| SPECIFICATION |
{"test":[{"content":[{"choice":[{"choiceId":3008,"choiceText":"Incontinent (or needs to be given enema)","ien":66327,"legacyValue":0,"sequence":1},{"choiceId":3009,"choiceText":"Occasional accident (once per week)","ien":66328,"legacyValue"
1,"responseTypeText":"MCHOICE","sequence":30},{"choice":[{"choiceId":3014,"choiceText":"Needs help with personal care","ien":66333,"legacyValue":0,"sequence":1},{"choiceId":3015,"choiceText":"Independent face\/hair\/teeth\/shaving (implemen
nds to the\r\n patient's current level of ability for each of the following 10 items. Record\r\n actual, not potential, functioning. Information can be obtained from the\r\n patient's self-report, from a separate party who is familiar wit
":"Not Reported","value":0},{"id":10131,"questionId":7831,"scaleId":1050,"targetText":"Very mild - Occasionally is somewhat concerned about body, symptoms, or physical illness.","value":1},{"id":10132,"questionId":7831,"scaleId":1050,"targe
tText":"Mild - Occasionally is moderately concerned about body, or often is somewhat concerned.","value":2},{"id":10133,"questionId":7831,"scaleId":1050,"targetText":"Moderate- Occasionally is very concerned, or often is moderately concerne
d.","value":3},{"id":10134,"questionId":7831,"scaleId":1050,"targetText":"Moderately severe - Often is very concerned.","value":4},{"id":10135,"questionId":7831,"scaleId":1050,"targetText":"Severe - Is very concerned.","value":5},{"id":1013
6,"questionId":7831,"scaleId":1050,"targetText":"Very severe - Is very concerned nearly all of the time.","value":6},{"id":10137,"questionId":7832,"scaleId":
1050,"targetText":"Not Reported","value":0},{"id":10138,"questionId":7832,"scaleId":1050,"targetText":"Very mild - Occasionally feels somewhat anxious.","value":1},{"id":10139,"questionId":7832,"scaleId":1050,"targetText":"Mild - Occasional
ly feels moderately anxious, or often feels somewhat anxious.","value":2},{"id":10140,"questionId":7832,"scaleId":1050,"targetText":"Moderate - Occasionally feels very anxious, or often feels moderately anxious.","value":3},{"id":10141,"que
stionId":7832,"scaleId":1050,"targetText":"Moderately severe - Often feels very anxious.","value":4},{"id":10142,"questionId":7832,"scaleId":1050,"targetText":"Severe - Feels anxious most of the time.","value":5},{"id":10143,"questionId":78
32,"scaleId":1050,"targetText":"Very severe - Feels very anxious nearly all of the time.","value":6},{"id":10144,"questionId":7833,"scaleId":1050,"targetText":"Not Reported","value":0},{"id":10145,"questionId":7833,"scaleId":1050,"targetTex
t":"Very mild - Occasionally exhibits poor eye contact.","value":1},{"id":10146,"questionId":7833,"scaleId":1050,"targetText":"Mild- As above, but more frequent.","value":2},{"id":10147,"questionId":7833,"scaleId":1050,"targetText":"Moderat
e - Little eye contact, but still seems engaged in the interview and appropriately responsive to all questions.","value":3},{"id":10148,"questionId":7833,"scaleId":1050,"targetText":"Moderately severe - Stares at floor or orients self away
h the patient's\r\n abilities (such as a relative), or from observation. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3016\", \"text\": \"0. Dependent\", \"quickKey\": 0}, \r\n {\"id\": \"c3156\", \"text\": \"1
from interviewer, but seems moderately engaged.","value":4},{"id":10149,"questionId":7833,"scaleId":1050,"targetText":"Severe - As above, but more persistent or pervasive.","value":5},{"id":10150,"questionId":7833,"scaleId":1050,"targetText
":"Very severe - Appeared \"spacey\" or \"out of it\" (total absence of emotional relatedness) and is disproportionately uninvolved or unengaged in the interview.","value":6},{"id":10151,"questionId":7834,"scaleId":1050,"targetText":"Not Re
ported","value":0},{"id":10152,"questionId":7834,"scaleId":1050,"targetText":"Very mild - Somewhat vague, but of doubtful clinical significance.","value":1},{"id":10153,"questionId":7834,"scaleId":1050,"targetText":"Mild - Frequently vague,
but the interview is able to progress.","value":2},{"id":10154,"questionId":7834,"scaleId":1050,"targetText":"Moderate - Occasional irrelevant statements, infrequent use of neologisms, or moderate loosening of associations.","value":3},{"i
d":10155,"questionId":7834,"scaleId":1050,"targetText":"Moderately severe - As above, but more frequent.","value":4},{"id":10156,"questionId":7834,"scaleId":1050,"targetText":"Severe - Formal thought disorder is present for most of the inte
rview, and the interview is severely strained.","value":5},{"id":10157,"questionId":7834,"scaleId":1050,"targetText":"Very severe - Very little coherent information can be obtained.","value":6},{"id":10158,"questionId":7835,"scaleId":1050,"
targetText":"Not Reported","value":0},{"id":10159,"questionId":7835,"scaleId":1050,"targetText":"Very mild - Occasionally feels somewhat guilty.","value":1},{"id":10160,"questionId":7835,"scaleId":1050,"targetText":"Mild - Occasionally feel
s moderately guilty, or often feels somewhat guilty.","value":2},{"id":10161,"questionId":7835,"scaleId":1050,"targetText":"Moderate - Occasional feels very guilty, or often feels moderately guilty.","value":3},{"id":10162,"questionId":7835
,"scaleId":1050,"targetText":"Moderately severe - Often feels very guilty.","value":4},{"id":10163,"questionId":7835,"scaleId":1050,"targetText":"Severe - Feels guilty most of the time or encapsulated delusions of guilt.","value":5},{"id":1
0164,"questionId":7835,"scaleId":1050,"targetText":"Very severe - Agonizing, constant feeling of guilt, or pervasive delusion(s) of guilt.","value":6},{"id":10165,"questionId":7836,"scaleId":1050,"targetText":"Not Reported","value":0},{"id"
. Needs some help, but can do some things alone\", \"quickKey\": 1},
:10166,"questionId":7836,"scaleId":1050,"targetText":"Very mild - Occasionally fidgets.","value":1},{"id":10167,"questionId":7836,"scaleId":1050,"targetText":
"Mild - frequently fidgets.","value":2},{"id":10168,"questionId":7836,"scaleId":1050,"targetText":"Moderate - constantly fidgets, or frequently fidgets, wrings hands and pulls clothing.","value":3},{"id":10169,"questionId":7836,"scaleId":10
50,"targetText":"Moderately severe - Constantly fidgets. Wrings hands and pulls clothing.","value":4},{"id":10170,"questionId":7836,"scaleId":1050,"targetText":"Severe - Cannot remain seated. (i.e., must pace).","value":5},{"id":10171,"ques
tionId":7836,"scaleId":1050,"targetText":"Very severe - Paces in a frantic manner.","value":6},{"id":10172,"questionId":7837,"scaleId":1050,"targetText":"Not Reported","value":0},{"id":10173,"questionId":7837,"scaleId":1050,"targetText":"Ve
ry mild - Odd behavior but doubtful clinical significance, e.g., occasional unprompted smiling, infrequent lip movements.","value":1},{"id":10174,"questionId":7837,"scaleId":1050,"targetText":"Mild - Strange behavior but not obviously biza
rre, e.g., infrequent head-tilting (from side to side) in a rhythmic fashion, intermittent abnormal finger movements.","value":2},{"id":10175,"questionId":7837,"scaleId":1050,"targetText":"Moderate - Assumes yoga position for a brief period
of time, infrequent tongue protrusions, rocking.","value":3},{"id":10176,"questionId":7837,"scaleId":1050,"targetText":"Moderately severe - Assumes and maintains yoga position throughout interview, unusual movements in several body areas."
,"value":4},{"id":10177,"questionId":7837,"scaleId":1050,"targetText":"Severe - As above, but more frequent, intense, or pervasive.","value":5},{"id":10178,"questionId":7837,"scaleId":1050,"targetText":"Very severe - Bizarre posturing throu
ghout most of the interview. Continuous abnormal movements in several body areas.","value":6},{"id":10179,"questionId":7838,"scaleId":1050,"targetText":"Not Reported","value":0},{"id":10180,"questionId":7838,"scaleId":1050,"targetText":"Ver
y mild - Is more confident than most people, but of only possible clinical significance.","value":1},{"id":10181,"questionId":7838,"scaleId":1050,"targetText":"Mild - Definitely inflated self-esteem or exaggerates talents somewhat out of pr
\r\n {\"id\": \"c3018\", \"text\": \"2. Independent (on and off, dressing, wiping)\", \"quickKey\": 2}\r\n ]}, \r\n {\"id\": \"q5677\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"5. Fee
oportion to the circumstances.","value":2},{"id":10182,"questionId":7838,"scaleId":1050,"targetText":"Moderate - Inflated self-esteem clearly out of proportion to the circumstances or suspected grandiose delusion(s).","value":3},{"id":10183
,"questionId":7838,"scaleId":1050,"targetText":"Moderately severe - A single (definite) encapsulated grandiose delusion, or multiple (definite) fragmentary grandiose delusions.","value":4},{"id":10184,"questionId":7838,"scaleId":1050,"targe
tText":"Severe - A single (definite) grandiose delusion\/delusional system, or multiple (definite) grandiose delusions that the patient seems preoccupied with.","value":5},{"id":10185,"questionId":7838,"scaleId":1050,"targetText":"Very seve
re - As above, but nearly all conversation is directed towards the patient's grandiose delusion(s).","value":6},{"id":10186,"questionId":7839,"scaleId":1050,"targetText":"Not Reported","value":0},{"id":10187,"questionId":7839,"scaleId":1050
,"targetText":"Very mild - Occasionally feels somewhat depressed.","value":1},{"id":10188,"questionId":7839,"scaleId":1050,"targetText":"Mild - Occasionally feels moderately depressed, or often feels somewhat depressed.","value":2},{"id":10
189,"questionId":7839,"scaleId":1050,"targetText":"Moderate - Occasionally feels very depressed, or often feels moderately depressed.","value":3},{"id":10190,"questionId":7839,"scaleId":1050,"targetText":"Moderately severe - Often feels ver
y depressed.","value":4},{"id":10191,"questionId":7839,"scaleId":1050,"targetText":"Severe - Feels very depressed most of the time.","value":5},{"id":10192,"questionId":7839,"scaleId":1050,"targetText":"Very severe - Feels very depressed ne
arly all of the time.","value":6},{"id":10193,"questionId":7840,"scaleId":1050,"targetText":"Not Reported","value":0},{"id":10194,"questionId":7840,"scaleId":
1050,"targetText":"Very mild - Occasionally feels somewhat angry.","value":1},{"id":10195,"questionId":7840,"scaleId":1050,"targetText":"Mild - Occasionally feels somewhat angry, or occasionally feels moderately angry.","value":2},{"id":101
96,"questionId":7840,"scaleId":1050,"targetText":"Moderate - Occasionally feels very angry, or often feels moderately angry.","value":3},{"id":10197,"questionId":7840,"scaleId":1050,"targetText":"Moderately severe - Often feels very angry."
ding:\", \r\n \"intro\": \"Choose the scoring point for the statement that most closely corresponds to the\r\n patient's current level of ability for each of the following 10 items. Record\r\n actual, not potential, functioning. Inform
,"value":4},{"id":10198,"questionId":7840,"scaleId":1050,"targetText":"Severe - Has acted on his anger by becoming verbally or physically abusive on one or two occasions.","value":5},{"id":10199,"questionId":7840,"scaleId":1050,"targetText"
:"Very severe - Has acted on their anger on several occasions.","value":6},{"id":10200,"questionId":7841,"scaleId":1050,"targetText":"Not Reported","value":0},{"id":10201,"questionId":7841,"scaleId":1050,"targetText":"Very mild- Rare instan
ces of distrustfulness which may or may not be warranted by the situation.","value":1},{"id":10202,"questionId":7841,"scaleId":1050,"targetText":"Mild - Occasional instances of suspiciousness that are definitely not warranted by the situati
on.","value":2},{"id":10203,"questionId":7841,"scaleId":1050,"targetText":"Moderate - More frequent suspiciousness, or transient ideas of reference.","value":3},{"id":10204,"questionId":7841,"scaleId":1050,"targetText":"Moderately severe -
Pervasive suspiciousness, or frequent ideas of reference.","value":4},{"id":10205,"questionId":7841,"scaleId":1050,"targetText":"Severe - Definite delusion(s) of reference or persecution that is (are) not wholly pervasive (e.g., an encapsul
ated delusion).","value":5},{"id":10206,"questionId":7841,"scaleId":1050,"targetText":"Very severe - As above, but more widespread, frequent, or intense.","value":6},{"id":10207,"questionId":7842,"scaleId":1050,"targetText":"Not Reported","
value":0},{"id":10208,"questionId":7842,"scaleId":1050,"targetText":"Very mild - Suspected hallucinations only.","value":1},{"id":10209,"questionId":7842,"scaleId":1050,"targetText":"Mild - Definite hallucinations, but insignificant, infreq
uent, or transient (e.g., occasional formless visual hallucinations, a voice calling the patient's name).","value":2},{"id":10210,"questionId":7842,"scaleId":1050,"targetText":"Moderate - As above, but more frequent or extensive (e.g., freq
uently sees the devil's face, two voices carry on a lengthy conversation).","value":3},{"id":10211,"questionId":7842,"scaleId":1050,"targetText":"Moderately severe - Hallucinations are experienced nearly every day, or are a source of extrem
e distress.","value":4},{"id":10212,"questionId":7842,"scaleId":1050,"targetText":"Severe - As above and has had a moderate impact on the patient's behavior (e.g., concentration difficulties leading to impaired work functioning).","value":5
ation can be obtained from the\r\n patient's self-report, from a separate party who is familiar with the patient's\r\n abilities (such as a relative), or from observation. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\":
},{"id":10213,"questionId":7842,"scaleId":1050,"targetText":"Very severe - As above, and has had a severe impact (e.g., attempts suicide in response to command hallucinations).","value":6},{"id":10214,"questionId":7843,"scaleId":1050,"targe
tText":"Not Reported","value":0},{"id":10215,"questionId":7843,"scaleId":1050,"targetText":"Very mild - Of doubtful clinical significance.","value":1},{"id":10216,"questionId":7843,"scaleId":1050,"targetText":"Mild - Conversation is somewha
t retarded, movements somewhat slowed.","value":2},{"id":10217,"questionId":7843,"scaleId":1050,"targetText":"Moderate - Conversation is notably retarded but not strained.","value":3},{"id":10218,"questionId":7843,"scaleId":1050,"targetText
":"Moderately severe - Conversation is strained, moves very slowly.","value":4},{"id":10219,"questionId":7843,"scaleId":1050,"targetText":"Severe - Conversation is difficult to maintain, hardly moves at all.","value":5},{"id":10220,"questio
nId":7843,"scaleId":1050,"targetText":"Very severe - Conversation is almost impossible, does not move at all throughout the interview.","value":6},{"id":10221,
"questionId":7844,"scaleId":1050,"targetText":"Not Reported","value":0},{"id":10222,"questionId":7844,"scaleId":1050,"targetText":"Very mild - Does not seem motivated.","value":1},{"id":10223,"questionId":7844,"scaleId":1050,"targetText":"M
ild - Seems evasive in certain areas.","value":2},{"id":10224,"questionId":7844,"scaleId":1050,"targetText":"Moderate - As above, but evasive in many areas.","value":3},{"id":10225,"questionId":7844,"scaleId":1050,"targetText":"Moderately s
evere - Expresses resentment and is unfriendly throughout the interview.","value":4},{"id":10226,"questionId":7844,"scaleId":1050,"targetText":"Severe - Refuses to answer a number of questions.","value":5},{"id":10227,"questionId":7844,"sca
leId":1050,"targetText":"Very severe - Refuses to answer most questions.","value":6},{"id":10228,"questionId":7845,"scaleId":1050,"targetText":"Not Reported","value":0},{"id":10229,"questionId":7845,"scaleId":1050,"targetText":"Very mild -
Delusion(s) suspected or likely.","value":1},{"id":10230,"questionId":7845,"scaleId":1050,"targetText":"Mild - At times, patient questions his or her belief(s) (partial delusion).","value":2},{"id":10231,"questionId":7845,"scaleId":1050,"ta
\"c3019\", \"text\": \"0. Unable\", \"quickKey\": 0}, \r\n {\"id\": \"c3020\", \"text\": \"1. Needs help cutting, spreading butter, etc.\", \"quickKey\": 1}, \r\n {\"id\": \"c3021\", \"text\": \"2. Independent (food provided within
rgetText":"Moderate - Full delusional conviction, but delusion(s) has little or no influence on behavior.","value":3},{"id":10232,"questionId":7845,"scaleId":1050,"targetText":"Moderately severe - Full delusional conviction, but delusion(s)
has only occasional impact on behavior.","value":4},{"id":10233,"questionId":7845,"scaleId":1050,"targetText":"Severe - Delusion(s) has significant effect, e.g., neglects responsibilities because of preoccupation with belief that he\/she i
s God.","value":5},{"id":10234,"questionId":7845,"scaleId":1050,"targetText":"Very severe - Delusion(s) has major impact, e.g., stops eating because believes food is poisoned.","value":6},{"id":10235,"questionId":7846,"scaleId":1050,"target
Text":"Not Reported","value":0},{"id":10236,"questionId":7846,"scaleId":1050,"targetText":"Very mild - Occasionally seems indifferent to material that is usually accompanied by some show of emotion.","value":1},{"id":10237,"questionId":7846
,"scaleId":1050,"targetText":"Mild - Somewhat diminished facial expression or somewhat monotonous voice or somewhat restricted gestures.","value":2},{"id":10238,"questionId":7846,"scaleId":1050,"targetText":"Moderate - As above, but more in
tense, prolonged, or frequent.","value":3},{"id":10239,"questionId":7846,"scaleId":1050,"targetText":"Moderately severe - Flattening of affect, including at least two of the three features: Severe lack of facial expression, monotonous voice
, or restricted body gestures.","value":4},{"id":10240,"questionId":7846,"scaleId":1050,"targetText":"Severe - Profound flattening affect.","value":5},{"id":10241,"questionId":7846,"scaleId":1050,"targetText":"Very severe - Totally monotono
us voice and total lack of expressive gestures throughout the evaluation.","value":6}],"sequence":1,"xLabel":null}],"sequence":1}],"spec":{"entryChecksum":674549805,"entrySpec":"{\"name\": \"BPRS-A\", \r\n \"copyright\": \"Copyright 2014,
CDISC, all rights reserved.\", \r\n \"restartDays\": 2, \r\n \"content\":[\r\n {\"id\": \"i2364\", \"type\": \"IntroText\", \r\n \"text\": \"Indicate the degree to which each of the following items describes the patient's\r\n present c
ondition. <br \/> <br \/> In the past week:\"\r\n }, \r\n {\"id\": \"q7831\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"1. Somatic Concern - Degree of concern over present bodily health i
reach)\", \"quickKey\": 2}\r\n ]}, \r\n {\"id\": \"q5678\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"6. Transfer:\", \r\n \"intro\": \"Choose the scoring point for the statement that m
s perceived as\r\n problem by the patient, whether the complaints have a realistic basis or not. Do\r\n not rate mere reporting of somatic symptoms. Rate only concerns for (or worrying\r\n abou t) physical problems (real or imagined).\", \r
\n \"intro\": \"Indicate the degree to which each of the following items describes the patient's\r\n present condition. <br \/> <br \/> In the past week:\",
\r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c106381\", \"text\": \"2. Very mild - Occasionally is somewhat concerned about body, symptoms,
or\r\n physical illness.\", \"quickKey\": 2}, \r\n {\"id\": \"c106382\", \"text\": \"3. Mild - Occasionally is moderately concerned about body, or often is somewhat\r\n concerned.\", \"quickKey\": 3}, \r\n {\"id\": \"c106383\", \"te
xt\": \"4. Moderate- Occasionally is very concerned, or often is moderately concerned.\", \"quickKey\": 4}, \r\n {\"id\": \"c106384\", \"text\": \"5. Moderately severe - Often is very concerned.\", \"quickKey\": 5}, \r\n {\"id\": \"
c106385\", \"text\": \"6. Severe - Is very concerned.\", \"quickKey\": 6}, \r\n {\"id\": \"c106386\", \"text\": \"7. Very severe - Is very concerned nearly all of the time.\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2360\", \"type
\": \"IntroText\", \r\n \"text\": \"In the past week:\"\r\n }, \r\n {\"id\": \"q7832\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"2. Anxiety - Worry, fear, or over concern for present
or future. Rate solely on\r\n the basis of verbal report of the patient's own subjective experiences. Do not\r\n infer anxiety from physical signs or from neurotic defense mechanisms. Do not\r\n rate if restricted to somatic concern.\", \r\
n \"intro\": \"In the past week:\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3664\", \"text\": \"2. Very mild - Occasionally feels s
omewhat anxious.\", \"quickKey\": 2}, \r\n {\"id\": \"c3665\", \"text\": \"3. Mild - Occasionally feels moderately anxious, or often feels somewhat anxious.\", \"quickKey\": 3}, \r\n {\"id\": \"c3666\", \"text\": \"4. Moderate - Occ
ost closely corresponds to the\r\n patient's current level of ability for each of the following 10 items. Record\r\n actual, not potential, functioning. Information can be obtained from the\r\n patient's self-report, from a separate party
asionally feels very anxious, or often feels moderately anxious.\", \"quickKey\": 4}, \r\n {\"id\": \"c3667\", \"text\": \"5. Moderately severe - Often feels very anxious.\", \"quickKey\": 5}, \r\n {\"id\": \"c3668\", \"text\": \"6.
