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 |
{
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The linkId for the item\">LinkId</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the the itemcan appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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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\"/> mypainquestionnaire</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.</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#0.1.0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">My Pain Location. We’d like to ask you a few questions about your pain and how it is affecting your life. Please describe the location(s) of any pain you have had in the past 7 days. Please select only one pain type per location.</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Head. What type of HEAD 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-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.1\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Neck. What type of NECK 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-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.2\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Shoulders. What type of SHOULDERS 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-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.3\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Arms. What type of ARMS 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-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.4\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.5\" 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\"/> 1.5</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Upper Back. What type of UPPER BACK 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-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.1.5\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.6\" 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: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.6</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Lower Back. What type of LOWER BACK 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-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.1.6\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.7</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Hands. What type of HANDS 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-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.7\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.8</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Abdomen. What type of ABDOMEN 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-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.8\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.9\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.9</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Pelvis. What type of PELVIS 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-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.9\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.10\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.10</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Hips. What type of HIPS 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-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.10\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.11\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 1.11</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Upper Legs. What type of UPPER LEGS 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-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.1.11\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.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.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\"/> 1.12</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Knees. What type of KNEES 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-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.1.12\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.13\" 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\"/> 1.13</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Lower Legs. What type of LOWER LEGS 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-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.1.13\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.14\" 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\"/> 1.14</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Feet. What type of FEET 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-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.1.14\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.1.15\" 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\"/> 1.15</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 type of EVERYWHERE 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-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.1.15\">6 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.1.16\" 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\"/> 1.16</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Other, please describe. Other, please describe</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 2</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">My Pain Intensity. Thinking about your overall pain, in the past 7 days, please respond to the questions below:</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 2.1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How intense was your pain at its worst?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.2.1\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.2.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 2.2</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How intense was your average 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-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.2.2\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.2.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 2.3</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">What is your level of pain right now?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.2.3\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">My Pain Interference. Thinking about your overall pain, in the past 7 days, please respond to the questions below:</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.3.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 3.1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain interfere with your day to day activities?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.3.1\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.3.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 3.2</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain interfere with your work around the home?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.3.2\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.3.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 3.3</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain interfere with your ability to participate in social activities?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.3.3\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.3.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 3.4</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain interfere with your household chores?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.3.4\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-group.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">My Pain Interference. Thinking about your overall pain, in the past 7 days, please respond to the questions below:</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.4.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 4.1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain interfere with the things you usually do for fun?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.4.1\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.4.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 4.2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain interfere with your enjoyment of social activities?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.4.2\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.4.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 4.3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain interfere with your enjoyment of life?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.4.3\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.4.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 4.4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">How much did pain interfere with your family life?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.4.4\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.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-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Display\" 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. We’d like to know more about how you manage your pain and what has worked for you. When answering these questions, please <strong>focus on pain</strong> related to what brings you in for your upcoming medical visit. <br/><br/> These treatments are organized into sections by type: <br/> Basic therapies <br/>Mind-body therapies<br/>New therapies<br/>Non-prescription medicines <br/>Prescription medicines</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-display\">display</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.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: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 6</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 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.</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.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: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 6.1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Exercises at home (such as those assigned by a therapist) or outside (such as walking, jogging, swimming). 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-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.6.1\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.2\" 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\"/> 6.2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Sleep positioners or devices (such as additional pillows, padding, etc.). 