| 83129-7 | Respondent type:Find:Pt:^Patient:Nom: | optional |
| 82940-8 | Speech:Find:Pt:^Patient:Ord:ALSFRS-R | required |
| 82941-6 | Salivation:Find:Pt:^Patient:Ord:ALSFRS-R | required |
| 82942-4 | Swallowing:Find:Pt:^Patient:Ord:ALSFRS-R | required |
| 82943-2 | Handwriting:Find:Pt:^Patient:Ord:ALSFRS-R | required |
| 82944-0 | Cutting food and handling utensils (patients without gastrostomy):Find:Pt:^Patient:Ord:ALSFRS-R | conditional |
| 82945-7 | Cutting food and handling utensils (patients with gastrostomy):Find:Pt:^Patient:Ord:ALSFRS-R | conditional |
| 82946-5 | Dressing and hygiene:Find:Pt:^Patient:Ord:ALSFRS-R | required |
| 82947-3 | Turning in bed and adjusting bed clothes:Find:Pt:^Patient:Ord:ALSFRS-R | required |
| 82948-1 | Walking:Find:Pt:^Patient:Ord:ALSFRS-R | required |
| 82949-9 | Climbing stairs:Find:Pt:^Patient:Ord:ALSFRS-R | required |
| 82950-7 | Dyspnea:Find:Pt:^Patient:Ord:ALSFRS-R | required |
| 82951-5 | Orthopnea:Find:Pt:^Patient:Ord:ALSFRS-R | required |
| 82952-3 | Respiratory insufficiency:Find:Pt:^Patient:Ord:ALSFRS-R | required |
| 82953-1 | Total score:Score:Pt:^Patient:Qn:ALSFRS-R | required |
| 82954-9 | Amyotrophic lateral sclerosis functional rating scale - revised (ALSFRS-R):-:Pt:^Patient:-:ALSFRS-R | |