Severe - Feels anxious most of the time.\", \"quickKey\": 6}, \r\n {\"id\": \"c3669\", \"text\": \"7. Very severe - Feels very anxious nearly all of the time.\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2361\", \"type\": \"IntroTe
xt\", \r\n \"text\": \"In the past 3 days:\"\r\n }, \r\n {\"id\": \"q7833\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"3. Emotional Withdrawal - Deficiency in relating to the interview
er and to the\r\n interview situation. Overt manifestations of this deficiency include\r\n poor\/absence of eye contact, failure to orient oneself physically toward the\r\n interviewer, and a gene ral lack of involvement or engagement in th
e interview.\r\n Distinguish from BLUNTED AFFECT, in which deficits in facial expression, body\r\n gesture, and voice pattern are scored.\", \r\n \"intro\": \"In the past 3 days:\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {
\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3670\", \"text\": \"2. Very mild - Occasionally exhibits poor eye contact.\", \"quickKey\": 2}, \r\n {\"id\": \"c3671\", \"text\": \"3. Mild- As
above, but more frequent.\", \"quickKey\": 3}, \r\n {\"id\": \"c3672\", \"text\": \"4. Moderate - Little eye contact, but still seems engaged in the interview and\r\n appropriately responsive to all questions.\", \"quickKey\": 4}, \r\n
{\"id\": \"c3673\", \"text\": \"5. Moderately severe - Stares at floor or orients self away from interviewer, but\r\n seems moderately engaged.\", \"quickKey\": 5}, \r\n {\"id\": \"c3674\", \"text\": \"6. Severe - As above, but more
persistent or pervasive.\", \"quickKey\": 6},
\r\n {\"id\": \"c3675\", \"text\": \"7. Very severe - Appeared \\u0022spacey\\u0022 or \\u0022out of it\\u0022 (total\r\n absence of emotional relatedness) and is disproportionately uninvolved or\r\n unengaged in the interview (DO NOT S
who is familiar with the patient's\r\n abilities (such as a relative), or from observation. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3022\", \"text\": \"0. Unable, no sitting balance\", \"quickKey\": 0}, \r\n
CORE IF EXPLAINED BY DISORIENTATION).\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2365\", \"type\": \"IntroText\", \r\n \"text\": \"In the last 3 days:\"\r\n }, \r\n {\"id\": \"q7834\", \"type\": \"ChoiceQuestion\", \"required\
": false, \"inline\": false, \r\n \"text\": \"4. Conceptual Disorganization - Degree of speech incomprehensibility. Include any\r\n type of formal thought disorder (e.g., loose associations, incoherence, flight\r\n of ideas, neologisms).
DO NOT include mere circumstantiality or pressured\r\n speech, even if marked. DO NOT rate on the patient's subjective impressions\r\n (e.g., \\u0022My thoughts are racing\\u0022, \\u0022I can't hold a thought\\u0022,\r\n \\u0022My thinkin
g gets all mixed up\\u0022). Rate ONLY on the basis of\r\n observations made during the interview.\", \r\n \"intro\": \"In the last 3 days:\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not
Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3676\", \"text\": \"2. Very mild - Somewhat vague, but of doubtful clinical significance.\", \"quickKey\": 2}, \r\n {\"id\": \"c3677\", \"text\": \"3. Mild - Frequently vague, but the
interview is able to progress.\", \"quickKey\": 3}, \r\n {\"id\": \"c3678\", \"text\": \"4. Moderate - Occasional irrelevant statements, infrequent use of neologisms, or\r\n moderate loosening of associations.\", \"quickKey\": 4}, \r\n
{\"id\": \"c3679\", \"text\": \"5. Moderately severe - As above, but more frequent.\", \"quickKey\": 5}, \r\n {\"id\": \"c3680\", \"text\": \"6. Severe - Formal thought disorder is present for most of the interview, and the\r\n inte
rview is severely strained.\", \"quickKey\": 6}, \r\n {\"id\": \"c3681\", \"text\": \"7. Very severe - Very little coherent information can be obtained.\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2360\", \"type\": \"IntroText\", \
r\n \"text\": \"In the past week:\"\r\n }, \r\n {\"id\": \"q7835\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"5. Guilt Feelings - Overconcern or remorse for past behavior. Rate on pati
ent's\r\n subjective experiences of guilt as evidenced by verbal report. Do not infer\r\n guilt feelings from depression, anxiety, or neurotic defenses.\", \r\n \"intro\": \"In the past week:\", \r\n \"columns\": 1, \r\n \"choices\
ts provided)","ien":66334,"legacyValue":1,"sequence":2}],"choiceDisplay":55153,"choiceIdentifier":0,"choiceIdentifierIen":20875,"choiceTypeId":29432,"designator":"3.","hint":null,"id":5244,"instrument":180,"introDisplay":55147,"introId":104
{\"id\": \"c3023\", \"text\": \"1. Major help (one or two people, physical), can sit\", \"quickKey\": 1}, \r\n {\"id\": \"c3024\", \"text\": \"2. Minor help (verbal or physical)\", \"quickKey\": 2}, \r\n {\"id\": \"c3025\", \"te
":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3682\", \"text\": \"2. Very mild - Occasionally feels somewhat guilty.\", \"quickKey\": 2}, \r\n {\"id\": \"c3683\", \"text\": \"3.
Mild - Occasionally feels moderately guilty, or often feels somewhat guilty.\", \"quickKey\": 3}, \r\n {\"id\": \"c3684\", \"text\": \"4. Moderate - Occasional feels very guilty, or often feels moderately guilty.\", \"quickKey\": 4}, \r
\n {\"id\": \"c3685\", \"text\": \"5. Moderately severe - Often feels very guilty.\", \"quickKey\": 5}, \r\n {\"id\": \"c3686\", \"text\": \"6. Severe - Feels guilty most of the time or encapsulated delusions of guilt.\", \"quickKey
\": 6}, \r\n {\"id\": \"c3687\", \"text\": \"7. Very severe - Agonizing, constant feeling of guilt, or pervasive delusion(s)\r\n of guilt.\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2361\", \"type\": \"IntroText\", \r\n \"text\
": \"In the past 3 days:\"\r\n }, \r\n {\"id\": \"q7836\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"6. Tension - Rate motor restlessness (agitation) observed during the interview.\r\n DO
NOT rate on the basis of subjective experiences reported by the patient.\r\n Disregard suspected pathogenesis (e.g., tardive dyskinesia).\",
\r\n \"intro\": \"In the past 3 days:\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3688\", \"text\": \"2. Very mild - Occasionally fi
dgets.\", \"quickKey\": 2}, \r\n {\"id\": \"c3689\", \"text\": \"3. Mild - Frequently fidgets.\", \"quickKey\": 3}, \r\n {\"id\": \"c3690\", \"text\": \"4. Moderate - Constantly fidgets, or frequently fidgets, wrings hands and pulls
\r\n clothing.\", \"quickKey\": 4}, \r\n {\"id\": \"c3691\", \"text\": \"5. Moderately severe - Constantly fidgets. Wrings hands and pulls clothing.\", \"quickKey\": 5}, \r\n {\"id\": \"c3692\", \"text\": \"6. Severe - Cannot remain
seated. (i.e., must pace).\", \"quickKey\": 6}, \r\n {\"id\": \"c3693\", \"text\": \"7. Very severe - Paces in a frantic manner.\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2365\", \"type\": \"IntroText\", \r\n \"text\": \"In t
xt\": \"3. Independent\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q5679\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"7. Mobility:\", \r\n \"intro\": \"Choose the scoring point for the
he last 3 days:\"\r\n }, \r\n {\"id\": \"q7837\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"7. Mannerisms And Posturing - Unusual and unnatural motor behavior. Rate only\r\n abnormality o
f movements; do not rate simple heightened motor activity here.\r\n Consider frequency, duration, and degree of bizarreness. Disregard suspected\r\n pathogenesis.\", \r\n \"intro\": \"In the last 3 days:\", \r\n \"columns\": 1, \r\n
\"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3694\", \"text\": \"2. Very mild - Odd behavior but doubtful clinical significance, e.g., occasional\r\n unprompted smiling
, infrequent lip movements.\", \"quickKey\": 2}, \r\n {\"id\": \"c3695\", \"text\": \"3. Mild - Strange behavior but not obviously bizarre, e.g., infrequent\r\n head-tilting (from side to side) in a rhythmic fashion, intermittent abnorm
al\r\n finger movements.\", \"quickKey\": 3}, \r\n {\"id\": \"c3696\", \"text\": \"4. Moderate - Assumes yoga position for a brief period of time, infrequent tongue\r\n protrusions, rocking.\", \"quickKey\": 4}, \r\n {\"id\": \"c369
7\", \"text\": \"5. Moderately severe - Assumes and maintains yoga position throughout interview,\r\n unusual movements in several body areas.\", \"quickKey\": 5}, \r\n {\"id\": \"c3698\", \"text\": \"6. Severe - As above, but more freq
uent, intense, or pervasive.\", \"quickKey\": 6}, \r\n {\"id\": \"c3699\", \"text\": \"7. Very severe - Bizarre posturing throughout most of the interview. Continuous\r\n abnormal movements in several body areas.\", \"quickKey\": 7}\r\n
]}, \r\n {\"id\": \"i2360\", \"type\": \"IntroText\", \r\n \"text\": \"In the past week:\"\r\n }, \r\n {\"id\": \"q7838\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"8. Grandiosity
- Inflated self-esteem (self-confidence), or inflated appraisal of\r\n one's talents, powers, abilities, accomplishments, knowledge, importance, or\r\n identity. Do not score mere grandiose quality of claims (e.g., \\u0022I'm the\r\n worst
sinner in the world,\\u0022 \\u0022The entire country is trying to kill\r\n me\\u0022) unless the guilt\/persecution is related to some special exaggerated\r\n attribute of the individual. Also, the patient must claim exaggerated\r\n attri
statement that most closely corresponds to the\r\n patient's current level of ability for each of the following 10 items. Record\r\n actual, not potential, functioning. Information can be obtained from the\r\n patient's self-report, from
butes: e.g., If patient denies talents, powers, etc., even if he\/she states\r\n that others indicate that he\/she has these attributes, this item should not be\r\n scored.\", \r\n \"intro\": \"In the past week:\", \r\n \"columns\": 1
, \r\n \"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3700\", \"text\": \"2. Very mild - Is more confident than most people, but of only possible clinical\r\n significanc
e.\", \"quickKey\": 2}, \r\n {\"id\": \"c3701\", \"text\": \"3. Mild - Definitely inflated self-esteem or exaggerates talents somewhat out of
\r\n proportion to the circumstances.\", \"quickKey\": 3}, \r\n {\"id\": \"c3702\", \"text\": \"4. Moderate - Inflated self-esteem clearly out of proportion to the circumstances\r\n or suspected grandiose delusion(s).\", \"quickKey\": 4
}, \r\n {\"id\": \"c3703\", \"text\": \"5. Moderately severe - A single (definite) encapsulated grandiose delusion, or\r\n multiple (definite) fragmentary grandiose delusions.\", \"quickKey\": 5}, \r\n {\"id\": \"c3704\", \"text\":
\"6. Severe - A single (definite) grandiose delusion\/delusional system, or multiple\r\n (definite) grandiose delusions that the patient seems preoccupied with.\", \"quickKey\": 6}, \r\n {\"id\": \"c3705\", \"text\": \"7. Very severe -
As above, but nearly all conversation is directed towards the\r\n patient's grandiose delusion(s).\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2366\", \"type\": \"IntroText\", \r\n \"text\": \"In the last week:\"\r\n }, \r\n {\
"id\": \"q7839\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"9. Depressive Mood - Subjective report of feeling depressed, blue \\u0022down in\r\n the dumps,\\u0022 etc. Rate only the degree of
reported depression. Do not rate\r\n on the basis of inferences concerning depression based upon general retardation\r\n and somatic complaints.\", \r\n \"intro\": \"In the last week:\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n
{\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3706\", \"text\": \"2. Very mild - Occasionally feels somewhat depressed.\", \"quickKey\": 2}, \r\n {\"id\": \"c3707\", \"text\": \"3. Mild
a separate party who is familiar with the patient's\r\n abilities (such as a relative), or from observation. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3026\", \"text\": \"0. Immobile\", \"quickKey\": 0}, \r\n
- Occasionally feels moderately depressed, or often feels somewhat\r\n depressed.\", \"quickKey\": 3}, \r\n {\"id\": \"c3708\", \"text\": \"4. Moderate - Occasionally feels very depressed, or often feels moderately\r\n depressed.\", \"q
uickKey\": 4}, \r\n {\"id\": \"c3709\", \"text\": \"5. Moderately severe - Often feels very depressed.\", \"quickKey\": 5}, \r\n {\"id\": \"c3710\", \"text\": \"6. Severe - Feels very depressed most of the time.\", \"quickKey\": 6},
\r\n {\"id\": \"c3711\", \"text\": \"7. Very severe - Feels very depressed nearly all of the time.\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2360\", \"type\": \"IntroText\", \r\n \"text\": \"In the past week:\"\r\n }, \r\n
{\"id\": \"q7840\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"10. Hostility - Animosity, contempt, belligerence, disdain for other people\r\n outside the interview situation. Rate solely on
the basis of the verbal report\r\n of feelings and actions of the patient toward others. Do not infer hostility\r\n from neurotic defenses, anxiety, or somatic complaints.\", \r\n \"intro\": \"In the past week:\", \r\n \"columns\": 1
, \r\n \"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3712\", \"text\": \"2. Very mild - Occasionally feels somewhat angry.\", \"quickKey\": 2}, \r\n {\"id\": \"c3713
\", \"text\": \"3. Mild - Occasionally feels somewhat angry, or occasionally feels moderately\r\n angry.\", \"quickKey\": 3}, \r\n {\"id\": \"c3714\", \"text\": \"4. Moderate - Occasionally feels very angry, or often feels moderately an
gry.\", \"quickKey\": 4}, \r\n {\"id\": \"c3715\", \"text\": \"5. Moderately severe - Often feels very angry.\", \"quickKey\": 5}, \r\n {\"id\": \"c3716\", \"text\": \"6. Severe - Has acted on his anger by becoming verbally or physi
cally abusive on\r\n one or two occasions.\", \"quickKey\": 6}, \r\n {\"id\": \"c3717\", \"text\": \"7. Very severe - Has acted on their anger on several occasions.\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2366\", \"type\": \"In
troText\", \r\n \"text\": \"In the last week:\"\r\n }, \r\n {\"id\": \"q7841\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false,
{\"id\": \"c3027\", \"text\": \"1. Wheelchair independent, including corners, etc.\", \"quickKey\": 1}, \r\n {\"id\": \"c3028\", \"text\": \"2. Walks with help of one person (verbal or physical)\", \"quickKey\": 2}, \r\n {\"id\":
\r\n \"text\": \"11. Suspiciousness - Belief (delusional or otherwise) that others have now, or\r\n have had in the past, malicious or discriminatory intent toward the patient. On\r\n the basis of verbal report, rate only those suspicion
s which are currently held\r\n whether they concern past or present circumstance.\", \r\n \"intro\": \"In the last week:\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quic
kKey\": 1}, \r\n {\"id\": \"c3718\", \"text\": \"2. Very mild- Rare instances of distrustfulness which may or may not be warranted\r\n by the situation.\", \"quickKey\": 2}, \r\n {\"id\": \"c3719\", \"text\": \"3. Mild - Occasional
instances of suspiciousness that are definitely not\r\n warranted by the situation.\", \"quickKey\": 3}, \r\n {\"id\": \"c3720\", \"text\": \"4. Moderate - More frequent suspiciousness, or transient ideas of reference.\", \"quickKey\":
4}, \r\n {\"id\": \"c3721\", \"text\": \"5. Moderately severe - Pervasive suspiciousness, or frequent ideas of reference.\", \"quickKey\": 5}, \r\n {\"id\": \"c3722\", \"text\": \"6. Severe - Definite delusion(s) of reference or per
secution that is (are) not\r\n wholly pervasive (e.g., an encapsulated delusion).\", \"quickKey\": 6}, \r\n {\"id\": \"c3723\", \"text\": \"7. Very severe - As above, but more widespread, frequent, or intense.\", \"quickKey\": 7}\r\n
]}, \r\n {\"id\": \"i2360\", \"type\": \"IntroText\", \r\n \"text\": \"In the past week:\"\r\n }, \r\n {\"id\": \"q7842\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"12. Hallucinatory
Behavior - Perceptions (in any sense modality) in absence of\r\n identifiable external stimulus. Rate only experiences that have occurred during\r\n the last week. DO NOT rate \\u0022voices in my head\\u0022 or \\u0022visions in my\r\n min
d\\u0022 unless the patient can differentiate between these experiences and\r\n his or her thoughts.\", \r\n \"intro\": \"In the past week:\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not
Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3724\", \"text\": \"2. Very mild - Suspected hallucinations only.\", \"quickKey\": 2}, \r\n {\"id\": \"c3725\", \"text\": \"3. Mild - Definite hallucinations, but insignificant, infreq
\"c3029\", \"text\": \"3. Independent (but may use any aid, e.g., cane)\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q5680\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"8. Dressing:\", \r\n
uent, or transient\r\n (e.g., occasional formless visual hallucinations, a voice calling the patient's\r\n name).\", \"quickKey\": 3}, \r\n {\"id\": \"c3726\", \"text\": \"4. Moderate - As above, but more frequent or extensive (e.g., fr
equently sees the\r\n devil's face, two voices carry on a lengthy conversation).\", \"quickKey\": 4}, \r\n {\"id\": \"c3727\", \"text\": \"5. Moderately severe - Hallucinations are experienced nearly every day, or are a\r\n source of ex
treme distress.\", \"quickKey\": 5}, \r\n {\"id\": \"c3728\", \"text\": \"6. Severe - As above and has had a moderate impact on the patient's behavior\r\n (e.g., concentration difficulties leading to impaired work functioning).\", \"qui
ckKey\": 6}, \r\n {\"id\": \"c3729\", \"text\": \"7. Very severe - As above, and has had a severe impact (e.g., attempts suicide in\r\n response to command hallucinations).\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2361\", \"type
\": \"IntroText\", \r\n \"text\": \"In the past 3 days:\"\r\n }, \r\n {\"id\": \"q7843\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"13. Motor Retardation - Reduction in energy level ev
idenced in slowed movements.\r\n Rate on the basis of observed behavior of the patient only. Do not rate on the\r\n basis of the patient's subjective impression of his or her own energy level.\", \r\n \"intro\": \"In the past 3 days:\",
\r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1},
\r\n {\"id\": \"c3730\", \"text\": \"2. Very mild - Of doubtful clinical significance.\", \"quickKey\": 2}, \r\n {\"id\": \"c3731\", \"text\": \"3. Mild - Conversation is somewhat retarded, movements somewhat slowed.\", \"quickKey\"
: 3}, \r\n {\"id\": \"c3732\", \"text\": \"4. Moderate - Conversation is notably retarded but not strained.\", \"quickKey\": 4}, \r\n {\"id\": \"c3733\", \"text\": \"5. Moderately severe - Conversation is strained, moves very slowly
.\", \"quickKey\": 5}, \r\n {\"id\": \"c3734\", \"text\": \"6. Severe - Conversation is difficult to maintain, hardly moves at all.\", \"quickKey\": 6}, \r\n {\"id\": \"c3735\", \"text\": \"7. Very severe - Conversation is almost im
\"intro\": \"Choose the scoring point for the statement that most closely corresponds to the\r\n patient's current level of ability for each of the following 10 items. Record\r\n actual, not potential, functioning. Information can be o
possible, does not move at all\r\n throughout the interview.\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2365\", \"type\": \"IntroText\", \r\n \"text\": \"In the last 3 days:\"\r\n }, \r\n {\"id\": \"q7844\", \"type\": \"Choice
Question\", \"required\": false, \"inline\": false, \r\n \"text\": \"14. Uncooperativeness - Evidence of resistance, unfriendliness, resentment, and\r\n lack of readiness to cooperate with the interviewer. Rate solely on the basis of\r\n
the patient's attitude and responses to the interviewer and the interview\r\n situation. Do not rate on the basis of reported resentment or uncooperativeness\r\n outside the interview situation.\", \r\n \"intro\": \"In the last 3 days:\
", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3736\", \"text\": \"2. Very mild - Does not seem motivated.\", \"quickKey\": 2}, \r\n {
\"id\": \"c3737\", \"text\": \"3. Mild - Seems evasive in certain areas.\", \"quickKey\": 3}, \r\n {\"id\": \"c3738\", \"text\": \"4. Moderate - As above, but evasive in many areas.\", \"quickKey\": 4}, \r\n {\"id\": \"c3739\", \"te
