| SPECIFICATION |
{"test":[{"content":[{"choice":[{"choiceId":2628,"choiceText":"Pulse rate 80 or below (Score 0)","ien":43300,"legacyValue":0,"sequence":1},{"choiceId":2629,"choiceText":"Pulse rate 81 - 100 (Score 1)","ien":43301,"legacyValue":1,"sequence":
ed because the patient \r\nwas jogging just prior to assessment, the increase pulse rate would not add to the score. ","max":0,"min":0,"questionDisplay":41316,"questionId":4033,"questionText":"Sweating: Over past half-hour, not accounted
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"Patient so irritable or anxious that participation in the assessment is difficult","value":4},{"id":677,"questionId":4043,"scaleId":494,"targetText":"Piloerrection of skin can be felt or hairs standing up on arms","value":3},{"id":678,"que
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joints or muscles and is unable to sit still because of discomfort (Score 4)","value":4},{"id":6123,"questionId":4038,"scaleId":494,"targetText":"Nasal stuffiness or unusually moist eyes (Score 1)","value":1},{"id":6124,"questionId":4038,"
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\r\n \"restartDays\": 2, \r\n \"printTitle\": \"Clinical Opiate Withdrawal Scale\",\r\n \"content\":[\r\n {\"id\": \"i512\", \"type\": \"IntroText\", \r\n \"text\": \"For each item, select the best description of the patient's signs o
r symptom.\r\n Rate on just the apparent relationship to opiate withdrawal. For example, if\r\n heart rate is increased because the patient was jogging just prior to\r\n assessment, the increase pulse rate would not add to the score. \"\r
\n }, \r\n {\"id\": \"q4022\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"1. Resting Pulse Rate: Measured after patient is sitting or lying for one minute.\", \r\n \"intro\": \"For each
item, select the best description of the patient's signs or symptom.\r\n Rate on just the apparent relationship to opiate withdrawal. For example, if\r\n heart rate is increased because the patient was jogging just prior to\r\n assessment
, the increase pulse rate would not add to the score. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c2628\", \"text\": \"0. Pulse rate 80 or below (Score 0)\", \"quickKey\": 0}, \r\n {\"id\": \"c2629\", \"text\":
\"1. Pulse rate 81 - 100 (Score 1)\", \"quickKey\": 1}, \r\n {\"id\": \"c2662\", \"text\": \"2. Pulse rate 101 - 120 (Score 2)\", \"quickKey\": 2}, \r\n {\"id\": \"c2663\", \"text\": \"3. Pulse rate greater than 120 (Score 4)\", \"
quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q4033\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"2. Sweating: Over past half-hour, not accounted for by room temperature or\r\n patient activity.\"
, \r\n \"intro\": \"For each item, select the best description of the patient's signs or symptom.\r\n Rate on just the apparent relationship to opiate withdrawal. For example, if\r\n heart rate is increased because the patient was joggi
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ng just prior to\r\n assessment, the increase pulse rate would not add to the score. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c2664\", \"text\": \"0. No report of chills or flushing (Score 0)\", \"quickKey\": 0}
, \r\n {\"id\": \"c2665\", \"text\": \"1. Subjective report of chills or flushing (Score 1)\", \"quickKey\": 1}, \r\n {\"id\": \"c2666\", \"text\": \"2. Flushed or observable moistness on face (Score 2)\", \"quickKey\": 2}, \r\n
{\"id\": \"c2667\", \"text\": \"3. Beads of sweat on brow or face (Score 3)\", \"quickKey\": 3}, \r\n {\"id\": \"c2668\", \"text\": \"4. Sweat streaming off face (Score 4)\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q4035\", \"type
\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"3. Restlessness: Observation during assessment.\", \r\n \"intro\": \"For each item, select the best description of the patient's signs or symptom.\r\n Ra
te on just the apparent relationship to opiate withdrawal. For example, if\r\n heart rate is increased because the patient was jogging just prior to\r\n assessment, the increase pulse rate would not add to the score. \", \r\n \"columns
