COWS (28)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT COWS
LAST UPDATE 2022-04-08 08:12:48
ENTRY CHECKSUM 3196734022
ENTRY SPECIFICATION
{"name": "COWS", 
    }, 
    "choices":[
     {"id": "c2684", "text": "0. No GI symptoms (Score 0)", "quickKey": 0}, 
     {"id": "c2685", "text": "1. Stomach cramps (Score 1)", "quickKey": 1}, 
     {"id": "c2686", "text": "2. Nausea or loose stool (Score 2)", "quickKey": 2}, 
     {"id": "c2687", "text": "3. Vomiting or diarrhea (Score 3)", "quickKey": 3}, 
     {"id": "c2688", "text": "4. Multiple episodes of diarrhea or vomiting (Score 5)", "quickKey": 4}
   ]}, 
   {"id": "q4040", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "8. Tremor: Observation of outstretched hands.", 
    "intro": "For each item, select the best description of the patient's signs or symptom.
   {"id": "q4022", "type": "ChoiceQuestion", "required": false, "inline": false, 
 Rate on just the apparent relationship to opiate withdrawal. For example, if
 heart rate is increased because the patient  was jogging just prior to
 assessment, the increase pulse rate would not add to the score.  ", 
    "columns": 1, 
    "choices":[
     {"id": "c2689", "text": "0. No tremor (Score 0)", "quickKey": 0}, 
     {"id": "c2690", "text": "1. Tremor can be felt, but not observed (Score 1)", "quickKey": 1}, 
     {"id": "c2691", "text": "2. Slight tremor observable (Score 2)", "quickKey": 2}, 
     {"id": "c2692", "text": "3. Gross tremor or muscle twitching (Score 4)", "quickKey": 3}
   ]}, 
    "text": "1. Resting Pulse Rate: Measured after patient is sitting or lying for one minute.", 
   {"id": "q4041", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "9. Yawning: Observation during assessment.", 
    "intro": "For each item, select the best description of the patient's signs or symptom.
 Rate on just the apparent relationship to opiate withdrawal. For example, if
 heart rate is increased because the patient  was jogging just prior to
 assessment, the increase pulse rate would not add to the score.  ", 
    "columns": 1, 
    "choices":[
     {"id": "c2693", "text": "0. No yawning (Score 0)", "quickKey": 0}, 
     {"id": "c2694", "text": "1. Yawning once or twice during assessment (Score 1)", "quickKey": 1}, 
    "intro": "For each item, select the best description of the patient's signs or symptom.
     {"id": "c2695", "text": "2. Yawning three or more times during assessment (Score 2)", "quickKey": 2}, 
     {"id": "c2696", "text": "3. Yawning several times per minute (Score 4)", "quickKey": 3}
   ]}, 
   {"id": "q4042", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "10. Anxiety or Irritability.", 
    "intro": "For each item, select the best description of the patient's signs or symptom.
 Rate on just the apparent relationship to opiate withdrawal. For example, if
 heart rate is increased because the patient  was jogging just prior to
 assessment, the increase pulse rate would not add to the score.  ", 
    "columns": 1, 
 Rate on just the apparent relationship to opiate withdrawal. For example, if
    "choices":[
     {"id": "c2697", "text": "0. None (Score 0)", "quickKey": 0}, 
     {"id": "c2698", "text": "1. Patient reports increasing irritability or anxiousness (Score 1)", "quickKey": 1}, 
     {"id": "c2699", "text": "2. Patient obviously irritable or anxious (Score 2)", "quickKey": 2}, 
     {"id": "c2700", "text": "3. Patient so irritable or anxious that participation in the assessment is
 difficult (Score 4)", "quickKey": 3}
   ]}, 
   {"id": "q4043", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "11. Gooseflesh skin.", 
    "intro": "For each item, select the best description of the patient's signs or symptom.
 heart rate is increased because the patient  was jogging just prior to
 Rate on just the apparent relationship to opiate withdrawal. For example, if
 heart rate is increased because the patient  was jogging just prior to
 assessment, the increase pulse rate would not add to the score.  ", 
    "columns": 1, 
    "choices":[
     {"id": "c2701", "text": "0. Skin is smooth (Score 0)", "quickKey": 0}, 
     {"id": "c2702", "text": "1. Piloerection of skin can be felt or hairs standing up on arms (Score 3)", "quickKey": 1}, 
     {"id": "c2703", "text": "2. Prominent piloerection (Score 5)", "quickKey": 2}
   ]}]
}
 assessment, the increase pulse rate would not add to the score.  ", 
    "columns": 1, 
    "choices":[
     {"id": "c2628", "text": "0. Pulse rate 80 or below (Score 0)", "quickKey": 0}, 
 "restartDays": 2, 
     {"id": "c2629", "text": "1. Pulse rate 81 - 100 (Score 1)", "quickKey": 1}, 
     {"id": "c2662", "text": "2. Pulse rate 101 - 120 (Score 2)", "quickKey": 2}, 
     {"id": "c2663", "text": "3. Pulse rate greater than 120 (Score 4)", "quickKey": 3}
   ]}, 
   {"id": "q4033", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "2. Sweating: Over past half-hour, not accounted for by room temperature or
 patient activity.", 
    "intro": "For each item, select the best description of the patient's signs or symptom.