xt\": \"5. Moderately severe - Expresses resentment and is unfriendly throughout the\r\n interview.\", \"quickKey\": 5}, \r\n {\"id\": \"c3740\", \"text\": \"6. Severe - Refuses to answer a number of questions.\", \"quickKey\": 6}, \r\n
{\"id\": \"c3741\", \"text\": \"7. Very severe - Refuses to answer most questions.\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2360\", \"type\": \"IntroText\", \r\n \"text\": \"In the past week:\"\r\n }, \r\n {\"id\": \"q7
845\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"15. Unusual Thought Content - Severity of delusions of any type -- consider\r\n conviction and effect on actions. Assume full conviction if pat
ient has acted on\r\n his or her beliefs.\", \r\n \"intro\": \"In the past week:\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3742\",
\"text\": \"2. Very mild - Delusion(s) suspected or likely.\", \"quickKey\": 2}, \r\n {\"id\": \"c3743\", \"text\": \"3. Mild - At times, patient questions his or her belief(s) (partial delusion).\", \"quickKey\": 3}, \r\n {\"id\":
btained from the\r\n patient's self-report, from a separate party who is familiar with the patient's\r\n abilities (such as a relative), or from observation. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3016\", \"t
\"c3744\", \"text\": \"4. Moderate - Full delusional conviction, but delusion(s) has little or no\r\n influence on behavior.\", \"quickKey\": 4}, \r\n {\"id\": \"c3745\", \"text\": \"5. Moderately severe - Full delusional conviction, b
ut delusion(s) has only\r\n occasional impact on behavior.\", \"quickKey\": 5}, \r\n {\"id\": \"c3746\", \"text\": \"6. Severe - Delusion(s) has significant effect, e.g., neglects responsibilities\r\n because of preoccupation with belie
f that he\/she is God.\", \"quickKey\": 6}, \r\n {\"id\": \"c3747\", \"text\": \"7. Very severe - Delusion(s) has major impact, e.g., stops eating because\r\n believes food is poisoned.\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2
361\", \"type\": \"IntroText\", \r\n \"text\": \"In the past 3 days:\"\r\n },
\r\n {\"id\": \"q7846\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"16. Blunted Affect - Diminished affective responsivity, as characterized by\r\n deficits in facial expression, body gesture
, and voice pattern. Distinguish from\r\n EMOTIONAL WITHDRAWAL, in which the focus is on interpersonal impairment rather\r\n than affect. Consider degree and consistency of impairment.\", \r\n \"intro\": \"In the past 3 days:\", \r\n
\"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3748\", \"text\": \"2. Very mild - Occasionally seems indifferent to material that is usually\r\n acco
mpanied by some show of emotion.\", \"quickKey\": 2}, \r\n {\"id\": \"c3749\", \"text\": \"3. Mild - Somewhat diminished facial expression or somewhat monotonous voice or\r\n somewhat restricted gestures.\", \"quickKey\": 3}, \r\n {
\"id\": \"c3750\", \"text\": \"4. Moderate - As above, but more intense, prolonged, or frequent.\", \"quickKey\": 4}, \r\n {\"id\": \"c3751\", \"text\": \"5. Moderately severe - Flattening of affect, including at least two of the three\
r\n features: Severe lack of facial expression, monotonous voice, or restricted body\r\n gestures.\", \"quickKey\": 5}, \r\n {\"id\": \"c3752\", \"text\": \"6. Severe - Profound flattening affect.\", \"quickKey\": 6}, \r\n {\"id\":
ext\": \"0. Dependent\", \"quickKey\": 0}, \r\n {\"id\": \"c3030\", \"text\": \"1. Needs help, but can do about half unaided\", \"quickKey\": 1}, \r\n {\"id\": \"c3031\", \"text\": \"2. Independent (including buttons, zippers, laces
\"c3753\", \"text\": \"7. Very severe - Totally monotonous voice and total lack of expressive gestures\r\n throughout the evaluation.\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2365\", \"type\": \"IntroText\", \r\n \"text\": \"In t
he last 3 days:\"\r\n }, \r\n {\"id\": \"q7847\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"17. Excitement - Heightened emotional tone, including irritability and\r\n expansiveness (hypom
anic affect). Do not infer affect from statements of\r\n grandiose delusions.\", \r\n \"intro\": \"In the last 3 days:\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickK
ey\": 1}, \r\n {\"id\": \"c3754\", \"text\": \"2. Very Mild - Of doubtful clinical significance.\", \"quickKey\": 2}, \r\n {\"id\": \"c3755\", \"text\": \"3. Mild - Irritable or expansive at times.\", \"quickKey\": 3}, \r\n {\"i
d\": \"c3756\", \"text\": \"4. Moderate - Frequently irritable or expansive.\", \"quickKey\": 4}, \r\n {\"id\": \"c3757\", \"text\": \"5. Moderately Severe - Constantly irritable or expansive; or, at times, enraged\r\n or euphoric.\", \
"quickKey\": 5}, \r\n {\"id\": \"c3758\", \"text\": \"6. Severe - Enraged or euphoric throughout most of the interview.\", \"quickKey\": 6}, \r\n {\"id\": \"c3759\", \"text\": \"7. Very Severe - As above, but to such a degree that t
he interview must be\r\n terminated prematurely.\", \"quickKey\": 7}\r\n ]}, \r\n {\"id\": \"i2361\", \"type\": \"IntroText\", \r\n \"text\": \"In the past 3 days:\"\r\n }, \r\n {\"id\": \"q7848\", \"type\": \"ChoiceQuestion\",
\"required\": false, \"inline\": false, \r\n \"text\": \"18. Disorientation - Confusion or lack of proper association for person, place or\r\n time.\", \r\n \"intro\": \"In the past 3 days:\", \r\n \"columns\": 1, \r\n \"choices
\":[\r\n {\"id\": \"c106380\", \"text\": \"1. Not Reported\", \"quickKey\": 1}, \r\n {\"id\": \"c3760\", \"text\": \"2. Very mild - Seems somewhat confused.\", \"quickKey\": 2}, \r\n {\"id\": \"c3761\", \"text\": \"3. Mild - e.g
., Indicated 2013 when, in fact, it is 2014.\", \"quickKey\": 3}, \r\n {\"id\": \"c3762\", \"text\": \"4. Moderate - e.g., Indicates 1978.\", \"quickKey\": 4}, \r\n {\"id\": \"c3763\", \"text\": \"5. Moderately severe - Is unsure wh
, etc.)\", \"quickKey\": 2}\r\n ]}, \r\n {\"id\": \"q5681\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false,
ere he\/she is.\", \"quickKey\": 5}, \r\n {\"id\": \"c3764\", \"text\": \"6. Severe - Has no idea where he\/she is.\", \"quickKey\": 6},
\r\n {\"id\": \"c3765\", \"text\": \"7. Very severe - Does not know who he\/she is.\", \"quickKey\": 7}\r\n ]}]\r\n}","instrument":231,"lastUpdate":"2020-02-07T18:33:05","specIen":102},"verify":["601.71:231","601.72:7831","601.72:7832
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ent that most closely corresponds to the\r\n patient's current level of ability for each of the following 10 items. Record\r\n actual, not potential, functioning. Information can be obtained from the\r\n patient's self-report, from a sepa
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copyrightText":"Columbia-Suicide Severity Rating Scale (C-SSRS) 2016 The Columbia Lighthouse Project. Scale may be reproduced without permission.","copyrighted":true,"dllDate":null,"dllVersion":null,"enteredBy":"BARRY DELLINGER","entryDat
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nstrument":228,"template":"| | Columbia Suicide Severity Rating Scale (C-SSRS) | | \r\nDate Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.> |\r\n Location: <.Location.>| | Veteran: <.Patient_Name_Last_First.>| \r\nSSN: <.Pati
ent_SSN.>| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)\r\n| Gender: <.Patient_Gender.> | |\r\n| Suicidal Ideation in Past Month: <*Answer_7771*>|\r\n| Method\/Plan\/Intent in Past Month: <*Answer_7772*>|\r\n| Suicidal Behavior:
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<*Answer_7773*>||\r\n| KEY INDICATORS:\r\n|<*Answer_7774*>||\r\n Questions and Answers: ||\r\n 1. Over the past month, have you wished you were dead or wished you could go to sleep and not wake up?| <*Answer_7801*>|\r\n 2. Over the pa
st month, have you had any actual thoughts of killing yourself? | <*Answer_7802*>|\r\n 3. Over the past month, have you been thinking about how you might do this? | <*Answer_7803*>|\r\n 4. Over the past month, have you had these thoug
hts and had some intention of acting on them? | <*Answer_7804*>|\r\n 5. Over the past month, have you started to work out or worked out the details of how to kill yourself?| <*Answer_7805*>|\r\n 6. If yes, at any time in the past mon
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away valuables, went to the roof but didn't jump)?| <*Answer_7807*>|\r\n 8. If yes, was this within the past 3 months?| <*Answer_7808*> ||\r\n \r\n| |Columbia-Suicide Severity Rating Scale (C-SSRS) 2016 The Columbia Lighthouse Pro
ject. Scale may be reproduced without permission.\r\n \r\n| |Information contained in this note is based on a self-report\r\n assessment and is not sufficient to use alone for diagnostic purposes.\r\n Assessment results should be verified
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period designated.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3917\", \"text\": \" Yes\"}, \r\n {\"id\": \"c3918\", \"text\": \" No\"}\r\n ]}, \r\n {\"id\": \"q8008\", \"type\": \"ChoiceQuestion\", \"requir
ed\": true, \"inline\": false, \r\n \"text\": \"5. Over the past month, have you had these thoughts and had some intention of\r\n acting on them? \", \r\n \"intro\": \"Provide the responses to the following questions for the time peri
od designated.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3917\", \"text\": \" Yes\"}, \r\n {\"id\": \"c3918\", \"text\": \" No\"}\r\n ]}, \r\n {\"id\": \"q8009\", \"type\": \"ChoiceQuestion\", \"required\"
: true, \"inline\": false, \r\n \"text\": \"6. Over the past month, have you started to work out or worked out the details of\r\n how to kill yourself?\", \r\n \"intro\": \"Provide the responses to the following questions for the time
period designated.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3917\", \"text\": \" Yes\"}, \r\n {\"id\": \"c3918\", \"text\": \" No\"}\r\n ]}, \r\n {\"id\": \"q8010\", \"type\": \"ChoiceQuestion\", \"requi
red\": true, \"inline\": false, \r\n \"text\": \"7. If yes, at any time in the past month did you intend to carry out this plan?\", \r\n \"intro\": \"Provide the responses to the following questions for the time period designated.\",
\r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3917\", \"text\": \" Yes\"}, \r\n {\"id\": \"c3918\", \"text\": \" No\"}\r\n ]}, \r\n {\"id\": \"q8011\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\"
: false, \r\n \"text\": \"8. In your lifetime, have you ever done anything, started to do anything, or
\r\n prepared to do anything to end your life (for example, collected pills, obtained\r\n a gun, gave away valuables, went to the roof but didn't jump)?\", \r\n \"intro\": \"Provide the responses to the following questions for the time p
eriod designated.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3917\", \"text\": \" Yes\"}, \r\n {\"id\": \"c3918\", \"text\": \" No\"}\r\n ]}, \r\n {\"id\": \"q8012\", \"type\": \"ChoiceQuestion\", \"require
doing in different areas \r\nof life. Please check the item that best describes yourself during the \r\nPAST WEEK. Please answer every question. If you are unsure about how to \r\nanswer, please give the best answer you can.\r\n \r\n \r\n|
d\": true, \"inline\": false, \r\n \"text\": \"9. If YES, was this within the past 3 months?\", \r\n \"intro\": \"Provide the responses to the following questions for the time period designated.\", \r\n \"columns\": 1, \r\n \"ch
oices\":[\r\n {\"id\": \"c3917\", \"text\": \" Yes\"}, \r\n {\"id\": \"c3918\", \"text\": \" No\"}\r\n ]}], \r\n \"rules\":[\r\n {\"question\": \"q8004\", \"operator\": \"EQ\", \"value\": \"c3913\", \r\n \"skips\":[\"q8005\",
\"q8006\",\"q8007\",\"q8008\",\"q8009\",\"q8010\",\"q8011\",\"q8012\"]}, \r\n {\"question\": \"q8007\", \"operator\": \"EQ\", \"value\": \"c3918\", \r\n \"skips\":[\"q8007\",\"q8008\",\"q8009\",\"q8010\"]}, \r\n {\"question\": \"q800
9\", \"operator\": \"EQ\", \"value\": \"c3918\", \r\n \"skips\":[\"q8010\"]}, \r\n {\"question\": \"q8011\", \"operator\": \"EQ\", \"value\": \"c3918\", \r\n \"skips\":[\"q8012\"]}]\r\n}","instrument":246,"lastUpdate":"2020-02-07T18
:33:09","specIen":114},"verify":["601.71:246","601.72:8004","601.72:8005","601.72:8006","601.72:8007","601.72:8008","601.72:8009","601.72:8010","601.72:8011","601.72:8012","601.73:2379","601.75:3913","601.75:3914","601.75:3915","601.75:3916
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470","601.89:42193","601.89:42194","601.91:11215","601.91:11216","601.91:11217","601.91:11218","601.91:11219","601.91:11220","601.91:11221","601.91:11222","601.91:11223","601.91:11224","601.91:11225","601.91:11226","601.91:11227","601.91:11
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|During the PAST WEEK, how often did you ...","max":null,"min":null,"questionDisplay":1470,"questionId":7957,"questionText":"Think you had special powers?","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":1},{"choi
n":106296,"legacyValue":null,"sequence":2}],"choiceDisplay":1443,"choiceIdentifier":1,"choiceIdentifierIen":256,"choiceTypeId":911,"designator":1,"hint":null,"id":7307,"instrument":225,"introDisplay":1470,"introId":2350,"introText":"Please
read each item carefully and give your best response.","max":null,"min":null,"questionDisplay":1470,"questionId":7789,"questionText":"Over the past 2 weeks, have you felt down, depressed, or hopeless?","required":true,"responseTypeId":1,"re
sponseTypeText":"MCHOICE","sequence":1},{"choice":[{"choiceId":3632,"choiceText":"Yes","ien":106290,"legacyValue":null,"sequence":1},{"choiceId":3633,"choiceText":"No","ien":106296,"legacyValue":null,"sequence":2}],"choiceDisplay":1443,"cho
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n":null,"questionDisplay":1470,"questionId":7790,"questionText":"Over the past 2 weeks, have you had thoughts of killing yourself?","required":true,
"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":2},{"choice":[{"choiceId":3632,"choiceText":"Yes","ien":106290,"legacyValue":null,"sequence":1},{"choiceId":3633,"choiceText":"No","ien":106296,"legacyValue":null,"sequence":2}],"ch
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":7791,"questionText":"In your lifetime, have you ever attempted to kill yourself?","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":3},{"choice":[{"choiceId":3635,"choiceText":"Within the past 24 hours (including
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"legacyValue":1,"sequence":3},{"choiceId":3638,"choiceText":"More than 6 months ago","ien":106306,"legacyValue":null,"sequence":4},{"choiceId":3639,"choiceText":"I Don't Know","ien":106308,"legacyValue":0,"sequence":5}],"choiceDisplay":1443
g 24 - 48 hours):","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":40},{"choice":[{"choiceId":3016,"choiceText":"Dependent","ien":66335,"legacyValue":0,"sequence":1},{"choiceId":3156,"choiceText":"Needs some help
ce":[{"choiceId":3898,"choiceText":"Never","ien":108515,"legacyValue":0,"sequence":1},{"choiceId":3899,"choiceText":"Rarely","ien":108523,"legacyValue":1,"sequence":2},{"choiceId":3900,"choiceText":"Sometimes","ien":108524,"legacyValue":2,"
,"choiceIdentifier":1,"choiceIdentifierIen":257,"choiceTypeId":912,"designator":3.1,"hint":null,"id":7310,"instrument":225,"introDisplay":1470,"introId":null,"introText":null,"max":5,"min":1,"questionDisplay":1470,"questionId":7792,"questio
nText":"If \"Yes\": When was the last time you attempted to kill yourself?","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":4}],"display":[{"alignment":"L","columns":1,"component":"RA","fontBold":false,"fontColor"
:"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":1443,"left":10,"mask":"577|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic
":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":1470,"left":2,"mask":null}],"info":{"author":"Boudreaux, E.","auxDate":null,"auxVersion":null,"copyrightText":"Copyright 2016. Emergency Medicine Network. Repr
oduced with Permission of author.","copyrighted":true,"dllDate":null,"dllVersion":null,"enteredBy":"DIANE BOYD","entryDate":"2018-01-29","fullText":true,"id":225,"lastEditDate":3220127,"lastEditedBy":"LEE,KYU-TAE","legacy":false,"licenseCur
rent":true,"name":"PSS-3","national":true,"normSample":null,"operational":"Y","printTitle":"Patient Safety Screener 3 (PSS-3)","publicationDate":null,"publisher":4,"purpose":null,"reference":"Boudreaux, E. D., et al. (2015). The Patient Saf
ety Screener: Validation of a brief suicide risk screener for emergency department settings. Archives of Suicide Research, 19(2), 151-160.","requireSignature":false,"requiresLicense":"N","scoringRevision":1,"scoringRoutine":null,"scoringTag
":null,"staffOnly":"N","submitNational":true,"targetPopulation":null,"version":"v.1","wasOperational":true},"report":{"id":151,"instrument":225,"template":"|.|.|Patient Safety Screener 3 (PSS-3) |\r\n | Date Given: <.Date_Given.>| Clin
ician: <.Staff_Ordered_By.>| \r\nLocation: <.Location.>| | Veteran: <.Patient_Name_Last_First.>| \r\nSSN: <.Patient_SSN.>| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)\r\n| Gender: <.Patient_Gender.>| | | Depressed Mood
Scale | \r\n <*Answer_7771*>|| \r\n Active Suicidal Ideation Scale| <*Answer_7772*>|| \r\n Recent Suicide Attempt Scale| <*Answer_7773*>||\r\n Questions and Answers:| 1. Over the past 2 weeks, have you felt down,\r\n depressed, or hopel
sequence":3},{"choiceId":3901,"choiceText":"Often","ien":108525,"legacyValue":3,"sequence":4},{"choiceId":3902,"choiceText":"Always","ien":108526,"legacyValue":4,"sequence":5}],"choiceDisplay":1443,"choiceIdentifier":0,"choiceIdentifierIen"
ess? | <*Answer_7789*>| 2. Over the past 2 weeks,\r\nhave you had thoughts of killing yourself? | <*Answer_7790*>| 3. In \r\nyour lifetime, have you ever attempted to kill yourself? |\r\n <*Answer_7791*>|\r\n 3.1. If \"Yes\":
When was the last time you attempted to kill yourself?\r\n| <*Answer_7792*>| | \r\n \r\n
\r\n| |Information contained in this note is based on a self-report\r\n assessment and is not sufficient to use alone for diagnostic purposes.\r\n Assessment results should be verified for accuracy and used in\r\n conjunction with other d
iagnostic activities.\r\n \r\n| |Copyright 2016. Emergency Medicine Network. Reproduced with Permission of author.\r\n \r\n$~"},"rule":[{"booleanOperator":"AND","consistencyCheck":null,"id":338,"indexOperator":"Equals","indexQuestionId"
:7791,"indexValue":1,"indexValueDataType":"STRING","instrumentId":225,"instrumentQuestionId":7791,"instrumentRuleId":460,"messageText":null,"skippedQuestion":[{"id":1874,"instrumentId":225,"questionId":7792,"ruleId":338}],"targetOperator":n
ull,"targetQuestionId":null,"targetValue":null,"targetValueDataType":null}],"scaleGroup":[{"grid1":null,"grid2":null,"grid3":null,"id":249,"instrument":225,"name":"PSS-3","ordInc":1,"ordMax":1,"ordMin":0,"ordTitle":"PSS-3","scale":[{"groupI
d":249,"id":1013,"name":"Depressed Mood","scoringKey":[{"id":9996,"questionId":7789,"scaleId":1013,"targetText":"Yes","value":1},{"id":9997,"questionId":7789,"scaleId":1013,"targetText":"No","value":0}],"sequence":1,"xLabel":"Depre"},{"grou
pId":249,"id":1014,"name":"Suicide Ideation","scoringKey":[{"id":9998,"questionId":7790,"scaleId":1014,"targetText":"Yes","value":1},{"id":9999,"questionId":7790,"scaleId":1014,"targetText":"No","value":0}],"sequence":2,"xLabel":"SuicI"}],"
sequence":1}],"spec":{"entryChecksum":1969202820,"entrySpec":"{\"name\": \"PSS-3\", \r\n \"copyright\": \"Copyright 2016. Emergency Medicine Network. Reproduced with Permission of\r\n author.\", \r\n \"restartDays\": 2, \r\n \"content\"
:[\r\n {\"id\": \"i2350\", \"type\": \"IntroText\", \r\n \"text\": \"Please read each item carefully and give your best response.\"\r\n }, \r\n {\"id\": \"q7789\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": fals
:42176,"choiceTypeId":108529,"designator":2,"hint":null,"id":7958,"instrument":243,"introDisplay":1470,"introId":null,"introText":null,"max":null,"min":null,"questionDisplay":1470,"questionId":7958,"questionText":"Hear voices or see things?
