CSDD-RS (122)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT CSDD-RS
LAST UPDATE 2022-04-08 13:40:27
ENTRY CHECKSUM 3403740193
ENTRY SPECIFICATION
{"name": "CSDD-RS", 
 patient. If there are discrepancies in ratings from the informant and the
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   {"id": "q8362", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "5. BEHAVIORAL DISTURBANCE: Agitation; restlessness, hand wringing, hair pulling", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   {"id": "q8363", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "6. BEHAVIORAL DISTURBANCE: Retardation; slow movements, slow speech, slow
 reaction", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 items represent the rater's clinical impression rather than the responses of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
 informant or the patient. The semi-structured interviews can be found at the
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   {"id": "q8364", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "7. BEHAVIORAL DISTURBANCE: Multiple physical complaints (score 0 if
 gastrointestinal symptoms only)", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
 Program Office."
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   {"id": "q8365", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "8. BEHAVIORAL DISTURBANCE: Loss of interest; less involved in usual activities
 (score 0 only if change occurred acutely, i.e., in less than one month)", 
    }, 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
   {"id": "q8358", "type": "ChoiceQuestion", "required": true, "inline": false, 
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   {"id": "q8366", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "1. MOOD-RELATED SIGNS: Anxiety; anxious expression, rumination, worrying", 
    "text": "9. PHYSICAL SIGNS: Appetite loss; eating less than usual", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 "restartDays": 2, 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
 interview. If symptoms result from physical disability or illness, select the
   {"id": "q8367", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "10. PHYSICAL SIGNS: Weight loss (score 2 if greater than 5 pounds in one month)", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 corresponding response below (response #4). Ratings are based on two
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
 semi-structured interviews: an interview of an informant and an interview of the
   ]}, 
   {"id": "q8368", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "11. PHYSICAL SIGNS: Lack of energy; fatigues easily, unable to sustain activities", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 patient. If there are discrepancies in ratings from the informant and the
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
 patient interviews, the rater should re-interview both the informant and the
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   {"id": "q8369", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "12. CYCLIC FUNCTIONS: Diurnal variation of mood; symptoms worse in the morning", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
 items represent the rater's clinical impression rather than the responses of the
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   {"id": "q8370", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "13. CYCLIC FUNCTIONS: Difficulty falling asleep; later than usual for this
 individual", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 informant or the patient. The semi-structured interviews can be found at the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   {"id": "q8371", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "14. CYCLIC FUNCTIONS: Multiple awakenings during sleep", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 "printTitle": "Cornell Scale for Depression in Dementia - Response Sheet (CSDD-RS)",
 Program Office.", 
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
    "columns": 1, 
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   {"id": "q8372", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "15. CYCLIC FUNCTIONS: Early morning awakening; earlier than usual for this
 individual", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
    "choices":[
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   {"id": "q8373", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "16. IDEATIONAL DISTURBANCE: Suicidal; feels life is not worth living", 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   {"id": "q8374", "type": "ChoiceQuestion", "required": true, "inline": false, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
    "text": "17. IDEATIONAL DISTURBANCE: Poor self-esteem; self-blame, self-depreciation,
 feelings of failure", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   ]}, 
   {"id": "q8375", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "18. IDEATIONAL DISTURBANCE: Pessimism; anticipation of the worst", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
   {"id": "q8359", "type": "ChoiceQuestion", "required": true, "inline": false, 
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
 "content":[
    "text": "2. MOOD-RELATED SIGNS: Sadness; sad expression, sad voice, tearfulness", 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   {"id": "q8376", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "19. IDEATIONAL DISTURBANCE: Mood congruent delusions; delusions of poverty,
 illness or loss", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
 interview. If symptoms result from physical disability or illness, select the
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
   {"id": "q8377", "type": "MemoQuestion", "required": false, 
    "text": " NOTES/CURRENT MEDICATIONS:(if none, type N/A and click Finish)", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 corresponding response below (response #4). Ratings are based on two
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "controlWidth": 646}]
}
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
   {"id": "i2393", "type": "IntroText", 
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
   ]}, 
    "text": "Ratings should be based on symptoms and signs occurring during the week before
   {"id": "q8360", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "3. MOOD-RELATED SIGNS: Lack of reaction to pleasant events", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 items represent the rater's clinical impression rather than the responses of the
 interview. If symptoms result from physical disability or illness, select the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3}, 
     {"id": "c4071", "text": "4. Symptoms result from physical disability or illness", "quickKey": 4}
 corresponding response below (response #4). Ratings are based on two
   ]}, 
   {"id": "q8361", "type": "ChoiceQuestion", "required": true, "inline": false, 
    "text": "4. MOOD-RELATED SIGNS: Irritability; annoyed, short tempered", 
    "intro": "Ratings should be based on symptoms and signs occurring during the week before
 interview. If symptoms result from physical disability or illness, select the
 corresponding response below (response #4). Ratings are based on two
 semi-structured interviews: an interview of an informant and an interview of the
 patient. If there are discrepancies in ratings from the informant and the
 patient interviews, the rater should re-interview both the informant and the
 patient with the goal to resolve the discrepancies.The final ratings of the CSDD
 semi-structured interviews: an interview of an informant and an interview of the
 items represent the rater's clinical impression rather than the responses of the
 informant or the patient. The semi-structured interviews can be found at the
 Geriatric Mental Health Site on the VHA Pulse or by contacting the Mental Health
 Program Office.", 
    "columns": 1, 
    "choices":[
     {"id": "c4067", "text": "0. Absent", "quickKey": 0}, 
     {"id": "c4068", "text": "1. Mild to Intermittent", "quickKey": 1}, 
     {"id": "c4069", "text": "2. Severe", "quickKey": 2}, 
     {"id": "c4070", "text": "3. Unable to evaluate", "quickKey": 3},