| SPECIFICATION |
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-AD-START_V2)","publicationDate":null,"publisher":null,"purpose":null,"reference":"Blanchard, K. A., Morgenstern, J., Morgan, T. J., Labouvie, E. W., and Bux, D. A. Assessing consequences of substance use: Psychometric properties of the Inv
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"template":"|SHORT INVENTORY OF PROBLEMS - AD - Version 2 (SIP-AD-START_V2)\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| SIP-AD LIFETIME TOTAL SCORE = <-LIFETIME SCORE->\r\n|\r\n| Lifetime Total scores range from 0-15. Higher scor
es indicate more\r\n| negative consequences associated with drinking or drug use across\r\n| the lifetime.\r\n|\r\n| SIP-AD PAST 30-DAY TOTAL SCORE = <-PAST 30-DAY TOTAL SCORE->\r\n|\r\n| Past 30-day total scores range from 0-45. Higher s
cores indicate more \r\n| negative consequences associated with drinking or drug use within the \r\n| past 30 days.\r\n| \r\n| \r\n| Questions and Answers:\r\n|\r\n| I have been unhappy because of my drinking or drug use.\r\n| 1a. Eve
r:\r\n| <*Answer_9366*>\r\n| 1b. In the past 30 days:\r\n| <*Answer_9367*>\r\n|\r\n| Because of my drinking or drug use, I have lost weight or not eaten \r\n| properly.\r\n| 2a. Ever:\r\n| <*Answer_9368*>\r\n
| 2b. In the past 30 days:\r\n| <*Answer_9369*>\r\n|\r\n| I have failed to do what is expected of me because of my drinking or \r\n| drug use.\r\n| 3a. Ever:\r\n| <*Answer_9370*>\r\n| 3b. In the past 30 days:\r\n
| <*Answer_9371*>\r\n|\r\n| When drinking or using drugs, my personality has changed for the \r\n| worse.\r\n| 4a. Ever:\r\n| <*Answer_9372*>\r\n| 4b. In the past 30 days:\r\n| <*Answer_9373*>\r\n| \r\n| I
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have taken foolish risks when I have been drinking or using drugs.\r\n| 5a. Ever:\r\n| <*Answer_9374*>\r\n| 5b. In the past 30 days:\r\n| <*Answer_9375*>\r\n|\r\n| While drinking or using drugs, I have said harsh o
r cruel things \r\n| to someone.\r\n| 6a. Ever:\r\n| <*Answer_9376*>\r\n| 6b. In the past 30 days:\r\n| <*Answer_9377*>\r\n|\r\n| When drinking or using drugs, I have done impulsive things that\r\n| I regretted la
ter.\r\n| 7a. Ever:\r\n| <*Answer_9378*>\r\n| 7b. In the past 30 days:\r\n| <*Answer_9379*>\r\n|\r\n| I have had money problems because of my drinking or drug use.\r\n| 8a. Ever:\r\n| <*Answer_9380*>\r\n
| 8b. In the past 30 days:\r\n| <*Answer_9381*>\r\n|\r\n| My physical appearance has been harmed by my drinking or drug\r\n| use.\r\n| 9a. Ever:\r\n| <*Answer_9382*>\r\n| 9b. In the past 30 days:\r\n| <
*Answer_9383*>\r\n|\r\n| My family has been hurt by my drinking or drug use.\r\n| 10a. Ever:\r\n| <*Answer_9384*>\r\n| 10b. In the past 30 days:\r\n| <*Answer_9385*>\r\n|\r\n| A friendship or close relationship has
been damaged by my \r\n| drinking or drug use.\r\n| 11a. Ever:\r\n| <*Answer_9386*>\r\n| 11b. In the past 30 days:\r\n| <*Answer_9387*>\r\n|\r\n| I have lost interest in activities and hobbies because of \r\n| my
drinking or drug use.\r\n| 12a. Ever:\r\n| <*Answer_9388*>\r\n| 12b. In the past 30 days:\r\n| <*Answer_9389*>\r\n| \r\n| My drinking or drug use has gotten in the way of my growth \r\n| as a person.\r\n| 13a.
Ever:\r\n| <*Answer_9390*>\r\n| 13b. In the past 30 days:\r\n| <*Answer_9391*>\r\n|\r\n| My drinking or drug use has damaged my social life, \r\n| popularity, or reputation.\r\n| 14a. Ever:\r\n| <*Answer_9
392*>\r\n| 14b. In the past 30 days:\r\n| <*Answer_9393*>\r\n|\r\n| I have spent too much or lost a lot of money because of \r\n| my drinking or drug us\r\n| 15a. Ever:\r\n| <*Answer_9394*>\r\n| 15b. In the pas
t 30 days:\r\n| <*Answer_9395*>\r\n| \r\n|Information contained in this note is based on a self-report assessment
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\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":"AND","consistencyCheck":nu
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:40},{"choice":[{"choiceId":5857,"choiceText":"Never","ien":109542,"legacyValue":0,"sequence":1},{"choiceId":5858,"choiceText":"Once or a few times","ien":109543,"legacyValue":1,"sequence":2},{"choiceId":5859,"choiceText":"Once or twice a w
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\r\n {\"id\": \"q9366\", \"type\": \"ChoiceQuestion\", \"required\": true, \"inline\": false, \r\n \"text\": \"1a. Ever:\", \r\n \"intro\": \"Here are a number of events that people sometimes experience in relation to their\r\n use
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\"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5865\", \"text\": \"0. Not at all\", \"quickKey\": 0}, \r\n {\"id\": \"c5866\", \"text\": \"1. A little\", \"quickKey\": 1}, \r\n {\"id\": \"c5867\", \"text\": \"2. Somewhat\
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cohol and other drugs. Read each one carefully and indicate whether this has EVER happened to you (No or Yes). If an item does not apply to you, mark No\r\nand skip to the next question. If it\r\n has EVER happened to you, indicate how ofte
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