e, \r\n \"text\": \"1. Over the past 2 weeks, have you felt down, depressed, or hopeless?\", \r\n \"intro\": \"Please read each item carefully and give your best response.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id
\": \"c3632\", \"text\": \"1. Yes\", \"quickKey\": 1}, \r\n {\"id\": \"c3633\", \"text\": \"2. No\", \"quickKey\": 2}\r\n ]}, \r\n {\"id\": \"q7790\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": false, \r\n \"te
xt\": \"2. Over the past 2 weeks, have you had thoughts of killing yourself?\", \r\n \"intro\": \"Please read each item carefully and give your best response.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3632\", \
"text\": \"1. Yes\", \"quickKey\": 1}, \r\n {\"id\": \"c3633\", \"text\": \"2. No\", \"quickKey\": 2}\r\n ]}, \r\n {\"id\": \"q7791\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": false, \r\n \"text\": \"3. In yo
ur lifetime, have you ever attempted to kill yourself?\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3632\", \"text\": \"1. Yes\", \"quickKey\": 1}, \r\n {\"id\": \"c3633\", \"text\": \"2. No\", \"quickKey\": 2}\r
\n ]}, \r\n {\"id\": \"q7792\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": false, \r\n \"text\": \"3.1. If \\u0022Yes\\u0022: When was the last time you attempted to kill yourself?\", \r\n \"columns\": 1, \r\n
\"choices\":[\r\n {\"id\": \"c3635\", \"text\": \"1. Within the past 24 hours (including today)\", \"quickKey\": 1}, \r\n {\"id\": \"c3636\", \"text\": \"2. Within the last month (but not today) \", \"quickKey\": 2}, \r\n {\"
id\": \"c3637\", \"text\": \"3. Between 1 and 6 months ago \", \"quickKey\": 3}, \r\n {\"id\": \"c3638\", \"text\": \"4. More than 6 months ago\", \"quickKey\": 4}, \r\n {\"id\": \"c3639\", \"text\": \"5. I Don't Know\", \"quickKey
\": 5}\r\n ]}], \r\n \"rules\":[\r\n {\"question\": \"q7791\", \"operator\": \"EQ\", \"value\": \"c3633\", \r\n \"skips\":[\"q7792\"]}]\r\n}","instrument":
225,"lastUpdate":"2020-02-07T18:33:03","specIen":96},"verify":["601.71:225","601.72:7789","601.72:7790","601.72:7791","601.72:7792","601.73:2350","601.75:3632","601.75:3633","601.75:3635","601.75:3636","601.75:3637","601.75:3638","601.75:36
","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":2},{"choice":[{"choiceId":3898,"choiceText":"Never","ien":108516,"legacyValue":0,"sequence":1},{"choiceId":3899,"choiceText":"Rarely","ien":108527,"legacyValue":1,
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"choiceId":106377,"choiceText":"No","ien":106504,"legacyValue":null,"sequence":2},{"choiceId":106378,"choiceText":"Refused","ien":106505,"legacyValue":null,"sequence":3},{"choiceId":106379,"choiceText":"Patient unable to complete","ien":106
506,"legacyValue":null,"sequence":4}],"choiceDisplay":1443,"choiceIdentifier":"N","choiceIdentifierIen":42159,"choiceTypeId":106384,"designator":1,"hint":null,"id":7849,"instrument":226,"introDisplay":1470,"introId":2363,"introText":"This i
s a clinician rating, based on the PSS3 scoring, not designed for self-report.| |\r\nA \"yes\" on any of the items below means the treating physician should consider consulting a mental health professional.","max":null,"min":null,"questionD
isplay":1470,"questionId":7849,"questionText":"Did the patient screen positive on both PSS items - active ideation with a past attempt?\r\n|Source: PSS screener completed by primary nurse, documented on chart.","required":true,"responseType
Id":1,"responseTypeText":"MCHOICE","sequence":1},{"choice":[{"choiceId":106376,"choiceText":"Yes","ien":106503,"legacyValue":null,"sequence":1},{"choiceId":106377,"choiceText":"No","ien":106504,"legacyValue":null,"sequence":2},{"choiceId":1
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on any of the items below means the treating physician should consider consulting a mental health professional.","max":null,"min":null,"questionDisplay":1470,"questionId":7850,"questionText":"Has the individual begun a suicide plan?\r\n \r\
"sequence":2},{"choiceId":3900,"choiceText":"Sometimes","ien":108528,"legacyValue":2,"sequence":3},{"choiceId":3901,"choiceText":"Often","ien":108529,"legacyValue":3,"sequence":4},{"choiceId":3902,"choiceText":"Always","ien":108530,"legacyV
n|Source: Use patient self-report, collateral information.\r\n|Suggested wording: Have you been thinking about how you might kill yourself?","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":2},{"choice":[{"choiceId
":106376,"choiceText":"Yes","ien":106503,"legacyValue":null,"sequence":1},{"choiceId":106377,"choiceText":"No","ien":106504,"legacyValue":null,"sequence":2},{"choiceId":106378,"choiceText":"Refused","ien":106505,"legacyValue":null,"sequence
":3},{"choiceId":106379,"choiceText":"Patient unable to complete","ien":106506,"legacyValue":null,"sequence":4}],"choiceDisplay":1443,"choiceIdentifier":"N","choiceIdentifierIen":42159,"choiceTypeId":106384,"designator":3,"hint":null,"id":7
851,"instrument":226,"introDisplay":1470,"introId":2363,"introText":"This is a clinician rating, based on the PSS3 scoring, not designed for self-report.| |\r\nA \"yes\" on any of the items below means the treating physician should consider
consulting a mental health professional.","max":null,"min":null,"questionDisplay":1470,"questionId":7851,"questionText":"Has the individual recently had intent to act on his\/her ideation?\r\n|Source: Use Patient self-report, collateral in
formation.\r\n|Suggested wording: Have you had some intention of acting on your thoughts?","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE",
"sequence":3},{"choice":[{"choiceId":106376,"choiceText":"Yes","ien":106503,"legacyValue":null,"sequence":1},{"choiceId":106377,"choiceText":"No","ien":106504,"legacyValue":null,"sequence":2},{"choiceId":106378,"choiceText":"Refused","ien":
106505,"legacyValue":null,"sequence":3},{"choiceId":106379,"choiceText":"Patient unable to complete","ien":106506,"legacyValue":null,"sequence":4}],"choiceDisplay":1443,"choiceIdentifier":"N","choiceIdentifierIen":42159,"choiceTypeId":10638
4,"designator":4,"hint":null,"id":7852,"instrument":226,"introDisplay":1470,"introId":2363,"introText":"This is a clinician rating, based on the PSS3 scoring, not designed for self-report.| |\r\nA \"yes\" on any of the items below means the
treating physician should consider consulting a mental health professional.","max":null,"min":null,"questionDisplay":1470,"questionId":7852,"questionText":"Has the patient ever had a psychiatric hospitalization?\r\n|Source: Use patient sel
alue":4,"sequence":5}],"choiceDisplay":1443,"choiceIdentifier":0,"choiceIdentifierIen":42168,"choiceTypeId":108530,"designator":3,"hint":null,"id":7959,"instrument":243,"introDisplay":1470,"introId":null,"introText":null,"max":null,"min":nu
f-report, collateral information, medical records review.\r\n|Suggested wording: Have you ever been hospitalized for a mental health or substance use problem?","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":4},{"
choice":[{"choiceId":106376,"choiceText":"Yes","ien":106503,"legacyValue":null,"sequence":1},{"choiceId":106377,"choiceText":"No","ien":106504,"legacyValue":null,"sequence":2},{"choiceId":106378,"choiceText":"Refused","ien":106505,"legacyVa
lue":null,"sequence":3},{"choiceId":106379,"choiceText":"Patient unable to complete","ien":106506,"legacyValue":null,"sequence":4}],"choiceDisplay":1443,"choiceIdentifier":"N","choiceIdentifierIen":42159,"choiceTypeId":106384,"designator":5
,"hint":null,"id":7853,"instrument":226,"introDisplay":1470,"introId":2363,"introText":"This is a clinician rating, based on the PSS3 scoring, not designed for self-report.| |\r\nA \"yes\" on any of the items below means the treating physic
ian should consider consulting a mental health professional.","max":null,"min":null,"questionDisplay":1470,"questionId":7853,"questionText":"Does the patient have a pattern of excessive substance use?\r\n|Source: Use patient self-report, co
llateral information, medical records review.\r\n \r\n|Suggested wording: Has drinking or drug abuse ever been a problem for\r\nyou? Or administer CAGE or other standardized substance use screener.","required":true,"responseTypeId":1,"respo
nseTypeText":"MCHOICE","sequence":5},{"choice":[{"choiceId":106376,"choiceText":"Yes","ien":106503,"legacyValue":null,"sequence":1},{"choiceId":106377,"choiceText":"No","ien":106504,"legacyValue":null,"sequence":2},{"choiceId":106378,"choic
eText":"Refused","ien":106505,"legacyValue":null,"sequence":3},{"choiceId":106379,"choiceText":"Patient unable to complete","ien":106506,"legacyValue":null,"sequence":4}],"choiceDisplay":1443,"choiceIdentifier":"N","choiceIdentifierIen":421
59,"choiceTypeId":106384,"designator":6,"hint":null,"id":7854,"instrument":226,"introDisplay":1470,"introId":2363,"introText":"This is a clinician rating, based on the PSS3 scoring, not designed for self-report.| |\r\nA \"yes\" on any of th
e items below means the treating physician should consider consulting a mental health professional.","max":null,"min":null,"questionDisplay":1470,"questionId":7854,"questionText":"Is the patient irritable, agitated, or aggressive?\r\n|Sourc
ll,"questionDisplay":1470,"questionId":7959,"questionText":"Think people were watching you?","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":3},{"choice":[{"choiceId":3898,"choiceText":"Never","ien":108517,"legacy
e: Use current observations, collateral information, medical records review.","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":6}],"display":[{"alignment":"L","columns":1,"component":"RA","fontBold":false,"fontColo
r":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":1443,"left":10,"mask":"577|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItal
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:"|.|.|Behavior and Symptom Identification Scale 24 - Psychosis Sxs(BASIS-24 PSYCHOSIS) | | Date Given: <.Date_Given.>| Clinician:\r\n<.Staff_Ordered_By.>| Location: <.Location.>| | Veteran:\r\n<.Patient_Name_Last_First.>| SSN:
":3},{"choiceId":3655,"choiceText":"Severe","ien":106345,"legacyValue":3,"sequence":4},{"choiceId":3656,"choiceText":"Extreme or cannot do","ien":106346,"legacyValue":4,"sequence":5}],"choiceDisplay":43016,"choiceIdentifier":0,"choiceIdenti
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ut difficulties due to health conditions. Health conditions include diseases or illnesses, other health problems that may be short or long lasting, injuries, mental or emotional\r\nproblems, and problems with alcohol or drugs.| |\r\nThink
back over the past 30 days and answer these questions, thinking about how much difficulty you had doing the following activities. In the past 30 days, how much DIFFICULTY did you have in:","max":null,"min":null,"questionDisplay":43015,"que
stionId":7821,"questionText":"Your day-to-day work?","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":12}],"display":[{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fo
<.Patient_SSN.>| DOB:\r\n<.Patient_Date_Of_Birth.> (<.Patient_Age.>) | Gender:\r\n<.Patient_Gender.>| | \r\n<*Answer_999999999999*>||\r\n \r\nPsychotic Symptoms scores range from 0 to 4 with higher scores reflecting|\r\nhigher levels
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"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":43016,"left":8,"mask":"662|||"}],"info":{"author":"Andrews G., Kemp A., Sunderland M., Von Korff M., Ustun T.","auxDate":null,"auxVersion
":null,"copyrightText":"Copyright World Health Organization. 2009. All Rights Reserved. Measuring health and disability: manual for WHO Disability Assessment Schedule (WHODAS 2.0), World Health Organization, 2010, Geneva.","copyrighted":t
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normSample":null,"operational":"Y","printTitle":"World Health Organization Disability Assessment Schedule 2.0 - 12-item (WHODAS2.0-12)","publicationDate":null,"publisher":null,"purpose":null,"reference":"Andrews, G., Kemp, A., Sunderland, M
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edule 2.0 - \r\n12-item (WHODAS2.0-12) | |\r\n Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.> |\r\n Location: <.Location.>| | Veteran: <.Patient_Name_Last_First.>| \r\nSSN: <.Patient_SSN.>| DOB: <.Patient_Date_Of_Birth.
> (<.Patient_Age.>)\r\n| Gender: <.Patient_Gender.> | | | \r\n GLOBAL DISABILITY SCORE: <*Answer_7771*>| Scores range from 0-48, with\r\n higher scores indicating more severe disability.\r\n| |\r\n Questions and Answers: | \r\n S1. Sta
or reported psychotic symptoms.| |\r\n \r\n Questions and Answers: ||\r\n 1. Think you had special powers?| <*Answer_7957*>|\r\n 2. Hear voices or see things?| <*Answer_7958*>|\r\n 3. Think people were watching you?|
nding for long periods such as 30 minutes?| <*Answer_7810*>| \r\n S2. Taking care of your household responsibilities?|\r\n <*Answer_7811*>| S3. Learning a new task, for example, learning how\r\n to get to a new place? | <*A
nswer_7812*>| S4. How much of a\r\n problem did you have joining in community activities (for example,\r\n festivities, religious or other activities) in the same way\r\n as anyone else can?| <*Answer_7813*>| S5. How much have you\r\
n been emotionally affected by your health problems? | \r\n<*Answer_7814*>| S6. Concentrating on doing something for ten\r\n minutes?| <*Answer_7815*>| S7. Walking a long distance such as a\r\n kilometer (or equivalent)?| <
*Answer_7816*>| S8.\r\n Washing your whole body?| <*Answer_7817*>| S9. Getting dressed?|\r\n <*Answer_7818*>| S10. Dealing with people you do not know?| \r\n <*Answer_7819*>| S11. Maintaining a friendship?|\r\n <*An
swer_7820*>|\r\n S12. Your day-to-day work?| <*Answer_7821*>|\r\n| |Information contained in this note is based on a self-report \r\nassessment and is not sufficient to use alone for diagnostic purposes.\r\n Assessment results shoul
d be verified for accuracy and used in\r\n conjunction with other diagnostic activities.\r\n| |Copyright World Health Organization. 2009. All Rights Reserved. \r\nMeasuring health and disability: manual for WHO Disability Assessment\r\n
Schedule (WHODAS 2.0), World Health Organization, 2010, Geneva. $~"},"scaleGroup":[{"grid1":null,"grid2":null,"grid3":null,"id":253,"instrument":229,"name":"WHODAS2.0-12","ordInc":1,"ordMax":48,"ordMin":1,"ordTitle":"WHODAS2.0-12","scale"
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<*Answer_7959*>|\r\n 4. Think people were against you?| <*Answer_7960*>|\r\n| |Copyright 2011, McLean Hospital. Reproduced with permission.\r\n \r\n| |Information contained in this note is based on a self-report assessment and
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10101,"questionId":7820,"scaleId":1031,"targetText":"Extreme or cannot do","value":4},{"id":10102,"questionId":7821,"scaleId":1031,"targetText":"None","value":0},{"id":10103,"questionId":7821,"scaleId":1031,"targetText":"Mild","value":1},{"
id":10104,"questionId":7821,"scaleId":1031,"targetText":"Moderate","value":2},{"id":10105,"questionId":7821,"scaleId":1031,"targetText":"Severe","value":3},{"id":10106,"questionId":7821,"scaleId":1031,"targetText":"Extreme or cannot do","va
lue":4}],"sequence":1,"xLabel":null}],"sequence":1}],"spec":{"entryChecksum":1914889849,"entrySpec":"{\"name\": \"WHODAS2.0-12\", \r\n \"copyright\": \"Copyright World Health Organization. 2009. All Rights Reserved. Measuring\r\n health a
nd disability: manual for WHO Disability Assessment Schedule (WHODAS\r\n 2.0), World Health Organization, 2010, Geneva.\", \r\n \"restartDays\": 2, \r\n \"content\":[\r\n {\"id\": \"i2356\", \"type\": \"IntroText\", \r\n \"text\": \"Th
nstrument":243,"name":"BASIS 24 PSYCHOSIS","ordInc":1,"ordMax":4,"ordMin":1,"ordTitle":"BASIS-24 PSYCHOSIS","scale":[{"groupId":265,"id":1108,"name":"Psychotic Symptoms","scoringKey":[{"id":10720,"questionId":7957,"scaleId":1108,"targetText
is questionnaire asks about difficulties due to health conditions. Health\r\n conditions include diseases or illnesses, other health problems that may be\r\n short or long lasting, injuries, mental or emotional problems, and problems with\r
\n alcohol or drugs.<br \/> <br \/> Think back over the past 30 days and answer\r\n these questions, thinking about how much difficulty you had doing the following\r\n activities. In the past 30 days, how much DIFFICULTY did you have in:\
"\r\n }, \r\n {\"id\": \"q7810\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"S1. Standing for long periods such as 30 minutes?\", \r\n \"intro\": \"This questionnaire asks about difficul
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"choices\":[\r\n {\"id\": \"c3652\", \"text\": \"0. None\", \"quickKey\": 0}, \r\n {\"id\": \"c3653\", \"text\": \"1. Mild\", \"quickKey\": 1}, \r\n {\"id\": \"c3654\", \"text\": \"2. Moderate\", \"quickKey\": 2}, \r\n {\"id
\": \"c3655\", \"text\": \"3. Severe\", \"quickKey\": 3}, \r\n {\"id\": \"c3656\", \"text\": \"4. Extreme or cannot do\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7811\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\
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lace?\", \r\n \"intro\": \"This questionnaire asks about difficulties due to health conditions. Health
\r\n conditions include diseases or illnesses, other health problems that may be\r\n short or long lasting, injuries, mental or emotional problems, and problems with\r\n alcohol or drugs.<br \/> <br \/> Think back over the past 30 days and
answer\r\n these questions, thinking about how much difficulty you had doing the following\r\n activities. In the past 30 days, how much DIFFICULTY did you have in:\", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c3652
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", \"quickKey\": 3}, \r\n {\"id\": \"c3656\", \"text\": \"4. Extreme or cannot do\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7813\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"S4. How
much of a problem did you have joining in community activities (for\r\n example, festivities, religious or other activities) in the same way as anyone\r\n else can?\", \r\n \"intro\": \"This questionnaire asks about difficulties due to h
ealth conditions. Health\r\n conditions include diseases or illnesses, other health problems that may be\r\n short or long lasting, injuries, mental or emotional problems, and problems with\r\n alcohol or drugs.<br \/> <br \/> Think back o
ver the past 30 days and answer\r\n these questions, thinking about how much difficulty you had doing the following\r\n activities. In the past 30 days, how much DIFFICULTY did you have in:\", \r\n \"columns\": 2, \r\n \"choices\":[\
ften","value":3},{"id":10724,"questionId":7957,"scaleId":1108,"targetText":"Always","value":4},{"id":10725,"questionId":7958,"scaleId":1108,"targetText":"Never","value":0},{"id":10726,"questionId":7958,"scaleId":1108,"targetText":"Rarely","
r\n {\"id\": \"c3652\", \"text\": \"0. None\", \"quickKey\": 0}, \r\n {\"id\": \"c3653\", \"text\": \"1. Mild\", \"quickKey\": 1}, \r\n {\"id\": \"c3654\", \"text\": \"2. Moderate\", \"quickKey\": 2}, \r\n {\"id\": \"c3655\"
, \"text\": \"3. Severe\", \"quickKey\": 3}, \r\n {\"id\": \"c3656\", \"text\": \"4. Extreme or cannot do\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7814\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n
\"text\": \"S5. How much have you been emotionally affected by your health problems?\", \r\n \"intro\": \"This questionnaire asks about difficulties due to health conditions. Health\r\n conditions include diseases or illnesses, other
health problems that may be\r\n short or long lasting, injuries, mental or emotional problems, and problems with\r\n alcohol or drugs.<br \/> <br \/> Think back over the past 30 days and answer\r\n these questions, thinking about how muc
h difficulty you had doing the following\r\n activities. In the past 30 days, how much DIFFICULTY did you have in:\", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c3652\", \"text\": \"0. None\", \"quickKey\": 0}, \r\n
{\"id\": \"c3653\", \"text\": \"1. Mild\", \"quickKey\": 1}, \r\n {\"id\": \"c3654\", \"text\": \"2. Moderate\", \"quickKey\": 2}, \r\n {\"id\": \"c3655\", \"text\": \"3. Severe\", \"quickKey\": 3}, \r\n {\"id\": \"c3656\", \"
text\": \"4. Extreme or cannot do\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7815\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"S6. Concentrating on doing something for ten minutes?\", \r\
n \"intro\": \"This questionnaire asks about difficulties due to health conditions. Health\r\n conditions include diseases or illnesses, other health problems that may be\r\n short or long lasting, injuries, mental or emotional problems,
and problems with\r\n alcohol or drugs.<br \/> <br \/> Think back over the past 30 days and answer\r\n these questions, thinking about how much difficulty you had doing the following\r\n activities. In the past 30 days, how much DIFFICUL
TY did you have in:\", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c3652\", \"text\": \"0. None\", \"quickKey\": 0},
value":1},{"id":10727,"questionId":7958,"scaleId":1108,"targetText":"Sometimes","value":2},{"id":10728,"questionId":7958,"scaleId":1108,"targetText":"Often","value":3},{"id":10729,"questionId":7958,"scaleId":1108,"targetText":"Always","valu
\r\n {\"id\": \"c3653\", \"text\": \"1. Mild\", \"quickKey\": 1}, \r\n {\"id\": \"c3654\", \"text\": \"2. Moderate\", \"quickKey\": 2}, \r\n {\"id\": \"c3655\", \"text\": \"3. Severe\", \"quickKey\": 3}, \r\n {\"id\": \"c365
6\", \"text\": \"4. Extreme or cannot do\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q7816\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"S7. Walking a long distance such as a kilometer (or e
quivalent)?\", \r\n \"intro\": \"This questionnaire asks about difficulties due to health conditions. Health\r\n conditions include diseases or illnesses, other health problems that may be\r\n short or long lasting, injuries, mental or e
motional problems, and problems with\r\n alcohol or drugs.<br \/> <br \/> Think back over the past 30 days and answer\r\n these questions, thinking about how much difficulty you had doing the following\r\n activities. In the past 30 days,
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"This survey will help your caregiver better understand how you feel. There are no right or wrong answers. This survey usually takes about 10 minutes to complete.||\r\nThis part contains questions concerning your level of pain during the pa
st month.| |\r\nUse the following to describe your level of pain:| |\r\n0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10|\r\nNo Pain Worst Pain You| \r\n
Could Imagine","max":10,"min":0,"questionDisplay":1470,"questionId":8235,"questionText":"Genital area?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":10},{"choice":[{"choiceId":3927,
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tions concerning your level of pain during the past month.| |\r\nUse the following to describe your level of pain:| |\r\n0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10|\r\nNo Pain Worst Pain You| \
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e following 10 items. Record actual, not potential, functioning. \r\nInformation can be obtained from the patient's self-report, from a separate party who is familiar with the patient's abilities (such as a relative), or from observation.
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minutes to complete.||\r\nThis part contains questions concerning your level of pain during the past month.| |\r\nUse the following to describe your level of pain:| |\r\n0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10|\r\nNo Pain
Worst Pain You| \r\n Could Imagine","max":10,"min":0,
"questionDisplay":1470,"questionId":8237,"questionText":"Taking into account all parts of your body that hurt, what was your overall highest level of pain during the past month?","required":false,"responseTypeId":1,"responseTypeText":"MCHOI
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introText":"This survey will help your caregiver better understand how you feel. There are no right or wrong answers. This survey usually takes about 10 minutes to complete.||\r\nThis part contains questions concerning your level of pain du
ring the past month.| |\r\nUse the following to describe your level of pain:| |\r\n0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10|\r\nNo Pain Worst Pain You| \r\n
Could Imagine","max":10,"min":0,"questionDisplay":1470,"questionId":8239,"questionText":"Taking into account all parts of your body that hurt, what is your overall level of pain right now?","required":
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ey will help your caregiver better understand how you feel. There are no right or wrong answers. This survey usually takes about 10 minutes to complete.||\r\nThis part contains questions concerning your level of pain during the past month.|
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ument":249,"template":".| ******Brief Battery for Health Improvement 2 (BBHI-2)******||\r\n Date Given: <.Date_Given.>|\r\n Clinician: <.Staff_Ordered_By.>|\r\n Location: <.Location.>| |\r\n Veteran: <.Patient_Name_Last_First.
