106445-0 BEFORE YOU BEGIN, PLEASE ANSWER 2 PRE-EVALUATION QUESTIONS BELOW:

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component
Pre-Evaluation Questions
Property
-
Time
Pt
System
^Patient
Scale
-
Method
WHYMPI

Long Common Name

Pre-Evaluation Questions [WHYMPI]

Basic Attributes

Class
PANEL.SURVEY.WHYMPI
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Order
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106446-8 Please indicate below who your significant other is (check one):

Observation ID in Form

1

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Who is your significant other
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Who is your significant other

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6912-1

AnswerCodeScoreAnswer ID
SpouseLA16285-1
Partner/CompanionLA34538-1
Housemate/RoomateLA34539-9
FriendLA6656-8
NeighborLA27179-3
Parent/Child/Other relativeLA34540-7
OtherLA46-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106447-6 Do you currently live with this person?

Observation ID in Form

2

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Do you currently live with your significant other
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Do you currently live with your significant other

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL361-7

AnswerCodeScoreAnswer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value)LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value)LA32-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106448-4 Part 1 [WHYMPI]

Observation ID in Form

A

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component
Part 1
Property
-
Time
Pt
System
^Patient
Scale
-
Method
WHYMPI

Basic Attributes

Class
PANEL.SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106449-2 Rate the level of your pain at the present moment.

Observation ID in Form

A1

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Rate your pain level at the present moment
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Rate your pain level at the present moment

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6914-7

AnswerCodeScoreAnswer ID
0 - No painLA19102-5
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very intense pain

Very intense pain

6LA34542-3

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106450-0 In general, how much does your pain problem interfere with your day to day activities?

Observation ID in Form

A2

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How much does your pain interfere with your daily activities
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How much does your pain interfere with your daily activities

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6915-4

AnswerCodeScoreAnswer ID
0 - No interference

No interference

0LA34543-1
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extreme interference

Extreme interference

6LA34544-9

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106451-8 Since the time you developed a pain problem, how much has your pain changed your ability to work?

Observation ID in Form

A3

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How much has your pain changed your ability to work
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How much has your pain changed your ability to work

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6916-2

AnswerCodeScoreAnswer ID
0 - No change

No change

0LA34545-6
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extreme change

Extreme change

6LA34546-4

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106452-6 How much has your pain changed the amount of satisfaction or enjoyment you get from participating in social and recreational activities?

Observation ID in Form

A4

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How much has your pain changed your satisfaction from social and recreational activities
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How much has your pain changed your satisfaction from social and recreational activities

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6916-2

AnswerCodeScoreAnswer ID
0 - No change

No change

0LA34545-6
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extreme change

Extreme change

6LA34546-4

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106453-4 How supportive or helpful is your spouse (significant other) to you in relation to your pain?

Observation ID in Form

A5

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How supportive is your significant other in relation to your pain
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How supportive is your significant other in relation to your pain

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6917-0

AnswerCodeScoreAnswer ID
0 - Not at all supportive

Not at all supportive

0LA34547-2
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extremely supportive

Extremely supportive

6LA34548-0

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106454-2 Rate your overall mood during the past week.

Observation ID in Form

A6

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Rate your overall mood during the past week
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Rate your overall mood during the past week

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6918-8

AnswerCodeScoreAnswer ID
0 - Extremely low mood

Extremely low mood

0LA34549-8
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extremely high mood

Extremely high mood

6LA34550-6

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106455-9 On the average, how severe has your pain been during the last week?

Observation ID in Form

A7

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How severe has your pain been during the last week
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How severe has your pain been during the last week

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6919-6

AnswerCodeScoreAnswer ID
0 - Not at all severe

Not at all severe

0LA34551-4
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extremely severe

Extremely severe

6LA34552-2

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106456-7 How much has your pain changed your ability to participate in recreational and other social activities?

Observation ID in Form

A8

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How much has your pain changed your ability to participate in recreational and other social activities
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How much has your pain changed your ability to participate in recreational and other social activities

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6916-2

AnswerCodeScoreAnswer ID
0 - No change

No change

0LA34545-6
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extreme change

Extreme change

6LA34546-4

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106457-5 How much has your pain changed the amount of satisfaction you get from family-related activities?

Observation ID in Form

A9

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How much has your pain changed your satisfaction from family-related activities
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How much has your pain changed your satisfaction from family-related activities

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6916-2

AnswerCodeScoreAnswer ID
0 - No change

No change

0LA34545-6
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extreme change

Extreme change

6LA34546-4

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106458-3 How worried is your spouse (significant other) about you in relation to your pain problem?

Observation ID in Form

A10

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How worried is your significant other about you in relation to your pain problem
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How worried is your significant other about you in relation to your pain problem

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6920-4

AnswerCodeScoreAnswer ID
0 - Not at all worried

Not at all worried

0LA34554-8
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extremely worried

Extremely worried

6LA34553-0

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106459-1 During the past week, how much control do you feel that you have had over your life?

