YS*5.01*202 PRINT TITLE UPDATE (2)    MH INSTRUMENT EXCHANGE (601.95)

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strument":148,"template":".| PCL-5| | Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>| Location: <.Location.>| | Veteran: <.Patient_Name_Last_First.>| SSN: <.Patient_SSN.>| DOB: <.Patient_Date_Of_Birth.>\r\n(<.Patient_Age.>)| Ge
nder: <.Patient_Gender.>| | |             PCL-5 Score:  <-PCL-5->| | Cluster B (items  1-5) :  <-Cluster B->| Cluster C (items  6-7) :  <-Cluster C->| Cluster D (items  8-14):\r\n  <-Cluster D->| Cluster E (items 15-20):  <-Cluster E->| |\r
\n| Interpretive Statement:| PCL-5 has a total score range of 0-80, with higher scores indicating greater PTSD symptom severity.| |\r\n  0-10:  no or minimal symptoms reported| 11-20:  mild symptoms reported| 21-40:  moderate symptoms repor
ted| 41-60:  severe symptoms reported| 61-80:  very severe symptoms reported|\r\n | | Questions and Answers: | | The event you experienced was: <*Answer_6839*>| | The event happened: <*Answer_6840*>| |  1. \r\nRepeated, disturbing, and unwa
nted memories of the stressful experience?|     <*Answer_6841*>|  2. Repeated, disturbing dreams of the stressful experience?|     <*Answer_6842*>|  3. Suddenly feeling or\r\n acting as if the stressful experience were actually happening ag
 is a list of problems and complaints that people sometimes have in response to stressful life experiences. Please read each one carefully, then select the appropriate number to  \r\nindicate how much you have been bothered by that problem 
ain (as if you were actually back there reliving it)?|     <*Answer_6843*>|  4. Feeling very upset when something reminded you of the\r\n stressful experience?|     <*Answer_6844*>|  5. Having strong physical reactions when something remind
ed you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?|\r\n     <*Answer_6845*>|  6. Avoiding memories, thoughts, or feelings related to the stressful experience?|     <*Answer_6846*>|  7. Avoiding ex
ternal reminders of the stressful experience (for example,\r\n people, places, conversations, activities, objects, or situations)?|     <*Answer_6847*>|  8. Trouble remembering important parts of the stressful experience?|     <*Answer_6848
*>|  9. Having strong\r\n negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is\r\n completely dangerous)
?|     <*Answer_6849*>| 10. Blaming yourself or someone else for the stressful experience or what happened after it?|     <*Answer_6850*>| 11. Having strong negative\r\n feelings such as fear, horror, anger, guilt, or shame?|     <*Answer_6
851*>| 12. Loss of interest in activities that you used to enjoy?|     <*Answer_6852*>| 13. Feeling distant or cut off from other\r\n people?|     <*Answer_6853*>| 14. Trouble experiencing positive feelings (for example, being unable to fee
l happiness or have loving feelings for people close to you)?|     \r\n<*Answer_6854*>| 15. Irritable behavior, angry outbursts, or acting aggressively?|     <*Answer_6855*>| 16. Taking too many risks or doing things that could cause you ha
rm?|     <*Answer_6856*>| 17. Being\r\n \"superalert\" or watchful or on guard?|     <*Answer_6857*>| 18. Feeling jumpy or easily startled?|     <*Answer_6858*>| 19. Having difficulty concentrating?|     <*Answer_6859*>| 20. Trouble falling
\r\n or staying asleep?|     <*Answer_6860*>\r\n| | 0=not at all  1=a little bit  2=moderately  3=quite a bit  4=extremely\r\n| | Information contained in this note is based on a self-report assessment and is not sufficient to use alone for
 diagnostic purposes.  Assessment results\r\n should be verified for accuracy and used in conjunction with other diagnostic activities and procedures.|  $~"},"scaleGroup":[{"grid1":0,"grid2":0,"grid3":0,"id":225,"instrument":148,"name":"PCL
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ions: Below is a list of problems and complaints that people sometimes have in response to stressful life experiences. Please read each one carefully, then select the appropriate number to  \r\nindicate how much you have been bothered by th
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9764,"questionId":6848,"scaleId":992,"targetText":"Quite a bit","value":3},{"id":9765,"questionId":6848,"scaleId":992,"targetText":"Extremely","value":4},{"id":9766,"questionId":6849,"scaleId":992,"targetText":"Not at all","value":0},{"id":
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9772,"questionId":6850,"scaleId":992,"targetText":"A little bit","value":1},{"id":9773,"questionId":6850,"scaleId":992,"targetText":"Moderately","value":2},{"id":9774,"questionId":6850,"scaleId":992,"targetText":"Quite a bit","value":3},{"i
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,\r\n then select the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past month  \"\r\n    }, \r\n   {\"id\": \"q6839\", \"type\": \"StringQuestion\", \"required\": false, \"inline\": true, \r\n  
  \"text\": \" The event you experienced was:\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n the
n select the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past month  \", \r\n    \"controlWidth\": 400, \"min\": 0, \"max\": 0}, \r\n   {\"id\": \"q6840\", \"type\": \"ChoiceQuestion\", \"requi
red\": false, \"inline\": true, \r\n    \"text\": \" The event happened:\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read 
