YS*5.01*218 PROMIS10 (116)    MH INSTRUMENT EXCHANGE (601.95)

Name Value
NAME YS*5.01*218 PROMIS10
DATE CREATED 2022-11-29 17:59:27
SOURCE MELDRUM@CAMP MASTER
SPECIFICATION
{"test":[{"content":[{"choice":[{"choiceId":5351,"choiceText":"Excellent","ien":109030,"legacyValue":5,"sequence":1},{"choiceId":5352,"choiceText":"Very Good","ien":109031,"legacyValue":4,"sequence":2},{"choiceId":5353,"choiceText":"Good","
3,"choiceText":"Good","ien":109032,"legacyValue":3,"sequence":3},{"choiceId":5354,"choiceText":"Fair","ien":109033,"legacyValue":2,"sequence":4},{"choiceId":5355,"choiceText":"Poor","ien":109034,"legacyValue":1,"sequence":5}],"choiceDisplay
u some questions about your health in general. <br\r\n \/>Please respond to each question or statement by selecting one box in each.\", \r\n    \"min\": 0, \"max\": 10, \r\n    \"legend\":[\"No Pain\", \"Worst Pain Imaginable\"]}]\r\n}","in
strument":297,"lastUpdate":"2022-10-07T15:04:51","specIen":153},"verify":["601.71:297","601.72:8789","601.72:8790","601.72:8791","601.72:8792","601.72:8793","601.72:8794","601.72:8795","601.72:8796","601.72:8797","601.72:8798","601.73:2474"
,"601.75:5351","601.75:5352","601.75:5353","601.75:5354","601.75:5355","601.75:5356","601.75:5357","601.75:5358","601.75:5359","601.75:5360","601.75:5361",
"601.75:5362","601.75:5363","601.75:5364","601.75:5365","601.75:5366","601.75:5367","601.75:5368","601.75:5369","601.75:5370","601.75:5371","601.75:5372","601.751:109030","601.751:109031","601.751:109032","601.751:109033","601.751:109034","
601.751:109035","601.751:109036","601.751:109037","601.751:109038","601.751:109039","601.751:109040","601.751:109041","601.751:109042","601.751:109043","601.751:109044","601.751:109045","601.751:109046","601.751:109047","601.751:109048","60
1.751:109049","601.751:109050","601.751:109051","601.76:8854","601.76:8855","601.76:8856","601.76:8857","601.76:8858","601.76:8859","601.76:8860","601.76:8861","601.76:8862","601.76:8863","601.86:347","601.86:353","601.87:1456","601.87:1457
","601.87:1458","601.87:1459","601.88:82590","601.88:82614","601.88:97350","601.89:42306","601.89:42307","601.89:42308","601.89:42309","601.89:42310"]}],"xchg":{"date":3221129.175927,"description":"(no description)","name":"YS*5.01*218 PROM
IS10","source":"MELDRUM@CAMP MASTER","version":1.02}}
":82590,"choiceIdentifier":1,"choiceIdentifierIen":42306,"choiceTypeId":15061,"designator":"3)","hint":null,"id":8856,"instrument":297,"introDisplay":82614,"introId":2474,"introText":"We would like to ask you some questions about your healt
h in general.\r\n|Please respond to each question or statement by selecting one box in each.","max":0,"min":0,"questionDisplay":97350,"questionId":8791,"questionText":"In general, how would you rate your physical health?","required":false,"
responseTypeId":1,"responseTypeText":"MCHOICE","sequence":30},{"choice":[{"choiceId":5351,"choiceText":"Excellent","ien":109030,"legacyValue":5,"sequence":1},{"choiceId":5352,"choiceText":"Very Good","ien":109031,"legacyValue":4,"sequence":
2},{"choiceId":5353,"choiceText":"Good","ien":109032,"legacyValue":3,"sequence":3},{"choiceId":5354,"choiceText":"Fair","ien":109033,"legacyValue":2,"sequence":4},{"choiceId":5355,"choiceText":"Poor","ien":109034,"legacyValue":1,"sequence":
5}],"choiceDisplay":82590,"choiceIdentifier":1,"choiceIdentifierIen":42306,"choiceTypeId":15061,"designator":"4)","hint":null,"id":8857,"instrument":297,"introDisplay":82614,"introId":2474,"introText":"We would like to ask you some question
