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alert and oriented x 3. Clinical shorthand for the findings in a physical examination of the patient by a healthcare worker, referring to a patient who is responsive to his or her environment (alert), and knows who he or she is, where he or she is, and the approximate time.linical shorthand for the findings in a physical examination of the patient by a healthcare worker, referring to a patient who is responsive to his or her environment (alert), and knows who he or she is, where he or she is, and the approximate time.
â¢ Q1 â Routine clinical service provided in a clinical research study that is in an. approved clinical research study. How to Use the Modifiers: Use the Q0 and Q1 modifiers on outpatient provider claims for items/services provided in. Medicare qualified clinical trials/studies.