>|\r\n SSN: <.Patient_SSN.>|\r\n DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)|\r\n Gender: <.Patient_Gender.>||\r\nRESULTS|\r\nValidity:|\r\n<*Answer_7771*>|\r\nPAIN COMPLAINTS (0-10 ANALOG PAIN SCALE)|\r\n<*Answer_7787*>|\r\nPAIN DIMEN
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SIONS Pt <*Answer_7791*> Median for|\r\n Median* Community**|\r\n Highest in the Past Month:<*Answer_7788*> 8 4|\r\n Lowest in the Past Month: <*Answer_7789*>
|\r\n Maximum Tolerable Pain: <*Answer_7790*>|\r\n Pain Range: <*Answer_7773*>|\r\n Peak Pain: <*Answer_7774*>|\r\n Pain Tolerance: <*Answer_7775*>|\r\n Overall Pain at Testing: <*Answer_7772*>|\
r\n|\r\nThe pain ratings above are based on the patient's highest pain level in the past month and|\r\nare ranked on a scale of 0 to 10 (0 = No pain, 10 = Worst pain imaginable). The degree to|\r\nwhich the patient's pain reports are consis
tent with objective medical findings should be|\r\nconsidered. Diffuse pain reports, a nonanatomic distribution of pain, or a pattern of pain|\r\nthat is inconsistent with the reports of patients with a similar diagnosis increases the|\r\nr
isk that psychological factors are influencing his pain reports.||\r\n*Based on a sample of <*Answer_7792*>.|\r\n**Based on a community sample of over 700 individuals.||\r\nPATIENT SCALE SCORES, NORMS AND PROFILE|\r\n-----------------------
---------------|\r\nScale Raw Pt-T Com-T Profile|\r\n-----Validity Scale---------------- 10 40 50 60 90|\r\n<*Answer_7777*>|\r\n-----Physical Symptom Scales------- :
....:....:|\r\n<*Answer_7778*>|\r\n<*Answer_7779*>|\r\n<*Answer_7780*>|\r\n-----Affective Scales-------------- :....:....:|\r\n<*Answer_7781*>|\r\n<*Answer_7782*>||\r\nNotes on Interpreting the Profile: The T-Score Profile pl
ots T scores based on both patient|\r\nand community norms. Approximately 68% of the samples scored in the average range of 40 to|
\r\n60. Scores above or below this range are clinically significant. The longer the bar, the|\r\nmore significantly [V 1.0] the score deviates from the mean. One value outside the average|\r\nrange is significant. Both values outside is mor
e significant.||\r\nSCALE RATING Percentile (Based on T-Score)|\r\n<*Answer_7783*>||\r\nCRITICAL ITEMS\/AREAS|\r\n<*Answer_7784*>||\r\nOMITTED ITEMS|\r\n<*Answer_7785*>||\r\nRANDOM RESPONDING CHECK|\r\n<*Answe
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r_7786*>||\r\n|Questions and Answers|\r\n| 0. Please select the primary area where you have pain: (this question is REQUIRED)| <*Answer_8402*>|\r\n| 1. Head (headache pain)?| <*Answer_8227*>|\r\n| 2. Jaw or face?| <*Answer_82
28*>|\r\n| 3. Neck or shoulders?| <*Answer_8229*>|\r\n| 4. Arms or hands?| <*Answer_8230*>|\r\n| 5. Chest?| <*Answer_8231*>|\r\n| 6. Abdomen or stomach?| <*Answer_8232*>|\r\n| 7. Middle back?| <*Answer_8233*>|\r\n|
8. Lower back?| <*Answer_8234*>|\r\n| 9. Genital area?| <*Answer_8235*>|\r\n| 10. Legs or feet?| <*Answer_8236*>|\r\n| 11. Taking into account all the parts of your body that hurt, what was your overall highest level|\r\nof pa
in during the past month?| <*Answer_8237*>|\r\n| 12. Taking into account all the parts of your body that hurt, what was your overall lowest level of|\r\npain during the past month?| <*Answer_8238*>|\r\n| 13. Taking into account all
the parts of your body that hurt, what is your overall level of pain|\r\nright now?| <*Answer_8239*>|\r\n| 14. Taking into account all the parts of your body that hurt, what level of pain could you tolerate|\r\nand still work and get on
with your life?| <*Answer_8240*>|\r\n| 15. Feeling exhausted but being unable to sleep?| <*Answer_8241*>|\r\n| 16. Irritability?| <*Answer_8242*>|\r\n| 17. Shakiness or jitters?| <*Answer_8243*>|\r\n| 18. Being unable to re
lax?| <*Answer_8244*>|\r\n| 19. Feeling that nothing seems real?| <*Answer_8245*>|\r\n| 20. Lump in throat\/difficulty swallowing?| <*Answer_8246*>|\r\n| 21. Pounding or racing heart when not exerting yourself?| <*Answer_824
7*>|\r\n| 22. Hearing voices that other people don't hear?| <*Answer_8248*>|\r\n| 23. Feeling bloated or gassy?| <*Answer_8249*>|\r\n| 24. Lack of interest in sex?| <*Answer_8250*>|\r\n| 25. Difficulty concentrating?| <*Answ
er_8251*>|\r\n| 26. I am satisfied with the medical care I am receiving.| <*Answer_8252*>|\r\n| 27. I am barely able to keep up with my work.| <*Answer_8253*>|\r\n| 28. I worry about becoming dependent on prescription medication.|
<*Answer_8254*>|\r\n| 29. I walk and move very carefully so I won't cause myself pain.| <*Answer_8255*>|\r\n| 30. Things have been terrible at home lately.| <*Answer_8256*>|\r\n| 31. I've had no problems with sleeping.| <*Ans
fontUnderlined":false,"id":55154,"left":3,"mask":null},{"alignment":"L","columns":1,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":55155,"
wer_8257*>|\r\n| 32. I am not disabled.| <*Answer_8258*>|\r\n| 33. I have never abused alcohol or drugs.| <*Answer_8259*>|\r\n| 34. I can't work.| <*Answer_8260*>|\r\n| 35. Somebody owes me for all of my pain and suffering.|
<*Answer_8261*>|\r\n| 36. Pain would not stop me from doing my favorite things.| <*Answer_8262*>|\r\n| 37. I am very angry with one or more of my doctors.| <*Answer_8263*>|\r\n| 38. My physical problems really don't bother me that
much.| <*Answer_8264*>|\r\n| 39. I protect my health by staying at home.| <*Answer_8265*>|\r\n| 40. My pain never changes.| <*Answer_8266*>|\r\n| 41. I feel well enough to work.| <*Answer_8267*>|\r\n| 42. I'm afraid that my
poor health will ruin my most important relationships.| <*Answer_8268*>|\r\n| 43. There are many jobs that I am capable of doing.| <*Answer_8269*>|\r\n| 44. My life is full and satisfying.| <*Answer_8270*>|\r\n| 45. I am afraid
of pushing myself too hard.| <*Answer_8271*>|\r\n| 46. With my kind of problems, there's little hope of getting better.| <*Answer_8272*>|
\r\n| 47. This has been one of the worst times of my life.| <*Answer_8273*>|\r\n| 48. I get so restless at times that I can't stand still.| <*Answer_8274*>|\r\n| 49. My life used to be much better than it is now.| <*Answer_8275*
>|\r\n| 50. I am allergic to the glass found in jars.| <*Answer_8276*>|\r\n| 51. I am afraid that my physical problems might kill me.| <*Answer_8277*>|\r\n| 52. Lately, I have been thinking about suicide a lot.| <*Answer_8278*>|
\r\n| 53. I am content with my life.| <*Answer_8279*>|\r\n| 54. I fear being struck down by an attack of some illness.| <*Answer_8280*>|\r\n| 55. My life seems like one defeat after another.| <*Answer_8281*>|\r\n| 56. My health
problems really aren't that serious.| <*Answer_8282*>|\r\n| 57. When I think about my physical problems, I get depressed.| <*Answer_8283*>|\r\n| 58. My life shouldn't be this hard.| <*Answer_8284*>|\r\n| 59. I often get depresse
d; it's like I fall in a hole and can't get out.| <*Answer_8285*>|\r\n| 60. I have many severe problems that come and go.| <*Answer_8286*>|\r\n| 61. There are many things I won't do for fear of hurting myself.| <*Answer_8287*>|\
left":8,"mask":"658|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":55156,"left":3,"mask":null},{"alig
r\n| 62. Recently my life has been a nightmare.| <*Answer_8288*>|\r\n| 63. I'm often afraid that something bad will happen to me.| <*Answer_8289*>|||\r\nInformation contained in this note is based on a self-report assessment and is
not sufficient to use|\r\nalone for diagnostic purposes. Assessment results should be verified for accuracy and used in|\r\nconjunction with other diagnostic activities.||\r\nCopyright 2002 NCS Pearson, Inc. All rights reserved.|\r\nPears
on, the PSI Design, PsychCorp, and BBHI are trademarks in the US and\/or other countries, of|\r\nPearson Education, Inc., or its affiliates.|\r\n| $~"},"scaleGroup":[{"grid1":null,"grid2":null,"grid3":null,"id":293,"instrument":249,"name":
"BBHI-2","ordInc":1,"ordMax":100,"ordMin":1,"ordTitle":"BBHI-2","scale":[{"groupId":293,"id":1225,"name":"Pain Complaints","sequence":1,"xLabel":null},{"groupId":293,"id":1226,"name":"Somatic Complaints","sequence":2,"xLabel":null},{"groupI
d":293,"id":1227,"name":"Defensiveness","sequence":3,"xLabel":null},{"groupId":293,"id":1228,"name":"Depression","sequence":4,"xLabel":null},{"groupId":293,"id":1229,"name":"Anxiety","sequence":5,"xLabel":null},{"groupId":293,"id":1230,"nam
e":"Functional","sequence":6,"xLabel":null}],"sequence":1}],"spec":{"entryChecksum":2741114882,"entrySpec":"{\"name\": \"BBHI-2\", \r\n \"copyright\": \"Copyright 2002 NCS Pearson, Inc. All rights reserved. Pearson, the PSI Design,\r\n Ps
ychCorp, and BBHI are trademarks in the US and\/or other countries, of Pearson\r\n Education, Inc., or its affiliates.\", \r\n \"restartDays\": 2, \r\n \"content\":[\r\n {\"id\": \"q8402\", \"type\": \"ChoiceQuestion\", \"required\": true
, \"inline\": false, \r\n \"text\": \"0. Please select the primary area where you have pain: (this question is\r\n REQUIRED)\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c4125\", \"text\": \"1. Head\/Headache\", \"
quickKey\": 1}, \r\n {\"id\": \"c4126\", \"text\": \"2. Neck\", \"quickKey\": 2}, \r\n {\"id\": \"c4127\", \"text\": \"3. Upper Body\", \"quickKey\": 3}, \r\n {\"id\": \"c4128\", \"text\": \"4. Back\/Lower Body\", \"quickKey\":
4}, \r\n {\"id\": \"c4129\", \"text\": \"5. Legs\/Feet\", \"quickKey\": 5}\r\n ]}, \r\n {\"id\": \"i2383\", \"type\": \"IntroText\", \r\n \"text\": \"This survey will help your caregiver better understand how you feel. There are
nment":"L","columns":1,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":55157,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"com
no\r\n right or wrong answers. This survey usually takes about 10 minutes to\r\n complete.<br \/><br \/> This part contains questions concerning your level of pain\r\n during the past month.<br \/> <br \/> Use the following to describe your
level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br \/> No Pain
\r\n &\r\nnbsp; &nb\r\nsp; \r\nWorst Pain You<br \/>\r\n
&n\r\nbsp; &nbs\r\np; \r\n
\r\nCould Imagine\"\r\n }, \r\n {\"id\": \"q8227\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"1. Head (headache pain)?\",
\r\n \"intro\": \"This survey will help your caregiver better understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10 minutes to\r\n complete.<br \/><br \/> This part contains questions concer
ning your level of pain\r\n during the past month.<br \/> <br \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br \/> No Pain \r\n Wor
st Pain You<br \/>\r\n Could Imagine\",\r\n \"columns\": 11, \r\n \"choices\":[\r\n {\"id\": \"c3927\", \"text\": \" 0\"}, \r\n {\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c4
086\", \"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"}, \r\n {\"id\": \"c4089\", \"text\": \" 5\"}, \r\n {\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c4
091\", \"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"}, \r\n {\"id\": \"c4094\", \"text\": \" 10\"}\r\n ]}, \r\n {\"id\": \"q8228\", \"type\": \"ChoiceQuestion\", \"r
ponent":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":55158,"left":3,"mask":null},{"alignment":"L","columns":1,"component":"RA","fontBold":false,"fon
equired\": false, \"inline\": true, \r\n \"text\": \"2. Jaw or face?\", \r\n \"intro\": \"This survey will help your caregiver better understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10
minutes to\r\n complete.<br \/><br \/> This part contains questions concerning your level of pain\r\n during the past month.<br \/> <br \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7
- 8 - 9 - 10<br \/> No Pain \r\n Worst Pain You<br \/> \r\n Could Imagine\", \r\n \"columns\": 11, \r\n \"choices\"
:[\r\n {\"id\": \"c3927\", \"text\": \" 0\"}, \r\n {\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c4086\", \"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"}
, \r\n {\"id\": \"c4089\", \"text\": \" 5\"}, \r\n {\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c4091\", \"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"}
, \r\n {\"id\": \"c4094\", \"text\": \" 10\"}\r\n ]}, \r\n {\"id\": \"q8229\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"3. Neck or shoulders?\", \r\n \"intro\": \"This survey will h
elp your caregiver better understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10 minutes to\r\n complete.<br \/><br \/> This part contains questions concerning your level of pain\r\n during the
past month.<br \/> <br \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br \/> No Pain \r\n Worst Pain You<br \/>
\r\n Could Imagine\", \r\n \"columns\": 11, \r\n \"choices\":[
\r\n {\"id\": \"c3927\", \"text\": \" 0\"}, \r\n {\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c4086\", \"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"},
tColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":55159,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fon
\r\n {\"id\": \"c4089\", \"text\": \" 5\"}, \r\n {\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c4091\", \"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"},
\r\n {\"id\": \"c4094\", \"text\": \" 10\"}\r\n ]}, \r\n {\"id\": \"q8230\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"4. Arms or hands?\", \r\n \"intro\": \"This survey will help yo
ur caregiver better understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10 minutes to\r\n complete.<br \/><br \/> This part contains questions concerning your level of pain\r\n during the past m
onth.<br \/> <br \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br \/> No Pain \r\n Worst Pain You<br \/> \r
\n Could Imagine\", \r\n \"columns\": 11, \r\n \"choices\":[\r\n {\"id\": \"c3927\", \"text\": \" 0\"}, \r\n {\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c4
086\", \"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"}, \r\n {\"id\": \"c4089\", \"text\": \" 5\"}, \r\n {\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c4
091\", \"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"}, \r\n {\"id\": \"c4094\", \"text\": \" 10\"}\r\n ]}, \r\n {\"id\": \"q8231\", \"type\": \"ChoiceQuestion\", \"r
equired\": false, \"inline\": true, \r\n \"text\": \"5. Chest?\", \r\n \"intro\": \"This survey will help your caregiver better understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10 minut
es to\r\n complete.<br \/><br \/> This part contains questions concerning your level of pain\r\n during the past month.<br \/> <br \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 -
9 - 10<br \/> No Pain \r\n Worst Pain You<br \/> \r\n Could Imagine\", \r\n \"columns\": 11, \r\n \"choices\":[\r\n
tItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":55160,"left":3,"mask":null},{"alignment":"L","columns":1,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans
{\"id\": \"c3927\", \"text\": \" 0\"}, \r\n {\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c4086\", \"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"}, \r\n
{\"id\": \"c4089\", \"text\": \" 5\"}, \r\n {\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c4091\", \"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"}, \r\n
{\"id\": \"c4094\", \"text\": \" 10\"}\r\n ]}, \r\n {\"id\": \"q8232\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"6. Abdomen or stomach?\", \r\n \"intro\": \"This survey will help y
our caregiver better understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10 minutes to\r\n complete.<br \/><br \/> This part contains questions concerning your level of pain\r\n during the past
month.<br \/> <br \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br \/> No Pain \r\n Worst Pain You<br \/> \
r\n Could Imagine\", \r\n \"columns\": 11, \r\n \"choices\":[
\r\n {\"id\": \"c3927\", \"text\": \" 0\"}, \r\n {\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c4086\", \"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"},
\r\n {\"id\": \"c4089\", \"text\": \" 5\"}, \r\n {\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c4091\", \"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"},
\r\n {\"id\": \"c4094\", \"text\": \" 10\"}\r\n ]}, \r\n {\"id\": \"q8233\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"7. Middle back?\", \r\n \"intro\": \"This survey will help your
caregiver better understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10 minutes to\r\n complete.<br \/><br \/> This part contains questions concerning your level of pain\r\n during the past mon
egacyValue":0,"sequence":1},{"choiceId":3012,"choiceText":"Occasional accident (maximum, once per 24 hours)","ien":66331,"legacyValue":1,"sequence":2},{"choiceId":3013,"choiceText":"Continent (for over 7 days)","ien":66332,"legacyValue":2,"
Serif","fontSize":10,"fontUnderlined":false,"id":55161,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"font
th.<br \/> <br \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br \/> No Pain \r\n Worst Pain You<br \/> \r\n
Could Imagine\", \r\n \"columns\": 11, \r\n \"choices\":[\r\n {\"id\": \"c3927\", \"text\": \" 0\"}, \r\n {\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c408
6\", \"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"}, \r\n {\"id\": \"c4089\", \"text\": \" 5\"}, \r\n {\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c409
1\", \"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"}, \r\n {\"id\": \"c4094\", \"text\": \" 10\"}\r\n ]}, \r\n {\"id\": \"q8234\", \"type\": \"ChoiceQuestion\", \"req
uired\": false, \"inline\": true, \r\n \"text\": \"8. Lower back?\", \r\n \"intro\": \"This survey will help your caregiver better understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10 mi
nutes to\r\n complete.<br \/><br \/> This part contains questions concerning your level of pain\r\n during the past month.<br \/> <br \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8
- 9 - 10<br \/> No Pain \r\n Worst Pain You<br \/> \r\n Could Imagine\", \r\n \"columns\": 11, \r\n \"choices\":[\
r\n {\"id\": \"c3927\", \"text\": \" 0\"}, \r\n {\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c4086\", \"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"}, \
r\n {\"id\": \"c4089\", \"text\": \" 5\"}, \r\n {\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c4091\", \"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"}, \
r\n {\"id\": \"c4094\", \"text\": \" 10\"}\r\n ]}, \r\n {\"id\": \"q8235\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"9. Genital area?\", \r\n \"intro\": \"This survey will help your
Underlined":false,"id":55162,"left":3,"mask":null},{"alignment":"L","columns":1,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":55163,"left
caregiver better understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10 minutes to\r\n complete.<br \/><br \/> This part contains questions concerning your level of pain\r\n during the past mon
th.<br \/> <br \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br \/> No Pain \r\n Worst Pain You<br \/> \r\n
Could Imagine\", \r\n \"columns\": 11, \r\n \"choices\":[
\r\n {\"id\": \"c3927\", \"text\": \" 0\"}, \r\n {\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c4086\", \"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"},
\r\n {\"id\": \"c4089\", \"text\": \" 5\"}, \r\n {\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c4091\", \"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"},
\r\n {\"id\": \"c4094\", \"text\": \" 10\"}\r\n ]}, \r\n {\"id\": \"q8236\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"10. Legs or feet?\", \r\n \"intro\": \"This survey will help yo
ur caregiver better understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10 minutes to\r\n complete.<br \/><br \/> This part contains questions concerning your level of pain\r\n during the past m
onth.<br \/> <br \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br \/> No Pain \r\n Worst Pain You<br \/> \r
\n Could Imagine\", \r\n \"columns\": 11, \r\n \"choices\":[\r\n {\"id\": \"c3927\", \"text\": \" 0\"}, \r\n {\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c4
086\", \"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"}, \r\n {\"id\": \"c4089\", \"text\": \" 5\"}, \r\n {\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c4
":8,"mask":"662|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":55164,"left":3,"mask":null},{"alignmen
091\", \"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"}, \r\n {\"id\": \"c4094\", \"text\": \" 10\"}\r\n ]}, \r\n {\"id\": \"q8237\", \"type\": \"ChoiceQuestion\", \"r
equired\": false, \"inline\": true, \r\n \"text\": \"11. Taking into account all parts of your body that hurt, what was your overall\r\n highest level of pain during the past month?\", \r\n \"intro\": \"This survey will help your care
giver better understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10 minutes to\r\n complete.<br \/><br \/> This part contains questions concerning your level of pain\r\n during the past month.<b
r \/> <br \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br \/> No Pain \r\n Worst Pain You<br \/> \r\n
Could Imagine\", \r\n \"columns\": 11, \r\n \"choices\":[\r\n {\"id\": \"c3927\", \"text\": \" 0\"}, \r\n {\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c4086\",
\"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"}, \r\n {\"id\": \"c4089\", \"text\": \" 5\"}, \r\n {\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c4091\",
\"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"}, \r\n {\"id\": \"c4094\", \"text\": \" 10\"}\r\n ]}, \r\n {\"id\": \"q8238\", \"type\": \"ChoiceQuestion\", \"required
\": false, \"inline\": true, \r\n \"text\": \"12. Taking into account all parts of your body that hurt, what was your overall\r\n lowest level of pain during the past month?\", \r\n \"intro\": \"This survey will help your caregiver be
tter understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10 minutes to\r\n complete.<br \/><br \/> This part contains questions concerning your level of pain\r\n during the past month.<br \/> <b
r \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br \/> No Pain
t":"L","columns":1,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":55165,"left":8,"mask":"662|||"},{"alignment":"L","columns":null,"compone
\r\n Worst Pain You<br \/> \r\n Could Imagine\", \r\n \"columns\": 11, \r\n \"choices\":[\r\n {\"id\": \"c3927\", \
"text\": \" 0\"}, \r\n {\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c4086\", \"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"}, \r\n {\"id\": \"c4089\", \
"text\": \" 5\"}, \r\n {\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c4091\", \"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"}, \r\n {\"id\": \"c4094\", \
"text\": \" 10\"}\r\n ]}, \r\n {\"id\": \"q8239\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"13. Taking into account all parts of your body that hurt, what is your overall\r\n level of pain
right now?\", \r\n \"intro\": \"This survey will help your caregiver better understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10 minutes to\r\n complete.<br \/><br \/> This part contains q
uestions concerning your level of pain\r\n during the past month.<br \/> <br \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br \/> No Pain \r\n
Worst Pain You<br \/> \r\n Could Imagine\", \r\n \"columns\": 11, \r\n \"choices\":[\r\n {\"id\": \"c3927\", \"text\": \" 0\"}, \r\n {
\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c4086\", \"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"}, \r\n {\"id\": \"c4089\", \"text\": \" 5\"}, \r\n {
