{
"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).",
"_filename": "questionnaire-audit-c.json",
"package_name": "IdHIE.0v",
"date": "2023-03-30T22:48:32.9749675+00:00",
"meta": {
"source": "http://provider.hie.moh.gov.my",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Questionnaire" ]
},
"publisher": null,
"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.",
"name": null,
"item": [ {
"code": [ {
"code": "68518-0",
"system": "http://loinc.org"
} ],
"text": "How often do you have a drink containing alcohol?",
"type": "choice",
"linkId": "01",
"prefix": "01",
"required": true,
"answerOption": [ {
"valueCoding": {
"code": "LA6270-8",
"system": "http://loinc.org",
"display": "Never"
}
}, {
"valueCoding": {
"code": "LA18926-8",
"system": "http://loinc.org",
"display": "Monthly or less"
}
}, {
"valueCoding": {
"code": "LA18927-6",
"system": "http://loinc.org",
"display": "2-4 times a month"
}
}, {
"valueCoding": {
"code": "LA18928-4",
"system": "http://loinc.org",
"display": "2-3 times a week"
}
}, {
"valueCoding": {
"code": "LA18929-2",
"system": "http://loinc.org",
"display": "4 or more times a week"
}
} ]
}, {
"code": [ {
"code": "68519-8",
"system": "http://loinc.org"
} ],
"text": "How many standard drinks containing alcohol do you have on a typical day when drinking?",
"type": "choice",
"linkId": "02",
"prefix": "02",
"required": true,
"answerOption": [ {
"valueCoding": {
"code": "LA6270-8",
"system": "http://loinc.org",
"display": "Never"
}
}, {
"valueCoding": {
"code": "LA18926-8",
"system": "http://loinc.org",
"display": "Monthly or less"
}
}, {
"valueCoding": {
"code": "LA18927-6",
"system": "http://loinc.org",
"display": "2-4 times a month"
}
}, {
"valueCoding": {
"code": "LA18928-4",
"system": "http://loinc.org",
"display": "2-3 times a week"
}
}, {
"valueCoding": {
"code": "LA18929-2",
"system": "http://loinc.org",
"display": "4 or more times a week"
}
} ]
}, {
"code": [ {
"code": "68520-6",
"system": "http://loinc.org"
} ],
"text": "How often do you have six or more drinks on one occasion?",
"type": "choice",
"linkId": "03",
"prefix": "03",
"required": true,
"answerOption": [ {
"valueCoding": {
"code": "LA6270-8",
"system": "http://loinc.org",
"display": "Never"
}
}, {
"valueCoding": {
"code": "LA18926-8",
"system": "http://loinc.org",
"display": "Monthly or less"
}
}, {
"valueCoding": {
"code": "LA18927-6",
"system": "http://loinc.org",
"display": "2-4 times a month"
}
}, {
"valueCoding": {
"code": "LA18928-4",
"system": "http://loinc.org",
"display": "2-3 times a week"
}
}, {
"valueCoding": {
"code": "LA18929-2",
"system": "http://loinc.org",
"display": "4 or more times a week"
}
} ]
}, {
"code": [ {
"code": "75626-2",
"system": "http://loinc.org"
} ],
"text": "Total score [AUDIT-C]",
"type": "integer",
"linkId": "04",
"prefix": "04",
"readOnly": true,
"required": true
} ],
"useContext": [ {
"code": {
"code": "workflow",
"system": "http://hl7.org/fhir/CodeSystem/usage-context-type",
"display": "Workflow Setting"
},
"valueCodeableConcept": {
"coding": [ {
"code": "self-assessment",
"display": "Self-Assessment"
} ]
}
} ],
"type": null,
"experimental": null,
"resourceType": "Questionnaire",
"title": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]",
"package_version": "0.0.1",
"status": "active",
"id": "9e6314b2-8ebe-4fd5-8c74-d13e6471c5c4",
"kind": null,
"url": "http://fhir.hie.moh.gov.my/Questionnaire/questionnaire-audit-c",
"code": [ {
"code": "72109-2",
"system": "http://loinc.org"
} ],
"version": null
}