s about your health in general.\r\n|Please respond to each question or statement by selecting one box in each.","max":0,"min":0,"questionDisplay":97350,"questionId":8792,"questionText":"In general, how would you rate your mental health, inc
luding your mood and your ability to think?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":40},{"choice":[{"choiceId":5351,
"choiceText":"Excellent","ien":109030,"legacyValue":5,"sequence":1},{"choiceId":5352,"choiceText":"Very Good","ien":109031,"legacyValue":4,"sequence":2},{"choiceId":5353,"choiceText":"Good","ien":109032,"legacyValue":3,"sequence":3},{"choic
eId":5354,"choiceText":"Fair","ien":109033,"legacyValue":2,"sequence":4},{"choiceId":5355,"choiceText":"Poor","ien":109034,"legacyValue":1,"sequence":5}],"choiceDisplay":82590,"choiceIdentifier":1,"choiceIdentifierIen":42306,"choiceTypeId":
ien":109032,"legacyValue":3,"sequence":3},{"choiceId":5354,"choiceText":"Fair","ien":109033,"legacyValue":2,"sequence":4},{"choiceId":5355,"choiceText":"Poor","ien":109034,"legacyValue":1,"sequence":5}],"choiceDisplay":82590,"choiceIdentifi
15061,"designator":"5)","hint":null,"id":8858,"instrument":297,"introDisplay":82614,"introId":2474,"introText":"We would like to ask you some questions about your health in general.\r\n|Please respond to each question or statement by select
ing one box in each.","max":0,"min":0,"questionDisplay":97350,"questionId":8793,"questionText":"In general, how would you rate your satisfaction with your social activities and relationships?","required":false,"responseTypeId":1,"responseTy
peText":"MCHOICE","sequence":50},{"choice":[{"choiceId":5351,"choiceText":"Excellent","ien":109030,"legacyValue":5,"sequence":1},{"choiceId":5352,"choiceText":"Very Good","ien":109031,"legacyValue":4,"sequence":2},{"choiceId":5353,"choiceTe
xt":"Good","ien":109032,"legacyValue":3,"sequence":3},{"choiceId":5354,"choiceText":"Fair","ien":109033,"legacyValue":2,"sequence":4},{"choiceId":5355,"choiceText":"Poor","ien":109034,"legacyValue":1,"sequence":5}],"choiceDisplay":82590,"ch
oiceIdentifier":1,"choiceIdentifierIen":42306,"choiceTypeId":15061,"designator":"6)","hint":null,"id":8859,"instrument":297,"introDisplay":82614,"introId":2474,"introText":"We would like to ask you some questions about your health in genera
l.\r\n|Please respond to each question or statement by selecting one box in each.","max":0,"min":0,"questionDisplay":97350,"questionId":8794,"questionText":"In general, please rate how well you carry out your usual social activities and rol
es. (This includes activities at home, at work and in your community, and responsibilities as a parent, child, spouse, employee, friend, etc.)","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":60},{"choice":[{"cho
iceId":5356,"choiceText":"Completely","ien":109035,"legacyValue":5,"sequence":1},{"choiceId":5357,"choiceText":"Mostly","ien":109036,"legacyValue":4,"sequence":2},{"choiceId":5358,"choiceText":"Moderately","ien":109037,"legacyValue":3,"sequ
ence":3},{"choiceId":5359,"choiceText":"A little","ien":109038,"legacyValue":2,"sequence":4},{"choiceId":5360,"choiceText":"Not At All","ien":109039,"legacyValue":1,"sequence":5}],"choiceDisplay":82590,"choiceIdentifier":1,"choiceIdentifier
Ien":42307,"choiceTypeId":15062,"designator":"7)","hint":null,"id":8860,"instrument":297,"introDisplay":82614,"introId":2474,"introText":"We would like to ask you some questions about your health in general.\r\n|Please respond to each quest
