353 - Food allergies, please list: Bifida <Text box>, 100 characters Myelomeningocele 342 - Gastrointestinal disorder Parkinson’s disease <Condition list box> Multiple Sclerosis (MS) 349 - Genetic and congenital disorders <Condition list box> Eating disorders list box 302 - Gestational Diabetes values: 301 - Hyperemesis - 301 Self-induced vomiting 345 - Hypertension Purgative abuse 356 - Hypoglycemia Use of drugs such as 303 - History of Gestational Diabetes appetite suppressants, 311 - History of preterm delivery thyroid preparations or 312 - History of LBW infant diuretics 321a - History of miscarriages, spontaneous abortion, neonatal Alternating periods of loss starvation 337 - History of LGA Self-induced marked 339 - History of congenital birth defects weight loss 345 - Hypertension 351 - Inborn of metabolism Gastrointestinal disorder <Condition list box> list box values: 352 - Infectious disease, affects nutritional status Gastroesophageal <Condition list box> reflux disease (GERD) 355 - Lactose intolerance, diagnosed Peptic 341 - Nutrient deficiency disease Post-bariatric surgery <Condition list box> Short bowel syndrome Inflammatory bowel disease (UC and Chron’s) disease Pancreatitis Biliary tract diseases
353 - Food allergies, please list: <Text box>, 100 characters 342 - Gastrointestinal disorder <Condition list box> 349 - Genetic and congenital disorders <Condition list box> 302 - Gestational Diabetes 301 - Hyperemesis - 301 345 - Hypertension 356 - Hypoglycemia 303 - History of Gestational Diabetes 311 - History of preterm delivery 312 - History of LBW infant 321a - History of miscarriages, spontaneous abortion, neonatal loss 337 - History of LGA 339 - History of congenital birth defects 345 - Hypertension 351 - Inborn of metabolism <Condition list box> 352 - Infectious disease, affects nutritional status <Condition list box> 355 - Lactose intolerance, diagnosed 341 - Nutrient deficiency disease <Condition list box> Bifida Myelomeningocele Parkinson’s disease Multiple Sclerosis (MS) Eating disorders list box values: Self-induced vomiting Purgative abuse Use of drugs such as appetite suppressants, thyroid preparations or diuretics Alternating periods of starvation Self-induced marked weight loss Gastrointestinal disorder list box values: Gastroesophageal reflux disease (GERD) Peptic Post-bariatric surgery Short bowel syndrome Inflammatory bowel disease (UC and Chron’s) disease Pancreatitis Biliary tract diseases
DFDD%20CS%203d%20Assessment%20-%20Interview%20Screens%20-%20Women.docx