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-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.6.2\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.3\" 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\"/> 6.3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Stretching. 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-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.6.3\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.4\" 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\"/> 6.4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Weight loss or changes in your diet. 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-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.6.4\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.5\" 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\"/> 6.5</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Setting and reaching activity goals. 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-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.6.5\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.6\" 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: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 6.6</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Ice or Heat 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-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.6.6\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.7\" 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\"/> 6.7</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Physical Therapy. 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-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.6.7\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.8\" 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\"/> 6.8</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Acupuncture. 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-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.6.8\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.6.9\" 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\"/> 6.9</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Chiropractic treatment. 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-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.6.9\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.6.10\" 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_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\"/> 6.10</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Other, please describe. Other, please describe</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.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: white; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 7</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. 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)?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.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: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 7.1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Pain relievers (such as Advil, Aleve, Aspirin, Ibuprofen, Motrin, 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-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.7.1\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.7.2\" 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\"/> 7.2</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Herbal or nutritional pain relievers (such as ginseng or kava kava). 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-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.7.2\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.7.3\" 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\"/> 7.3</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cremes, lotions, gels or patches applied to the skin (for example BENGAY®, TIGER BALM® or BiOFREEZE®). 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-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.7.3\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.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_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\"/> 7.4</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Other items you can buy without a prescription from your doctor, please describe. Other, please describe</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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. Have you used any of the following <strong>prescription medications</strong> to help with your pain in the <strong>last 6 months</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-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.8.1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 8.1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Opioid medications (such as hydrocodone, oxycodone, codeine, morphine and fentanyl). 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-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.8.1\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.8.2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 8.2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Procedure or Injection (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-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.8.2\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.8.3\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 8.3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Non-opioid medications as prescribed by a doctor (such as Celebrex or Cymbalta). 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-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.8.3\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.8.4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 8.4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Medical marijuana. 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-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.8.4\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.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_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\"/> 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\">Other, please describe. Other, please describe</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 9</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. Have you tried any of the following <strong>new therapies</strong> to help with your pain in the <strong>last 6 months</strong> (select all that apply)?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.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: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 9.1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Yoga. 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-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.9.1\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.9.2\" 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\"/> 9.2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Massage. 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-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.9.2\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.9.3\" 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\"/> 9.3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Meditation. 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-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.9.3\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.9.4\" 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\"/> 9.4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Relaxation or mindfulness-based training. 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-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.9.4\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.9.5\" 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\"/> 9.5</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Group or individual therapy for pain. 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-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.9.5\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.9.6\" 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: #F7F7F7; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 9.6</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cognitive behavioral 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-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.9.6\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.9.7\" 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\"/> 9.7</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Acceptance or commitment therapy. 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-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.9.7\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.9.8\" 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\"/> 9.8</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Sleep management (such as a sleep study or CPAP). 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-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.9.8\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.9.9\" 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_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\"/> 9.9</td><td style=\"vertical-align: top; text-align : left; background-color: white; 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: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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: #F7F7F7; background-color: inherit\" title=\"Group\" class=\"hierarchy\"/> 10</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. Have you tried any of the following <strong>new therapies</strong> to help with your pain in the <strong>last 6 months</strong> (select all that apply)?</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.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: white; background-color: inherit\" title=\"Coding\" class=\"hierarchy\"/> 10.1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Aromatherapy. 