{ "resourceType": "CodeSystem", "id": "mypain-questionnaire-codes", "meta": { "profile": [ "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-shareablecodesystem", "http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-publishablecodesystem" ] }, "text": { "status": "generated", "div": "

This code system http://fhir.org/guides/cqf/cds4cpm/CodeSystem/mypain-questionnaire-codes defines the following codes:

CodeDisplay
mpq-1000 Please describe the location(s) of any pain you have had in the past 7 days (e.g., lower back and left hip)
mpq-1001 In the past 7 days - How intense was your pain at its worst?
mpq-1002 In the past 7 days - How intense was your average pain?
mpq-1003 In the past 7 days - What is your level of pain right now?
mpq-1004 In the past 7 days - How much did pain interfere with your day to day activities?
mpq-1005 In the past 7 days - How much did pain interfere with your work?
mpq-1006 In the past 7 days - How much did pain interfere with your ability to participate in social activities?
mpq-1007 In the past 7 days - How much did pain interfere with your household chores?
mpq-1008 How often have Exercises at home (such as those assigned by a therapist) or outside (such as walking, jogging, swimming) you have tried in the past 6 months helped you with your pain?
mpq-1009 How often have Sleep positioners or devices (such as additional pillows, padding, etc.) you have tried in the past 6 months helped you with your pain?
mpq-1010 How often has Stretching you have tried in the past 6 months helped you with your pain?
mpq-1011 How often has Weight loss or changes in your diet you have tried in the past 6 months helped you with your pain?
mpq-1012 How often has Setting and reaching activity goals you have tried in the past 6 months helped you with your pain?
mpq-1013 How often has Ice or heat therapy you have tried in the past 6 months helped you with your pain?
mpq-1014 How often has Physical therapy you have tried in the past 6 months helped you with your pain?
mpq-1015 How often has Acupuncture you have tried in the past 6 months helped you with your pain?
mpq-1016 How often has Chiropractic treatment you have tried in the past 6 months helped you with your pain?
mpq-1017 How often have Pain relievers (such as Advil, Aleve, Aspirin, Ibuprofen, Motrin, Tylenol) you can buy without a prescription from your doctor that you have used in the last 6 months helped with your pain?
mpq-1018 How often have Herbal or nutritional pain relievers (such as ginseng or kava kava) that you have used in the last 6 months helped with your pain?
mpq-1019 How often have Cremes, lotions, gels or patches applied to the skin (for example Bengay, Tiger Balm or BioFreeze) that you have used in the last 6 months helped with your pain?
mpq-1020 How often have prescription Opioid medications (such as hydrocodone, oxycodone, codeine, morphine and fentanyl) helped with your pain in the last 6 months?
mpq-1021 How often have prescription Cortisone injections (a shot to relieve inflammation) helped with your pain in the last 6 months?
mpq-1022 How often have prescription Non-opioid medications as prescribed by a doctor (such as Celebrex, Cymbalta) helped with your pain in the last 6 months?
mpq-1023 How often has Yoga helped with your pain in the last 6 months?
mpq-1024 How often has Massage helped with your pain in the last 6 months?
mpq-1025 How often has Meditation helped with your pain in the last 6 months?
mpq-1026 How often has Relaxation or mindfulness-based training helped with your pain in the last 6 months?
mpq-1027 How often has Group or individual therapy for pain helped with your pain in the last 6 months?
mpq-1028 How often has Acceptance and commitment therapy helped with your pain in the last 6 months?
mpq-1029 How often has Sleep management (such as a sleep study or CPAP) helped with your pain in the last 6 months?
mpq-1030 How often has Aromatherapy helped with your pain in the last 6 months?
mpq-1031 How often have Crystals helped with your pain in the last 6 months?
mpq-1032 How often have Essential oils helped with your pain in the last 6 months?
mpq-1033 How often has Music therapy helped with your pain in the last 6 months?
mpq-1034 Have you tried any Other new treatments to help with your pain in the last 6 months? Please describe
mpq-1035 What are your most important activity goals? For example: I’d like to be able to walk without pain.
