| 54125-0 | Patient name | |
| 67745-0 | Name generator PhenX | |
| 67746-8 | Person PhenX | |
| 67747-6 | Section generator PhenX | |
| 46098-0 | Sex | |
| 30525-0 | Age | required |
| 67286-5 | Relationship Pos Gen | |
| 67653-6 | Person how close PhenX | |
| 67654-4 | Person contact frequency PhenX | |
| 67655-1 | Person trust doctors PhenX | |
| 67656-9 | Person function PhenX | |
| 67657-7 | Person cause problems PhenX | |