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-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.10.1\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.10.2\" 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\"/> 10.2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Crystals. 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-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.10.2\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.10.3\" 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\"/> 10.3</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Essential oils. 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-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.10.3\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.10.4\" 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\"/> 10.4</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">CBD oil. 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-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.10.4\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" id=\"item.10.5\" 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\"/> 10.5</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Music therapy. 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-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.10.5\">3 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.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-text.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Text\" class=\"hierarchy\"/> 10.6</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Other, please describe. Other, please describe</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_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: white; background-color: inherit\" title=\"Text\" class=\"hierarchy\"/> 11</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. We’d like to know more about you and your goals. What are your most important activity goals? For example: I’d like to be able to walk without pain.</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.12\" 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\"/> 12</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. What are the biggest barriers to achieving your activity goals? For example: I have a lot of stress from work which makes my pain worse.</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.13\" 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: white; background-color: inherit\" title=\"Text\" class=\"hierarchy\"/> 13</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Managing Chronic Pain. Below is a link to a video produced by the American Chronic Pain Association about living with chronic pain. We’d like to suggest you watch the video to help you prepare for your upcoming visit. This video can help you prepare to ask questions that are important to you when you visit with your provider. <br/> <br/> <a id="replace" value="video"></a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.14\" 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\"/> 14</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Managing Chronic Pain. The website linked below provides some information from the U.S. Pain Foundation about the causes and diagnosis of pain in general, treatment options and self management and well-being when living with pain. This information can help you prepare to ask questions that are important to you when you visit with your provider.<br/> <br/> <img width="100%" src="https://uspainfoundation.org//wp-content/uploads/2017/07/Woman-holding-neck-1024x682.jpg"/> <a id="replace" value="pain-link"></a> </td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item.15\" 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\"/> 15</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">MyPAIN Feedback. Please indicate your level of agreement with the following statement:</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group\">group</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item.15.1\" 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_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\"/> 15.1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Using the MyPAIN tool has helped me begin preparing for a conversation with my provider about managing my 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-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.15.1\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item.16\" 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\"/> 16</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">MyPAIN Feedback. Do you have any other feedback or thoughts to share on your use of MyPAIN?</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"http://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Option Sets</b></p><a name=\"opt-item.1.1\"> </a><p><b>Answer options for 1.1</b></p><ul><li style=\"font-size: 11px\">http://snomed.info/sct#55145008 ("Stabbing")</li><li style=\"font-size: 11px\">http://snomed.info/sct#36349006 ("Burning")</li><li style=\"font-size: 11px\">http://snomed.info/sct#27635008 ("Aching")</li><li style=\"font-size: 11px\">http://snomed.info/sct#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.12\"> </a><p><b>Answer options for 1.12</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.13\"> </a><p><b>Answer options for 1.13</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.14\"> </a><p><b>Answer options for 1.14</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#29695002 ("Throbbing")</li></ul><a name=\"opt-item.1.15\"> </a><p><b>Answer options for 1.15</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#786837007 ("Tingling")</li><li style=\"font-size: 11px\">http://snomed.info/sct#162506004 ("Prickling")</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.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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</li></ul><a name=\"opt-item.6.7\"> </a><p><b>Answer options for 6.7</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</li></ul><a name=\"opt-item.6.8\"> </a><p><b>Answer options for 6.8</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</li></ul><a name=\"opt-item.6.9\"> </a><p><b>Answer options for 6.9</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</li></ul><a name=\"opt-item.9.6\"> </a><p><b>Answer options for 9.6</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</li></ul><a name=\"opt-item.9.7\"> </a><p><b>Answer options for 9.7</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</li></ul><a name=\"opt-item.9.8\"> </a><p><b>Answer options for 9.8</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</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-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</li></ul><a name=\"opt-item.10.5\"> </a><p><b>Answer options for 10.5</b></p><ul><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1000 ("Never")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1001 ("Sometimes")</li><li style=\"font-size: 11px\">http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes#mpqr-1002 ("Always")</li></ul><a name=\"opt-item.15.1\"> </a><p><b>Answer options for 15.1</b></p><ul><li style=\"font-size: 11px\">https://loinc.org/LL1606-4/#LA15238-1 ("Disagree a lot")</li><li style=\"font-size: 11px\">https://loinc.org/LL1606-4/#LA15239-9 ("Disagree a little")</li><li style=\"font-size: 11px\">https://loinc.org/LL1606-4/#LA15240-7 ("Neither agree nor disagree")</li><li style=\"font-size: 11px\">https://loinc.org/LL1606-4/#LA15241-5 ("Agree a little")</li><li style=\"font-size: 11px\">https://loinc.org/LL1606-4/#LA15242-3 ("Agree a lot")</li></ul></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "shareable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "publishable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
"valueCode" : "narrative"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "computable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
"valueCode" : "structured"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability",
"valueCode" : "executable"
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel",
"valueCode" : "executable"
}
],
"url" : "http://fhir.org/guides/cqf/cds4cpm/Questionnaire/mypain-questionnaire",
"version" : "0.1.0",
"name" : "mypainquestionnaire",
"title" : "MyPain Questionnaire",
"status" : "active",
"experimental" : false,
"subjectType" : [
"Patient"
],
"date" : "2024-03-22T17:08:36+00:00",
"publisher" : "CQF",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://fhir.org/guides/cqf/cds4cpm/ImplementationGuide/cqf.fhir.cds4cpm"
}
]
}
],
"description" : "A questionnaire to use with the MyPAIN application for a patient to assess their pain levels, locations, and treatments for use in consultation with a clinician to determine further treatments.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"item" : [
{
"linkId" : "1",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "pain-location",
"display" : "Please describe the location(s) of any pain you have had in the past 7 days."
}
],
"prefix" : "My Pain Location",
"text" : "We’d like to ask you a few questions about your pain and how it is affecting your life. Please describe the location(s) of any pain you have had in the past 7 days. Please select only one pain type per location.",
"type" : "group",
"required" : false,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"
}
],
"linkId" : "1.1",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1038",
"display" : "What type of HEAD pain have you had in the last 7 days?"
}
],
"prefix" : "Head",
"text" : "What type of HEAD pain?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "55145008",
"display" : "Stabbing"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "36349006",
"display" : "Burning"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "27635008",
"display" : "Aching"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "786837007",
"display" : "Tingling"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "162506004",
"display" : "Prickling"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "29695002",
"display" : "Throbbing"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"
}
],
"linkId" : "1.2",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1039",
"display" : "What type of NECK pain have you had in the last 7 days?"
