| 11382-9 | Medication allergy Reported | |
| 89062-4 | Hx of Severe bleeding due to aspirin use | |
| 89075-6 | Willing to change aspirin dose:Find:Pt:^Patient:Ord: | |
| 89063-2 | Anticoagulant med used | |
| 82810-3 | Pregnancy status | |
| 63895-7 | Breastfeeding status | |
| 64438-5 | Health self assess | |
| 61635-9 | Are you able to run errands and shop:Find:Pt:^Patient:Ord:PROMIS | |
| 61967-6 | I felt depressed in past 7D:Find:7D:^Patient:Ord:PROMIS | |
| 61878-5 | I feel fatigued during the past 7D:Find:7D:^Patient:Ord:PROMIS | |
| 61998-1 | I had a problem with my sleep 7D:Find:7D:^Patient:Ord:PROMIS | |
| 89084-8 | I have trouble doing all of my regular leisure activities with others in the past 7D:Find:7D:^Patient:Ord:ADAPTABLE | |
| 61758-9 | How much did pain interfere with your day to day activities in past 7D:Find:7D:^Patient:Ord:PROMIS | |
| 89080-6 | Satisfaction with using ADAPTABLE web site:Find:Pt:^Patient:Ord:ADAPTABLE | |
| 89077-2 | Adequacy of information on+time spent reading ADAPTABLE web site:Find:Pt:^Patient:Ord:ADAPTABLE | |
| 54125-0 | Patient name | |
| 46098-0 | Sex | |
| 21112-8 | Birth date | |