| 111827-2 | Telehealth Periodic Personal Health Monitoring Report |
| 41952-3 | Number of steps in 1 week Measured |
| 41955-6 | Distance walked in 1 week Calculated |
| 41980-4 | Calories burned in 1 week Calculated |
| 44940-5 | Alcoholic drinks per week - Reported |
| 55404-8 | Asthma spells per week |
| 62187-0 | Deprecated I felt scared n past 7 days PROMIS (qualitative) |
| 62188-8 | Deprecated I was afraid that I would make mistakes in past 7 days PROMIS (qualitative) |
| 63739-7 | How many hours did you work last week at all jobs or businesses in the past week |
| 63800-7 | Did you go to the dry cleaners during the past week (qualitative) |
| 63801-5 | Did you bring home any items from the cleaners that were dry-cleaned during the past week (qualitative) |
| 63975-7 | Did your child consume this beverage during the past week (qualitative) |
| 64015-1 | How many times in the past 7 days was your baby fed pumped breast milk to drink |
| 64016-9 | The amount of this beverage per serving during the pastweek in the past week |
| 68228-6 | Deprecated I felt tired in the past 7 days NeuroQol.Peds (qualitative) |
| 68513-1 | How many day in the past week did you miss taking one or more of your medications |
| 68521-4 | How much stress have you been experiencing in the past week, including today # (qualitative) |
| 68522-2 | To what extent did the following common sources contributed to your overall stress in the lastweek (qualitative) |
| 72637-2 | I had uncontrollable sexual encounters of which I was later ashamed or which made me angry in last week (qualitative) |
| 72638-0 | I had outbreaks of uncontrolled anger or physically attacked others in last week (qualitative) |
| 72639-8 | I took medication that had not been prescribed or if had been prescribed, I took more than the prescribed dose in last week (qualitative) |
| 72640-6 | I took drugs in last week (qualitative) |
| 72641-4 | I got drunk in last week (qualitative) |
| 72681-0 | I displayed high-risk behavior (qualitative, knowingly driving too fast, running around on the roofs of high buildings, balancing on bridges, etc. in last week) |
| 72682-8 | I induced vomiting in lthe last week (qualitative) |
| 72683-6 | I had episodes of binge eating in the last week (qualitative) |
| 72684-4 | I tried to commit suicide in last week (qualitative) |
| 72685-1 | I told other people that I was going to kill myself in the last week (qualitative) |
| 72686-9 | I hurt myself (qualitative, cutting, burning, strangling, headbanging etc. in last week) |
| 72687-7 | Now we would like to know in addition the quality of your overall personal state in the course of the last week (qualitative) |
| 72690-1 | I felt worthless in the last week (qualitative) |
| 72691-9 | I felt as if I was far away from myself in last week (qualitative) |
| 72692-7 | I felt disgusted (qualitative, myself in last week) |
| 72698-4 | I was afraid of losing control in last week (qualitative) |
| 72699-2 | Everything seemed senseless to me in last week (qualitative) |
| 72700-8 | The idea of death had a certain fascination for me in last week (qualitative) |
| 72701-6 | I felt vulnerable in last week (qualitative) |
| 72702-4 | Criticism had a devastating effect on me in last week (qualitative) |
| 72703-2 | I suffered from voices and noises from inside or outside my head in last week (qualitative) |
| 72704-0 | My mood rapidly cycled in terms of anxiety, anger, and depression in last week (qualitative) |
| 72705-7 | I suffered from shame in last week (qualitative) |
| 72706-5 | I wanted to punish myself in last week (qualitative) |
| 72707-3 | I hated myself in last week (qualitative) |
| 72708-1 | I had images that I was very much afraid of in last week (qualitative) |
| 72709-9 | I experienced stressful inner tension in last week (qualitative) |
| 72710-7 | I was lonely in last week (qualitative) |
| 72711-5 | I didn't believe in my right to live in last week (qualitative) |
| 72712-3 | I didn't trust other people in last week (qualitative) |
| 72713-1 | I thought of hurting myself in last week (qualitative) |
| 72714-9 | I felt disgust in last week (qualitative) |
| 72715-6 | I was absent-minded and unable to remember what I was actually doing in last week (qualitative) |
| 72716-4 | I felt helpless in last week (qualitative) |