mpq-1036 What are the biggest barriers to achieving your activity goals? For example: I have a lot of stress from work which makes my pain worse.
mpq-1037 DEPRECATED
mpq-1038 What type of HEAD pain have you had in the last 7 days?
mpq-1039 What type of NECK pain have you had in the last 7 days?
mpq-1040 What type of SHOULDERS pain have you had in the last 7 days?
mpq-1041 What type of ARMS pain have you had in the last 7 days?
mpq-1042 What type of UPPER BACK pain have you had in the last 7 days?
mpq-1043 What type of LOWER BACK pain have you had in the last 7 days?
mpq-1044 What type of HANDS pain have you had in the last 7 days?
mpq-1045 What type of ABDOMEN pain have you had in the last 7 days?
mpq-1046 What type of PELVIS pain have you had in the last 7 days?
mpq-1047 What type of HIPS pain have you had in the last 7 days?
mpq-1048 What type of UPPER LEGS pain have you had in the last 7 days?
mpq-1049 What type of KNEES pain have you had in the last 7 days?
mpq-1050 What type of LOWER LEGS pain have you had in the last 7 days?
mpq-1051 What type of FEET pain have you had in the last 7 days?
mpq-1052 What type of EVERYWHERE pain have you had in the last 7 days?
mpq-1053 What OTHER pain have you had in the last 7 days? Please describe
mpq-1054 How often have Other strategies or methods you have tried in the last 6 months helped with your pain? Please describe
mpq-1055 Have you used any Other items you can buy without a prescription from your doctor to help with your pain in the last 6 months? Please describe
mpq-1056 How often has Medical marijuana helped with your pain in the last 6 months?
mpq-1057 Have you used any Other prescription medications to help with your pain in the last 6 months?: Please describe
mpq-1058 How often has Cognitive behavioral therapy helped with your pain in the last 6 months?
mpq-1059 Have you tried any Other mind-body techniques or therapies to help with your pain in the last 6 months? Please describe
mpq-1060 How often has CBD oil helped with your pain in the last 6 months?
mpq-1061 Did the patient view the 4 flat tires video
mpq-1062 Did the patient access the US Chronic Pain website
mpq-1063 Please indicate your level of agreement with the following statement: Using the MyPAIN tool has helped me begin preparing for a conversation with my provider about managing my pain.
mpq-1064 Do you have any other feedback or thoughts to share on your use of MyPAIN?
mpq-1065 When did the patient submit their questionnaire response?
pain-location Please describe the location(s) of any pain you have had in the past 7 days.
my-pain-intensity Thinking about your overall pain, in the past 7 days, please respond to the questions below:
my-pain-interference Thinking about your overall pain, in the past 7 days, please respond to the questions below:
about-my-treatments My Treatments Questionnaire Grouping Code
about-my-goals We'd like to know more about you and your goals
mypain-feedback Feedback on your use of MyPAIN
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How intense was your pain at its worst?", "property": [ { "code": "http://hl7.org/fhir/concept-properties#status", "valueCode": "retired" } ] }, { "code": "mpq-1002", "display": "In the past 7 days - How intense was your average pain?", "property": [ { "code": "http://hl7.org/fhir/concept-properties#status", "valueCode": "retired" } ] }, { "code": "mpq-1003", "display": "In the past 7 days - What is your level of pain right now?", "property": [ { "code": "http://hl7.org/fhir/concept-properties#status", "valueCode": "retired" } ] }, { "code": "mpq-1004", "display": "In the past 7 days - How much did pain interfere with your day to day activities?", "property": [ { "code": "http://hl7.org/fhir/concept-properties#status", "valueCode": "retired" } ] }, { "code": "mpq-1005", "display": "In the past 7 days - How much did pain interfere with your work?", "property": [ { "code": "http://hl7.org/fhir/concept-properties#status", "valueCode": "retired" } ] }, { "code": "mpq-1006", "display": "In the past 7 days - How much did pain interfere with your ability to participate in social activities?", "property": [ { "code": "http://hl7.org/fhir/concept-properties#status", "valueCode": "retired" } ] }, { "code": "mpq-1007", "display": "In