er":1,"choiceIdentifierIen":42306,"choiceTypeId":15061,"designator":"1)","hint":null,"id":8854,"instrument":297,"introDisplay":82614,"introId":2474,"introText":"We would like to ask you some questions about your health in general.\r\n|Pleas
ion or statement by selecting one box in each.","max":0,"min":0,"questionDisplay":97350,"questionId":8795,"questionText":"To what extent are you able to carry out your everyday physical activities such as walking, climbing stairs, carrying 
groceries, or moving a chair?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":70},{"choice":[{"choiceId":5361,"choiceText":"Never","ien":109040,"legacyValue":5,"sequence":1},{"choiceId":5362,"choiceText":"Rarely
","ien":109041,"legacyValue":4,"sequence":2},{"choiceId":5363,"choiceText":"Sometimes","ien":109042,"legacyValue":3,"sequence":3},{"choiceId":5364,"choiceText":"Often","ien":109043,"legacyValue":2,"sequence":4},{"choiceId":5365,"choiceText"
:"Always","ien":109044,"legacyValue":1,"sequence":5}],"choiceDisplay":82590,"choiceIdentifier":1,"choiceIdentifierIen":42308,"choiceTypeId":15063,"designator":"8)","hint":null,"id":8861,"instrument":297,"introDisplay":82614,"introId":2474,"
introText":"We would like to ask you some questions about your health in general.\r\n|Please respond to each question or statement by selecting one box in each.
","max":0,"min":0,"questionDisplay":97350,"questionId":8796,"questionText":"In the past 7 days... How often have you been bothered by emotional problems such as feeling anxious, depressed or irritable?","required":false,"responseTypeId":1,"
responseTypeText":"MCHOICE","sequence":80},{"choice":[{"choiceId":5366,"choiceText":"None","ien":109045,"legacyValue":5,"sequence":1},{"choiceId":5367,"choiceText":"Mild","ien":109046,"legacyValue":4,"sequence":2},{"choiceId":5368,"choiceTe
xt":"Moderate","ien":109047,"legacyValue":3,"sequence":3},{"choiceId":5369,"choiceText":"Severe","ien":109048,"legacyValue":2,"sequence":4},{"choiceId":5370,"choiceText":"Very Severe","ien":109049,"legacyValue":1,"sequence":5}],"choiceDispl
ay":82590,"choiceIdentifier":1,"choiceIdentifierIen":42309,"choiceTypeId":15064,"designator":"9)","hint":null,"id":8862,"instrument":297,"introDisplay":82614,"introId":2474,"introText":"We would like to ask you some questions about your hea
lth in general.\r\n|Please respond to each question or statement by selecting one box in each.","max":0,"min":0,"questionDisplay":97350,"questionId":8797,"questionText":"How would you rate your fatigue on average?","required":false,"respons
e respond to each question or statement by selecting one box in each.","max":0,"min":0,"questionDisplay":97350,"questionId":8789,"questionText":"In general, would you say your health is:","required":false,"responseTypeId":1,"responseTypeTex
eTypeId":1,"responseTypeText":"MCHOICE","sequence":90},{"choice":[{"choiceId":5371,"choiceText":"No Pain","ien":109050,"legacyValue":10,"sequence":1},{"choiceId":5372,"choiceText":"Worst Pain Imaginable","ien":109051,"legacyValue":0,"sequen
ce":2}],"choiceDisplay":82590,"choiceIdentifier":1,"choiceIdentifierIen":42310,"choiceTypeId":15065,"designator":"10)","hint":null,"id":8863,"instrument":297,"introDisplay":82614,"introId":2474,"introText":"We would like to ask you some que
stions about your health in general.\r\n|Please respond to each question or statement by selecting one box in each.","max":10,"min":0,"questionDisplay":97350,"questionId":8798,"questionText":"How would you rate your pain on average?","requi
