| SPECIFICATION |
{"test":[{"content":[{"choice":[{"choiceId":5607,"choiceText":"Yes","ien":109293,"legacyValue":0,"sequence":1},{"choiceId":5608,"choiceText":"No","ien":109294,"legacyValue":4,"sequence":2}],"choiceDisplay":81352,"choiceIdentifier":1,"choice
ptoms, pain, depression or anxiety?","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":30},{"choice":[{"choiceId":5613,"choiceText":"Yes","ien":109299,"legacyValue":2,"sequence":1},{"choiceId":5614,"choiceText":"No"
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":"Starting with the first question, please select yes or no for each \r\nquestion until there are no more questions to answer.","max":0,"min":0,"questionDisplay":81372,"questionId":9058,"questionText":"Do you need to avoid or reduce duties
\/activities or spread these over time?","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":40}],"display":[{"alignment":"L","columns":2,"component":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false
,"fontName":"MS Sans Serif","fontSize":8,"fontUnderlined":false,"id":81352,"left":8,"mask":"662|||"},{"alignment":"L","columns":0,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fo
ntSize":8,"fontUnderlined":false,"id":81371,"left":3,"mask":null},{"alignment":"L","columns":0,"component":null,"fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":8,"fontUnderlined":false,"i
d":81372,"left":2,"mask":null}],"info":{"author":"Machado FVC, et al.","auxDate":null,"auxVersion":null,"copyrightText":null,"copyrighted":false,"dllDate":null,"dllVersion":null,"enteredBy":"VA Developer","entryDate":"2023-03-01","fullText"
:true,"id":311,"interpretiveText":"Guide for interpreting PCFS scores (range 0-4):\r\n Higher scores indicate more severe functional limitations.","lastEditDate":
3230609.1707,"lastEditedBy":"VA Developer","legacy":false,"licenseCurrent":false,"name":"PCFS","national":true,"normSample":null,"operational":"Y","printTitle":"Post-COVID-19 Functional Status Scale","publicationDate":2021,"publisher":null,
"purpose":null,"reference":"Machado FVC, Meys R, Delbressine JM, Vaes AW, Goertz YMJ, van Herck M, Houben-Wilke S, Boon GJAM, Barco S, Burtin C, van 't Hul A, Posthuma R, Franssen FME, Spies Y, Vijlbrief H, Pitta F, Rezek SA, Janssen DJA, S
IdentifierIen":42368,"choiceTypeId":15123,"designator":"1.","hint":null,"id":9120,"instrument":311,"introDisplay":81371,"introId":2520,"introText":"Starting with the first question, please select yes or no for each \r\nquestion until there
iegerink B, Klok FA, Spruit MA. Construct validity of the Post-COVID-19 Functional Status Scale in adult subjects with COVID-19. Health Qual Life Outcomes. 2021 Feb 3;19(1):40. doi: 10.1186\/s12955-021-01691-2. PMID: 33536042; PMCID: PMC785
6622.","requireSignature":false,"requiresLicense":"N","scoringRevision":1,"scoringRoutine":null,"scoringTag":null,"staffOnly":null,"submitNational":true,"suicideriskRoutine":null,"suicideriskTag":null,"targetPopulation":null,"version":null,
"wasOperational":true},"report":{"id":231,"instrument":311,"template":"|Post-COVID-19 Functional Status Scale (PCFS)\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| PCFS Scale Grade = <-PCFS->\r\n|\r\n| Grade 0 = No functional limi
tations\r\n| Grade 1 = Negligible functional limitations\r\n| Grade 2 = Slight functional limitations\r\n| Grade 3 = Moderate functional limitations\r\n| Grade 4 = Severe functional limitations\r\n| \r\n|Questions and Answers:\r\n|
\r\n| 1. Can you live alone without any assistance from another person? \r\n| (e.g. independently being able to eat, walk, use the toilet and \r\n| manage routine daily hygiene)\r\n| <*Answer_9055*>\r\n| 2. Are th
ere duties\/activities at home or at work which you are no \r\n| longer able to perform yourself?\r\n| <*Answer_9056*>\r\n| 3. Do you suffer from symptoms, pain, depression or anxiety?\r\n| <*Answer_9057*>\r\n| 4. Do
