| SPECIFICATION |
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rt":{"id":315,"instrument":314,"template":"|Mood Disorder Questionnaire (MDQ)\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| Mood Disorder Questionnaire\r\n| Possible Bipolar Disorder = <*Answer_7771*>\r\n| \r\n| \r\n|Questions
and Answers:\r\n| \r\n| 1. You felt so good or so hyper that other people thought you were not\r\n| your normal self or you were so hyper that you got into trouble?\r\n| <*Answer_9074*>\r\n| 2. You were so irritable that
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you shouted at people or started fights or \r\n| arguments?\r\n| <*Answer_9075*>\r\n| 3. You felt much more self-confident than usual?\r\n| <*Answer_9076*>\r\n| 4. You got much less sleep than usual and found that yo
u didn't really \r\n| miss it?\r\n| <*Answer_9077*>\r\n| 5. You were more talkative or spoke much faster than usual?\r\n| <*Answer_9078*>\r\n| 6. Thoughts raced through your head or you couldn't slow your mind down?\
r\n| <*Answer_9079*>\r\n| 7. You were so easily distracted by things around you that you had trouble\r\n| concentrating or staying on track?\r\n| <*Answer_9080*>\r\n| 8. You had more energy than usual?\r\n| <*A
nswer_9081*>\r\n| 9. Youwere much more active or did many more things than usual?\r\n| <*Answer_9082*>\r\n| 10. You were much more social or outgoing than usual, for example, you \r\n| telephoned friends in the middle of th
e night?\r\n| <*Answer_9083*>\r\n| 11. You were much more interested in sex than usual?\r\n| <*Answer_9084*>\r\n| 12. You did things that were unusual for you or that other people might\r\n| have thought were excessive
, foolish, or risky?\r\n| <*Answer_9085*>\r\n| 13. Spending money got you or your family in trouble?\r\n| <*Answer_9086*>\r\n| 14. If you checked YES to more than one of the above, have several of\r\n| these ever happe
ned during the same period of time?\r\n| <*Answer_9087*>\r\n| 15. How much of a problem did any of these cause you - like being unable \r\n| to work; having family, money, or legal troubles; getting into \r\n| arguments
or fights?\r\n| <*Answer_9088*>\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 accurac
y and used in conjunction with \r\n|other diagnostic activities."},"scaleGroup":[{"grid1":0,"grid2":0,"grid3":0,"id":370,"instrument":314,"name":
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't really miss it?\", \r\n \"intro\": \"Please answer each question to the best of your ability. <br \/><br \/> Section 1.\r\n Has there ever been a period of time when you were not your usual self and...\r\n <br \/>\", \r\n \"columns
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ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"8. You had more energy than usual?\", \r\n \"intro\": \"Please answer each question to the best of your ability. <br \/><br \/> Section 1.\r\n Has there ever be
en a period of time when you were not your usual self and...\r\n <br \/>\", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c5654\", \"text\": \"1. Yes\", \"quickKey\": 1}, \r\n {\"id\": \"c5655\", \"text\": \"2. No\",
\"quickKey\": 2}\r\n ]}, \r\n {\"id\": \"q9082\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"9. You were much more active or did many more things than usual?\", \r\n \"intro\": \"Please a
nswer each question to the best of your ability. <br \/><br \/> Section 1.\r\n Has there ever been a period of time when you were not your usual self and...\r\n <br \/>\", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c56
54\", \"text\": \"1. Yes\", \"quickKey\": 1}, \r\n {\"id\": \"c5655\", \"text\": \"2. No\", \"quickKey\": 2}\r\n ]}, \r\n {\"id\": \"q9083\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"1
0. You were much more social or outgoing than usual, for example, you telephoned\r\n friends<br \/> in the middle of the night?\", \r\n \"intro\": \"Please answer each question to the best of your ability. <br \/><br \/> Section 1.\r\n H
as there ever been a period of time when you were not your usual self and...\r\n <br \/>\", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \"c5654\", \"text\": \"1. Yes\", \"quickKey\": 1}, \r\n {\"id\": \"c5655\", \"tex
t\": \"2. No\", \"quickKey\": 2}\r\n ]}, \r\n {\"id\": \"q9084\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\": \"11. You were much more interested in sex than usual?\", \r\n \"intro\": \"Plea
se answer each question to the best of your ability. <br \/><br \/> Section 1.\r\n Has there ever been a period of time when you were not your usual self and...\r\n <br \/>\", \r\n \"columns\": 2, \r\n \"choices\":[\r\n {\"id\": \
"c5654\", \"text\": \"1. Yes\", \"quickKey\": 1}, \r\n {\"id\": \"c5655\", \"text\": \"2. No\", \"quickKey\": 2}\r\n ]}, \r\n {\"id\": \"q9085\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": true, \r\n \"text\":
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