red":false,"responseTypeId":7,"responseTypeText":"TRACK BAR","sequence":100}],"display":[{"alignment":"L","columns":1,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"
fontUnderlined":false,"id":82590,"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":
82614,"left":3,"mask":null},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":97350,"left":2,"mask":null}],"i
nfo":{"author":"National Institutes of Health","auxDate":null,"auxVersion":null,"copyrightText":null,"copyrighted":false,"dllDate":null,"dllVersion":null,"enteredBy":"Kevin Meldrum","entryDate":"2022-08-15","fullText":true,"id":297,"interpr
etiveText":"PROMIS10: Higher scores are better","lastEditDate":3230130.1747,"lastEditedBy":"Kevin Meldrum","legacy":false,"licenseCurrent":false,"name":"PROMIS10","national":false,"normSample":null,"operational":"Y","printTitle":"Patient-Re
ported Outcomes Measurement Information System (PROMIS-10) Global Health Scale","publicationDate":null,"publisher":null,"purpose":null,"reference":"Cella, D. et al. (2010). Initial Adult Health Item Banks and First Wave Testing of the Patie
nt-Reported Outcomes Measurement Information System (PROMIS(tm)) Network: 2005-2008. J Clin Epidemiol. 2010 November ; 63(11): 1179-1194.","requireSignature":false,"requiresLicense":"N","scoringRevision":1,"scoringRoutine":"YTSPRM10","scori
t":"MCHOICE","sequence":10},{"choice":[{"choiceId":5351,"choiceText":"Excellent","ien":109030,"legacyValue":5,"sequence":1},{"choiceId":5352,"choiceText":"Very Good","ien":109031,"legacyValue":4,"sequence":2},{"choiceId":5353,"choiceText":"
ngTag":"DLLSTR","staffOnly":null,"submitNational":true,"suicideriskRoutine":null,"suicideriskTag":null,"targetPopulation":null,"version":null,"wasOperational":true},"report":{"id":220,"instrument":297,"template":"|Patient-Reported Outcomes 
Measurement Information System (PROMIS-10)\r\n|Global Health Scale\r\n|  \r\n|   Date Given: <.Date_Given.>\r\n|   Clinician: <.Staff_Ordered_By.>
\r\n|   Location:  <.Location.>\r\n|  \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\n|  \r\n|<*Answer_7771*>\r\n|\r\n|Th
e PROMIS-10 measures patients' perceptions of their own physical and \r\n|mental health. It can assess the outcomes of many different types of \r\n|patient-centered innovations. It does this by assessing overall \"global\" \r\n|health.\r\n|
\r\n|The mean (average) T-score of PROMIS-10 among the general U.S. population \r\n|is 50, with a standard deviation (SD) of 10. This applies to the Mental \r\n|Health and Physical Health subscales. Higher scores are better, so a score \r\n
|above the mean of 50 is better than average and a score below the mean of \r\n|50 is worse than average.\r\n|\r\n|  \r\n|Questions and Answers:\r\n|  \r\n|   1)  In general, would you say your health is:\r\n|       <*Answer_8789*>\r\n|   2
)  In general, would you say your quality of life is:\r\n|       <*Answer_8790*>\r\n|   3)  In general, how would you rate your physical health?\r\n|       <*Answer_8791*>\r\n|   4)  In general, how would you rate your mental health, includ
ing your\r\n|       mood and your ability to think?\r\n|       <*Answer_8792*>\r\n|   5)  In general, how would you rate your satisfaction with your social \r\n|       activities and relationships?\r\n|       <*Answer_8793*>\r\n|   6)  In g
eneral, please rate how well you carry out your usual social \r\n|       activities and roles. (This includes activities at home, at work \r\n|       and in your community, and responsibilities as a parent, child, \r\n|       spouse, employ
