extension>
<linkId value="10.4"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1113"/>
<display value="Marijuana used for medical purposes"/>
</code>
<prefix
value="<strong>Marijuana</strong> used for medical purposes"/>
<text value="Did it work?"/>
<type value="open-choice"/>
<required value="false"/>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1019"/>
<display value="Not at all"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1020"/>
<display value="Slightly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1021"/>
<display value="Moderately"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes"/>
<code value="mpqr-1022"/>
<display value="Greatly"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="10.5"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1114"/>
<display
value="Other: describe other alternative treatments you've tried for pain"/>
</code>
<prefix
value="<strong>Other</strong>: describe other alternative treatments you've tried for pain"/>
<text
value="<strong>Other</strong>: describe other alternative treatments you've tried for pain"/>
<type value="text"/>
<required value="false"/>
</item>
<item>
<linkId value="10.6"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1085"/>
<display value="I haven't tried any alternative treatments for pain"/>
</code>
<prefix value="I haven't tried any alternative treatments for pain"/>
<text
value="<strong>I haven't tried any alternative treatments for pain</strong>"/>
<type value="boolean"/>
<required value="false"/>
</item>
</item>
<item>
<linkId value="11"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1035"/>
<display
value="Activity Goals: what goals do you have for your daily activities?"/>
</code>
<prefix value="About My Goals"/>
<text
value="<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 value="text"/>
<required value="false"/>
</item>
<item>
<linkId value="12"/>
<code>
<system
value="http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes"/>
<code value="mpq-1036"/>
<display
value="What are the biggest barriers to achieving your activity goals? For example: I have a lot of stress from work which makes my pain worse."/>
</code>
<prefix value="About My Goals"/>
<text
value="<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 value="text"/>
<required value="false"/>
</item>
</Questionnaire>
IG © 2019+ CQF. Package cqf.fhir.cds4cpm#0.1.0 based on FHIR 4.0.1. Generated 2024-03-22
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