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each one carefully,\r\n then select the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c3627\", \"text\": \"1. with
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0\", \"text\": \"4. within the past 6-10 years\", \"quickKey\": 4}, \r\n     {\"id\": \"c3631\", \"text\": \"5. more than 10 years ago\", \"quickKey\": 5}\r\n   ]}, \r\n   {\"id\": \"s1509\", \"type\": \"IntroText\", \r\n    \"text\": \"In 
the past month, how much were you bothered by:\"\r\n    }, \r\n   {\"id\": \"q6841\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"1. Repeated, disturbing, and unwanted memories of the stressful e
xperience?\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n then select the appropriate number to 
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\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c684\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"i
d\": \"c686\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6842\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true
, \r\n    \"text\": \"2. Repeated, disturbing dreams of the stressful experience?\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Ple
ase read each one carefully,\r\n then select the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \
tructions: Below is a list of problems and complaints that people sometimes have in response to stressful life experiences. Please read each one carefully, then select the appropriate number to  \r\nindicate how much you have been bothered 
"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c684\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"text\": \"3. Quite a b
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ng or acting as if the stressful experience were actually\r\n happening again (as if you were actually back there reliving it)?\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have 
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, \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6845\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"t
by that problem in the past month  ","max":0,"min":0,"questionDisplay":92383,"questionId":6844,"questionText":"Feeling very upset when something reminded you of the stressful experience?","required":false,"responseTypeId":1,"responseTypeTex
ext\": \"5. Having strong physical reactions when something reminded you of the stressful\r\n experience (for example, heart pounding, trouble breathing, sweating)?\", \r\n    \"intro\": \"Instructions: Below is a list of problems and compl
aints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n then select the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past month  \", \
r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, 
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id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6846\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"6. Avoiding memories, thoughts, or feelings related t
o the stressful experience?\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n then select the appro
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text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6847\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"7. Avoiding external reminders of the stressful experience (for example
, people,\r\n places, conversations, activities, objects, or situations)?\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read
t":"MCHOICE","sequence":80},{"choice":[{"choiceId":212,"choiceText":"Not at all","ien":92289,"legacyValue":1,"sequence":1},{"choiceId":684,"choiceText":"A little bit","ien":92290,"legacyValue":1,"sequence":2},{"choiceId":685,"choiceText":"M
 each one carefully,\r\n then select the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not 
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quickKey\": 3}, \r\n     {\"id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6848\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"8. Trouble remembering im
portant parts of the stressful experience?\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n then s
elect the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\
n     {\"id\": \"c684\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\
": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6849\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"9. Having strong negative beliefs about yourself, other 
people, or the world (for\r\n example, having thoughts such as: I am bad, there is something seriously wrong\r\n with me, no one can be trusted, the world   is completely dangerous)? \", \r\n    \"intro\": \"Instructions: Below is a list of
 problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n then select the appropriate number to  indicate how much you have been bothered\r\n by that problem in th
e past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, 
oderately","ien":92291,"legacyValue":2,"sequence":3},{"choiceId":686,"choiceText":"Quite a bit","ien":92292,"legacyValue":3,"sequence":4},{"choiceId":687,"choiceText":"Extremely","ien":92293,"legacyValue":4,"sequence":5}],"choiceDisplay":92
\r\n     {\"id\": \"c684\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"