}
],
"prefix" : "Neck",
"text" : "What type of NECK pain?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "55145008",
"display" : "Stabbing"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "36349006",
"display" : "Burning"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "27635008",
"display" : "Aching"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "786837007",
"display" : "Tingling"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "162506004",
"display" : "Prickling"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "29695002",
"display" : "Throbbing"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"
}
],
"linkId" : "1.3",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1040",
"display" : "What type of SHOULDERS pain have you had in the last 7 days?"
}
],
"prefix" : "Shoulders",
"text" : "What type of SHOULDERS pain?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "55145008",
"display" : "Stabbing"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "36349006",
"display" : "Burning"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "27635008",
"display" : "Aching"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "786837007",
"display" : "Tingling"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "162506004",
"display" : "Prickling"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "29695002",
"display" : "Throbbing"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"
}
],
"linkId" : "1.4",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1041",
"display" : "What type of ARMS pain have you had in the last 7 days?"
}
],
"prefix" : "Arms",
"text" : "What type of ARMS pain?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "55145008",
"display" : "Stabbing"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "36349006",
"display" : "Burning"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "27635008",
"display" : "Aching"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "786837007",
"display" : "Tingling"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "162506004",
"display" : "Prickling"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "29695002",
"display" : "Throbbing"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"
}
],
"linkId" : "1.5",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1042",
"display" : "What type of UPPER BACK pain have you had in the last 7 days?"
}
],
"prefix" : "Upper Back",
"text" : "What type of UPPER BACK pain?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "55145008",
"display" : "Stabbing"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "36349006",
"display" : "Burning"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "27635008",
"display" : "Aching"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "786837007",
"display" : "Tingling"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "162506004",
"display" : "Prickling"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "29695002",
"display" : "Throbbing"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/pain-types"
}
],
"linkId" : "1.6",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1043",
"display" : "What type of LOWER BACK pain have you had in the last 7 days?"
}
],
"prefix" : "Lower Back",
"text" : "What type of LOWER BACK pain?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "55145008",
"display" : "Stabbing"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "36349006",
"display" : "Burning"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "27635008",
"display" : "Aching"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "786837007",
"display" : "Tingling"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "162506004",
"display" : "Prickling"
}
},
{
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "29695002",
"display" : "Throbbing"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
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],
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],
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"text" : "Drop down"
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"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
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],
"prefix" : "Pelvis",
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],
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],
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],
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],
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],
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"linkId" : "2.2",
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],
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"code" : [
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],
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"valueCoding" : {
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},
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}
},
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"linkId" : "3.2",
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"linkId" : "3.3",
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"system" : "http://loinc.org",
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],
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],
"linkId" : "3.4",
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}
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"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
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],
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"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
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],
"linkId" : "6.5",
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{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1012",
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],
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"required" : false,
"answerOption" : [
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},
{
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}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1002",
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}
}
]
},
{
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{
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"valueCodeableConcept" : {
"coding" : [
{
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"display" : "Drop down"
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"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
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],
"linkId" : "6.6",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1013",
"display" : "How often has Ice or heat therapy you have tried in the past 6 months helped you with your pain?"
}
],
"prefix" : "Ice or Heat Therapy",
"text" : "Did it work?",
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"required" : false,
"answerOption" : [
{
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}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
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},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1002",
"display" : "Always"
}
}
]
},
{
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
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],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
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],
"linkId" : "6.7",
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{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
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"display" : "How often has Physical therapy you have tried in the past 6 months helped you with your pain?"
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],
"prefix" : "Physical Therapy",
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"type" : "choice",
"required" : false,
"answerOption" : [
{
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"display" : "Never"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1001",
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}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1002",
"display" : "Always"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
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],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
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],
"linkId" : "6.8",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1015",
"display" : "How often has Acupuncture you have tried in the past 6 months helped you with your pain?"
}
],
"prefix" : "Acupuncture",
"text" : "Did it work?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1000",
"display" : "Never"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1001",
"display" : "Sometimes"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1002",
"display" : "Always"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
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"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
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],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
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],
"linkId" : "6.9",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1016",
"display" : "How often has Chiropractic treatment you have tried in the past 6 months helped you with your pain?"
