Cardiorespiratory diseases Heart disease Cystic fibrosis Asthma requiring daily medication Other, as defined in the care plan 2d. Are you currently taking any medication? Text box Contents of text box go to Risk Listen, ask, and assess for A portion of Care Plan Medications that compromise nutritional status 357 - Prescription and non-prescription drugs that interfere with nutrients 2e. Was this your pregnancy? (Not including most Radio buttons: PNSS, PC Report recent pregnancy) Yes No If Yes, tab pattern would skip to complications or special conditions with this pregnancy. If No, tab pattern to next text box. Text box, Z9, Numeric PC Report, 333 ____ # of previous pregnancies Text box, Z9, Numeric PNSS, 333 _____ # of live births Text box, Z9, Numeric PNSS (live births _____ # of pregnancies past 20 plus pregnancies weeks/5 months past 20 weeks=parity), 333
Cardiorespiratory diseases Heart disease Cystic fibrosis Asthma requiring daily medication Other, as defined in the care plan 2d. Are you currently taking any medication? Listen, ask, and assess for Medications that compromise nutritional status 357 - Prescription and non-prescription drugs that interfere with nutrients Text box Contents of text box go to A portion of Care Plan Risk 2e. Was this your pregnancy? (Not including most recent pregnancy) Radio buttons: Yes No If Yes, tab pattern would skip to complications or special conditions with this pregnancy. If No, tab pattern to next text box. PNSS, PC Report Text box, Z9, Numeric ____ # of previous pregnancies PC Report, 333 Text box, Z9, Numeric _____ # of live births PNSS, 333 Text box, Z9, Numeric _____ # of pregnancies past 20 weeks/5 months PNSS (live births plus pregnancies past 20 weeks=parity), 333