id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6850\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"10. Blaming yourself or someone else for the stressfu
l experience or what\r\n happened after it?\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n then 
select the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r
\n     {\"id\": \"c684\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id
\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6851\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"11. Having strong negative feelings such as fear, horro
r, anger, guilt, or shame?\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n then select the approp
riate number to  indicate how much you have been bothered\r\n by that problem in the past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \
"c684\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c687\", \"t
ext\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6852\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"12. Loss of interest in activities that you used to enjoy?\", \r\n    \"
ay":92372,"questionId":6839,"questionText":"The event you experienced was:","required":false,"responseTypeId":3,"responseTypeText":"STRING","sequence":20},{"choice":[{"choiceId":3627,"choiceText":"within the past month","ien":108491,"legacy
386,"choiceIdentifier":0,"choiceIdentifierIen":37989,"choiceTypeId":46999,"designator":"5.","hint":null,"id":6790,"instrument":148,"introDisplay":92371,"introId":1772,"introText":"Instructions: Below is a list of problems and complaints tha
intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n then select the appropriate number to  indicate how much you h
ave been bothered\r\n by that problem in the past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c684\", \"text\": \"1. A little bit\", 
\"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4
}\r\n   ]}, \r\n   {\"id\": \"q6853\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"13. Feeling distant or cut off from other people?\", \r\n    \"intro\": \"Instructions: Below is a list of probl
ems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n then select the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past
 month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c684\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"t
ext\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, 
\r\n     {\"id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6854\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"14. Trouble experiencing positive feeling
s (for example, being unable to feel\r\n happiness or have loving feelings for people close to you)?\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful li
fe experiences. Please read each one carefully,\r\n then select the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"
t people sometimes have in response to stressful life experiences. Please read each one carefully, then select the appropriate number to  \r\nindicate how much you have been bothered by that problem in the past month  ","max":0,"min":0,"que
c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c684\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"tex
t\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6855\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": 
\"15. Irritable behavior, angry outbursts, or acting aggressively?\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each o
ne carefully,\r\n then select the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\
", \"quickKey\": 0}, \r\n     {\"id\": \"c684\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"text\": \"3. Quite a bit\", \"quickKe
y\": 3}, \r\n     {\"id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6856\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"16. Taking too many risks or doi
ng things that could cause you harm?\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n then select 
the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     
{\"id\": \"c684\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c
687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6857\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"17. Being \\u0022superalert\\u0022 or watchful or on guard?\",
stionDisplay":92385,"questionId":6845,"questionText":"Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?","required":false,"responseTypeId":1,
 \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n then select the appropriate number to  indicate how
 much you have been bothered\r\n by that problem in the past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c684\", \"text\": \"1. A lit
tle bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c687\", \"text\": \"4. Extremely\", \"qu
ickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6858\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, 
\r\n    \"text\": \"18. Feeling jumpy or easily startled?\", \r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefu
lly,\r\n then select the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quic
kKey\": 0}, \r\n     {\"id\": \"c684\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, 
\r\n     {\"id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6859\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"19. Having difficulty concentrating?\", \