the past 7 days - How much did pain interfere with your household chores?", "property": [ { "code": "http://hl7.org/fhir/concept-properties#status", "valueCode": "retired" } ] }, { "code": "mpq-1008", "display": "How often have Exercises at home (such as those assigned by a therapist) or outside (such as walking, jogging, swimming) you have tried in the past 6 months helped you with your pain?" }, { "code": "mpq-1009", "display": "How often have Sleep positioners or devices (such as additional pillows, padding, etc.) you have tried in the past 6 months helped you with your pain?" }, { "code": "mpq-1010", "display": "How often has Stretching you have tried in the past 6 months helped you with your pain?" }, { "code": "mpq-1011", "display": "How often has Weight loss or changes in your diet you have tried in the past 6 months helped you with your pain?" }, { "code": "mpq-1012", "display": "How often has Setting and reaching activity goals you have tried in the past 6 months helped you with your pain?" }, { "code": "mpq-1013", "display": "How often has Ice or heat therapy you have tried in the past 6 months helped you with your pain?" }, { "code": "mpq-1014", "display": "How often has Physical therapy you have tried in the past 6 months helped you with your pain?" }, { "code": "mpq-1015", "display": "How often has Acupuncture you have tried in the past 6 months helped you with your pain?" }, { "code": "mpq-1016", "display": "How often has Chiropractic treatment you have tried in the past 6 months helped you with your pain?" }, { "code": "mpq-1017", "display": "How often have Pain relievers (such as Advil, Aleve, Aspirin, Ibuprofen, Motrin, Tylenol) you can buy without a prescription from your doctor that you have used in the last 6 months helped with your pain?" }, { "code": "mpq-1018", "display": "How often have Herbal or nutritional pain relievers (such as ginseng or kava kava) that you have used in the last 6 months helped with your pain?" }, { "code": "mpq-1019", "display": "How often have Cremes, lotions, gels or patches applied to the skin (for example Bengay, Tiger Balm or BioFreeze) that you have used in the last 6 months helped with your pain?" }, { "code": "mpq-1020", "display": "How often have prescription Opioid medications (such as hydrocodone, oxycodone, codeine, morphine and fentanyl) helped with your pain in the last 6 months?" }, { "code": "mpq-1021", "display": "How often have prescription Cortisone injections (a shot to relieve inflammation) helped with your pain in the last 6 months?" }, { "code": "mpq-1022", "display": "How often have prescription Non-opioid medications as prescribed by a doctor (such as Celebrex, Cymbalta) helped with your pain in the last 6 months?" }, { "code": "mpq-1023", "display": "How often has Yoga helped with your pain in the last 6 months?" }, { "code": "mpq-1024", "display": "How often has Massage helped with your pain in the last 6 months?" }, { "code": "mpq-1025", "display": "How often has Meditation helped with your pain in the last 6 months?" }, { "code": "mpq-1026", "display": "How often has Relaxation or mindfulness-based training helped with your pain in the last 6 months?" }, { "code": "mpq-1027", "display": "How often has Group or individual therapy for pain helped with your pain in the last 6 months?" }, { "code": "mpq-1028", "display": "How often has Acceptance and commitment therapy helped with your pain in the last 6 months?" }, { "code": "mpq-1029", "display": "How often has Sleep management (such as a sleep study or CPAP) helped with your pain in the last 6 months?" }, { "code": "mpq-1030", "display": "How often has Aromatherapy helped with your pain in the last 6 months?" }, { "code": "mpq-1031", "display": "How often have Crystals helped with your pain in the last 6 months?" }, { "code": "mpq-1032", "display": "How often have Essential oils helped with your pain in the last 6 months?" }, { "code": "mpq-1033", "display": "How often has Music therapy helped with your pain in the last 6 months?" }, { "code": "mpq-1034", "display": "Have you tried any Other new treatments to help with your pain in the last 6 months? Please describe" }, { "code": "mpq-1035", "display": "What