ee, friend, etc.)\r\n|       <*Answer_8794*>\r\n|   7)  To what extent are you able to carry out your everyday physical \r\n|       activities such as walking, climbing stairs, carrying groceries,\r\n|       or moving a chair?\r\n|       <*
Good","ien":109032,"legacyValue":3,"sequence":3},{"choiceId":5354,"choiceText":"Fair","ien":109033,"legacyValue":2,"sequence":4},{"choiceId":5355,"choiceText":"Poor","ien":109034,"legacyValue":1,"sequence":5}],"choiceDisplay":82590,"choiceI
Answer_8795*>\r\n|   8)  In the past 7 days...  How often have you been bothered by emotional \r\n|       problems such as feeling anxious, depressed or irritable?\r\n|       <*Answer_8796*>\r\n|   9)  How would you rate your fatigue on ave
rage?\r\n|       <*Answer_8797*>\r\n|  10)  How would you rate your pain on average?\r\n|       <*Answer_8798*>\r\n|  \r\n|Information contained in this note is based on a self-report assessment \r\n|and is not sufficient to use alone for d
iagnostic purposes. Assessment \r\n|results should be verified for accuracy and used in conjunction with \r\n|other diagnostic activities."},"scaleGroup":[{"grid1":0,"grid2":0,"grid3":0,"id":347,"instrument":297,"name":"PROMIS10 T-SCORES","
ordInc":10,"ordMax":100,"ordMin":0,"ordTitle":"T-Score","scale":[{"groupId":347,"id":1456,"name":"Global Physical Health","sequence":10,"xLabel":"GPHYS"},{"groupId":347,"id":1457,"name":"Global Mental Health","sequence":20,"xLabel":"GMENT"}
],"sequence":10},{"grid1":null,"grid2":null,"grid3":null,"id":353,"instrument":297,"name":"PROMIS10 RAW SCORES","ordInc":1,"ordMax":5,"ordMin":0,"ordTitle":"Raw Score","scale":[{"groupId":353,"id":1458,"name":"General Health","sequence":30,
"xLabel":"GHLTH"},{"groupId":353,"id":1459,"name":"Social Activities\/Roles","sequence":40,"xLabel":"SOCL"}],"sequence":20}],"spec":{"entryChecksum":26332344,"entrySpec":"{\"name\": \"PROMIS10\", \r\n \"restartDays\": 2, \r\n \"printTitle\"
: \"Patient-Reported Outcomes Measurement Information System (PROMIS-10) Global\r\n Health Scale\", \r\n \"content\":[\r\n   {\"id\": \"i2474\", \"type\": \"IntroText\", \r\n    \"text\": \"We would like to ask you some questions about your
 health in general. <br\r\n \/>Please respond to each question or statement by selecting one box in each.\"\r\n    }, \r\n   {\"id\": \"q8789\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n    \"text\": \"1). I
n general, would you say your health is:\", \r\n    \"intro\": \"We would like to ask you some questions about your health in general. <br
\r\n \/>Please respond to each question or statement by selecting one box in each.\", \r\n    \"columns\": 1, \r\n    \"choices\":[\r\n     {\"id\": \"c5351\", \"text\": \"1. Excellent\", \"quickKey\": 1}, \r\n     {\"id\": \"c5352\", \"tex
dentifier":1,"choiceIdentifierIen":42306,"choiceTypeId":15061,"designator":"2)","hint":null,"id":8855,"instrument":297,"introDisplay":82614,"introId":2474,"introText":"We would like to ask you some questions about your health in general.\r\
t\": \"2. Very Good\", \"quickKey\": 2}, \r\n     {\"id\": \"c5353\", \"text\": \"3. Good\", \"quickKey\": 3}, \r\n     {\"id\": \"c5354\", \"text\": \"4. Fair\", \"quickKey\": 4}, \r\n     {\"id\": \"c5355\", \"text\": \"5. Poor\", \"quick
Key\": 5}\r\n   ]}, \r\n   {\"id\": \"q8790\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n    \"text\": \"2). In general, would you say your quality of life is:\", \r\n    \"intro\": \"We would like to ask you