r\n    \"intro\": \"Instructions: Below is a list of problems and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n then select the appropriate number to  indicate how m
uch you have been bothered\r\n by that problem in the past month  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c684\", \"text\": \"1. A littl
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e bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c687\", \"text\": \"4. Extremely\", \"quic
kKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q6860\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n    \"text\": \"20. Trouble falling or staying asleep?\", \r\n    \"intro\": \"Instructions: Below is a list of problem
s and complaints that people sometimes\r\n have in response to stressful life experiences. Please read each one carefully,\r\n then select the appropriate number to  indicate how much you have been bothered\r\n by that problem in the past m
onth  \", \r\n    \"columns\": 3, \r\n    \"choices\":[\r\n     {\"id\": \"c212\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c684\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c685\", \"tex
t\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c686\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c687\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}]\r\n}","instrument":148,"lastUpdate":"20
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766,"choiceText":"Not at all","ien":106507,"legacyValue":null,"sequence":1},{"choiceId":3767,"choiceText":"A little bit","ien":106508,"legacyValue":null,"sequence":2},{"choiceId":3768,"choiceText":"Moderately","ien":106512,"legacyValue":nul
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hoiceIdentifierIen":42161,"choiceTypeId":160507,"designator":1,"hint":null,"id":7855,"instrument":234,"introDisplay":1470,"introId":2367,"introText":"Below is a list of problems and complaints that people sometimes have in \r\nresponse to s
tressful life experiences. Please read each one carefully, \r\nthen select the appropriate number to indicate how much you have been \r\nbothered by that problem in the past week.| |\r\n \r\nIn the past week, how much were you bothered by:|
 ","max":null,"min":null,"questionDisplay":1470,"questionId":7855,"questionText":"Repeated, disturbing, and unwanted memories of the stressful experience?","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":1},{"choi
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 \r\nresponse to stressful life experiences. Please read each one carefully, \r\nthen select the appropriate number to indicate how much you have been \r\nbothered by that problem in the past week.| |\r\n \r\nIn the past week, how much were
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nbothered by that problem in the past week.| |\r\n \r\nIn the past week, how much were you bothered by:| ","max":null,"min":null,"questionDisplay":1470,"questionId":7857,"questionText":"Suddenly feeling or acting as if the stressful experie
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onDisplay":1470,"questionId":7859,"questionText":"Having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?","required":true,"responseTypeId":1,"resp
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n select the appropriate number to indicate how much you have been \r\nbothered by that problem in the past week.| |\r\n \r\nIn the past week, how much were you bothered by:| ","max":null,"min":null,"questionDisplay":1470,"questionId":7868,
"questionText":"Trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":14},{"choice":
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hat problem in the past month  ","max":0,"min":0,"questionDisplay":92391,"questionId":6848,"questionText":"Trouble remembering important parts of the stressful experience?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","s
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"national":true,"normSample":null,"operational":"Y","printTitle":"PTSD Checklist from DSM-5 Weekly","publicationDate":2018,"publisher":null,"purpose":"PTSD Symptom Checklist for DSM 5","reference":"Blevins, CA, Weathers, FW, Davis, MT, Witt
e, TK, & Domino, JL (2015). The PTSD Checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28, 489-498","requireSignature":false,"requiresLicense":"N","scoringRevision":1,"scoringRoutine"
:null,"scoringTag":null,"staffOnly":null,"submitNational":true,"targetPopulation":null,"version":"4-30-2018","wasOperational":true},"report":{"id":158,"instrument":234,"template":"|.|.|PCL-5 WEEKLY |\r\n  |   Date Given: <.Date_Given.>|   C
linician: <.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 \r\nPCL-5-We
ekly Score: <-PCL-5->| |\r\nCluster B (items 1-5):  <-CL-B->|\r\nCluster C (items 6-7):   <-CL-C->|\r\nCluster D (items 8-14):  <-CL-D->|\r\nCluster E (items 15-22): <-CL-E->|  |\r\n \r\nInterpretive Statement:|\r\nPCL-5 weekly has a total 
score range of 0-80, with higher scores indicating greater PTSD symptom severity.|  |\r\n0-10: no or minimal symptoms reported|
\r\n11-20: mild symptoms reported    |\r\n21-40: moderate symptoms reported |\r\n41-60: severe symptoms reported |\r\n61-80: very severe symptoms reported|  |\r\n \r\nQuestions and Answers: |\r\n1. Repeated, disturbing, and unwanted memorie