\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c4091\", \"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"}, \r\n {\"id\": \"c4094\", \"text\": \" 10\"}\r\n ]},
\r\n {\"id\": \"q8240\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"14. Taking into account all parts of your body that hurt, what level of pain\r\n could you tolerate and still work and get o
nt":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":55166,"left":3,"mask":null},{"alignment":"L","columns":1,"component":"RA","fontBold":false,"fontCol
n with your life?\", \r\n \"intro\": \"This survey will help your caregiver better understand how you feel. There are no\r\n right or wrong answers. This survey usually takes about 10 minutes to\r\n complete.<br \/><br \/> This part cont
ains questions concerning your level of pain\r\n during the past month.<br \/> <br \/> Use the following to describe your level of\r\n pain:<br \/> <br \/> 0 - 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10<br \/> No Pain \r\n
Worst Pain You<br \/> \r\n Could Imagine\", \r\n \"columns\": 11, \r\n \"choices\":[\r\n {\"id\": \"c3927\", \"text\": \" 0\"}, \r\n
{\"id\": \"c3928\", \"text\": \" 1\"}, \r\n {\"id\": \"c4086\", \"text\": \" 2\"}, \r\n {\"id\": \"c4087\", \"text\": \" 3\"}, \r\n {\"id\": \"c4088\", \"text\": \" 4\"}, \r\n {\"id\": \"c4089\", \"text\": \" 5\"}, \r\n
{\"id\": \"c4090\", \"text\": \" 6\"}, \r\n {\"id\": \"c4091\", \"text\": \" 7\"}, \r\n {\"id\": \"c4092\", \"text\": \" 8\"}, \r\n {\"id\": \"c4093\", \"text\": \" 9\"}, \r\n {\"id\": \"c4094\", \"text\": \" 10\"}\r\n
]}, \r\n {\"id\": \"i2384\", \"type\": \"IntroText\", \r\n \"text\": \"This part contains a list of symptoms that people sometimes have. For each\r\n symptom, decide how much of a problem it has been for you in the past month.\"\r\n
}, \r\n {\"id\": \"q8241\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false,
\r\n \"text\": \"15. Feeling exhausted but being unable to sleep?\", \r\n \"intro\": \"This part contains a list of symptoms that people sometimes have. For each\r\n symptom, decide how much of a problem it has been for you in the pas
t month.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3929\", \"text\": \"1. No Problem if the symptom has not been a concern for you\", \"quickKey\": 1}, \r\n {\"id\": \"c3930\", \"text\": \"2. Small Problem if
the symptom has caused you occasional or mild concern\", \"quickKey\": 2}, \r\n {\"id\": \"c3931\", \"text\": \"3. Moderate Problem if the symptom has caused you periodic or significant concern\", \"quickKey\": 3}, \r\n {\"id\": \"c
or":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":55167,"left":8,"mask":"662|||"}],"info":{"author":"Mahoney, F.I. & Barthel, D.W., ","auxDate":null,"auxVersion":null,"copyrightText":
3932\", \"text\": \"4. Big Problem if the symptom has caused you frequent or great concern\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8242\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"16
. Irritability?\", \r\n \"intro\": \"This part contains a list of symptoms that people sometimes have. For each\r\n symptom, decide how much of a problem it has been for you in the past month.\", \r\n \"columns\": 1, \r\n \"choices
\":[\r\n {\"id\": \"c3929\", \"text\": \"1. No Problem if the symptom has not been a concern for you\", \"quickKey\": 1}, \r\n {\"id\": \"c3930\", \"text\": \"2. Small Problem if the symptom has caused you occasional or mild concern
\", \"quickKey\": 2}, \r\n {\"id\": \"c3931\", \"text\": \"3. Moderate Problem if the symptom has caused you periodic or significant concern\", \"quickKey\": 3}, \r\n {\"id\": \"c3932\", \"text\": \"4. Big Problem if the symptom has
caused you frequent or great concern\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8243\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"17. Shakiness or jitters?\", \r\n \"intro\": \"This
part contains a list of symptoms that people sometimes have. For each\r\n symptom, decide how much of a problem it has been for you in the past month.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3929\", \"text\": \"
1. No Problem if the symptom has not been a concern for you\", \"quickKey\": 1}, \r\n {\"id\": \"c3930\", \"text\": \"2. Small Problem if the symptom has caused you occasional or mild concern\", \"quickKey\": 2}, \r\n {\"id\": \"c39
31\", \"text\": \"3. Moderate Problem if the symptom has caused you periodic or significant concern\", \"quickKey\": 3}, \r\n {\"id\": \"c3932\", \"text\": \"4. Big Problem if the symptom has caused you frequent or great concern\", \"qu
ickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8244\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"18. Being unable to relax?\", \r\n \"intro\": \"This part contains a list of symptoms that people
sometimes have. For each\r\n symptom, decide how much of a problem it has been for you in the past month.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3929\", \"text\": \"1. No Problem if the symptom has not been a
"Copyright (c) 1965, Maryland State Medical Journal","copyrighted":true,"dllDate":null,"dllVersion":null,"enteredBy":"Schultz, Roger","entryDate":"2011-07-13","fullText":true,"id":180,"lastEditDate":3220126.1716,"lastEditedBy":"LEE,KYU-TAE"
concern for you\", \"quickKey\": 1}, \r\n {\"id\": \"c3930\", \"text\": \"2. Small Problem if the symptom has caused you occasional or mild concern\", \"quickKey\": 2}, \r\n {\"id\": \"c3931\", \"text\": \"3. Moderate Problem if the
symptom has caused you periodic or significant concern\", \"quickKey\": 3}, \r\n {\"id\": \"c3932\", \"text\": \"4. Big Problem if the symptom has caused you frequent or great concern\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q82
45\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"19. Feeling that nothing seems real?\", \r\n \"intro\": \"This part contains a list of symptoms that people sometimes have. For each\r\n symp
tom, decide how much of a problem it has been for you in the past month.\", \r\n \"columns\": 1, \r\n \"choices\":[
\r\n {\"id\": \"c3929\", \"text\": \"1. No Problem if the symptom has not been a concern for you\", \"quickKey\": 1}, \r\n {\"id\": \"c3930\", \"text\": \"2. Small Problem if the symptom has caused you occasional or mild concern\",
\"quickKey\": 2}, \r\n {\"id\": \"c3931\", \"text\": \"3. Moderate Problem if the symptom has caused you periodic or significant concern\", \"quickKey\": 3}, \r\n {\"id\": \"c3932\", \"text\": \"4. Big Problem if the symptom has cau
sed you frequent or great concern\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8246\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"20. Lump in throat\/difficulty swallowing?\", \r\n \"int
ro\": \"This part contains a list of symptoms that people sometimes have. For each\r\n symptom, decide how much of a problem it has been for you in the past month.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3929\",
\"text\": \"1. No Problem if the symptom has not been a concern for you\", \"quickKey\": 1}, \r\n {\"id\": \"c3930\", \"text\": \"2. Small Problem if the symptom has caused you occasional or mild concern\", \"quickKey\": 2}, \r\n {
\"id\": \"c3931\", \"text\": \"3. Moderate Problem if the symptom has caused you periodic or significant concern\", \"quickKey\": 3}, \r\n {\"id\": \"c3932\", \"text\": \"4. Big Problem if the symptom has caused you frequent or great co
,"legacy":false,"licenseCurrent":false,"name":"BARTHEL INDEX","national":true,"normSample":null,"operational":"Y","printTitle":"Barthel Index of Activities of Daily Living","publicationDate":1965,"publisher":"Maryland State Medical Journal"
ncern\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8247\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"21. Pounding or racing heart when not exerting yourself?\", \r\n \"intro\": \"This p
art contains a list of symptoms that people sometimes have. For each\r\n symptom, decide how much of a problem it has been for you in the past month.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3929\", \"text\": \"1
. No Problem if the symptom has not been a concern for you\", \"quickKey\": 1}, \r\n {\"id\": \"c3930\", \"text\": \"2. Small Problem if the symptom has caused you occasional or mild concern\", \"quickKey\": 2}, \r\n {\"id\": \"c393
1\", \"text\": \"3. Moderate Problem if the symptom has caused you periodic or significant concern\", \"quickKey\": 3}, \r\n {\"id\": \"c3932\", \"text\": \"4. Big Problem if the symptom has caused you frequent or great concern\", \"qui
ckKey\": 4}\r\n ]}, \r\n {\"id\": \"q8248\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"22. Hearing voices that other people don't hear?\", \r\n \"intro\": \"This part contains a list of
symptoms that people sometimes have. For each\r\n symptom, decide how much of a problem it has been for you in the past month.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3929\", \"text\": \"1. No Problem if the sy
mptom has not been a concern for you\", \"quickKey\": 1}, \r\n {\"id\": \"c3930\", \"text\": \"2. Small Problem if the symptom has caused you occasional or mild concern\", \"quickKey\": 2}, \r\n {\"id\": \"c3931\", \"text\": \"3. Mo
derate Problem if the symptom has caused you periodic or significant concern\", \"quickKey\": 3}, \r\n {\"id\": \"c3932\", \"text\": \"4. Big Problem if the symptom has caused you frequent or great concern\", \"quickKey\": 4}\r\n ]},
\r\n {\"id\": \"q8249\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"23. Feeling bloated or gassy?\", \r\n \"intro\": \"This part contains a list of symptoms that people sometimes have. For
each\r\n symptom, decide how much of a problem it has been for you in the past month.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3929\", \"text\": \"1. No Problem if the symptom has not been a concern for you\", \
,"purpose":"Index of independence for chronically ill","reference":"Maryland State Medical Journal 1965;14:56-61","requireSignature":false,"requiresLicense":"N",
"quickKey\": 1}, \r\n {\"id\": \"c3930\", \"text\": \"2. Small Problem if the symptom has caused you occasional or mild concern\", \"quickKey\": 2},
\r\n {\"id\": \"c3931\", \"text\": \"3. Moderate Problem if the symptom has caused you periodic or significant concern\", \"quickKey\": 3}, \r\n {\"id\": \"c3932\", \"text\": \"4. Big Problem if the symptom has caused you frequent o
r great concern\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8250\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"24. Lack of interest in sex?\", \r\n \"intro\": \"This part contains a lis
t of symptoms that people sometimes have. For each\r\n symptom, decide how much of a problem it has been for you in the past month.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3929\", \"text\": \"1. No Problem if th
e symptom has not been a concern for you\", \"quickKey\": 1}, \r\n {\"id\": \"c3930\", \"text\": \"2. Small Problem if the symptom has caused you occasional or mild concern\", \"quickKey\": 2}, \r\n {\"id\": \"c3931\", \"text\": \"3
. Moderate Problem if the symptom has caused you periodic or significant concern\", \"quickKey\": 3}, \r\n {\"id\": \"c3932\", \"text\": \"4. Big Problem if the symptom has caused you frequent or great concern\", \"quickKey\": 4}\r\n
]}, \r\n {\"id\": \"q8251\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"25. Difficulty concentrating?\", \r\n \"intro\": \"This part contains a list of symptoms that people sometimes have.
For each\r\n symptom, decide how much of a problem it has been for you in the past month.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3929\", \"text\": \"1. No Problem if the symptom has not been a concern for you\
", \"quickKey\": 1}, \r\n {\"id\": \"c3930\", \"text\": \"2. Small Problem if the symptom has caused you occasional or mild concern\", \"quickKey\": 2}, \r\n {\"id\": \"c3931\", \"text\": \"3. Moderate Problem if the symptom has cau
sed you periodic or significant concern\", \"quickKey\": 3}, \r\n {\"id\": \"c3932\", \"text\": \"4. Big Problem if the symptom has caused you frequent or great concern\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"i2385\", \"type\":
"scoringRevision":1,"scoringRoutine":null,"scoringTag":null,"staffOnly":"Y","submitNational":true,"targetPopulation":null,"version":null,"wasOperational":true},"report":{"id":81,"instrument":180,"template":".|.|Barthel Index of Activities o
\"IntroText\", \r\n \"text\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\"\r\n }, \r\n {\"id\": \"q8252\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\":
false, \r\n \"text\": \"26. I am satisfied with the medical care I am receiving.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1,
\r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickK
ey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {
\"id\": \"q8253\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"27. I am barely able to keep up with my work.\", \r\n \"intro\": \"This part consists of a number of statements. Read each state
ment and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \
"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agre
e if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8254\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false,
\r\n \"text\": \"28. I worry about becoming dependent on prescription medication.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1,
\r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickK
sequence":3}],"choiceDisplay":55151,"choiceIdentifier":0,"choiceIdentifierIen":20874,"choiceTypeId":29431,"designator":"2.","hint":null,"id":5243,"instrument":180,"introDisplay":55147,"introId":1047,"introText":"Choose the scoring point for
f Daily Living||Date Given: <.Date_Given.>|Clinician: <.Staff_Ordered_By.>|Location: <.Location.>||Veteran: <.Patient_Name_Last_First.>|SSN: <.Patient_SSN.>|DOB: \r\n<.Patient_Date_Of_Birth.> (<.Patient_Age.>)|Gender: <.Patient_Gender.>||Ba
ey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {
\"id\": \"q8255\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"29. I walk and move very carefully so I won't cause myself pain.\", \r\n \"intro\": \"This part consists of a number of statemen
ts. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\
"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\":
\"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8256\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"30. Things have been terrible at home late
ly.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagre
e if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is m
ostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8257\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\":
false, \r\n \"text\": \"31. I've had no problems with sleeping.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices
\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n
rthel Index: <-Index->|| Range 0 - 100. Higher index values indicate independent living, low values indicate dependence on \r\nothers.||Questions and Answers||1. Bowels (preceding week):| <*Answer_5673*>|2. Bladder (preceding week):|
{\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8258\"
, \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"32. I am not disabled.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to yo
u.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement
is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"qui
ckKey\": 4}\r\n ]}, \r\n {\"id\": \"q8259\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false,
\r\n \"text\": \"33. I have never abused alcohol or drugs.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r
\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"i
d\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8260\", \"ty
pe\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"34. I can't work.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n
\"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly n
<*Answer_5674*>|3. Grooming (preceding 24 - 48 hours):| <*Answer_5675*>|4. Toilet \r\nuse:| <*Answer_5676*>|5. Feeding:| <*Answer_5677*>|6. Transfer:| <*Answer_5678*>|7. Mobility:| <*Answer_5679*>|8. Dressing:| <*Answer_5
ot true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}
\r\n ]}, \r\n {\"id\": \"q8261\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"35. Somebody owes me for all of my pain and suffering.\", \r\n \"intro\": \"This part consists of a number of
statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r
\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\",
\"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8262\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"36. Pain would not stop me from d
oing my favorite things.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\":
\"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree
if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8263\", \"type\": \"ChoiceQuestion\", \"required\
": false, \"inline\": false, \r\n \"text\": \"37. I am very angry with one or more of my doctors.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n
\"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not
680*>|9. Stairs:| <*Answer_5681*>|10. \r\nBathing:| <*Answer_5682*>||Copyright (c) 1965 Maryland State Medical Journal||Information contained in this note is based on a self-report assessment and is not sufficient to use alone for \r\
true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\
n ]}, \r\n {\"id\": \"q8264\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false,
\r\n \"text\": \"38. My physical problems really don't bother me that much.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n
\"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\":
2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\"
: \"q8265\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"39. I protect my health by staying at home.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and
decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\":
\"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the
statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8266\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"40. My pain never changes.\", \r\n \"intro\": \"This part consists
of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"qui
ndiagnostic purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities and procedures.| $~"},"scaleGroup":[{"grid1":0,"grid2":0,"grid3":0,"id":169,"instrument":180,"name":"Barthel
ckKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id
\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8267\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"41. I feel well en
ough to work.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strong
ly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the stat
ement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8268\", \"type\": \"ChoiceQuestion\", \"required\": false, \
"inline\": false, \r\n \"text\": \"42. I'm afraid that my poor health will ruin my most important relationships.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to y
ou.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement
is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"qu
ickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8269\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false,
\r\n \"text\": \"43. There are many jobs that I am capable of doing.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"cho
","ordInc":5,"ordMax":100,"ordMin":0,"ordTitle":"Index","scale":[{"groupId":169,"id":633,"name":"Index","scoringKey":[{"id":7073,"questionId":5673,"scaleId":633,"targetText":"Occasional accident (once per week)","value":5},{"id":7074,"quest
ices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\
n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q82
70\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"44. My life is full and satisfying.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n
it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree
if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is v
ery true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8271\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"45. I am afraid of pushing myself too hard.\", \r\n \"intro\": \"This part consis
ts of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"q
uickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"
id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8272\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"46. With my kind
of problems, there's little hope of getting better.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\
ionId":5673,"scaleId":633,"targetText":"Continent","value":10},{"id":7075,"questionId":5674,"scaleId":633,"targetText":"Occasional accident (maximum, once per 24 hours)","value":5},{"id":7076,"questionId":5674,"scaleId":633,"targetText":"Co
"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3
935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8273\", \"type\": \"C
hoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"47. This has been one of the worst times of my life.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n i
t applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if
the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is ver
y true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8274\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false,
\r\n \"text\": \"48. I get so restless at times that I can't stand still.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n
\"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}
, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\":
\"q8275\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"49. My life used to be much better than it is now.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statemen
ntinent (for over 7 days)","value":10},{"id":7077,"questionId":5675,"scaleId":633,"targetText":"Independent face\/hair\/teeth\/shaving (implements provided)","value":5},{"id":7078,"questionId":5676,"scaleId":633,"targetText":"Needs some hel
t and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"te
xt\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree i
f the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8276\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"50. I am allergic to the glass found in jars.\", \r\n \"intro
\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is
not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickK
ey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8277\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text
\": \"51. I am afraid that my physical problems might kill me.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\
r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"
id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8278\", \"t
ype\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"52. Lately, I have been thinking about suicide a lot.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decid
p, but can do somethings alone","value":5},{"id":7079,"questionId":5676,"scaleId":633,"targetText":"Independent (on and off, dressing, wiping)","value":10},{"id":7080,"questionId":5677,"scaleId":633,"targetText":"Needs help cutting, spreadi
e how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2.
Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the state
ment is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8279\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false,
\r\n \"text\": \"53. I am content with my life.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"i
d\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c393
5\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8280\", \"type\": \"Cho
iceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"54. I fear being struck down by an attack of some illness.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r
\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagre
e if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is
very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8281\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"55. My life seems like one defeat after another.\", \r\n \"intro\": \"This part
ng butter, etc.","value":5},{"id":7081,"questionId":5677,"scaleId":633,"targetText":"Independent (food provided within reach)","value":10},{"id":7082,"questionId":5678,"scaleId":633,"targetText":"Major help (one or two people, physical), ca
consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true
\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n
{\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8282\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"56. My he
alth problems really aren't that serious.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3
933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"te
xt\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8283\", \"type\": \"ChoiceQuesti
on\", \"required\": false, \"inline\": false, \r\n \"text\": \"57. When I think about my physical problems, I get depressed.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it
applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if t
he statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very
true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8284\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false,
the statement that most closely corresponds to the patient's current level of ability for each of the following 10 items. Record actual, not potential, functioning. \r\nInformation can be obtained from the patient's self-report, from a s
n sit","value":5},{"id":7083,"questionId":5678,"scaleId":633,"targetText":"Minor help (verbal or physical)","value":10},{"id":7084,"questionId":5678,"scaleId":633,"targetText":"Independent","value":15},{"id":7085,"questionId":5679,"scaleId"
\r\n \"text\": \"58. My life shouldn't be this hard.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n
{\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \
"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8285\", \"type\":
\"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"59. I often get depressed; it's like I fall in a hole and can't get out.\", \r\n \"intro\": \"This part consists of a number of statements. Read each stateme
nt and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"t
ext\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree
if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8286\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"60. I have many severe problems that come and go.\", \r\n \"
intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statemen
t is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"q
uickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8287\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \
:633,"targetText":"Wheelchair independent, including corners, etc.","value":5},{"id":7086,"questionId":5679,"scaleId":633,"targetText":"Walks with help of one person (verbal or physical)","value":10},{"id":7087,"questionId":5679,"scaleId":6
"text\": \"61. There are many things I won't do for fear of hurting myself.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \
"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\": 2},
\r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \
"q8288\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"62. Recently my life has been a nightmare.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and dec
ide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2
. Disagree if the statement is mostly not true\", \"quickKey\": 2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the sta
tement is very true\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q8289\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false,
\r\n \"text\": \"63. I'm often afraid that something bad will happen to me.\", \r\n \"intro\": \"This part consists of a number of statements. Read each statement and decide how\r\n it applies to you.\", \r\n \"columns\": 1, \r\n
\"choices\":[\r\n {\"id\": \"c3933\", \"text\": \"1. Strongly Disagree if the statement is not at all true\", \"quickKey\": 1}, \r\n {\"id\": \"c3934\", \"text\": \"2. Disagree if the statement is mostly not true\", \"quickKey\":
2}, \r\n {\"id\": \"c3935\", \"text\": \"3. Agree if the statement is mostly true\", \"quickKey\": 3}, \r\n {\"id\": \"c3936\", \"text\": \"4. Strongly Agree if the statement is very true\", \"quickKey\": 4}\r\n ]}]\r\n}","instrum
33,"targetText":"Independent (but may use any aid, e.g., cane)","value":15},{"id":7088,"questionId":5680,"scaleId":633,"targetText":"Needs help, but can do about half unaided","value":5},{"id":7089,"questionId":5680,"scaleId":633,"targetTex
ent":249,"lastUpdate":"2020-03-19T15:20:23","specIen":117},"verify":["601.71:249","601.72:8227","601.72:8228","601.72:8229","601.72:8230","601.72:8231","601.72:8232","601.72:8233","601.72:8234","601.72:8235","601.72:8236","601.72:8237","601
.72:8238","601.72:8239","601.72:8240","601.72:8241","601.72:8242","601.72:8243","601.72:8244","601.72:8245","601.72:8246","601.72:8247","601.72:8248","601.72:8249","601.72:8250","601.72:8251","601.72:8252","601.72:8253","601.72:8254","601.7
2:8255","601.72:8256","601.72:8257","601.72:8258","601.72:8259","601.72:8260","601.72:8261","601.72:8262","601.72:8263","601.72:8264","601.72:8265","601.72:8266","601.72:8267","601.72:8268","601.72:8269","601.72:8270","601.72:8271","601.72:
8272","601.72:8273","601.72:8274","601.72:8275","601.72:8276","601.72:8277","601.72:8278","601.72:8279","601.72:8280","601.72:8281","601.72:8282","601.72:8283","601.72:8284","601.72:8285","601.72:8286","601.72:8287","601.72:8288","601.72:82
89","601.72:8402","601.73:2383","601.73:2384","601.73:2385","601.75:3927","601.75:3928","601.75:3929","601.75:3930","601.75:3931","601.75:3932","601.75:3933","601.75:3934","601.75:3935","601.75:3936","601.75:4086","601.75:4087","601.75:4088
","601.75:4089","601.75:4090","601.75:4091","601.75:4092","601.75:4093","601.75:4094","601.75:4125","601.75:4126","601.75:4127","601.75:4128","601.75:4129","601.751:108568","601.751:108569","601.751:108570","601.751:108571","601.751:108572"
,"601.751:108573","601.751:108574","601.751:108575","601.751:108576","601.751:108577","601.751:108723","601.751:108724","601.751:108725","601.751:108726","601.751:108727","601.751:108728","601.751:108729","601.751:108730","601.751:108731","
601.751:108760","601.751:108761","601.751:108762","601.751:108763","601.751:108764","601.76:8228","601.76:8229","601.76:8230","601.76:8231","601.76:8232","601.76:8233","601.76:8234","601.76:8235","601.76:8236","601.76:8237","601.76:8238","6
01.76:8239","601.76:8240","601.76:8241","601.76:8242","601.76:8243","601.76:8244","601.76:8245","601.76:8246","601.76:8247","601.76:8248","601.76:8249","601.76:8250","601.76:8251","601.76:8252","601.76:8253","601.76:8254","601.76:8255","601
.76:8256","601.76:8257","601.76:8258","601.76:8259","601.76:8260","601.76:8261","601.76:8262","601.76:8263","601.76:8264","601.76:8265","601.76:8266","601.76:8267","601.76:8268","601.76:8269","601.76:8270","601.76:8271","601.76:8272","601.7
t":"Independent (including buttons, zippers, laces, etc.)","value":10},{"id":7090,"questionId":5681,"scaleId":633,"targetText":"Needs help (verbal, physical, carrying aid)","value":5},{"id":7091,"questionId":5681,"scaleId":633,"targetText":
6:8273","601.76:8274","601.76:8275","601.76:8276","601.76:8277","601.76:8278","601.76:8279","601.76:8280","601.76:8281","601.76:8282","601.76:8283","601.76:8284","601.76:8285","601.76:8286","601.76:8287","601.76:8288","601.76:8289","601.76:
8290","601.76:8402","601.86:293","601.87:1225","601.87:1226","601.87:1227","601.87:1228","601.87:1229","601.87:1230","601.88:1443","601.88:1470","601.88:59282","601.89:42210","601.89:42211","601.89:42212"]},{"content":[{"choice":[{"choiceId
":106380,"choiceText":"Not Reported","ien":106496,"legacyValue":0,"sequence":1},{"choiceId":106381,"choiceText":"Very mild - Occasionally is somewhat concerned about body, symptoms, or physical illness.","ien":106497,"legacyValue":1,"sequen
ce":2},{"choiceId":106382,"choiceText":"Mild - Occasionally is moderately concerned about body, or often is somewhat concerned.","ien":106498,"legacyValue":2,
"sequence":3},{"choiceId":106383,"choiceText":"Moderate- Occasionally is very concerned, or often is moderately concerned.","ien":106499,"legacyValue":3,"sequence":4},{"choiceId":106384,"choiceText":"Moderately severe - Often is very concer
ned.","ien":106500,"legacyValue":4,"sequence":5},{"choiceId":106385,"choiceText":"Severe - Is very concerned.","ien":106501,"legacyValue":5,"sequence":6},{"choiceId":106386,"choiceText":"Very severe - Is very concerned nearly all of the tim
e.","ien":106502,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":106383,"designator":1,"hint":null,"id":7831,"instrument":231,"introDisplay":1470,"introId":2364,"introText":
"Indicate the degree to which each of the following items\r\ndescribes the patient's present condition.\r\n| | \r\nIn the past week:","max":null,"min":null,"questionDisplay":1470,"questionId":7831,"questionText":"Somatic Concern - Degree of
concern over present bodily health is perceived as problem by the patient, whether the complaints have a realistic basis or not. Do not rate mere reporting of somatic symptoms. Rate only concerns for (or worrying abou\r\nt) physical proble
ms (real or imagined).","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":1},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106367,"legacyValue":0,"sequence":1},{"choiceId":3664,"choiceText":"Very m
"Independent, up and down","value":10},{"id":7092,"questionId":5682,"scaleId":633,"targetText":"Independent (can perform all the steps)","value":5}],"sequence":1,"xLabel":"Index"}],"sequence":1}],"spec":{"entryChecksum":478473357,"entrySpec
ild - Occasionally feels somewhat anxious.","ien":106368,"legacyValue":1,"sequence":2},{"choiceId":3665,"choiceText":"Mild - Occasionally feels moderately anxious, or often feels somewhat anxious.","ien":106369,"legacyValue":2,"sequence":3}
,{"choiceId":3666,"choiceText":"Moderate - Occasionally feels very anxious, or often feels moderately anxious.","ien":106370,"legacyValue":3,"sequence":4},{"choiceId":3667,"choiceText":"Moderately severe - Often feels very anxious.","ien":1
06371,"legacyValue":4,"sequence":5},{"choiceId":3668,"choiceText":"Severe - Feels anxious most of the time.","ien":106372,"legacyValue":5,"sequence":6},{"choiceId":3669,"choiceText":"Very severe - Feels very anxious nearly all of the time."
,"ien":106373,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":106366,"designator":2,"hint":null,"id":7832,"instrument":231,"introDisplay":1470,"introId":2360,"introText":"In
the past week:","max":null,"min":null,"questionDisplay":1470,"questionId":7832,"questionText":"Anxiety - Worry, fear, or over concern for present or future. Rate solely\r\non the basis of verbal report of the patient's own subjective\r\nex
periences. Do not infer anxiety from physical signs or from neurotic\r\ndefense mechanisms. Do not rate if restricted to somatic concern.","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":2},{"choice":[{"choiceId":
106380,"choiceText":"Not Reported","ien":106374,"legacyValue":0,"sequence":1},{"choiceId":3670,"choiceText":"Very mild - Occasionally exhibits poor eye contact.","ien":106375,"legacyValue":1,"sequence":2},{"choiceId":3671,"choiceText":"Mild
- As above, but more frequent.","ien":106376,"legacyValue":2,"sequence":3},{"choiceId":3672,"choiceText":"Moderate - Little eye contact, but still seems engaged in the interview and appropriately responsive to all questions.","ien":106377,"
legacyValue":3,"sequence":4},{"choiceId":3673,"choiceText":"Moderately severe - Stares at floor or orients self away from interviewer, but seems moderately engaged.","ien":106378,"legacyValue":4,"sequence":5},{"choiceId":3674,"choiceText":"
Severe - As above, but more persistent or pervasive.","ien":106379,"legacyValue":5,"sequence":6},{"choiceId":3675,"choiceText":"Very severe - Appeared \"spacey\" or \"out of it\" (total absence of emotional relatedness) and is disproportion
":"{\"name\": \"BARTHEL INDEX\", \r\n \"copyright\": \"Copyright (c) 1965, Maryland State Medical Journal\", \r\n \"restartDays\": 2, \r\n \"content\":[
ately uninvolved or unengaged in the interview.","ien":106380,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":null,"choiceIdentifierIen":
0,"choiceTypeId":106367,"designator":3,"hint":null,"id":7833,"instrument":231,"introDisplay":1470,"introId":2361,"introText":"In the past 3 days:","max":null,"min":null,"questionDisplay":1470,"questionId":7833,"questionText":"Emotional with
drawal - Deficiency in relating to the interviewer and to the interview situation. Overt manifestations of this deficiency include poor\/absence of eye contact, failure to orient oneself physically toward the interviewer, and a gene\r\nral
lack of involvement or engagement in the interview. Distinguish from BLUNTED AFFECT, in which deficits in facial expression, body gesture, and voice pattern are scored. [DO NOT SELECT 'Severe' or 'Very Severe' IF EXPLAINED BY DISORIENTATION
]\r\n.","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":3},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106381,"legacyValue":0,"sequence":1},{"choiceId":3676,"choiceText":"Very mild - Somewhat v
ague, but of doubtful clinical significance.","ien":106382,"legacyValue":1,"sequence":2},{"choiceId":3677,"choiceText":"Mild - Frequently vague, but the interview is able to progress.","ien":106383,"legacyValue":2,"sequence":3},{"choiceId":
3678,"choiceText":"Moderate - Occasional irrelevant statements, infrequent use of neologisms, or moderate loosening of associations.","ien":106384,"legacyValue":3,"sequence":4},{"choiceId":3679,"choiceText":"Moderately severe - As above, bu
t more frequent.","ien":106385,"legacyValue":4,"sequence":5},{"choiceId":3680,"choiceText":"Severe - Formal thought disorder is present for most of the interview, and the interview is severely strained.","ien":106386,"legacyValue":5,"sequen
ce":6},{"choiceId":3681,"choiceText":"Very severe - Very little coherent information can be obtained.","ien":106387,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":106368,"d
esignator":4,"hint":null,"id":7834,"instrument":231,"introDisplay":1470,"introId":2365,"introText":"In the last 3 days:","max":null,"min":null,"questionDisplay":1470,"questionId":7834,"questionText":"Conceptual Disorganization - Degree of s
\r\n {\"id\": \"i1047\", \"type\": \"IntroText\", \r\n \"text\": \"Choose the scoring point for the statement that most closely corresponds to the\r\n patient's current level of ability for each of the following 10 items. Record\r\n ac
peech incomprehensibility.\r\nInclude any type of formal thought disorder (e.g., loose associations,\r\nincoherence, flight of ideas, neologisms). DO NOT include mere\r\ncircumstantiality or pressured speech, even if marked. DO NOT rate on
the\r\npatient's subjective impressions (e.g., \"My thoughts are racing\", \"I\r\ncan't hold a thought\", \"My thinking gets all mixed up\"). Rate ONLY on the\r\nbasis of observations made during the interview.","required":null,"responseTyp
eId":1,"responseTypeText":"MCHOICE","sequence":4},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106388,"legacyValue":0,"sequence":1},{"choiceId":3682,"choiceText":"Very mild - Occasionally feels somewhat guilty.","ien":106
389,"legacyValue":1,"sequence":2},{"choiceId":3683,"choiceText":"Mild - Occasionally feels moderately guilty, or often feels somewhat guilty.","ien":106390,"legacyValue":2,"sequence":3},{"choiceId":3684,"choiceText":"Moderate - Occasional f
eels very guilty, or often feels moderately guilty.","ien":106391,"legacyValue":3,"sequence":4},{"choiceId":3685,"choiceText":"Moderately severe - Often feels very guilty.","ien":106392,"legacyValue":4,"sequence":5},{"choiceId":3686,"choice
Text":"Severe - Feels guilty most of the time or encapsulated delusions of guilt.","ien":106394,"legacyValue":5,"sequence":6},{"choiceId":3686,"choiceText":"Severe - Feels guilty most of the time or encapsulated delusions of guilt.","ien":1
06396,"legacyValue":5,"sequence":6},{"choiceId":3687,"choiceText":"Very severe - Agonizing, constant feeling of guilt, or pervasive delusion(s) of guilt.","ien":106395,"legacyValue":6,"sequence":7},{"choiceId":3687,"choiceText":"Very severe
- Agonizing, constant feeling of guilt, or pervasive delusion(s) of guilt.","ien":106397,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":
null,"choiceIdentifierIen":0,"choiceTypeId":106369,"designator":5,"hint":null,"id":7835,"instrument":231,"introDisplay":1470,"introId":2360,"introText":"In the past week:","max":null,"min":null,"questionDisplay":1470,"questionId":7835,"ques
tionText":"Guilt Feelings - Overconcern or remorse for past behavior. Rate on\r\npatient's subjective experiences of guilt as evidenced by verbal report.\r\nDo not infer guilt feelings from depression, anxiety, or neurotic\r\ndefenses.","re
tual, not potential, functioning. Information can be obtained from the\r\n patient's self-report, from a separate party who is familiar with the patient's\r\n abilities (such as a relative), or from observation. \"\r\n }, \r\n {\"id
quired":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":5},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106399,"legacyValue":0,"sequence":1},{"choiceId":3688,"choiceText":"Very mild - Occasionally fidgets.
","ien":106516,"legacyValue":1,"sequence":2},{"choiceId":3689,"choiceText":"Mild - frequently fidgets.","ien":106400,"legacyValue":2,"sequence":3},{"choiceId":3690,"choiceText":"Moderate - constantly fidgets, or frequently fidgets, wrings h
ands and pulls clothing.","ien":106401,"legacyValue":3,"sequence":4},{"choiceId":3691,"choiceText":"Moderately severe - Constantly fidgets. Wrings hands and pulls clothing.","ien":106402,"legacyValue":4,"sequence":5},{"choiceId":3692,"choic
eText":"Severe - Cannot remain seated. (i.e., must pace).","ien":106403,"legacyValue":5,"sequence":6},{"choiceId":3693,"choiceText":"Very severe - Paces in a frantic manner.","ien":106495,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,
"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":106370,"designator":6,"hint":null,"id":7836,"instrument":231,"introDisplay":1470,"introId":2361,"introText":"In the past 3 days:","max":null,"min":null,"questionDisplay":1470,"q
uestionId":7836,"questionText":"Tension - Rate motor restlessness (agitation) observed during the\r\ninterview. DO NOT rate on the basis of subjective experiences reported by\r\nthe patient. Disregard suspected pathogenesis (e.g., tardive d
yskinesia).","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":6},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106404,"legacyValue":0,"sequence":1},{"choiceId":3694,"choiceText":"Very mild - Odd
behavior but doubtful clinical significance, e.g., occasional unprompted smiling, infrequent lip movements.","ien":106405,"legacyValue":1,"sequence":2},{"choiceId":3695,"choiceText":"Mild - Strange behavior but not obviously bizarre, e.g.,
infrequent head-tilting (from side to side) in a rhythmic fashion, intermittent abnormal finger movements.","ien":106406,"legacyValue":2,"sequence":3},{"choiceId":3696,"choiceText":"Moderate - Assumes yoga position for a brief period of tim
e, infrequent tongue protrusions, rocking.","ien":106407,"legacyValue":3,"sequence":4},{"choiceId":3697,"choiceText":"Moderately severe - Assumes and maintains yoga position throughout interview, unusual movements in several body areas.","i
\": \"q5673\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"1. Bowels (preceding week):\", \r\n \"intro\": \"Choose the scoring point for the statement that most closely corresponds to the\r\n
en":106408,"legacyValue":4,"sequence":5},{"choiceId":3698,"choiceText":"Severe - As above, but more frequent, intense, or pervasive.","ien":106409,"legacyValue":5,"sequence":6},{"choiceId":3699,"choiceText":"Very severe - Bizarre posturing
throughout most of the interview. Continuous abnormal movements in several body areas.","ien":106411,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":106371,"designator":7,"h
int":null,"id":7837,"instrument":231,"introDisplay":1470,"introId":2365,"introText":"In the last 3 days:","max":null,"min":null,"questionDisplay":1470,"questionId":7837,"questionText":"Mannerisms And Posturing - Unusual and unnatural motor
behavior. Rate\r\nonly abnormality of movements; do not rate simple heightened motor\r\nactivity here. Consider frequency, duration, and degree of bizarreness.\r\nDisregard suspected pathogenesis.","required":null,"responseTypeId":1,"respon
seTypeText":"MCHOICE","sequence":7},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106412,"legacyValue":0,"sequence":1},{"choiceId":3700,
"choiceText":"Very mild - Is more confident than most people, but of only possible clinical significance.","ien":106413,"legacyValue":1,"sequence":2},{"choiceId":3701,"choiceText":"Mild - Definitely inflated self-esteem or exaggerates talen
ts somewhat out of proportion to the circumstances.","ien":106414,"legacyValue":2,"sequence":3},{"choiceId":3702,"choiceText":"Moderate - Inflated self-esteem clearly out of proportion to the circumstances or suspected grandiose delusion(s)
.","ien":106415,"legacyValue":3,"sequence":4},{"choiceId":3703,"choiceText":"Moderately severe - A single (definite) encapsulated grandiose delusion, or multiple (definite) fragmentary grandiose delusions.","ien":106416,"legacyValue":4,"seq
uence":5},{"choiceId":3704,"choiceText":"Severe - A single (definite) grandiose delusion\/delusional system, or multiple (definite) grandiose delusions that the patient seems preoccupied with.","ien":106417,"legacyValue":5,"sequence":6},{"c
hoiceId":3705,"choiceText":"Very severe - As above, but nearly all conversation is directed towards the patient's grandiose delusion(s).","ien":106418,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":null,"choiceIdenti
patient's current level of ability for each of the following 10 items. Record\r\n actual, not potential, functioning. Information can be obtained from the\r\n patient's self-report, from a separate party who is familiar with the patient'
fierIen":0,"choiceTypeId":106372,"designator":8,"hint":null,"id":7838,"instrument":231,"introDisplay":1470,"introId":2360,"introText":"In the past week:","max":null,"min":null,"questionDisplay":1470,"questionId":7838,"questionText":"Grandio
sity - Inflated self-esteem (self-confidence), or inflated\r\nappraisal of one's talents, powers, abilities, accomplishments,\r\nknowledge, importance, or identity. Do not score mere grandiose quality\r\nof claims (e.g., \"I'm the worst sin
ner in the world,\" \"The entire country\r\nis trying to kill me\") unless the guilt\/persecution is related to some\r\nspecial exaggerated attribute of the individual. Also, the patient must\r\nclaim exaggerated attributes: e.g., If patien
t denies talents, powers,\r\netc., even if he\/she states that others indicate that he\/she has these\r\nattributes, this item should not be scored.","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":8},{"choice":[{
"choiceId":106380,"choiceText":"Not Reported","ien":106419,"legacyValue":0,"sequence":1},{"choiceId":3706,"choiceText":"Very mild - Occasionally feels somewhat depressed.","ien":106420,"legacyValue":1,"sequence":2},{"choiceId":3707,"choiceT
ext":"Mild - Occasionally feels moderately depressed, or often feels somewhat depressed.","ien":106421,"legacyValue":2,"sequence":3},{"choiceId":3708,"choiceText":"Moderate - Occasionally feels very depressed, or often feels moderately depr
essed.","ien":106422,"legacyValue":3,"sequence":4},{"choiceId":3709,"choiceText":"Moderately severe - Often feels very depressed.","ien":106423,"legacyValue":4,"sequence":5},{"choiceId":3710,"choiceText":"Severe - Feels very depressed most
of the time.","ien":106424,"legacyValue":5,"sequence":6},{"choiceId":3711,"choiceText":"Very severe - Feels very depressed nearly all of the time.","ien":106425,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":null,"ch
oiceIdentifierIen":0,"choiceTypeId":106373,"designator":9,"hint":null,"id":7839,"instrument":231,"introDisplay":1470,"introId":2366,"introText":"In the last week:","max":null,"min":null,"questionDisplay":1470,"questionId":7839,"questionText
":"Depressive Mood - Subjective report of feeling depressed, blue \"down in\r\nthe dumps,\" etc. Rate only the degree of reported depression. Do not rate\r\non the basis of inferences concerning depression based upon general\r\nretardation
