106445-0
BEFORE YOU BEGIN, PLEASE ANSWER 2 PRE-EVALUATION QUESTIONS BELOW:
Active
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
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Spouse | LA16285-1 | ||
| Partner/Companion | LA34538-1 | ||
| Housemate/Roomate | LA34539-9 | ||
| Friend | LA6656-8 | ||
| Neighbor | LA27179-3 | ||
| Parent/Child/Other relative | LA34540-7 | ||
| Other | LA46-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 106444-3 | West 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
| Answer | Code | Score | Answer 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
| LOINC | Long Common Name |
|---|---|
| 106444-3 | West Haven-Yale multidimensional pain inventory [WHYMPI] |
Third Party Copyright
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