}
],
"prefix" : "Chiropractic treatment",
"text" : "Did it work?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1000",
"display" : "Never"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1001",
"display" : "Sometimes"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1002",
"display" : "Always"
}
}
]
},
{
"linkId" : "6.10",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
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}
],
"prefix" : "Other, please describe",
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"required" : false
}
]
},
{
"linkId" : "7",
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}
],
"prefix" : "About My Treatments",
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"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
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"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
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"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
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],
"linkId" : "7.1",
"code" : [
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"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
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}
],
"prefix" : "Pain relievers (such as Advil, Aleve, Aspirin, Ibuprofen, Motrin, Tylenol)",
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"answerOption" : [
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},
{
"valueCoding" : {
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},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
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}
]
},
{
"extension" : [
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"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
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"system" : "http://hl7.org/fhir/questionnaire-item-control",
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"display" : "Drop down"
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"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
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],
"linkId" : "7.2",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
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}
],
"prefix" : "Herbal or nutritional pain relievers (such as ginseng or kava kava)",
"text" : "Did it work?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1000",
"display" : "Never"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1001",
"display" : "Sometimes"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1002",
"display" : "Always"
}
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
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"system" : "http://hl7.org/fhir/questionnaire-item-control",
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"display" : "Drop down"
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"text" : "Drop down"
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"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
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],
"linkId" : "7.3",
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"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1019",
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}
],
"prefix" : "Cremes, lotions, gels or patches applied to the skin (for example BENGAY®, TIGER BALM® or BiOFREEZE®)",
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"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1000",
"display" : "Never"
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},
{
"valueCoding" : {
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"code" : "mpqr-1001",
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},
{
"valueCoding" : {
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"code" : "mpqr-1002",
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}
]
},
{
"linkId" : "7.4",
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"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
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],
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"required" : false
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]
},
{
"linkId" : "8",
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"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "about-my-treatments",
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],
"prefix" : "About My Treatments",
"text" : "Have you used any of the following <strong>prescription medications</strong> to help with your pain in the <strong>last 6 months</strong>?",
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"required" : false,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
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"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
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],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
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],
"linkId" : "8.1",
"code" : [
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"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1020",
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],
"prefix" : "Opioid medications (such as hydrocodone, oxycodone, codeine, morphine and fentanyl)",
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"type" : "choice",
"required" : false,
"answerOption" : [
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"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1000",
"display" : "Never"
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},
{
"valueCoding" : {
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"code" : "mpqr-1001",
"display" : "Sometimes"
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},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1002",
"display" : "Always"
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}
]
},
{
"extension" : [
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"system" : "http://hl7.org/fhir/questionnaire-item-control",
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"display" : "Drop down"
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"text" : "Drop down"
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"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
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],
"linkId" : "8.2",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1021",
"display" : "How often have prescription Cortisone injections (a shot to relieve inflammation) helped with your pain in the last 6 months?"
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],
"prefix" : "Procedure or Injection (such as a shot to relieve inflammation)",
"text" : "Did it work?",
"type" : "choice",
"required" : false,
"answerOption" : [
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"code" : "mpqr-1000",
"display" : "Never"
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},
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"code" : "mpqr-1001",
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},
{
"valueCoding" : {
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"code" : "mpqr-1002",
"display" : "Always"
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}
]
},
{
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"valueCodeableConcept" : {
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"display" : "Drop down"
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"text" : "Drop down"
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},
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"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
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],
"linkId" : "8.3",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1022",
"display" : "How often have prescription Non-opioid medications as prescribed by a doctor (such as Celebrex, Cymbalta) helped with your pain in the last 6 months?"
}
],
"prefix" : "Non-opioid medications as prescribed by a doctor (such as Celebrex or Cymbalta)",
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"required" : false,
"answerOption" : [
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"display" : "Never"
}
},
{
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},
{
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]
},
{
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"display" : "Drop down"
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"text" : "Drop down"
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},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://fhir.org/guides/cqf/cds4cpm/ValueSet/three-item-likert"
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],
"linkId" : "8.4",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1056",
"display" : "How often has Medical marijuana helped with your pain in the last 6 months?"
}
],
"prefix" : "Medical marijuana",
"text" : "Did it work?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1000",
"display" : "Never"
}
},
{
"valueCoding" : {
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"code" : "mpqr-1001",
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},
{
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"code" : "mpqr-1002",
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}
]
},
{
"linkId" : "8.5",
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{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1033",
"display" : "How often has Music therapy helped with your pain in the last 6 months?"