 some questions about your health in general. <br\r\n \/>Please respond to each question or statement by selecting one box in each.\", \r\n    \"columns\": 1, \r\n    \"choices\":[\r\n     {\"id\": \"c5351\", \"text\": \"1. Excellent\", \"q
uickKey\": 1}, \r\n     {\"id\": \"c5352\", \"text\": \"2. Very Good\", \"quickKey\": 2}, \r\n     {\"id\": \"c5353\", \"text\": \"3. Good\", \"quickKey\": 3}, \r\n     {\"id\": \"c5354\", \"text\": \"4. Fair\", \"quickKey\": 4}, \r\n     {
\"id\": \"c5355\", \"text\": \"5. Poor\", \"quickKey\": 5}\r\n   ]}, \r\n   {\"id\": \"q8791\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n    \"text\": \"3). In general, how would you rate your physical healt
h?\", \r\n    \"intro\": \"We would like to ask you some questions about your health in general. <br\r\n \/>Please respond to each question or statement by selecting one box in each.\", \r\n    \"columns\": 1, \r\n    \"choices\":[\r\n     
{\"id\": \"c5351\", \"text\": \"1. Excellent\", \"quickKey\": 1}, \r\n     {\"id\": \"c5352\", \"text\": \"2. Very Good\", \"quickKey\": 2}, \r\n     {\"id\": \"c5353\", \"text\": \"3. Good\", \"quickKey\": 3}, \r\n     {\"id\": \"c5354\", 
\"text\": \"4. Fair\", \"quickKey\": 4}, \r\n     {\"id\": \"c5355\", \"text\": \"5. Poor\", \"quickKey\": 5}\r\n   ]}, \r\n   {\"id\": \"q8792\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n    \"text\": \"4).
 In general, how would you rate your mental health, including your mood and\r\n your ability to think?\", \r\n    \"intro\": \"We would like to ask you some questions about your health in general. <br\r\n \/>Please respond to each question 
or statement by selecting one box in each.\", \r\n    \"columns\": 1, \r\n    \"choices\":[\r\n     {\"id\": \"c5351\", \"text\": \"1. Excellent\", \"quickKey\": 1}, \r\n     {\"id\": \"c5352\", \"text\": \"2. Very Good\", \"quickKey\": 2},
n|Please respond to each question or statement by selecting one box in each.","max":0,"min":0,"questionDisplay":97350,"questionId":8790,"questionText":"In general, would you say your quality of life is:","required":false,"responseTypeId":1,
 \r\n     {\"id\": \"c5353\", \"text\": \"3. Good\", \"quickKey\": 3}, \r\n     {\"id\": \"c5354\", \"text\": \"4. Fair\", \"quickKey\": 4}, \r\n     {\"id\": \"c5355\", \"text\": \"5. Poor\", \"quickKey\": 5}\r\n   ]}, \r\n   {\"id\": \"q8
793\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n    \"text\": \"5). In general, how would you rate your satisfaction with your social activities\r\n and relationships?\", \r\n    \"intro\": \"We would like t
o ask you some questions about your health in general. <br\r\n \/>Please respond to each question or statement by selecting one box in each.\", \r\n    \"columns\": 1, \r\n    \"choices\":[\r\n     {\"id\": \"c5351\", \"text\": \"1. Excelle
nt\", \"quickKey\": 1}, \r\n     {\"id\": \"c5352\", \"text\": \"2. Very Good\", \"quickKey\": 2}, \r\n     {\"id\": \"c5353\", \"text\": \"3. Good\", \"quickKey\": 3}, \r\n     {\"id\": \"c5354\", \"text\": \"4. Fair\", \"quickKey\": 4}, \
r\n     {\"id\": \"c5355\", \"text\": \"5. Poor\", \"quickKey\": 5}\r\n   ]}, \r\n   {\"id\": \"q8794\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n    \"text\": \"6). In general, please rate how well you carr
y out your usual social activities\r\n and roles. (This includes activities at home, at work and in your community, and
