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Packagemyhie.v4
Resource TypeQuestionnaire
Idq-audit-c.json
FHIR VersionR4

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Source1

{
  "resourceType": "Questionnaire",
  "id": "q-audit-c",
  "url": "http://fhir.hie.moh.gov.my/Questionnaire/q-audit-c",
  "title": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]",
  "status": "active",
  "date": "2024-02-12T04:04:09.5621857+00:00",
  "description": "The AUDIT-C is scored on a scale of 0-12 (scores of 0 reflect no alcohol use). In men, a score of 4 or more is considered positive; in women, a score of 3 or more is considered positive. Generally, the higher the AUDIT-C score, the more likely it is that the person's drinking is affecting his/her health and safety.",
  "useContext": [
    {
      "code": {
        "system": "http://hl7.org/fhir/CodeSystem/usage-context-type",
        "code": "workflow",
        "display": "Workflow Setting"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "self-assessment",
            "display": "Self-Assessment"
          }
        ]
      }
    }
  ],
  "purpose": "The AUDIT questionnaire is designed to help in the self-assessment of alcohol consumption and to identify any implications for the person's health and wellbeing, now and in the future.",
  "code": [
    {
      "system": "http://loinc.org",
      "code": "72109-2",
      "display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
    }
  ],
  "item": [
    {
      "linkId": "01",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "68518-0",
          "display": "How often do you have a drink containing alcohol"
        }
      ],
      "prefix": "1",
      "text": "How often did you have a drink containing alcohol in the past year?",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6270-8",
            "display": "Never"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18926-8",
            "display": "Monthly or less"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18927-6",
            "display": "Two to four times a month"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18928-4",
            "display": "Two to three times per week"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18929-2",
            "display": "Four or more times a week"
          }
        }
      ]
    },
    {
      "linkId": "02",
      "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 drinks containing alcohol did you have on a typical day when you were drinking in the past year?",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6270-8",
            "display": "1 or 2 drinks"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18926-8",
            "display": "3 or 4"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18927-6",
            "display": "5 to 6"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18928-4",
            "display": "7 to 9"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18929-2",
            "display": "10 or more"
          }
        }
      ]
    },
    {
      "linkId": "03",
      "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 did you have six or more drinks on one occasion in the past year?",
      "type": "choice",
      "required": true,
      "answerOption": [
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 0
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA6270-8",
            "display": "Never"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 1
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18926-8",
            "display": "Less than monthly"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 2
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18927-6",
            "display": "monthly"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 3
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18928-4",
            "display": "weekly"
          }
        },
        {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue-my-core",
              "valueDecimal": 4
            }
          ],
          "valueCoding": {
            "system": "http://loinc.org",
            "code": "LA18929-2",
            "display": "daily or almost daily"
          }
        }
      ]
    },
    {
      "id": "score",
      "linkId": "04",
      "code": [
        {
          "system": "http://loinc.org",
          "code": "75626-2",
          "display": "Total score [AUDIT-C]"
        }
      ],
      "prefix": "4",
      "text": "Total score [AUDIT-C]",
      "type": "integer",
      "required": true,
      "readOnly": true
    },
    {
      "id": "outcome",
      "linkId": "05",
      "code": [
        {
          "code": "outcome"
        }
      ],
      "prefix": "5",
      "text": "Outcome Summary [AUDIT]",
      "type": "choice",
      "required": true,
      "readOnly": true,
      "answerOption": [
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-c-my-core",
            "code": "a1",
            "display": "Low-Risk Consumption"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-c-my-core",
            "code": "a2",
            "display": "Alcohol misuse"
          }
        },
        {
          "valueCoding": {
            "system": "http://fhir.hie.moh.gov.my/CodeSystem/outcome-audit-c-my-core",
            "code": "a3",
            "display": "Alcohol misuse and possible health effected"
          }
        }
      ]
    }
  ]
}