Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]

Source

{
  "resourceType": "Questionnaire",
  "id": "questionnaire-example-audit-c",
  "meta": {
    "profile": [
      "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaire"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
    {
      "resourceType": "ValueSet",
      "id": "LL2179-1",
      "meta": {
        "profile": [
          "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaire-valueset"
        ]
      },
      "url": "http://fhir.org/guides/argonaut/questionnaire/ValueSet/LL2179-1",
      "status": "active",
      "copyright": "This content LOINC is copyright 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.",
      "compose": {
        "include": [
          {
            "valueSet": [
              "http://loinc.org/vs/LL2179-1"
            ]
          }
        ]
      },
      "expansion": {
        "identifier": "urn:uuid:6481e17e-7096-4260-961a-4766e83a369c",
        "timestamp": "2019-02-06T02:00:03+00:00",
        "total": 5,
        "parameter": [
          {
            "name": "version",
            "valueUri": "http://loinc.org/vs/LL2179-1|Loinc_2.65_AnswerFile_2.65-Beta.3"
          }
        ],
        "contains": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 0
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA6270-8",
            "display": "Never"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 1
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA18926-8",
            "display": "Monthly or less"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 2
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA18927-6",
            "display": "2-4 times a month"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 3
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA18928-4",
            "display": "2-3 times a week"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 4
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA18929-2",
            "display": "4 or more times a week"
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "LL2180-9",
      "meta": {
        "profile": [
          "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaire-valueset"
        ]
      },
      "url": "http://fhir.org/guides/argonaut/questionnaire/ValueSet/LL2180-9",
      "status": "active",
      "copyright": "This content LOINC is copyright 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.",
      "compose": {
        "include": [
          {
            "valueSet": [
              "http://loinc.org/vs/LL2180-9"
            ]
          }
        ]
      },
      "expansion": {
        "identifier": "urn:uuid:f06e44cc-4710-4bde-9294-5bd27b1faf37",
        "timestamp": "2019-02-06T03:14:39+00:00",
        "total": 5,
        "parameter": [
          {
            "name": "version",
            "valueUri": "http://loinc.org/vs/LL2180-9|Loinc_2.65_AnswerFile_2.65-Beta.3"
          }
        ],
        "contains": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 0
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA15694-5",
            "display": "1 or 2"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 1
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA15695-2",
            "display": "3 or 4"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 2
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA18930-0",
            "display": "5 or 6"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 3
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA18931-8",
            "display": "7 to 9"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 4
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA18932-6",
            "display": "10 or more"
          }
        ]
      }
    },
    {
      "resourceType": "ValueSet",
      "id": "LL2181-7",
      "meta": {
        "profile": [
          "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaire-valueset"
        ]
      },
      "url": "http://fhir.org/guides/argonaut/questionnaire/ValueSet/LL2181-7",
      "status": "active",
      "copyright": "This content LOINC is copyright 1995 Regenstrief Institute, Inc. and the LOINC Committee, and available at no cost under the license at http://loinc.org/terms-of-use.",
      "compose": {
        "include": [
          {
            "valueSet": [
              "http://loinc.org/vs/LL2181-7"
            ]
          }
        ]
      },
      "expansion": {
        "identifier": "urn:uuid:46e27068-03fa-46cb-a8d0-28f3114d0671",
        "timestamp": "2019-02-06T03:18:03+00:00",
        "total": 5,
        "parameter": [
          {
            "name": "version",
            "valueUri": "http://loinc.org/vs/LL2181-7|Loinc_2.65_AnswerFile_2.65-Beta.3"
          }
        ],
        "contains": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 0
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA6270-8",
            "display": "Never"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 1
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA18933-4",
            "display": "Less than monthly"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 2
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA18876-5",
            "display": "Monthly"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 3
