| 54125-0 | Patient name | |
| 21612-7 | Age - Reported | |
| 46098-0 | Sex | |
| 64991-3 | Observation date | |
| 69671-6 | Bothered by stomach pain in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69672-4 | Bothered by back pain in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69673-2 | Bothered by pain in your arms, legs, or joints - knees, hips, etc - in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69674-0 | Bothered by menstrual cramps or other problems with your period in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69717-7 | Bothered by pain or problems during sexual intercourse:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69675-7 | Bothered by headaches in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69676-5 | Bothered by chest pain in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69677-3 | Bothered by dizziness in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69678-1 | Bothered by fainting spells in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69679-9 | Bothered by feeling your heart pound or race in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69680-7 | Bothered by shortness of breath in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69681-5 | Bothered by constipation, loose stools, or diarrhea in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69682-3 | Bothered by nausea, gas, or indigestion in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 44250-9 | Little interest or pleasure in doing things in last 2W:Find:2W:^Patient:Ord: | |
| 44255-8 | Feeling down, depressed, or hopeless in last 2W:Find:2W:^Patient:Ord: | |
| 44259-0 | Trouble falling or staying asleep, or sleeping too much in last 2W:Find:2W:^Patient:Ord:Reported.PHQ | |
| 44254-1 | Feeling tired or having little energy in last 2W:Find:2W:^Patient:Ord:Reported.PHQ | |
| 44251-7 | Poor appetite or overeating in last 2W:Find:2W:^Patient:Ord:Reported.PHQ | |
| 44258-2 | Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2W:Find:2W:^Patient:Ord:Reported.PHQ | |
| 44252-5 | Trouble concentrating on things, such as reading the newspaper or watching television in last 2W:Find:2W:^Patient:Ord:Reported.PHQ | |
| 44253-3 | Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual in last 2W:Find:2W:^Patient:Ord:Reported.PHQ | |
| 44260-8 | Thoughts that you would be better off dead, or of hurting yourself in some way in last 2W:Find:2W:^Patient:Ord:Reported.PHQ | |
| 69716-9 | In the last 4W, have you had an anxiety attack - suddenly feeling fear or panic:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69702-9 | Has this ever happened before:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69703-7 | Do some of these attacks come suddenly out of the blue - that is, in situations where you don't expect to be nervous or uncomfortable:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69704-5 | Do these attacks bother you a lot or are you worried about having another attack:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69705-2 | Were you short of breath:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69706-0 | Did your heart race, pound, or skip:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69707-8 | Did you have chest pain or pressure:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69708-6 | Did you sweat:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69709-4 | Did you feel as if you were choking:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69710-2 | Did you have hot flashes or chills:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69711-0 | Did you have nausea or an upset stomach, or the feeling that you were going to have diarrhea:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69712-8 | Did you feel dizzy, unsteady, or faint:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69713-6 | Did you have tingling or numbness in parts of your body:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69714-4 | Did you tremble or shake:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69715-1 | Were you afraid you were dying:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69683-1 | Feeling nervous, anxious, on edge, or worrying a lot about different things in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69684-9 | Feeling restless so that it is hard to sit still in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69685-6 | Getting tired very easily in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69686-4 | Muscle tension, aches, or soreness in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69687-2 | Trouble falling asleep or staying asleep in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69688-0 | Trouble concentrating on things, such as reading a book or watching TV in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69689-8 | Becoming easily annoyed or irritable in last 4W:Find:4W:^Patient:Ord:Reported.PHQ | |
| 69690-6 | Do you often feel that you can't control what or how much you eat:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69691-4 | Do you often eat, within any 2H period, what most people would regard as an unusually large amount of food:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69692-2 | Has this been as often, on average, as twice a W for the last 3Mo:Find:3Mo:^Patient:Ord:Reported.PHQ | |
| 69693-0 | Made yourself vomit often in last 3Mo in order to avoid gaining weight:Find:3Mo:^Patient:Ord:Reported.PHQ | |
| 69694-8 | Took more than twice the recommended dose of laxatives often in last 3Mo in order to avoid gaining weight:Find:3Mo:^Patient:Ord:Reported.PHQ | |
| 69695-5 | Fasted - not eaten anything at all for at least 24H - often in last 3Mo in order to avoid gaining weight:Find:3Mo:^Patient:Ord:Reported.PHQ | |
| 69696-3 | Exercised for more than an hour specifically to avoid gaining weight after binge eating often in last 3Mo in order to avoid gaining weight:Find:3Mo:^Patient:Ord:Reported.PHQ | |
| 69720-1 | If you checked yes to any of these ways of avoiding gaining weight, were any as often, on average, as twice a W:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69721-9 | Do you ever drink alcohol - including beer or wine:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69697-1 | You drank alcohol, even though a doctor suggested that you stop drinking because of a problem with your health, more than once in last 6Mo:Find:6Mo:^Patient:Ord:Reported.PHQ | |
| 69698-9 | You drank alcohol, were high from alcohol, or hung over while you were working, going to school, or taking care of children or other responsibilities more than once in last 6Mo:Find:6Mo:^Patient:Ord:Reported.PHQ | |
| 69699-7 | You missed or were late for work, school, or other activities because you were drinking or hung over, more than once in last 6Mo:Find:6Mo:^Patient:Ord:Reported.PHQ | |
| 69700-3 | You had a problem getting along with other people while you were drinking more than once in last 6Mo:Find:6Mo:^Patient:Ord:Reported.PHQ | |
| 69701-1 | You drove a car after having several drinks or after drinking too much more than once in last 6Mo:Find:6Mo:^Patient:Ord:Reported.PHQ | |
| 69722-7 | How difficult have these made it for you to do your work, take care of things at home, or get along with other people:Find:Pt:^Patient:Ord:Reported.PHQ | |
| 69723-5 | Patient health questionnaire:-:Pt:^Patient:-:Reported.PHQ | |