| 54125-0 | Patient name | optional |
| 86505-5 | Quest:Find:Pt:^Patient:Nom: | conditional |
| 86506-3 | Color.favorite:Type:Pt:^Patient:Nom: | conditional |
| 86507-1 | Capital of Assyria:Loc:Pt:^Patient:Nom: | conditional |
| 86508-9 | Airspeed^unladen:Vel:Pt:^Patient:Qn: | conditional |
| 86504-8 | 3 questions Pnl Patient | |