Observation ID in Form

A11

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How much control do you feel that you have had over your life during the past week
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How much control do you feel that you have had over your life during the past week

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6921-2

AnswerCodeScoreAnswer ID
0 - Not at all in control

Not at all in control

0LA34555-5
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extremely in control

Extremely in control

6LA34556-3

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106460-9 How much suffering do you experience because of your pain?

Observation ID in Form

A12

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How much suffering do you experience because of your pain
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How much suffering do you experience because of your pain

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6922-0

AnswerCodeScoreAnswer ID
0 - No suffering

No suffering

0LA34557-1
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extreme suffering

Extreme suffering

6LA34558-9

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106461-7 How much has your pain changed your marriage and other family relationships?

Observation ID in Form

A13

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How much has your pain changed your marriage and other family relationships
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How much has your pain changed your marriage and other family relationships

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6916-2

AnswerCodeScoreAnswer ID
0 - No change

No change

0LA34545-6
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extreme change

Extreme change

6LA34546-4

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106462-5 How much has your pain changed the amount of satisfaction or enjoyment you get from work?

Observation ID in Form

A14

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How much has your pain changed your satisfaction from work
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How much has your pain changed your satisfaction from work

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6916-2

AnswerCodeScoreAnswer ID
0 - No change

No change

0LA34545-6
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extreme change

Extreme change

6LA34546-4

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106463-3 How attentive is your spouse (significant other) to your pain problem?

Observation ID in Form

A15

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How attentive is your significant other to your pain problem
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How attentive is your significant other to your pain problem

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6923-8

AnswerCodeScoreAnswer ID
0 - Not at all attentive

Not at all attentive

0LA34559-7
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extremely attentive

Extremely attentive

6LA34560-5

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106464-1 During the past week, how much do you feel that you’ve been able to deal with your problems?

Observation ID in Form

A16

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How much do you feel you've been able to deal with your problems during the past week
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How much do you feel you've been able to deal with your problems during the past week

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6924-6

AnswerCodeScoreAnswer ID
0 - Not at all

Not at all

0LA16534-2
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extremely well

Extremely well

6LA34562-1

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106465-8 How much has your pain changed your ability to do household chores?

Observation ID in Form

A17

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How much has your pain changed your ability to do household chores
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How much has your pain changed your ability to do household chores

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6916-2

AnswerCodeScoreAnswer ID
0 - No change

No change

0LA34545-6
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extreme change

Extreme change

6LA34546-4

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106466-6 During the past week, how irritable have you been?

Observation ID in Form

A18

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How irritable have you been during the past week
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How irritable have you been during the past week

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6925-3

AnswerCodeScoreAnswer ID
0 - Not at all irritable

Not at all irritable

0LA34563-9
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extremely irritable

Extremely irritable

6LA34564-7

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106467-4 How much has your pain changed your friendships with people other than your family?

Observation ID in Form

A19

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How much has your pain changed your friendships with people other than your family
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How much has your pain changed your friendships with people other than your family

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6916-2

AnswerCodeScoreAnswer ID
0 - No change

No change

0LA34545-6
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extreme change

Extreme change

6LA34546-4

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106468-2 During the past week, how tense or anxious have you been?

Observation ID in Form

A20

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How tense or anxious have you been during the past week
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

How tense or anxious have you been during the past week

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6926-1

AnswerCodeScoreAnswer ID
0 - Not at all tense or anxious

Not at all tense or anxious

0LA34565-4
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Extremely tense or anxious

Extremely tense or anxious

6LA34566-2

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106469-0 Part 1 Score [WHYMPI]

Type of Entry

Question - computer calculates response [C]

Form Coding Instructions

To account for sporadic missing data, sums should be divided by the number of non-missing items. Any scale with more than 25% of its items missing should be considered missing.

Source: National Committee for Quality Assurance

Fully-Specified Name

Component
Part 1 Score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
WHYMPI

Basic Attributes

Class
SURVEY.WHYMPI
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

Example Units

UnitSource
{score}Example UCUM Units

106470-8 Part 2 [WHYMPI]

Observation ID in Form

B

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component
Part 2
Property
-
Time
Pt
System
^Patient
Scale
-
Method
WHYMPI

Basic Attributes

Class
PANEL.SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106471-6 Ignores me.

Observation ID in Form

B1

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Ignores me
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Ignores me

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106472-4 Asks me what he/she can do to help.

Observation ID in Form

B2

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Asks me what they can do to help
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Asks me what they can do to help

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106473-2 Reads to me.

Observation ID in Form

B3

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Reads to me
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Reads to me

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106474-0 Expresses irritation at me.

Observation ID in Form

B4

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Expresses irritation at me
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Expresses irritation at me

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106475-7 Takes over my jobs or duties.

Observation ID in Form

B5

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Takes over my jobs or duties
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Takes over my jobs or duties

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106476-5 Talks to me about something else to take my mind off the pain.

