326 (326)    MH REPORT (601.93)

Name Value
REPORT NUMBER 326
INSTRUMENT SDSQ
RPT
|Single Drug Screening Question (SDSQ)
|   Gender: <.Patient_Gender.>
|  
|   SDSQ Result = <*Answer_7771*>
|  
|   The response to this 1-item screener is "yes" or "no". If the answer is
|   yes, result will be positive. If the answer is no, the result will be 
|   negative. 
|  
|Questions and Answers:
|  
|  
|   1.  In the last twelve months, did you use pot (cannabis), use another 
|       street drug, or use a prescription medication 'recreationally' (just 
|       for the feeling, or using more than prescribed)?
|          <*Answer_9229*>
|  
|Information contained in this note is based on a self-report assessment 
|and is not sufficient to use alone for diagnostic purposes. Assessment 
|results should be verified for accuracy and used in conjunction with 
|other diagnostic activities.
|   Date Given: <.Date_Given.>
|   Clinician: <.Staff_Ordered_By.>
|   Location:  <.Location.>
|  
|   Veteran:  <.Patient_Name_Last_First.>
|   SSN: <.Patient_SSN.>
|   DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)