\": 1, \r\n \"choices\":[\r\n {\"id\": \"c2669\", \"text\": \"0. Able to sit still (Score 0)\", \"quickKey\": 0}, \r\n {\"id\": \"c2670\", \"text\": \"1. Reports difficulty sitting still, but is able to do so (Score 1)\", \"quick
Key\": 1}, \r\n {\"id\": \"c2671\", \"text\": \"2. Frequent shifting or extraneous movements of legs\/arms (Score 3)\", \"quickKey\": 2},
\r\n {\"id\": \"c2672\", \"text\": \"3. Unable to sit still for more than a few seconds (Score 5)\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q4036\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"t
ext\": \"4. Pupil size.\", \r\n \"intro\": \"For each item, select the best description of the patient's signs or symptom.\r\n Rate on just the apparent relationship to opiate withdrawal. For example, if\r\n heart rate is increased becau
se the patient was jogging just prior to\r\n assessment, the increase pulse rate would not add to the score. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c2673\", \"text\": \"0. Pupils pinned or normal size for roo
5,"choiceTypeId":24182,"designator":"3.","hint":null,"id":4005,"instrument":60,"introDisplay":41313,"introId":512,"introText":"For each item, select the best description of the patient's signs or symptom. Rate on just the apparent relations
m light (Score 0)\", \"quickKey\": 0}, \r\n {\"id\": \"c2674\", \"text\": \"1. Pupils possibly larger than normal for room light (Score 1)\", \"quickKey\": 1}, \r\n {\"id\": \"c2675\", \"text\": \"2. Pupils moderately dilated (Score
2)\", \"quickKey\": 2}, \r\n {\"id\": \"c2676\", \"text\": \"3. Pupils so dilated that only the rim of the iris is visible (Score 5)\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q4037\", \"type\": \"ChoiceQuestion\", \"required\": f
alse, \"inline\": false, \r\n \"text\": \"5. Bone or joint aches: If patient was having pain previously, only the\r\n additional component attributed to opiates withdrawal is scored.\", \r\n \"intro\": \"For each item, select the best
description of the patient's signs or symptom.\r\n Rate on just the apparent relationship to opiate withdrawal. For example, if\r\n heart rate is increased because the patient was jogging just prior to\r\n assessment, the increase pulse r
ate would not add to the score. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c2677\", \"text\": \"0. Not present (Score 0)\", \"quickKey\": 0}, \r\n {\"id\": \"c2678\", \"text\": \"1. Mild diffuse discomfort (Sc
ore 1)\", \"quickKey\": 1}, \r\n {\"id\": \"c2679\", \"text\": \"2. Patient reports severe diffuse aching of joints or muscles (Score 2)\", \"quickKey\": 2}, \r\n {\"id\": \"c2680\", \"text\": \"3. Patient is rubbing joints or muscl
es and is unable to sit still because of\r\n discomfort (Score 4)\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q4038\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"6. Runny nose or tearing: N
ot accounted for by cold symptoms or allergies.\", \r\n \"intro\": \"For each item, select the best description of the patient's signs or symptom.\r\n Rate on just the apparent relationship to opiate withdrawal. For example, if\r\n heart
rate is increased because the patient was jogging just prior to\r\n assessment, the increase pulse rate would not add to the score. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c2677\", \"text\": \"0. Not present
(Score 0)\", \"quickKey\": 0}, \r\n {\"id\": \"c2681\", \"text\": \"1. Nasal stuffiness or unusually moist eyes (Score 1)\", \"quickKey\": 1}, \r\n {\"id\": \"c2682\", \"text\": \"2. Nose running or tearing (Score 2)\", \"quickKey\"
hip to opiate withdrawal. For example, if heart rate is increased because the patient \r\nwas jogging just prior to assessment, the increase pulse rate would not add to the score. ","max":0,"min":0,"questionDisplay":41318,"questionId":403
: 2}, \r\n {\"id\": \"c2683\", \"text\": \"3. Nose constantly running or tears streaming down cheeks (Score 4)\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q4039\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false
, \r\n \"text\": \"7. GI upset: Over last half-hour.\", \r\n \"intro\": \"For each item, select the best description of the patient's signs or symptom.\r\n Rate on just the apparent relationship to opiate withdrawal. For example, if\r