s of the stressful experience?|\r\n<*Answer_7855*>| |\r\n2. Repeated, disturbing dreams of the stressful experience?|\r\n<*Answer_7856*>| |\r\n3. Suddenly feeling or acting as if the stressful experience were actually happening again (as if
 you were actually back there reliving it)?|\r\n<*Answer_7857*>| |\r\n4. Feeling very upset when something reminded you of the stressful experience?|\r\n<*Answer_7858*>| |\r\n5. Having strong physical reactions when something reminded you o
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f the stressful experience (for example, heart pounding, trouble breathing, sweating)?|\r\n<*Answer_7859*>| |\r\n6. Avoiding memories, thoughts, or feelings related to the stressful experience?|\r\n<*Answer_7860*>| |\r\n7. Avoiding external
 reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?|\r\n<*Answer_7861*>| |\r\n8. Trouble remembering important parts of the stressful experience?|\r\n<*Answer_7862*>| |\r\
n9. Having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)?|\r\n<*Answ
er_7863*>| |\r\n10. Blaming yourself or someone else for the stressful experience or what happened after it?|\r\n<*Answer_7864*>| |\r\n11. Having strong negative feelings such as fear, horror, anger, guilt, or shame?|\r\n<*Answer_7865*>| |\
r\n12. Loss of interest in activities that you used to enjoy?|\r\n<*Answer_7866*>| |\r\n13. Feeling distant or cut off from other people?|\r\n<*Answer_7867*>| |\r\n14. Trouble experiencing positive feelings (for example, being unable to fee
l happiness or have loving feelings for people close to you)?|\r\n<*Answer_7868*>| |\r\n15. Irritable behavior, angry outbursts, or acting aggressively?|\r\n<*Answer_7869*>| |\r\n16. Taking too many risks or doing things that could cause yo
u harm?|\r\n<*Answer_7870*>| |\r\n17. Being \"super alert\" or watchful or on guard?|\r\n<*Answer_7871*>| |\r\n18. Feeling jumpy or easily startled?|\r\n<*Answer_7872*>| |\r\n19. Having difficulty concentrating?|\r\n<*Answer_7873*>| |\r\n20
. Trouble falling or staying asleep?|\r\n<*Answer_7874*>| |\r\n \r\nInformation contained in this note is based on a self-report assessment and is not sufficient to use alone for diagnostic purposes. Assessment results should be verified fo
r accuracy and used in conjunction with other diagnostic activities.| |\r\nCopyright  2015, National Center for PTSD\r\n$~"},"scaleGroup":[{"grid1":null,"grid2":null,"grid3":null,"id":256,"instrument":234,"name":"PCL-5 WEEKLY","ordInc":1,"
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imes have in response to stressful life experiences. Please read each one carefully, then select the appropriate number to  
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\r\nindicate how much you have been bothered by that problem in the past month  ","max":0,"min":0,"questionDisplay":92393,"questionId":6849,"questionText":"Having strong negative beliefs about yourself, other people, or the world (for examp
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ely","value":4},{"id":11210,"questionId":7874,"scaleId":1078,"targetText":"Not at all","value":0},{"id":11211,"questionId":7874,"scaleId":1078,"targetText":"A little bit","value":1},{"id":11212,"questionId":7874,"scaleId":1078,"targetText":
entifierIen":37994,"choiceTypeId":47004,"designator":"10.","hint":null,"id":6795,"instrument":148,"introDisplay":92371,"introId":1772,"introText":"Instructions: Below is a list of problems and complaints that people sometimes have in respon
"Moderately","value":2},{"id":11213,"questionId":7874,"scaleId":1078,"targetText":"Quite a bit","value":3},{"id":11214,"questionId":7874,"scaleId":1078,"targetText":"Extremely","value":4}],"sequence":5,"xLabel":null}],"sequence":1}],"spec":
{"entryChecksum":2526730628,"entrySpec":"{\"name\": \"PCL-5 WEEKLY\", \r\n \"copyright\": \"Copyright  2015, National Center for PTSD\", 
\r\n \"restartDays\": 2, \r\n \"printTitle\": \"PTSD Checklist from DSM-5 Weekly\",\r\n \"content\":[\r\n   {\"id\": \"i2367\", \"type\": \"IntroText\", \r\n    \"text\": \"Below is a list of problems and complaints that people sometimes ha
ve in response\r\n to stressful life experiences. Please read each one carefully, then select the\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how 
much were you bothered\r\n by:<br \/> \"\r\n    }, \r\n   {\"id\": \"q7855\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"1. Repeated, disturbing, and unwanted memories of the stressful experience
?\", \r\n    \"intro\": \"Below is a list of problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select the\r\n appropriate number to indicate how much you h
ave been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"
quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\
": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7856\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"2. Repeated, disturbing dreams of 
the stressful experience?\", \r\n    \"intro\": \"Below is a list of problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select the\r\n appropriate number to
se to stressful life experiences. Please read each one carefully, then select the appropriate number to  \r\nindicate how much you have been bothered by that problem in the past month  ","max":0,"min":0,"questionDisplay":92395,"questionId":
 indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"text\
": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c3769\", \"text\": \"3. Qu
ite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7857\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"3. Suddenl
y feeling or acting as if the stressful experience were actually\r\n happening again (as if you were actually back there reliving it)?\", \r\n    \"intro\": \"Below is a list of problems and complaints that people sometimes have in response
\r\n to stressful life experiences. Please read each one carefully, then select the\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you 
bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"i
d\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": 
\"q7858\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"4. Feeling very upset when something reminded you of the stressful experience?\", \r\n    \"intro\": \"Below is a list of problems and compla
ints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select the
\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     {
6850,"questionText":"Blaming yourself or someone else for the stressful experience or what happened after it?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":140},{"choice":[{"choiceId":212,"choiceText":"Not at 
\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"
c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7859\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n
    \"text\": \"5. Having strong physical reactions when something reminded you of the stressful\r\n experience (for example, heart pounding, trouble breathing, sweating)?\", \r\n    \"intro\": \"Below is a list of problems and complaints t
hat people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select the\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/>
 In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little b
it\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quic
kKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7860\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"6. Avoiding memories, thoughts, or feelings related to the stressful experience?\", \r\n    \"intro\": \
"Below is a list of problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select the\r\n appropriate number to indicate how much you have been bothered by that
 problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     
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all","ien":92319,"legacyValue":1,"sequence":1},{"choiceId":684,"choiceText":"A little bit","ien":92320,"legacyValue":1,"sequence":2},{"choiceId":685,"choiceText":"Moderately","ien":92321,"legacyValue":2,"sequence":3},{"choiceId":686,"choice
\"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7861\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"7. Avoiding external reminders of the stressful experience 
(for example, people,\r\n places, conversations, activities, objects, or situations)?\", \r\n    \"intro\": \"Below is a list of problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read e
ach one carefully, then select the\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 
2, \r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"qu
ickKey\": 2}, \r\n     {\"id\": \"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7862\", \"type\": \"ChoiceQuestion\", \"requir
ed\": true, \"inline\": true, \r\n    \"text\": \"8. Trouble remembering important parts of the stressful experience?\", 
\r\n    \"intro\": \"Below is a list of problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select the\r\n appropriate number to indicate how much you have b
een bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quick
Key\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}
, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7863\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"9. Having strong negative beliefs about
choiceIdentifierIen":42145,"choiceTypeId":51411,"designator":null,"hint":null,"id":6785,"instrument":148,"introDisplay":92371,"introId":1772,"introText":"Instructions: Below is a list of problems and complaints that people sometimes have in
Text":"Quite a bit","ien":92322,"legacyValue":3,"sequence":4},{"choiceId":687,"choiceText":"Extremely","ien":92323,"legacyValue":4,"sequence":5}],"choiceDisplay":92398,"choiceIdentifier":0,"choiceIdentifierIen":37995,"choiceTypeId":47005,"d
 yourself, other people, or the world (for\r\n example, having thoughts such as: I am bad, there is something seriously wrong\r\n with me, no one can be trusted, the world is completely dangerous)?\", \r\n    \"intro\": \"Below is a list of
 problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select the\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the
 past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\",
 \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\"
: \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7864\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"10. Blaming yourself or someone else for the stressful experience or what\r\n 
happened after it?\", \r\n    \"intro\": \"Below is a list of problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select the\r\n appropriate number to indica
te how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"text\": \"0.
 Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c3769\", \"text\": \"3. Quite a b
it\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7865\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"11. Having strong
 negative feelings such as fear, horror, anger, guilt, or shame?\", \r\n    \"intro\": \"Below is a list of problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, th
esignator":"11.","hint":null,"id":6796,"instrument":148,"introDisplay":92371,"introId":1772,"introText":"Instructions: Below is a list of problems and complaints that people sometimes have in response to stressful life experiences. Please r
en select the\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\
":[\r\n     {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n   
  {\"id\": \"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, 
\r\n   {\"id\": \"q7866\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"12. Loss of interest in activities that you used to enjoy?\", \r\n    \"intro\": \"Below is a list of problems and complaints
 that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select the\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \
/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little
 bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"qu
ickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7867\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"13. Feeling distant or cut off from other people?\", \r\n    \"intro\": \"Below is a list of problems 
and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select the\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week
.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\":
ead each one carefully, then select the appropriate number to  \r\nindicate how much you have been bothered by that problem in the past month  ","max":0,"min":0,"questionDisplay":92397,"questionId":6851,"questionText":"Having strong negativ
 \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Ext
remely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7868\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"14. Trouble experiencing positive feelings (for example, being unable to feel\r\n happin
ess or have loving feelings for people close to you)?\", \r\n    \"intro\": \"Below is a list of problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select t
he\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n    
 {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": 
\"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7869\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r
\n    \"text\": \"15. Irritable behavior, angry outbursts, or acting aggressively?\", \r\n    \"intro\": \"Below is a list of problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each
 one carefully, then select the\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, 
\r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quick
Key\": 2}, \r\n     {\"id\": \"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, 
e feelings such as fear, horror, anger, guilt, or shame?","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":150},{"choice":[{"choiceId":212,"choiceText":"Not at all","ien":92324,"legacyValue":1,"sequence":1},{"choi
\r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7870\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"16. Taking too many risks or doing things
 that could cause you harm?\", \r\n    \"intro\": \"Below is a list of problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select the\r\n appropriate number 
to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"tex
t\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \"c3769\", \"text\": \"3. 
Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7871\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"17. Bein
g \\u0022super alert\\u0022 or watchful or on guard?\", \r\n    \"intro\": \"Below is a list of problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select th
e\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     
{\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\": \
"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7872\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\
n    \"text\": \"18. Feeling jumpy or easily startled?\", \r\n    \"intro\": \"Below is a list of problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select 
ceId":684,"choiceText":"A little bit","ien":92325,"legacyValue":1,"sequence":2},{"choiceId":685,"choiceText":"Moderately","ien":92326,"legacyValue":2,"sequence":3},{"choiceId":686,"choiceText":"Quite a bit","ien":92327,"legacyValue":3,"sequ
the\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n   