| 72717-2 | It was hard for me to concentrate in last week (qualitative) |
| 75820-1 | Over the past week, are you able to dress yourself, including shoelaces and buttons (qualitative) |
| 75821-9 | Over the past week, are you able to shampoo your hair (qualitative) |
| 75822-7 | Over the past week, are you able to stand up from a straight chair (qualitative) |
| 75823-5 | Over the past week, are you able to get in and out of bed (qualitative) |
| 75824-3 | Over the past week, are you able to cut your meat (qualitative) |
| 75825-0 | Over the past week, are you able to lift a full cup or glass to your mouth (qualitative) |
| 75826-8 | Over the past week, are you able to open a new milk carton (qualitative) |
| 75827-6 | Over the past week, are you able to walk outdoors on flat ground (qualitative) |
| 75828-4 | Over the past week, are you able to climb up five steps (qualitative) |
| 75829-2 | Over the past week, are you able to wash and dry your body (qualitative) |
| 75830-0 | Over the past week, are you able to take a tub bath (qualitative) |
| 75831-8 | Over the past week, are you able to get on and off the toilet (qualitative) |
| 75832-6 | Over the past week, are you able to reach and get down a 5 pound object (such as a bag of sugar) from just above your head (qualitative) |
| 75833-4 | Over the past week, are you able to bend down and pick up clothing from the floor (qualitative) |
| 75834-2 | Over the past week, are you able to open car doors (qualitative) |
| 75835-9 | Over the past week, are you able to open jars which have been previously opened (qualitative) |
| 75836-7 | Over the past week, are you able to turn faucets on and off (qualitative) |
| 75837-5 | Over the past week, are you able to run errands and shop (qualitative) |
| 75838-3 | Over the past week, are you able to get in and out of a car (qualitative) |
| 75839-1 | Over the past week, are you able to do chores such as vacuuming or yard work (qualitative) |
| 75848-2 | Over the past week, are you able to do outside work (such as yard work) (qualitative) |
| 75849-0 | Over the past week, are you able to wait in line for 15 minutes (qualitative) |
| 75850-8 | Over the past week, are you able to lift heavy objects (qualitative) |
| 75851-6 | Over the past week, are you able to move heavy objects (qualitative) |
| 75852-4 | Over the past week, are you able to go up two or more flights of stairs (qualitative) |
| 75893-8 | Pain severity in the past week - 0-10 numeric rating (qualitative) |
| 75902-7 | How many days in the past week did your child miss taking one or more medications # |
| 76701-2 | PROMIS short form - satisfaction with participation in social roles 8a - version 1.0 |
| 76703-8 | PROMIS short form - sleep disturbance 6a - version 1.0 |
| 76704-6 | PROMIS short form - satisfaction with participation in social roles 4a - version 1.0 |
| 77235-0 | On a typical weekday in the past week, how much time did the patient spend watching TV AndOr DVDs |
| 77236-8 | On a typical weekend day in the past week, how much time did the patient spend watching TV AndOr DVDs |
| 77237-6 | On a typical weekday in the past week, how much time did the patient spend playing video games and computer games |
| 77238-4 | On a typical weekend day in the past week, how much time did the patient spend playing video games and computer games |
| 77317-6 | In the past week, how many times were dinners prepared at home and eaten together |
| 77703-7 | Dyskinesia duration per day in the past week (qualitative) |
| 77704-5 | Dyskinesia disability in the past week (qualitative) |
| 77705-2 | Dyskinesia pain in the past week (qualitative) |
| 77706-0 | Early morning dystonia in the past week (qualitative) |
| 77707-8 | Predictable off period indicator in the past week (qualitative) |
| 77708-6 | Unpredictable off period indicator in the past week (qualitative) |
| 77709-4 | Sudden off period indicator in the past week (qualitative) |
| 77710-2 | Average proportion of waking day the patient is off in the past week (qualitative) |
| 77711-0 | Patient has anorexia, nausea or vomiting in the past week (qualitative) |
| 77712-8 | Sleep disturbances indicator in the past week (qualitative) |
| 77713-6 | Symptomatic orthostasis indicator in the past week (qualitative) |
| 77721-9 | Complications of therapy panel in the past week |