}
],
"prefix" : "Music therapy",
"text" : "Did it work?",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1000",
"display" : "Never"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1001",
"display" : "Sometimes"
}
},
{
"valueCoding" : {
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaireresponse-codes",
"code" : "mpqr-1002",
"display" : "Always"
}
}
]
},
{
"linkId" : "10.6",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1034",
"display" : "Have you tried any Other new treatments to help with your pain in the last 6 months? Please describe"
}
],
"prefix" : "Other, please describe",
"text" : "Other, please describe",
"type" : "text",
"required" : false
}
]
},
{
"linkId" : "11",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "about-my-goals",
"display" : "We’d like to know more about you and your goals."
},
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1035",
"display" : "What are your most important activity goals? For example: I’d like to be able to walk without pain."
}
],
"prefix" : "About My Goals",
"text" : "We’d like to know more about you and your goals. What are your most important activity goals? For example: I’d like to be able to walk without pain.",
"type" : "text",
"required" : false
},
{
"linkId" : "12",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "about-my-goals",
"display" : "We’d like to know more about you and your goals."
},
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1036",
"display" : "What are the biggest barriers to achieving your activity goals? For example: I have a lot of stress from work which makes my pain worse."
}
],
"prefix" : "About My Goals",
"text" : "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.",
"type" : "text",
"required" : false
},
{
"linkId" : "13",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1061",
"display" : "Did the patient view the 4 flat tires video"
}
],
"prefix" : "Managing Chronic Pain",
"text" : "Below is a link to a video produced by the American Chronic Pain Association about living with chronic pain. We’d like to suggest you watch the video to help you prepare for your upcoming visit. This video can help you prepare to ask questions that are important to you when you visit with your provider. <br/> <br/> <a id=\"replace\" value=\"video\"></a>",
"type" : "text"
},
{
"linkId" : "14",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1062",
"display" : "Did the patient access the US Chronic Pain website"
}
],
"prefix" : "Managing Chronic Pain",
"text" : "The website linked below provides some information from the U.S. Pain Foundation about the causes and diagnosis of pain in general, treatment options and self management and well-being when living with pain. This information can help you prepare to ask questions that are important to you when you visit with your provider.<br/> <br/> <img width=\"100%\" src=\"https://uspainfoundation.org//wp-content/uploads/2017/07/Woman-holding-neck-1024x682.jpg\"/> <a id=\"replace\" value=\"pain-link\"></a> ",
"type" : "text"
},
{
"linkId" : "15",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mypain-feedback",
"display" : "Feedback about your use of MyPAIN"
}
],
"prefix" : "MyPAIN Feedback",
"text" : "Please indicate your level of agreement with the following statement:",
"type" : "group",
"required" : false,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/questionnaire-item-control",
"code" : "drop-down",
"display" : "Drop down"
}
],
"text" : "Drop down"
}
},
{
"url" : "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-answerValueSetSource",
"valueCanonical" : "http://loinc.org/vs/LL1606-4"
}
],
"linkId" : "15.1",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1063",
"display" : "Please indicate your level of agreement with the following statement: Using the MyPAIN tool has helped me begin preparing for a conversation with my provider about managing my pain."
}
],
"text" : "Using the MyPAIN tool has helped me begin preparing for a conversation with my provider about managing my pain.",
"type" : "choice",
"required" : false,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://loinc.org/LL1606-4/",
"code" : "LA15238-1",
"display" : "Disagree a lot"
}
},
{
"valueCoding" : {
"system" : "https://loinc.org/LL1606-4/",
"code" : "LA15239-9",
"display" : "Disagree a little"
}
},
{
"valueCoding" : {
"system" : "https://loinc.org/LL1606-4/",
"code" : "LA15240-7",
"display" : "Neither agree nor disagree"
}
},
{
"valueCoding" : {
"system" : "https://loinc.org/LL1606-4/",
"code" : "LA15241-5",
"display" : "Agree a little"
}
},
{
"valueCoding" : {
"system" : "https://loinc.org/LL1606-4/",
"code" : "LA15242-3",
"display" : "Agree a lot"
}
}
]
}
]
},
{
"linkId" : "16",
"code" : [
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mpq-1064",
"display" : "Do you have any other feedback or thoughts to share on your use of MyPAIN?"
},
{
"system" : "http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes",
"code" : "mypain-feedback",
"display" : "Feedback on your use of MyPAIN"
}
],
"prefix" : "MyPAIN Feedback",
"text" : "Do you have any other feedback or thoughts to share on your use of MyPAIN?",
"type" : "text",
"required" : false
}
]
}
IG © 2019+ CQF. Package cqf.fhir.cds4cpm#0.1.0 based on FHIR 4.0.1. Generated 2024-03-22
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QA Report
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