| 68503-2 | How well do you speak English:Find:Pt:^Patient:Ord:SAMHSA | |
| 68504-0 | What language do you feel most comfortable speaking with your doctor or nurse:Find:Pt:^Patient:Nom:SAMHSA | |
| 68505-7 | Current occupational status:Find:Pt:^Patient:Nom:SAMHSA | |
| 68506-5 | What is the highest grade or level of schooling you completed:Find:Pt:^Patient:Ord:SAMHSA | |
| 68507-3 | Did you ever serve on active duty in the armed forces of the U.S.:Find:Pt:^Patient:Ord:SAMHSA | |
| 68508-1 | How many children under the age of 18 live in your household:Num:Pt:^Patient:Qn:SAMHSA | |
| 68509-9 | Not able to stop or control worrying in the last 2W:Find:2W:^Patient:Ord: | |
| 68510-7 | How many times a W did you eat fast food or snacks or pizza in past 7D:NRat:7D:^Patient:Qn:SAMHSA | |
| 68511-5 | How many servings of fruits-vegetables did you eat each D in past 7D:NRat:7D:^Patient:Qn:SAMHSA | |
| 68512-3 | How many soda and sweetened drinks, regular, not diet, did you drink each D in past 7D:NRat:7D:^Patient:Qn:SAMHSA | |
| 68513-1 | How many D in the past W did you miss taking one or more of your medications:NRat:1W:^Patient:Qn:SAMHSA | |
| 68514-9 | Reason you fail to take doses of your medications:Find:Pt:^Patient:Nom:SAMHSA | |
| 68515-6 | How many D of moderate to strenuous exercise, like a brisk walk, did you do in the last 7D:NRat:7D:^Patient:Qn:SAMHSA | |
| 68516-4 | On those D that you engage in moderate to strenuous exercise, how many M, on average, do you exercise:NRat:Pt:^Patient:Qn: | |
| 68517-2 | How many times in the past Y have you have X or more drinks in a D:NRat:1Y:^Patient:Qn: | |
| 68518-0 | Have alcohol nRate | |
| 68519-8 | Drinks on a typical D nRate | |
| 68520-6 | 6 or more drinks 1 occasion nRate | |
| 68521-4 | How much stress have you been experiencing in the past W, including today:Num:1W:^Patient:Ord:SAMHSA | |
| 68522-2 | To what extent did the following common sources contributed to your overall stress in the last W:Find:1W:^Patient:Ord:SAMHSA | |
| 68523-0 | Sources of stress:Find:Pt:^Patient:Nom:SAMHSA | |
| 68524-8 | Illegal drug non-med reason past Y nRate | |
| 68525-5 | In the past Y, have you used drugs other than those required for medical reasons:Find:1Y:^Patient:Ord:SAMHSA | |
| 68526-3 | Do you abuse more than one drug at a time:Find:Pt:^Patient:Ord:SAMHSA | |
| 68527-1 | Are you always able to stop using drugs when you want to:Find:Pt:^Patient:Ord:SAMHSA | |
| 68528-9 | Have you had blackouts or flashbacks as a result for drug use:Find:Pt:^Patient:Ord:SAMHSA | |
| 68529-7 | Do you ever feel bad or guilty about your drug use:Find:Pt:^Patient:Ord:SAMHSA | |
| 68530-5 | Does your spouse or parent ever complain about your involvement with drugs:Find:Pt:^Patient:Ord:SAMHSA | |
| 68531-3 | Have you neglected your family because of your use of drugs:Find:Pt:^Patient:Ord:SAMHSA | |
| 68532-1 | Have you engaged in illegal activities in order to obtain drugs:Find:Pt:^Patient:Ord:SAMHSA | |
| 68533-9 | Have you ever experienced withdrawal symptoms, felt sick, when you stopped taking drugs:Find:Pt:^Patient:Ord:SAMHSA | |
| 68534-7 | Have you had medical problems as a result of your drug use:Find:Pt:^Patient:Ord:SAMHSA | |
| 68535-4 | Have you used tobacco in the last 30D:Find:30D:^Patient:Ord:SAMHSA | |
| 68536-2 | Have you used smokeless tobacco product in the last 30D:Find:30D:^Patient:Ord:SAMHSA | |
| 68537-0 | Would you be interested in quitting tobacco use within the next few W:Find:Pt:^Patient:Ord:SAMHSA | |
| 68538-8 | Did you provide brief counseling-coaching to quit:Find:Pt:^Patient:Ord:SAMHSA | |
| 68539-6 | Did you prescribe or recommend that the patient use one of the 7 FDA - approved medications for tobacco cessation:Find:Pt:^Patient:Ord:SAMHSA | |
| 68540-4 | Did you refer the patient to your states tobacco quitline:Find:Pt:^Patient:Ord:SAMHSA | |
| 68899-4 | Core behavioral and psychosocial data elements for the electronic health record:-:Pt:^Patient:-:SAMHSA | |