Observation ID in Form

B6

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Talks to me about something else to take my mind off the pain
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Talks to me about something else to take my mind off the pain

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106477-3 Expresses frustration at me.

Observation ID in Form

B7

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Expresses frustration at me
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Expresses frustration at me

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106478-1 Tries to get me to rest.

Observation ID in Form

B8

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Tries to get me to rest
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Tries to get me to rest

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106479-9 Tries to involve me in some activity.

Observation ID in Form

B9

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Tries to involve me in some activity
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Tries to involve me in some activity

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106480-7 Expresses anger at me.

Observation ID in Form

B10

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Expresses anger at me
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Expresses anger at me

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106481-5 Gets me some pain medications.

Observation ID in Form

B11

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Gets me some pain medications
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Gets me some pain medications

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106482-3 Encourages me to work on a hobby.

Observation ID in Form

B12

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Encourages me to work on a hobby
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Encourages me to work on a hobby

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106483-1 Gets me something to eat or drink.

Observation ID in Form

B13

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Gets me something to eat or drink
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Gets me something to eat or drink

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106484-9 Turns on the T.V. to take my mind off my pain.

Observation ID in Form

B14

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Turns on the TV to take my mind off my pain
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Turns on the TV to take my mind off my pain

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106485-6 Part 2 Score [WHYMPI]

Type of Entry

Question - computer calculates response [C]

Form Coding Instructions

To account for sporadic missing data, sums should be divided by the number of non-missing items. Any scale with more than 25% of its items missing should be considered missing.

Source: National Committee for Quality Assurance

Fully-Specified Name

Component
Part 2 Score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
WHYMPI

Basic Attributes

Class
SURVEY.WHYMPI
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

Example Units

UnitSource
{score}Example UCUM Units

106486-4 Part 3 [WHYMPI]

Observation ID in Form

C

Type of Entry

Header section - not a question [H]

Fully-Specified Name

Component
Part 3
Property
-
Time
Pt
System
^Patient
Scale
-
Method
WHYMPI

Basic Attributes

Class
PANEL.SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106487-2 Wash dishes.

Observation ID in Form

C1

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Wash dishes
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Wash dishes

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106488-0 Mow the lawn.

Observation ID in Form

C2

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Mow the lawn
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Mow the lawn

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106489-8 Go out to eat.

Observation ID in Form

C3

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Go out to eat
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Go out to eat

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106490-6 Play cards or other games.

Observation ID in Form

C4

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Play cards or other games
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Play cards or other games

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106491-4 Go grocery shopping.

Observation ID in Form

C5

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Go grocery shopping
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Go grocery shopping

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106492-2 Work in the garden.

Observation ID in Form

C6

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Work in the garden
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Work in the garden

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106493-0 Go to a movie.

Observation ID in Form

C7

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Go to a movie
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Go to a movie

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106494-8 Visit friends.

Observation ID in Form

C8

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Visit friends
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Visit friends

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106495-5 Help with the house cleaning.

Observation ID in Form

C9

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Help with the house cleaning
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Help with the house cleaning

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106496-3 Work on the car.

Observation ID in Form

C10

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Work on the car
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Work on the car

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106497-1 Take a ride in a car.

Observation ID in Form

C11

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Take a ride in a car
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Take a ride in a car

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106498-9 Visit relatives.

Observation ID in Form

C12

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Visit relatives
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Visit relatives

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106499-7 Prepare a meal.

Observation ID in Form

C13

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Prepare a meal
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Prepare a meal

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106500-2 Wash the car.

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Wash the car
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Wash the car

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106501-0 Take a trip.

Observation ID in Form

C15

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Take a trip
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Take a trip

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106502-8 Go to a park or beach.

Observation ID in Form

C16

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Go to a park or beach
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Go to a park or beach

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106503-6 Do a load of laundry.

Observation ID in Form

C17

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Do a load of laundry
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Do a load of laundry

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Preferred Answer List LL6927-9

AnswerCodeScoreAnswer ID
0 - Never

Never

0LA34567-0
11LA6112-2
22LA34475-6
33LA6114-8
44LA6115-5
55LA10137-0
6 - Very often

Very often

6LA34568-8

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106504-4 Work on a needed house repair.

Observation ID in Form

C18

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Work on a needed house repair
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Long Common Name

Work on a needed house repair

Basic Attributes

Class
SURVEY.PAIN
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

106505-1 Part 3 Score [WHYMPI]

Type of Entry

Question - computer calculates response [C]

Form Coding Instructions

To account for sporadic missing data, sums should be divided by the number of non-missing items. Any scale with more than 25% of its items missing should be considered missing.

Source: National Committee for Quality Assurance

Fully-Specified Name

Component
Part 3 Score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
WHYMPI

Basic Attributes

Class
SURVEY.WHYMPI
Type
Surveys
First Released
Version 2.81
Last Updated
Version 2.81 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
106444-3West Haven-Yale multidimensional pain inventory [WHYMPI]

Example Units

UnitSource
{score}Example UCUM Units