are your most important activity goals? For example: I’d like to be able to walk without pain." }, { "code": "mpq-1036", "display": "What are the biggest barriers to achieving your activity goals? For example: I have a lot of stress from work which makes my pain worse." }, { "code": "mpq-1037", "display": "DEPRECATED", "property": [ { "code": "http://hl7.org/fhir/concept-properties#status", "valueCode": "retired" } ] }, { "code": "mpq-1038", "display": "What type of HEAD pain have you had in the last 7 days?" }, { "code": "mpq-1039", "display": "What type of NECK pain have you had in the last 7 days?" }, { "code": "mpq-1040", "display": "What type of SHOULDERS pain have you had in the last 7 days?" }, { "code": "mpq-1041", "display": "What type of ARMS pain have you had in the last 7 days?" }, { "code": "mpq-1042", "display": "What type of UPPER BACK pain have you had in the last 7 days?" }, { "code": "mpq-1043", "display": "What type of LOWER BACK pain have you had in the last 7 days?" }, { "code": "mpq-1044", "display": "What type of HANDS pain have you had in the last 7 days?" }, { "code": "mpq-1045", "display": "What type of ABDOMEN pain have you had in the last 7 days?" }, { "code": "mpq-1046", "display": "What type of PELVIS pain have you had in the last 7 days?" }, { "code": "mpq-1047", "display": "What type of HIPS pain have you had in the last 7 days?" }, { "code": "mpq-1048", "display": "What type of UPPER LEGS pain have you had in the last 7 days?" }, { "code": "mpq-1049", "display": "What type of KNEES pain have you had in the last 7 days?" }, { "code": "mpq-1050", "display": "What type of LOWER LEGS pain have you had in the last 7 days?" }, { "code": "mpq-1051", "display": "What type of FEET pain have you had in the last 7 days?" }, { "code": "mpq-1052", "display": "What type of EVERYWHERE pain have you had in the last 7 days?" }, { "code": "mpq-1053", "display": "What OTHER pain have you had in the last 7 days? Please describe" }, { "code": "mpq-1054", "display": "How often have Other strategies or methods you have tried in the last 6 months helped with your pain? Please describe" }, { "code": "mpq-1055", "display": "Have you used any Other items you can buy without a prescription from your doctor to help with your pain in the last 6 months? Please describe" }, { "code": "mpq-1056", "display": "How often has Medical marijuana helped with your pain in the last 6 months?" }, { "code": "mpq-1057", "display": "Have you used any Other prescription medications to help with your pain in the last 6 months?: Please describe" }, { "code": "mpq-1058", "display": "How often has Cognitive behavioral therapy helped with your pain in the last 6 months?" }, { "code": "mpq-1059", "display": "Have you tried any Other mind-body techniques or therapies to help with your pain in the last 6 months? Please describe" }, { "code": "mpq-1060", "display": "How often has CBD oil helped with your pain in the last 6 months?" }, { "code": "mpq-1061", "display": "Did the patient view the 4 flat tires video" }, { "code": "mpq-1062", "display": "Did the patient access the US Chronic Pain website" }, { "code": "mpq-1063", "display": "Please indicate your level of agreement with the following statement: Using the MyPAIN tool has helped me begin preparing for a conversation with my provider about managing my pain." }, { "code": "mpq-1064", "display": "Do you have any other feedback or thoughts to share on your use of MyPAIN?" }, { "code": "mpq-1065", "display": "When did the patient submit their questionnaire response?" }, { "code": "pain-location", "display": "Please describe the location(s) of any pain you have had in the past 7 days." }, { "code": "my-pain-intensity", "display": "Thinking about your overall pain, in the past 7 days, please respond to the questions below:" }, { "code": "my-pain-interference", "display": "Thinking about your overall pain, in the past 7 days, please respond to the questions below:" }, { "code": "about-my-treatments", "display": "My Treatments Questionnaire Grouping Code" }, { "code": "about-my-goals", "display": "We'd like to know more about you and your goals" }, { "code": "mypain-feedback", "display": "Feedback on your use of MyPAIN" } ] }