| ▸ Reason for contact, orally expressed by the patient: |
| For example, ‘I have requested a consultation because of …’ |
| ▸ Ideas | Are the ideas of the patient about a possible diagnosis, treatment, or prognosis expressed in the consultation? (Yes/No) |
| If yes, what ideas are expressed? |
| ▸ Concerns | Is concern (fear/worry) of the patient about a possible diagnosis or therapy present in the consultation? (Yes/No) |
| If yes, what are the concerns about? |
| ▸ Expectations | Is the expectation (what the patient wants) for a treatment, a diagnosis, or a therapy present in the consultation? (Yes/No) |
| If yes, what are the expectations of the patient? |