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Example Reports

  • The tablet is open-ended to ask top-level screening questions. The tablet's-program detects screening-question responses and triggers the appropriate tool - staff just sets the tablet on the communication base for data transfer.
  • Results also feed the Electronic Medical Record.
 

"Site reviews can be done efficiently with standardized criteria"

 


Pain

Alcohol Abuse

Depression

Diabetic Monitoring

PTSD, Depression, Bipolar, Suicide

Pain Disability Questionnaire
[ view PDF ]

No License

PHQ-15 Somatic
[ view PDF ]

Symptom Severity

CAGE

No License

Beck Depression Inventory II
License Required
[ view PDF ]

DUKE - Eleven intake dimensions
[ view PDF ]

Diabetes Impact Measurement Scale

No License

Quick PsychoDiagnostics Panel - Specific DSM-IV diagnoses with diagnosis codes
[ view PDF ] - License Required

Wellness [ view PDF ]
Wellness Now!

PAR-Q - Physical Activity Readiness Questionnaire [ view PDF ]

Reimbursable using CPT: 96101, 96103

McGill Short Form

Quadruple Visual Analogue Scale QVA

Bournemouth Neck Questionnaire

Qswestry Neck and
Back pain
[ view PDF ]

The AUDIT

No License

PHQ-9 [ view PDF ]
No License

CES_D Center
[ view PDF ]

for Epidemiologic Studies

Diabetes Care Profile (Michigan Diabetes Research and Training Center)

No License

Proven in primary-care settings

Plastic Surgery
Geriatric
Depression, Drugs, Eating
Anxiety
Sleep Apnea

Plastic Surgery Report [ view PDF ]

RAND VES-13
[ view PDF ]

GDS - Geriatric Depression Scale
[ view PDF ]

Functional Status Quest FSQ

Functional Activities Quest

FAQ

PHQ-A - depression and mood fear and anxiety - No License

Alcohol & cigarettes, Depression  and mood, Fear and anxiety, Drug use, Eating [ view PDF ]

Zung Anxiety Report
[ view PDF ] - No License

  • Kaiser Permanente’s Sleep Apnea -
    No License
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RAND Health