eparate party who is familiar with the patient's abilities (such as a relative), or from observation. ","max":0,"min":0,"questionDisplay":55150,"questionId":5674,"questionText":"Bladder (preceding week):","required":false,"responseTypeId":
s\r\n abilities (such as a relative), or from observation. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3008\", \"text\": \"0. Incontinent (or needs to be given enema)\", \"quickKey\": 0}, \r\n {\"id\": \"c3009
and somatic complaints.","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":9},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106426,"legacyValue":0,"sequence":1},{"choiceId":3712,"choiceText":"Very
mild - Occasionally feels somewhat angry.","ien":106427,"legacyValue":1,"sequence":2},{"choiceId":3713,"choiceText":
"Mild - Occasionally feels somewhat angry, or occasionally feels moderately angry.","ien":106428,"legacyValue":2,"sequence":3},{"choiceId":3714,"choiceText":"Moderate - Occasionally feels very angry, or often feels moderately angry.","ien":
106429,"legacyValue":3,"sequence":4},{"choiceId":3715,"choiceText":"Moderately severe - Often feels very angry.","ien":106430,"legacyValue":4,"sequence":5},{"choiceId":3716,"choiceText":"Severe - Has acted on his anger by becoming verbally
or physically abusive on one or two occasions.","ien":106431,"legacyValue":5,"sequence":6},{"choiceId":3717,"choiceText":"Very severe - Has acted on their anger on several occasions.","ien":106432,"legacyValue":6,"sequence":7}],"choiceDispl
ay":1443,"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":106374,"designator":10,"hint":null,"id":7840,"instrument":231,"introDisplay":1470,"introId":2360,"introText":"In the past week:","max":null,"min":null,"questionDisplay"
:1470,"questionId":7840,"questionText":"Hostility - Animosity, contempt, belligerence, disdain for other people outside the interview situation. Rate solely on the basis of the verbal report of feelings and actions of the patient toward oth
ers. Do not infer \r\nhostility from neurotic defenses, anxiety, or somatic complaints.","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":10},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106433,"
legacyValue":0,"sequence":1},{"choiceId":3718,"choiceText":"Very mild- Rare instances of distrustfulness which may or may not be warranted by the situation.","ien":106434,"legacyValue":1,"sequence":2},{"choiceId":3719,"choiceText":"Mild - O
ccasional instances of suspiciousness that are definitely not warranted by the situation.","ien":106435,"legacyValue":2,"sequence":3},{"choiceId":3720,"choiceText":"Moderate - More frequent suspiciousness, or transient ideas of reference.",
\", \"text\": \"1. Occasional accident (once per week)\", \"quickKey\": 1}, \r\n {\"id\": \"c3010\", \"text\": \"2. Continent\", \"quickKey\": 2}\r\n ]}, \r\n {\"id\": \"q5674\", \"type\": \"ChoiceQuestion\", \"required\": false, \"
"ien":106436,"legacyValue":3,"sequence":4},{"choiceId":3721,"choiceText":"Moderately severe - Pervasive suspiciousness, or frequent ideas of reference.","ien":106439,"legacyValue":4,"sequence":5},{"choiceId":3722,"choiceText":"Severe - Defi
nite delusion(s) of reference or persecution that is (are) not wholly pervasive (e.g., an encapsulated delusion).","ien":106441,"legacyValue":5,"sequence":6},{"choiceId":3723,"choiceText":"Very severe - As above, but more widespread, freque
nt, or intense.","ien":106443,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":106375,"designator":11,"hint":null,"id":7841,"instrument":231,"introDisplay":1470,"introId":236
6,"introText":"In the last week:","max":null,"min":null,"questionDisplay":1470,"questionId":7841,"questionText":"Suspiciousness - Belief (delusional or otherwise) that others have now,\r\nor have had in the past, malicious or discriminatory
intent toward the\r\npatient. On the basis of verbal report, rate only those suspicions which\r\nare currently held whether they concern past or present circumstance.","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequen
ce":11},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106440,"legacyValue":0,"sequence":1},{"choiceId":3724,"choiceText":"Very mild - Suspected hallucinations only.","ien":106446,"legacyValue":1,"sequence":2},{"choiceId":3
725,"choiceText":"Mild - Definite hallucinations, but insignificant, infrequent, or transient (e.g., occasional formless visual hallucinations, a voice calling the patient's name).","ien":106447,"legacyValue":2,"sequence":3},{"choiceId":372
6,"choiceText":"Moderate - As above, but more frequent or extensive (e.g., frequently sees the devil's face, two voices carry on a lengthy conversation).","ien":106448,"legacyValue":3,"sequence":4},{"choiceId":3727,"choiceText":"Moderately
severe - Hallucinations are experienced nearly every day, or are a source of extreme distress.","ien":106449,"legacyValue":4,"sequence":5},{"choiceId":3728,
"choiceText":"Severe - As above and has had a moderate impact on the patient's behavior (e.g., concentration difficulties leading to impaired work functioning).","ien":106450,"legacyValue":5,"sequence":6},{"choiceId":3729,"choiceText":"Very
inline\": false, \r\n \"text\": \"2. Bladder (preceding week):\", \r\n \"intro\": \"Choose the scoring point for the statement that most closely corresponds to the\r\n patient's current level of ability for each of the following 10 it
severe - As above, and has had a severe impact (e.g., attempts suicide in response to command hallucinations).","ien":106451,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId"
:106376,"designator":12,"hint":null,"id":7842,"instrument":231,"introDisplay":1470,"introId":2360,"introText":"In the past week:","max":null,"min":null,"questionDisplay":1470,"questionId":7842,"questionText":"Hallucinatory Behavior - Percep
tions (in any sense modality) in absence\r\nof identifiable external stimulus. Rate only experiences that have\r\noccurred during the last week. DO NOT rate \"voices in my head\" or\r\n\"visions in my mind\" unless the patient can different
iate between these\r\nexperiences and his or her thoughts.","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":12},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106452,"legacyValue":0,"sequence":1},
{"choiceId":3730,"choiceText":"Very mild - Of doubtful clinical significance.","ien":106453,"legacyValue":1,"sequence":2},{"choiceId":3731,"choiceText":"Mild - Conversation is somewhat retarded, movements somewhat slowed.","ien":106454,"leg
acyValue":2,"sequence":3},{"choiceId":3732,"choiceText":"Moderate - Conversation is notably retarded but not strained.","ien":106455,"legacyValue":3,"sequence":4},{"choiceId":3733,"choiceText":"Moderately severe - Conversation is strained,
moves very slowly.","ien":106456,"legacyValue":4,"sequence":5},{"choiceId":3734,"choiceText":"Severe - Conversation is difficult to maintain, hardly moves at all.","ien":106457,"legacyValue":5,"sequence":6},{"choiceId":3735,"choiceText":"Ve
ry severe - Conversation is almost impossible, does not move at all throughout the interview.","ien":106458,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":106377,"designato
r":13,"hint":null,"id":7843,"instrument":231,"introDisplay":1470,"introId":2361,"introText":"In the past 3 days:","max":null,"min":null,"questionDisplay":1470,"questionId":7843,"questionText":"Motor Retardation - Reduction in energy level e
videnced in slowed\r\nmovements. Rate on the basis of observed behavior of the patient only. Do\r\nnot rate on the basis of the patient's subjective impression of his or\r\nher own energy level.","required":null,"responseTypeId":1,"response
ems. Record\r\n actual, not potential, functioning. Information can be obtained from the\r\n patient's self-report, from a separate party who is familiar with the patient's\r\n abilities (such as a relative), or from observation. \", \r\
TypeText":"MCHOICE","sequence":13},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106459,"legacyValue":0,"sequence":1},{"choiceId":3736,"choiceText":"Very mild - Does not seem motivated.","ien":106460,"legacyValue":1,"seque
nce":2},{"choiceId":3737,"choiceText":"Mild - Seems evasive in certain areas.","ien":106461,"legacyValue":2,"sequence":3},{"choiceId":3738,"choiceText":"Moderate - As above, but evasive in many areas.","ien":106462,"legacyValue":3,"sequence
":4},{"choiceId":3739,"choiceText":"Moderately severe - Expresses resentment and is unfriendly throughout the interview.","ien":106463,"legacyValue":4,"sequence":5},{"choiceId":3740,"choiceText":"Severe - Refuses to answer a number of quest
ions.","ien":106464,"legacyValue":5,"sequence":6},{"choiceId":3741,"choiceText":"Very severe - Refuses to answer most questions.","ien":106465,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":null,"choiceIdentifierIen"
:0,"choiceTypeId":106378,"designator":14,"hint":null,"id":7844,"instrument":231,"introDisplay":1470,"introId":2365,"introText":"In the last 3 days:","max":null,"min":null,"questionDisplay":1470,"questionId":7844,"questionText":"Uncooperativ
eness - Evidence of resistance, unfriendliness, resentment,\r\nand lack of readiness to cooperate with the interviewer. Rate solely on
\r\nthe basis of the patient's attitude and responses to the interviewer and\r\nthe interview situation. Do not rate on the basis of reported resentment\r\nor uncooperativeness outside the interview situation.","required":null,"responseType
Id":1,"responseTypeText":"MCHOICE","sequence":14},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106466,"legacyValue":0,"sequence":1},{"choiceId":3742,"choiceText":"Very mild - Delusion(s) suspected or likely.","ien":106467
,"legacyValue":1,"sequence":2},{"choiceId":3743,"choiceText":"Mild - At times, patient questions his or her belief(s) (partial delusion).","ien":106468,"legacyValue":2,"sequence":3},{"choiceId":3744,"choiceText":"Moderate - Full delusional
conviction, but delusion(s) has little or no influence on behavior.","ien":106469,"legacyValue":3,"sequence":4},{"choiceId":3745,"choiceText":"Moderately severe - Full delusional conviction, but delusion(s) has only occasional impact on beh
n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c3011\", \"text\": \"0. Incontinent, or catheterized and unable to manage\", \"quickKey\": 0}, \r\n {\"id\": \"c3012\", \"text\": \"1. Occasional accident (maximum, once per
avior.","ien":106470,"legacyValue":4,"sequence":5},{"choiceId":3746,"choiceText":"Severe - Delusion(s) has significant effect, e.g., neglects responsibilities because of preoccupation with belief that he\/she is God.","ien":106471,"legacyVa
lue":5,"sequence":6},{"choiceId":3747,"choiceText":"Very severe - Delusion(s) has major impact, e.g., stops eating because believes food is poisoned.","ien":106472,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":null,
"choiceIdentifierIen":0,"choiceTypeId":106379,"designator":15,"hint":null,"id":7845,"instrument":231,"introDisplay":1470,"introId":2360,"introText":"In the past week:","max":null,"min":null,"questionDisplay":1470,"questionId":7845,"question
Text":"Unusual Thought Content - Severity of delusions of any type -- consider\r\nconviction and effect on actions. Assume full conviction if patient has\r\nacted on his or her beliefs.","required":null,"responseTypeId":1,"responseTypeText"
:"MCHOICE","sequence":15},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106398,"legacyValue":0,"sequence":1},{"choiceId":3748,"choiceText":"Very mild - Occasionally seems indifferent to material that is usually accompanied
by some show of emotion.","ien":106474,"legacyValue":1,"sequence":2},{"choiceId":3749,"choiceText":"Mild - Somewhat diminished facial expression or somewhat monotonous voice or somewhat restricted gestures.","ien":106475,"legacyValue":2,"s
equence":3},{"choiceId":3750,"choiceText":"Moderate - As above, but more intense, prolonged, or frequent.","ien":106476,"legacyValue":3,"sequence":4},{"choiceId":3751,"choiceText":"Moderately severe - Flattening of affect, including at leas
t two of the three features: Severe lack of facial expression, monotonous voice, or restricted body gestures.","ien":106477,"legacyValue":4,"sequence":5},{"choiceId":3752,"choiceText":"Severe - Profound flattening affect.","ien":106478,"leg
acyValue":5,"sequence":6},{"choiceId":3753,"choiceText":"Very severe - Totally monotonous voice and total lack of expressive gestures throughout the evaluation.","ien":106479,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdenti
fier":null,"choiceIdentifierIen":0,"choiceTypeId":106380,"designator":16,"hint":null,"id":7846,"instrument":231,"introDisplay":1470,"introId":2361,"introText":"In the past 3 days:","max":null,"min":null,"questionDisplay":1470,"questionId":7
24 hours)\", \"quickKey\": 1}, \r\n {\"id\": \"c3013\", \"text\": \"2. Continent (for over 7 days)\", \"quickKey\": 2}\r\n ]}, \r\n {\"id\": \"q5675\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"
846,"questionText":"Blunted Affect - Diminished affective responsivity, as characterized by\r\ndeficits in facial expression, body gesture, and voice pattern.\r\nDistinguish from EMOTIONAL WITHDRAWAL, in which the focus is on\r\ninterperson
al impairment rather than affect. Consider degree and\r\nconsistency of impairment.","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":16},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106480,"lega
cyValue":0,"sequence":1},{"choiceId":3754,"choiceText":"Very Mild - Of doubtful clinical significance.","ien":106481,"legacyValue":1,"sequence":2},{"choiceId":
3755,"choiceText":"Mild - irritable or expansive at times.","ien":106482,"legacyValue":2,"sequence":3},{"choiceId":3756,"choiceText":"Moderate - Frequently irritable or expansive.","ien":106483,"legacyValue":3,"sequence":4},{"choiceId":3757
,"choiceText":"Moderately Severe - Constantly irritable or expansive; or, at times, enraged or euphoric.","ien":106484,"legacyValue":4,"sequence":5},{"choiceId":3758,"choiceText":"Severe - Enraged or euphoric throughout most of the intervie
w.","ien":106485,"legacyValue":5,"sequence":6},{"choiceId":3759,"choiceText":"Very Severe - As above, but to such a degree that the interview must be terminated prematurely.","ien":106486,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,
"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":106381,"designator":17,"hint":null,"id":7847,"instrument":231,"introDisplay":1470,"introId":2365,"introText":"In the last 3 days:","max":null,"min":null,"questionDisplay":1470,"
questionId":7847,"questionText":"Excitement - Heightened emotional tone, including irritability and\r\nexpansiveness (hypomanic affect). Do not infer affect from statements of\r\ngrandiose delusions.","required":null,"responseTypeId":1,"res
ponseTypeText":"MCHOICE","sequence":17},{"choice":[{"choiceId":106380,"choiceText":"Not Reported","ien":106487,"legacyValue":0,"sequence":1},{"choiceId":3760,"choiceText":"Very mild - Seems somewhat confused.","ien":106489,"legacyValue":1,"
sequence":2},{"choiceId":3761,"choiceText":"Mild - e.g., Indicated 2013 when, in fact, it is 2014.","ien":106490,"legacyValue":2,"sequence":3},{"choiceId":3762,"choiceText":"Moderate - e.g., Indicates 1978.","ien":106491,"legacyValue":3,"se
text\": \"3. Grooming (preceding 24 - 48 hours):\", \r\n \"intro\": \"Choose the scoring point for the statement that most closely corresponds to the\r\n patient's current level of ability for each of the following 10 items. Record\r\n a
quence":4},{"choiceId":3763,"choiceText":"Moderately severe - Is unsure where he\/she is.","ien":106492,"legacyValue":4,"sequence":5},{"choiceId":3764,"choiceText":"Severe - Has no idea where he\/she is.","ien":106493,"legacyValue":5,"seque
nce":6},{"choiceId":3765,"choiceText":"Very severe - Does not know who he\/she is.","ien":106494,"legacyValue":6,"sequence":7}],"choiceDisplay":1443,"choiceIdentifier":null,"choiceIdentifierIen":0,"choiceTypeId":106382,"designator":18,"hint
":null,"id":7848,"instrument":231,"introDisplay":1470,"introId":2361,"introText":"In the past 3 days:","max":null,"min":null,"questionDisplay":1470,"questionId":7848,"questionText":"Disorientation - Confusion or lack of proper association f
or person, place or time.","required":null,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":18}],"display":[{"alignment":"L","columns":1,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"M
S Sans Serif","fontSize":10,"fontUnderlined":false,"id":1443,"left":10,"mask":"577|||"},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10
,"fontUnderlined":false,"id":1470,"left":2,"mask":null}],"info":{"author":"Woerner, M.G., Mannuzza, S., Kane, J.M.","auxDate":null,"auxVersion":null,"copyrightText":"Copyright 2014, CDISC, all rights reserved.","copyrighted":false,"dllDate
":null,"dllVersion":null,"enteredBy":"DIANE BOYD","entryDate":"2018-04-18","fullText":false,"id":231,"lastEditDate":3220127,"lastEditedBy":"LEE,KYU-TAE","legacy":false,"licenseCurrent":false,"name":"BPRS-A","national":true,"normSample":"
Answer must be 1-200 characters in len","operational":"Y","printTitle":"Brief Psychiatric Rating Scale- Anchored (BPRS-A)","publicationDate":null,"publisher":null,"purpose":"Staff rating of psychiatric symptom??","reference":"Woerner MG,
Mannuzza S, Kane JM. Anchoring the BPRS: an aid to improved reliability. Psychopharmacol Bull. 1988;24(1):112-7","requireSignature":false,"requiresLicense":"N","scoringRevision":1,"scoringRoutine":null,"scoringTag":null,"staffOnly":"Y","sub
mitNational":true,"targetPopulation":null,"version":1,"wasOperational":true},"report":{"id":156,"instrument":231,"template":
ctual, not potential, functioning. Information can be obtained from the\r\n patient's self-report, from a separate party who is familiar with the patient's\r\n abilities (such as a relative), or from observation. \", \r\n \"columns\":
"|.|.| Brief Psychiatric Rating Scale- Anchored (BPRS-A) | \r\n | Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>| \r\nLocation: <.Location.>| | Veteran: <.Patient_Name_Last_First.>| \r\nSSN: <.Patient_SSN.>| DOB:
<.Patient_Date_Of_Birth.> (<.Patient_Age.>)\r\n| Gender: <.Patient_Gender.>| | |\r\n Thinking Disturbance (S) : <*Answer_7771*>|\r\n Anxious Depression (D) : <*Answer_7772*>|\r\n Paranoid Disturbances (P) : <*Answer_7773*>|\
r\n Withdrawal Retardation (R): <*Answer_7774*>||\r\n \r\n TOTAL PATHOLOGY SCORE: <*Answer_7775*>||\r\nQuestions and Answers| |\r\n1. Somatic Concern - Degree of concern over present bodily health is perceived as problem by the patient,
whether the complaints have a realistic basis or not. Do not rate mere reporting of somatic symptoms. Rate only concerns for (or worrying a\r\nbout) physical problems (real or imagined).| <*Answer_7831*>| |\r\n \r\n2. Anxiety - Worry, fear
, or over concern for present or future. Rate solely on the basis of verbal report of the patient's own subjective experiences. Do not infer anxiety from physical signs or from neurotic defense mechanisms. Do not rate if \r\nrestricted to s
omatic concern. | <*Answer_7832*> | |\r\n \r\n3. Emotional Withdrawal - Deficiency in relating to the interviewer and to the interview situation. \r\nOvert manifestations of this deficiency include poor\/absence of eye contact, failure to o
rient \r\noneself physically toward the interviewer, and a general lack of involvement or engagement in the \r\ninterview. Distinguish from BLUNTED AFFECT, in which deficits in facial expression, body gesture, \r\nand voice pattern are scor
ed. [DO NOT SELECT Severe or Very Severe IF EXPLAINED BY \r\nDISORIENTATION] | <*Answer_7833*> | |\r\n \r\n4. Conceptual Disorganization - Degree of speech incomprehensibility. Include any type of formal thought disorder (e.g., loose associ
ations, incoherence, flight of ideas, neologisms). DO NOT include mere circumstantiality or pressured speech,\r\n even if marked. DO NOT rate on the patient's subjective impressions (e.g., \"My thoughts are racing\", \"I can't hold a though
t\", \"My thinking gets all mixed up\"). Rate ONLY on the basis of observations made during the interview.| <*Answer_7834*>\r\n| |\r\n \r\n5. Guilt Feelings - Overconcern or remorse for past behavior. Rate on patient's subjective experience
1, \r\n \"choices\":[\r\n {\"id\": \"c3014\", \"text\": \"0. Needs help with personal care\", \"quickKey\": 0}, \r\n {\"id\": \"c3015\", \"text\": \"1. Independent face\/hair\/teeth\/shaving (implements provided)\", \"quickKey\"
s of guilt as evidenced by verbal report. Do not infer guilt feelings from depression, anxiety, or neurotic defenses. | <*Answer_7835*>| |\r\n \r\n6. Tension - Rate motor restlessness (agitation) observed during the interview. DO NOT rate o
n the basis of subjective experiences reported by the patient. Disregard suspected pathogenesis (e.g., tardive dyskinesia).| <*Answer_7836*> | |\r\n \r\n7. Mannerisms And Posturing - Unusual and unnatural motor behavior. Rate only abnormal
ity of movements; do not rate simple heightened motor activity here. Consider frequency, duration, and degree of bizarreness. Disregard suspected pathogenesis.\r\n| <*Answer_7837*> | |\r\n \r\n8. Grandiosity - Inflated self-esteem (self-con
fidence), or inflated appraisal of one's talents, powers, abilities, accomplishments, knowledge, importance, or identity. Do not score mere grandiose quality of claims (e.g., \"I'm the worst sinner i\r\nn the world,\" \"The entire country i
s trying to kill me\") unless the guilt\/persecution is related to some special exaggerated attribute of the individual. Also, the patient must claim exaggerated attributes: e.g., If patient denies talents, power\r\ns, etc., even if he\/she
states that others indicate that he\/she has these attributes, this item should not be scored.| <*Answer_7838*> | |\r\n \r\n9. Depressive Mood - Subjective report of feeling depressed, blue \"down in the dumps,\" etc. Rate only the degree
of reported depression. Do not rate on the basis of inferences concerning depression based upon general retardation and somatic
\r\n complaints. | <*Answer_7839*> | |\r\n \r\n10. Hostility - Animosity, contempt, belligerence, disdain for other people outside the interview situation. Rate solely on the basis of the verbal report of feelings and actions of the patient
toward others. Do not infer hostility from neurotic\r\n defenses, anxiety, or somatic complaints. |<*Answer_7840*> | |\r\n \r\n11. Suspiciousness - Belief (delusional or otherwise) that others have now, or have had in the past, malicious o
r discriminatory intent toward the patient. On the basis of verbal report, rate only those suspicions which are currently held\r\n whether they concern past or present circumstance.| <*Answer_7841*> | |\r\n \r\n12. Hallucinatory Behavior -
: 1}\r\n ]}, \r\n {\"id\": \"q5676\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"4. Toilet use:\", \r\n \"intro\": \"Choose the scoring point for the statement that most closely correspo
Perceptions (in any sense modality) in absence of identifiable external stimulus. Rate only experiences that have occurred during the last week. DO NOT rate \"voices in my head\" or \"visions in my mind\" unless the\r\n patient can differen
tiate between these experiences and his or her thoughts.|<*Answer_7842*> | |\r\n \r\n13. Motor Retardation - Reduction in energy level evidenced in slowed movements. Rate on the basis of observed behavior of the patient only. Do not rate on
the basis of the patient's subjective impression of his or her own energy level.\r\n| <*Answer_7843*> | |\r\n \r\n14. Uncooperativeness - Evidence of resistance, unfriendliness, resentment, and lack of readiness to cooperate with the inter
viewer. Rate solely on the basis of the patient's attitude and responses to the interviewer and the interview situation.\r\n Do not rate on the basis of reported resentment or uncooperativeness outside the interview situation. |<*Answer_784
4*> | |\r\n \r\n15. Unusual Thought Content - Severity of delusions of any type - consider conviction and effect on actions. Assume full conviction if patient has acted on his or her beliefs.| <*Answer_7845*>| |\r\n \r\n16. Blunted Affect
- Diminished affective responsivity, as characterized by deficits in facial expression, body gesture, and voice pattern. Distinguish from EMOTIONAL WITHDRAWAL, in which the focus is on interpersonal impairment rather that\r\n affect. Consid
er degree and consistency of impairment.| <*Answer_7846*> | |\r\n \r\n17. Excitement - Heightened emotional tone, including irritability and expansiveness (Hypomanic affect). Do not infer affect from statements of grandiose delusions.|<*Ans
wer_7847*> | |\r\n \r\n18. Disorientation - Confusion Or Lack Of Proper Association For Person, Place Or Time.| <*Answer_7848*> | |\r\n \r\nInformation contained in this note is based on a self-report assessment and is not sufficient to us
e alone for diagnostic purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities. | |\r\n \r\nCopyright 2014, CDISC, all rights reserved.\r\n$~ "},"scaleGroup":[{"grid1":null,"gr
id2":null,"grid3":null,"id":254,"instrument":231,"name":"BPRS-A","ordInc":1,"ordMax":108,"ordMin":1,"ordTitle":"BPRS-A","scale":[{"groupId":254,"id":1050,"name":"BPRSA1","scoringKey":[{"id":10130,"questionId":7831,"scaleId":1050,"targetText
|