  {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\":
 \"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, \r\n   {\"id\": \"q7873\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \
r\n    \"text\": \"19. Having difficulty concentrating?\", \r\n    \"intro\": \"Below is a list of problems and complaints that people sometimes have in response\r\n to stressful life experiences. Please read each one carefully, then select
 the\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week, how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n  
   {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\": 1}, \r\n     {\"id\": \"c3768\", \"text\": \"2. Moderately\", \"quickKey\": 2}, \r\n     {\"id\"
: \"c3769\", \"text\": \"3. Quite a bit\", \"quickKey\": 3}, \r\n     {\"id\": \"c3770\", \"text\": \"4. Extremely\", \"quickKey\": 4}\r\n   ]}, 
\r\n   {\"id\": \"q7874\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": true, \r\n    \"text\": \"20. Trouble falling or staying asleep?\", \r\n    \"intro\": \"Below is a list of problems and complaints that people sometim
es have in response\r\n to stressful life experiences. Please read each one carefully, then select the\r\n appropriate number to indicate how much you have been bothered by that problem\r\n in the past week.<br \/> <br \/> In the past week,
 how much were you bothered\r\n by:<br \/> \", \r\n    \"columns\": 2, \r\n    \"choices\":[\r\n     {\"id\": \"c3766\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n     {\"id\": \"c3767\", \"text\": \"1. A little bit\", \"quickKey\"
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cian: <.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.>| | | CSI Partner Score: <-CSI-PV->| | | 1. Pa
rtner's Name: <*Answer_7337*>| | | Questions and Answers| | 2. Please indicate the degree of happiness, all things considered, \r\nof your relationship.|     <*Answer_7336*>| 3. In general, how often do you think that things between you and
 your partner are going well?|     <*Answer_6485*>| 4. Our relationship is strong.|     \r\n<*Answer_6486*>| 5. My relationship with my partner makes me happy.|     <*Answer_6487*>| 6. I have a warm and comfortable relationship with my part
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ner.|     <*Answer_6488*>| 7. I really feel like \r\npart of a team with my partner.|     <*Answer_6491*>| 8. How rewarding is your relationship with your partner?|     <*Answer_6492*>| 9. How well does your partner meet your needs?|     \r
\n<*Answer_6494*>| 10. To what extent has your relationship met your original expectations?|     <*Answer_6497*>| 11. In general, how satisfied are you with your relationship?|     <*Answer_6559*>| 12. \r\nMy relationship is boring vs. inte
resting:|     <*Answer_6732*>| 13. My relationship is bad vs. good:|     <*Answer_6733*>| 14. My relationship is empty vs. full:|     <*Answer_6734*>| 15. My 
\r\nrelationship is fragile vs. sturdy:|     <*Answer_6735*>| 16. My relationship is discouraging vs. hopeful:|     <*Answer_6736*>| 17. My relationship is miserable vs. enjoyable:|     <*Answer_7294*>| \r\n| | Information contained in this
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list of problems and complaints that people sometimes have in response to stressful life experiences. Please read each one carefully, then select the appropriate number to  \r\nindicate how much you have been bothered by that problem in the
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plate":"|PTSD-Diagnosis, Computerized Adaptive Diagnosis (CAD-PTSD)\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|   SS
N: <.Patient_SSN.>\r\n|   DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)\r\n|   Gender: <.Patient_Gender.>\r\n<*Answer_7771*>\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.\r\n|\r\n|Copyright @2020 Adaptive Testing Technologies, Inc.  All Rights Reserved"},"
spec":{"entryChecksum":null,"entrySpec":null,"instrument":null,"lastUpdate":null,"specIen":0},"verify":["601.71:283","601.72:8650","601.73:2459","601.76:8693","601.88:82590","601.88:82614","601.88:97350"]}],"xchg":{"date":3220408.160213,"de
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Print Title updates for:
PCL-5
PCL-5 Weekly
CSI Partner Version
CAD-PTSD-DX

• INSTALL DATE:   2022-05-24 16:12:15
  INSTALLED BY:   File: 200, IEN: 1085
• INSTALL DATE:   2022-05-24 17:11:16
  INSTALLED BY:   File: 200, IEN: 1085
• INSTALL DATE:   2022-05-24 17:29:51
  INSTALLED BY:   File: 200, IEN: 1085
• INSTALL DATE:   2022-09-09 11:44:40
  INSTALLED BY:   File: 200, IEN: 1099
• INSTALL DATE:   2022-10-12 09:38:53
  INSTALLED BY:   USER,NINETY