\n heart rate is increased because the patient was jogging just prior to\r\n assessment, the increase pulse rate would not add to the score. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c2684\", \"text\": \"0. No G
I symptoms (Score 0)\", \"quickKey\": 0}, \r\n {\"id\": \"c2685\", \"text\": \"1. Stomach cramps (Score 1)\", \"quickKey\": 1},
\r\n {\"id\": \"c2686\", \"text\": \"2. Nausea or loose stool (Score 2)\", \"quickKey\": 2}, \r\n {\"id\": \"c2687\", \"text\": \"3. Vomiting or diarrhea (Score 3)\", \"quickKey\": 3}, \r\n {\"id\": \"c2688\", \"text\": \"4. Mul
tiple episodes of diarrhea or vomiting (Score 5)\", \"quickKey\": 4}\r\n ]}, \r\n {\"id\": \"q4040\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"8. Tremor: Observation of outstretched hands
.\", \r\n \"intro\": \"For each item, select the best description of the patient's signs or symptom.\r\n Rate on just the apparent relationship to opiate withdrawal. For example, if\r\n heart rate is increased because the patient was jo
gging just prior to\r\n assessment, the increase pulse rate would not add to the score. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c2689\", \"text\": \"0. No tremor (Score 0)\", \"quickKey\": 0}, \r\n {\"id\":
\"c2690\", \"text\": \"1. Tremor can be felt, but not observed (Score 1)\", \"quickKey\": 1}, \r\n {\"id\": \"c2691\", \"text\": \"2. Slight tremor observable (Score 2)\", \"quickKey\": 2}, \r\n {\"id\": \"c2692\", \"text\": \"3. G
ross tremor or muscle twitching (Score 4)\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q4041\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"9. Yawning: Observation during assessment.\", \r\n
5,"questionText":"Restlessness: Observation during assessment.","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":40},{"choice":[{"choiceId":2673,"choiceText":"Pupils pinned or normal size for room light (Score 0)"
\"intro\": \"For each item, select the best description of the patient's signs or symptom.\r\n Rate on just the apparent relationship to opiate withdrawal. For example, if\r\n heart rate is increased because the patient was jogging just
prior to\r\n assessment, the increase pulse rate would not add to the score. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c2693\", \"text\": \"0. No yawning (Score 0)\", \"quickKey\": 0}, \r\n {\"id\": \"c2694\
", \"text\": \"1. Yawning once or twice during assessment (Score 1)\", \"quickKey\": 1}, \r\n {\"id\": \"c2695\", \"text\": \"2. Yawning three or more times during assessment (Score 2)\", \"quickKey\": 2}, \r\n {\"id\": \"c2696\", \
"text\": \"3. Yawning several times per minute (Score 4)\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q4042\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false, \r\n \"text\": \"10. Anxiety or Irritability.\", \r\n
\"intro\": \"For each item, select the best description of the patient's signs or symptom.\r\n Rate on just the apparent relationship to opiate withdrawal. For example, if\r\n heart rate is increased because the patient was jogging jus
t prior to\r\n assessment, the increase pulse rate would not add to the score. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c2697\", \"text\": \"0. None (Score 0)\", \"quickKey\": 0}, \r\n {\"id\": \"c2698\", \"
text\": \"1. Patient reports increasing irritability or anxiousness (Score 1)\", \"quickKey\": 1}, \r\n {\"id\": \"c2699\", \"text\": \"2. Patient obviously irritable or anxious (Score 2)\", \"quickKey\": 2}, \r\n {\"id\": \"c2700\"
, \"text\": \"3. Patient so irritable or anxious that participation in the assessment is\r\n difficult (Score 4)\", \"quickKey\": 3}\r\n ]}, \r\n {\"id\": \"q4043\", \"type\": \"ChoiceQuestion\", \"required\": false, \"inline\": false,
\r\n \"text\": \"11. Gooseflesh skin.\", \r\n \"intro\": \"For each item, select the best description of the patient's signs or symptom.\r\n Rate on just the apparent relationship to opiate withdrawal. For example, if\r\n heart rate i
s increased because the patient was jogging just prior to\r\n assessment, the increase pulse rate would not add to the score. \", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c2701\", \"text\": \"0. Skin is smooth (Sco