\r\n responsibilities as a parent, child, spouse, employee, friend, etc.)\", \r\n    \"intro\": \"We would like to ask you some questions about your health in general. <br\r\n \/>Please respond to each question or statement by selecting one
 box in each.\", \r\n    \"columns\": 1, \r\n    \"choices\":[\r\n     {\"id\": \"c5351\", \"text\": \"1. Excellent\", \"quickKey\": 1}, \r\n     {\"id\": \"c5352\", \"text\": \"2. Very Good\", \"quickKey\": 2}, \r\n     {\"id\": \"c5353\",
 \"text\": \"3. Good\", \"quickKey\": 3}, \r\n     {\"id\": \"c5354\", \"text\": \"4. Fair\", \"quickKey\": 4}, \r\n     {\"id\": \"c5355\", \"text\": \"5. Poor\", \"quickKey\": 5}\r\n   ]}, \r\n   {\"id\": \"q8795\", \"type\": \"ChoiceQues
tion\", \"required\": false, \"inline\": false, \r\n    \"text\": \"7). To what extent are you able to carry out your everyday physical activities\r\n such as walking, climbing stairs, carrying groceries, or moving a chair?\", \r\n    \"int
"responseTypeText":"MCHOICE","sequence":20},{"choice":[{"choiceId":5351,"choiceText":"Excellent","ien":109030,"legacyValue":5,"sequence":1},{"choiceId":5352,"choiceText":"Very Good","ien":109031,"legacyValue":4,"sequence":2},{"choiceId":535
ro\": \"We would like to ask you some questions about your health in general. <br\r\n \/>Please respond to each question or statement by selecting one box in each.\", \r\n    \"columns\": 1, \r\n    \"choices\":[\r\n     {\"id\": \"c5356\",
 \"text\": \"1. Completely\", \"quickKey\": 1}, \r\n     {\"id\": \"c5357\", \"text\": \"2. Mostly\", \"quickKey\": 2}, \r\n     {\"id\": \"c5358\", \"text\": \"3. Moderately\", \"quickKey\": 3}, \r\n     {\"id\": \"c5359\", \"text\": \"4. 
A little\", \"quickKey\": 4}, \r\n     {\"id\": \"c5360\", \"text\": \"5. Not At All\", \"quickKey\": 5}\r\n   ]}, \r\n   {\"id\": \"q8796\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n    \"text\": \"8). In t
he past 7 days... How often have you been bothered by emotional problems\r\n such as feeling anxious, depressed or irritable?\", \r\n    \"intro\": \"We would like to ask you some questions about your health in general. <br\r\n \/>Please re
spond to each question or statement by selecting one box in each.\", \r\n    \"columns\": 1, \r\n    \"choices\":[\r\n     {\"id\": \"c5361\", \"text\": \"1. Never\", \"quickKey\": 1}, \r\n     {\"id\": \"c5362\", \"text\": \"2. Rarely\", \
"quickKey\": 2}, \r\n     {\"id\": \"c5363\", \"text\": \"3. Sometimes\", \"quickKey\": 3}, \r\n     {\"id\": \"c5364\", \"text\": \"4. Often\", \"quickKey\": 4}, \r\n     {\"id\": \"c5365\", \"text\": \"5. Always\", \"quickKey\": 5}\r\n   
]}, \r\n   {\"id\": \"q8797\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n    \"text\": \"9). How would you rate your fatigue on average?\", \r\n    \"intro\": \"We would like to ask you some questions about y
our health in general. <br\r\n \/>Please respond to each question or statement by selecting one box in each.\", \r\n    \"columns\": 1, \r\n    \"choices\":[\r\n     {\"id\": \"c5366\", \"text\": \"1. None\", \"quickKey\": 1}, \r\n     {\"i
d\": \"c5367\", \"text\": \"2. Mild\", \"quickKey\": 2}, \r\n     {\"id\": \"c5368\", \"text\": \"3. Moderate\", \"quickKey\": 3}, \r\n     {\"id\": \"c5369\", \"text\": \"4. Severe\", \"quickKey\": 4}, \r\n     {\"id\": \"c5370\", \"text\"
: \"5. Very Severe\", \"quickKey\": 5}\r\n   ]}, \r\n   {\"id\": \"q8798\", \"type\": \"SliderQuestion\", \"required\": false, \r\n    \"text\": \"10). How would you rate your pain on average?\", \r\n    \"intro\": \"We would like to ask yo
DESCRIPTION
(no description)
INSTALL HISTORY