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA18891-4",
            "display": "Weekly"
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-conceptOrder",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/valueset-ordinalValue",
                "valueDecimal": 4
              }
            ],
            "system": "http://loinc.org",
            "version": "2.65",
            "code": "LA18934-2",
            "display": "Daily or almost daily"
          }
        ]
      }
    }
  ],
  "extension": [
    {
      "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-timeLimit",
      "valueDuration": {
        "value": 1,
        "unit": "hour",
        "system": "http://unitsofmeasure.org",
        "code": "h"
      }
    }
  ],
  "url": "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-audit-c",
  "identifier": [
    {
      "system": "http://acme.org/q-identifiers",
      "value": "audit-c"
    }
  ],
  "version": "0.0.0",
  "title": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]",
  "status": "draft",
  "date": "2019-02-06",
  "publisher": "Argonaut Project",
  "description": "The Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) is a brief validated screen for risky drinking and alcohol abuse and dependence (alcohol misuse).",
  "useContext": [
    {
      "code": {
        "system": "http://hl7.org/fhir/usage-context-type",
        "code": "task",
        "display": "Workflow Task"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://acme.org",
            "code": "example",
            "display": "Example of Use"
          }
        ]
      }
    }
  ],
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://argonautwiki.hl7.org"
        }
      ]
    }
  ],
  "copyright": "Copyright 2001 World Health Organization. Terms of Use: WHO exercises copyright over its information to make sure that it is used in accordance with the Organization's principles. Extracts of WHO information can be used for private study or for educational purposes without permission. Wider use requires permission to be obtained from WHO.  http://www.who.int/about/licensing/en/",
  "code": [
    {
      "system": "http://loinc.org",
      "code": "72109-2",
      "display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
    }
  ],
  "subjectType": [
    "Patient"
  ],
  "item": [
    {
      "extension": [
        {
          "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
          "valueInteger": 0
        }
      ],
      "linkId": "q1",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "68518-0",
          "display": "How often do you have a drink containing alcohol"
        }
      ],
      "prefix": "1.",
      "text": "How often do you have a drink containing alcohol",
      "type": "choice",
      "required": true,
      "repeats": false,
      "options": {
        "reference": "#LL2179-1",
        "display": "Never/Monthly or less/2-4 times a month/2-3 times a week/4 or more times a week"
      }
    },
    {
      "extension": [
        {
          "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
          "valueInteger": 1
        }
      ],
      "linkId": "q2",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "68519-8",
          "display": "How many standard drinks containing alcohol do you have on a typical day"
        }
      ],
      "prefix": "2.",
      "text": "How many standard drinks containing alcohol do you have on a typical day",
      "type": "choice",
      "required": true,
      "repeats": false,
      "options": {
        "reference": "#LL2180-9",
        "display": "1 or 2 / 3 or 4 / 5 or 6 / 7 to 9 / 10 or more"
      }
    },
    {
      "extension": [
        {
          "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
          "valueInteger": 2
        }
      ],
      "linkId": "q3",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "68520-6",
          "display": "How often do you have 6 or more drinks on 1 occasion"
        }
      ],
      "prefix": "3.",
      "text": "How often do you have 6 or more drinks on 1 occasion",
      "type": "choice",
      "required": true,
      "repeats": false,
      "options": {
        "reference": "#LL2181-7",
        "display": "Never / Less than monthly / Monthly / Weekly / Daily or almost daily"
      }
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
          "valueBoolean": true
        },
        {
          "url": "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
          "valueInteger": 3
        },
        {
          "url": "http://hl7.org/fhir/StructureDefinition/designNote",
          "valueMarkdown": "this is hidden text/should not be displayed to the user"
        }
      ],
      "linkId": "d1",
      "text": "The Alcohol Use Disorders Identification Test C (AUDIT-C) is scored on a scale of 0-12 where the higher the score, the more likely the patient's drinking is hazardous. A score of 4 ormore for men and 3 or more for women is considered positive for hazardous drinking or active alcohol use disorders. If the points are all from Question 1 alone where 2 and 3 are 0, it is likely the patient is drinking below recommended limits. The care provider may review the patientsalcohol intake over that past few months to confirm accuracy.",
      "type": "display"
    }
  ]
}