,"ien":43313,"legacyValue":0,"sequence":1},{"choiceId":2674,"choiceText":"Pupils possibly larger than normal for room light (Score 1)","ien":43314,"legacyValue":
re 0)\", \"quickKey\": 0},
\r\n {\"id\": \"c2702\", \"text\": \"1. Piloerection of skin can be felt or hairs standing up on arms (Score 3)\", \"quickKey\": 1}, \r\n {\"id\": \"c2703\", \"text\": \"2. Prominent piloerection (Score 5)\", \"quickKey\": 2}\r\n
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.02}}
legacyValue":3,"sequence":4}],"choiceDisplay":41321,"choiceIdentifier":0,"choiceIdentifierIen":15676,"choiceTypeId":24183,"designator":"4.","hint":null,"id":4006,"instrument":60,"introDisplay":41313,"introId":512,"introText":"For each item,
2},{"choiceId":2662,"choiceText":"Pulse rate 101 - 120 (Score 2)","ien":43302,"legacyValue":2,"sequence":3},{"choiceId":2663,"choiceText":"Pulse rate greater than 120 (Score 4)","ien":43303,"legacyValue":3,"sequence":4}],"choiceDisplay":413
select the best description of the patient's signs or symptom. Rate on just the apparent relationship to opiate withdrawal. For example, if heart rate is increased because the patient \r\nwas jogging just prior to assessment, the increase
pulse rate would not add to the score. ","max":0,"min":0,"questionDisplay":41320,"questionId":4036,"questionText":"Pupil size.","required":false,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":50},{"choice":[{"choiceId":2677,"c
hoiceText":"Not present (Score 0)","ien":43317,"legacyValue":0,"sequence":1},{"choiceId":2678,"choiceText":"Mild diffuse discomfort (Score 1)","ien":43318,"legacyValue":1,"sequence":2},{"choiceId":2679,"choiceText":"Patient reports severe d
iffuse aching of joints or muscles (Score 2)","ien":43319,"legacyValue":2,"sequence":3},{"choiceId":2680,"choiceText":"Patient is rubbing joints or muscles and is unable to sit still because of discomfort (Score 4)","ien":43320,"legacyValue
":3,"sequence":4}],"choiceDisplay":41323,"choiceIdentifier":0,"choiceIdentifierIen":15677,"choiceTypeId":24184,"designator":"5.","hint":null,"id":4007,"instrument":60,"introDisplay":41313,"introId":512,"introText":"For each item, select the
best description of the patient's signs or symptom. Rate on just the apparent relationship to opiate withdrawal. For example, if heart rate is increased because the patient \r\nwas jogging just prior to assessment, the increase pulse rate
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son, D.R., Ling, W. ","auxDate":null,"auxVersion":null,"copyrightText":null,"copyrighted":false,"dllDate":null,"dllVersion":null,"enteredBy":"SCHULTZ,ROGER","entryDate":"2006-11-14","fullText":true,"id":60,"interpretiveText":" Guide for in
terpreting COWS (range 0-67):\r\n\r\n The higher the score, the greater the withdrawal symptoms. \r\n Less than 12: Mild. 13-24: Moderate. \r\n 25-36 Moderately severe. Above 36: Severe.","lastEditDate":3250408.0901,"lastEditedBy":"Sc
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"submitNational":true,"suicideriskRoutine":null,"suicideriskTag":null,"targetPopulation":null,"version":2003,"wasOperational":true},"report":{"id":39,"instrument":60,"template":".| .| Clinical Opiate Withdrawal Scale| | Date Given: <.Date_G
iven.>| Clinician: <.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.>| | COWS Scale: <-COWS Scale->| |
5-12 Mild withdrawal| 13-24 Moderate| 25-36 Moderately \r\nsevere| 37+ Severe withdrawal| | Questions and Answers| | 1. Resting Pulse Rate: | <*Answer_4022*>| 2. Sweating: | <*Answ
er_4033*>| 3. Restlessness: | <*Answer_4035*>| 4.
\r\nPupil size:| <*Answer_4036*>| 5. Bone or joint aches:| <*Answer_4037*>| 6. Runny nose or tearing: | <*Answer_4038*>| 7. GI upset: | <*Answer_4039*>| 8. Tremor: | <*Answer_4040*>| \r\n9. Yawning: | <*Answer_4041*>
| 10. Anxiety or Irritability:| <*Answer_4042*>| 11. Gooseflesh skin:| <*Answer_4043*>| | $~"},"scaleGroup":[{"grid1":12,"grid2":24,"grid3":36,"id":124,"instrument":60,"name":"COWS Total","ordInc":3,"ordMax":49,"ordMin":0
,"ordTitle":"Score","scale":[{"groupId":124,"id":494,"name":"COWS Scale","scoringKey":[{"id":645,"questionId":4022,"scaleId":494,"targetText":"Pulse rate 81 - 100","value":1},{"id":646,"questionId":4022,"scaleId":494,"targetText":"Pulse rat
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