 Rate on just the apparent relationship to opiate withdrawal. For example, if
 heart rate is increased because the patient  was jogging just prior to
 "printTitle": "Clinical Opiate Withdrawal Scale",
 assessment, the increase pulse rate would not add to the score.  ", 
    "columns": 1, 
    "choices":[
     {"id": "c2664", "text": "0. No report of chills or flushing (Score 0)", "quickKey": 0}, 
     {"id": "c2665", "text": "1. Subjective report of chills or flushing (Score 1)", "quickKey": 1}, 
     {"id": "c2666", "text": "2. Flushed or observable moistness on face (Score 2)", "quickKey": 2}, 
     {"id": "c2667", "text": "3. Beads of sweat on brow or face (Score 3)", "quickKey": 3}, 
     {"id": "c2668", "text": "4. Sweat streaming off face (Score 4)", "quickKey": 4}
   ]}, 
   {"id": "q4035", "type": "ChoiceQuestion", "required": false, "inline": false, 
 "content":[
    "text": "3. Restlessness: Observation during assessment.", 
    "intro": "For each item, select the best description of the patient's signs or symptom.
 Rate on just the apparent relationship to opiate withdrawal. For example, if
 heart rate is increased because the patient  was jogging just prior to
 assessment, the increase pulse rate would not add to the score.  ", 
    "columns": 1, 
    "choices":[
     {"id": "c2669", "text": "0. Able to sit still (Score 0)", "quickKey": 0}, 
     {"id": "c2670", "text": "1. Reports difficulty sifting still, but is able to do so (Score 1)", "quickKey": 1}, 
     {"id": "c2671", "text": "2. Frequent shifting or extraneous movements of legs/arms (Score 3)", "quickKey": 2}, 
   {"id": "i512", "type": "IntroText", 
     {"id": "c2672", "text": "3. Unable to sit still for more than a few seconds (Score 5)", "quickKey": 3}
   ]}, 
   {"id": "q4036", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "4. Pupil size.", 
    "intro": "For each item, select the best description of the patient's signs or symptom.
 Rate on just the apparent relationship to opiate withdrawal. For example, if
 heart rate is increased because the patient  was jogging just prior to
 assessment, the increase pulse rate would not add to the score.  ", 
    "columns": 1, 
    "choices":[
    "text": "For each item, select the best description of the patient's signs or symptom.
     {"id": "c2673", "text": "0. Pupils pinned or normal size for room light (Score 0)", "quickKey": 0}, 
     {"id": "c2674", "text": "1. Pupils possibly larger than normal for room light (Score 1)", "quickKey": 1}, 
     {"id": "c2675", "text": "2. Pupils moderately dilated (Score 2)", "quickKey": 2}, 
     {"id": "c2676", "text": "3. Pupils so dilated that only the rim of the iris is visible (Score 5)", "quickKey": 3}
   ]}, 
   {"id": "q4037", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "5. Bone or joint aches: If patient was having pain previously, only the
 additional component attributed to opiates withdrawal is scored.", 
    "intro": "For each item, select the best description of the patient's signs or symptom.
 Rate on just the apparent relationship to opiate withdrawal. For example, if
 Rate on just the apparent relationship to opiate withdrawal. For example, if
 heart rate is increased because the patient  was jogging just prior to
 assessment, the increase pulse rate would not add to the score.  ", 
    "columns": 1, 
    "choices":[
     {"id": "c2677", "text": "0. Not present (Score 0)", "quickKey": 0}, 
     {"id": "c2678", "text": "1. Mild diffuse discomfort (Score 1)", "quickKey": 1}, 
     {"id": "c2679", "text": "2. Patient reports severe diffuse aching of joints or muscles (Score 2)", "quickKey": 2}, 
     {"id": "c2680", "text": "3. Patient is rubbing joints or muscles and is unable to sit still because of
 discomfort (Score 4)", "quickKey": 3}
   ]}, 
 heart rate is increased because the patient  was jogging just prior to
   {"id": "q4038", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "6. Runny nose or tearing: Not accounted for by cold symptoms or allergies.", 
    "intro": "For each item, select the best description of the patient's signs or symptom.
 Rate on just the apparent relationship to opiate withdrawal. For example, if
 heart rate is increased because the patient  was jogging just prior to
 assessment, the increase pulse rate would not add to the score.  ", 
    "columns": 1, 
    "choices":[
     {"id": "c2677", "text": "0. Not present (Score 0)", "quickKey": 0}, 
     {"id": "c2681", "text": "1. Nasal stuffiness or unusually moist eyes (Score 1)", "quickKey": 1}, 
 assessment, the increase pulse rate would not add to the score.  "
     {"id": "c2682", "text": "2. Nose running or tearing (Score 2)", "quickKey": 2}, 
     {"id": "c2683", "text": "3. Nose constantly running or tears streaming down cheeks (Score 4)", "quickKey": 3}
   ]}, 
   {"id": "q4039", "type": "ChoiceQuestion", "required": false, "inline": false, 
    "text": "7. GI upset: Over last half-hour.", 
    "intro": "For each item, select the best description of the patient's signs or symptom.
 Rate on just the apparent relationship to opiate withdrawal. For example, if
 heart rate is increased because the patient  was jogging just prior to
 assessment, the increase pulse rate would not add to the score.  ", 
    "columns": 1,