you need to avoid or reduce duties\/activities or spread these \r\n| over time?\r\n| <*Answer_9058*>\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
diagnostic purposes. Assessment \r\n|results should be verified for accuracy and used in conjunction with \r\n|other diagnostic activities."},"rule":[{"booleanOperator":null,"consistencyCheck":null,"id":401,"indexOperator":"Equals","indexQ
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umentId":311,"questionId":9058,"ruleId":403}],"targetOperator":null,"targetQuestionId":null,"targetValue":null,"targetValueDataType":null}],"scaleGroup":[{"grid1":
0,"grid2":0,"grid3":0,"id":364,"instrument":311,"name":"PCFS","ordInc":1,"ordMax":4,"ordMin":0,"ordTitle":"Grade","scale":[{"groupId":364,"id":1492,"name":"PCFS","scoringKey":[{"id":15245,"questionId":9055,"scaleId":1492,"targetText":"Yes",
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15249,"questionId":9057,"scaleId":1492,"targetText":"Yes","value":0},{"id":15250,"questionId":9057,"scaleId":1492,"targetText":"No","value":0},{"id":15251,"questionId":9058,"scaleId":1492,"targetText":"Yes","value":2},{"id":15252,"questionI
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e the toilet and manage routine daily\r\n hygiene)\", \r\n \"intro\": \"Starting with the first question, please select yes or no for each question until\r\n there are no more questions to answer.\", \r\n \"columns\": 2, \r\n \"cho
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": true, \r\n \"text\": \"2. Are there duties\/activities at home or at work which you are no longer able to\r\n perform yourself?\", \r\n \"intro\": \"Starting with the first question, please select yes or no for each question until\
r\n there are no more questions to answer.\", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c5609\", \"text\": \"1. Yes\", \"quickKey\": 1}, \r\n {\"id\": \"c5610\", \"text\": \"2. No\", \"quickKey\": 2}\r\n ]}, \r\
n {\"id\": \"q9057\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n \"text\": \"3. Do you suffer from symptoms, pain, depression or anxiety?\", \r\n \"intro\": \"Starting with the first question, please se
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\"intro\": \"Starting with the first question, please select yes or no for each question until\r\n there are no more questions to answer.\", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c5613\", \"text\": \"1. Yes\", \
"quickKey\": 1}, \r\n {\"id\": \"c5614\", \"text\": \"2. No\", \"quickKey\": 2}\r\n ]}], \r\n \"rules\":[\r\n {\"question\": \"q9055\", \"operator\": \"EQ\", \"value\": \"c5608\", \r\n \"skips\":[\"q9056\",\"q9057\",\"q9058\"]},
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,"xchg":{"date":3230609.170948,"description":"(no description)","name":"YS*5.01*233 PCFS","source":"MELDRUM@CAMP MASTER","version":1.02}}
g with the first question, please select yes or no for each \r\nquestion until there are no more questions to answer.","max":0,"min":0,"questionDisplay":81372,"questionId":9056,"questionText":"Are there duties\/activities at home or at work
which you are no longer able to perform yourself?","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":20},{"choice":[{"choiceId":5611,"choiceText":"Yes","ien":109297,"legacyValue":0,"sequence":1},{"choiceId":5612,"c
hoiceText":"No","ien":109298,"legacyValue":0,"sequence":2}],"choiceDisplay":81352,"choiceIdentifier":1,"choiceIdentifierIen":42370,"choiceTypeId":15125,"designator":"3.","hint":null,"id":9122,"instrument":311,"introDisplay":81371,"introId":
2520,"introText":"Starting with the first question, please select yes or no for each \r\nquestion until there are no more questions to answer.","max":0,"min":0,"questionDisplay":81372,"questionId":9057,"questionText":"Do you suffer from sym
|
