Question 3 - Comorbid Conditions

Does the patient have ANY of the following conditions?

  • Chronic heart disease (e.g. CHF, excluding hypertension)
  • Chronic lung disease (e.g. asthma, COPD)
  • Chronic liver disease (e.g. cirrhosis)
  • Alcoholism
  • Diabetes
  • Current cigarette smoking
  • Homelessness
  • Illicit drug use