| 75820-1 | Over the past W, are you able to dress yourself, including shoelaces and buttons:Find:1W:^Patient:Ord:HAQ | |
| 75821-9 | Over the past W, are you able to shampoo your hair:Find:1W:^Patient:Ord:HAQ | |
| 75823-5 | Over the past W, are you able to get in and out of bed:Find:1W:^Patient:Ord:HAQ | |
| 75824-3 | Over the past W, are you able to cut your meat:Find:1W:^Patient:Ord:HAQ | |
| 75825-0 | Over the past W, are you able to lift a full cup or glass to your mouth:Find:1W:^Patient:Ord:HAQ | |
| 75826-8 | Over the past W, are you able to open a new milk carton:Find:1W:^Patient:Ord:HAQ | |
| 75827-6 | Over the past W, are you able to walk outdoors on flat ground:Find:1W:^Patient:Ord:HAQ | |
| 75828-4 | Over the past W, are you able to climb up five steps:Find:1W:^Patient:Ord:HAQ | |
| 75872-2 | Aids or devices usually used for dressing & grooming, arising, eating, &or walking:Type:Pt:^Patient:Nom:HAQ | |
| 75873-0 | Help from another person is usually needed for dressing & grooming, arising, eating, &or walking:Find:Pt:^Patient:Nom:HAQ | |
| 75829-2 | Over the past W, are you able to wash and dry your body:Find:1W:^Patient:Ord:HAQ | |
| 75830-0 | Over the past W, are you able to take a tub bath:Find:1W:^Patient:Ord:HAQ | |
| 75831-8 | Over the past W, are you able to get on and off the toilet:Find:1W:^Patient:Ord:HAQ | |
| 75832-6 | Over the past W, are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head:Find:1W:^Patient:Ord:HAQ | |
| 75833-4 | Over the past W, are you able to bend down and pick up clothing from the floor:Find:1W:^Patient:Ord:HAQ | |
| 75834-2 | Over the past W, are you able to open car doors:Find:1W:^Patient:Ord:HAQ | |
| 75835-9 | Over the past W, are you able to open jars which have been previously opened:Find:1W:^Patient:Ord:HAQ | |
| 75836-7 | Over the past W, are you able to turn faucets on and off:Find:1W:^Patient:Ord:HAQ | |
| 75837-5 | Over the past W, are you able to run errands and shop:Find:1W:^Patient:Ord:HAQ | |
| 75838-3 | Over the past W, are you able to get in and out of a car:Find:1W:^Patient:Ord:HAQ | |
| 75839-1 | Over the past W, are you able to do chores such as vacuuming or yard work:Find:1W:^Patient:Ord:HAQ | |
| 75879-7 | Aids or devices usually used for hygiene, reach, grip, &or activities:Type:Pt:^Patient:Nom:HAQ | |
| 75878-9 | Help from another person usually needed for hygiene, reach, gripping and opening things, &or errands and chores:Find:Pt:^Patient:Nom:HAQ | |
| 75893-8 | Pain severity in the past W - 0-10 numeric rating:Score:1W:^Patient:Ord:Reported | |
| 71950-0 | Health assessment questionnaire:-:Pt:^Patient:-:HAQ | |