Structure LinkID Text Cardinality Type Description & Constraints Questionnaire https://kind-lab.github.io/vbai-fhir/Questionnaire-qmooddsm5adultschema#2.2.0 dsm_5_session_id Questionnaire - Metadata: Session ID 0..1 string dsm_5_started_at Questionnaire Started At 0..1 string dsm_5_completed_at Questionnaire Completed At 0..1 string dsm_5_duration Questionnaire Duration (seconds) 0..1 string little_interest During the past TWO (2) WEEKS, how much (or how often) have you been bothered by the following problems? 0=None (Not at all), 1=Slight (Rare, less than a day or two), 2=Mild (Several days), 3=Moderate (More than half the days), 4=Severe (Nearly every day): Little interest or pleasure in doing things? 0..1 choice Options: 5 options feeling_down Feeling down, depressed, or hopeless? 0..1 choice Options: 5 options feeling_more_irritated Feeling more irritated, grouchy, or angry than usual? 0..1 choice Options: 5 options sleeping_less Sleeping less than usual, but still have a lot of energy? 0..1 choice Options: 5 options starting_more_projects Starting lots more projects than usual or doing more risky things than usual? 0..1 choice Options: 5 options feeling_nervous Feeling nervous, anxious, frightened, worried, or on edge? 0..1 choice Options: 5 options feeling_panic Feeling panic or being frightened? 0..1 choice Options: 5 options avoiding_situations Avoiding situations that make you anxious? 0..1 choice Options: 5 options unexplained_aches Unexplained aches and pains (e.g., head, back, joints, abdomen, legs)? 0..1 choice Options: 5 options illness_not_taken_serious Feeling that your illnesses are not being taken seriously enough? 0..1 choice Options: 5 options self_harm Thoughts of actually hurting yourself? 0..1 choice Options: 5 options hearing_things Hearing things other people couldn't hear, such as voices even when no one was around? 0..1 choice Options: 5 options someone_hear_thoughts Feeling that someone could hear your thoughts, or that you could hear what another person was thinking? 0..1 choice Options: 5 options sleep_quality Problems with sleep that affected your sleep quality over all? 0..1 choice Options: 5 options memory_issues Problems with memory (e.g., learning new information) or with location (e.g., finding your way home)? 0..1 choice Options: 5 options unpleasant_thoughts Unpleasant thoughts, urges, or images that repeatedly enter your mind? 0..1 choice Options: 5 options repeat_acts Feeling driven to perform certain behaviors or mental acts over and over again? 0..1 choice Options: 5 options feeling_detached Feeling detached or distant from yourself, your body, your physical surroundings, or your memories? 0..1 choice Options: 5 options no_purpose Not knowing who you really are or what you want out of life? 0..1 choice Options: 5 options isolated Not feeling close to other people or enjoying your relationships with them? 0..1 choice Options: 5 options drinking_more Drinking at least 4 drinks of any kind of alcohol in a single day? 0..1 choice Options: 5 options smoking_more Smoking any cigarettes, a cigar, or pipe, or using snuff or chewing tobacco? 0..1 choice Options: 5 options medication_use Using any of the following medicines ON YOUR OWN, that is, without a doctor's prescription, in greater amounts or longer than prescribed [e.g., painkillers (like Vicodin), stimulants (like Ritalin or Adderall), sedatives or tranquilizers (like sleeping pills or Valium), or drugs like marijuana, cocaine or crack, club drugs (like ecstasy), hallucinogens (like LSD), heroin, inhalants or solvents (like glue), or methamphetamine (like speed)]? 0..1 choice Options: 5 options q1_happy DSM-5 Adult (ASRM) Choose the one statement in each group that best describes the way you (the individual receiving care) have been feeling for the past week. Please note: The word "occasionally" when used here means once or twice; "often" means several times or more and "frequently" means most of the time.: Question 1 0..1 choice Enable When: sleeping_less >= 2 starting_more_projects >= 2 Options: 5 options q2_self_confident Question 2 0..1 choice Enable When: sleeping_less >= 2 starting_more_projects >= 2 Options: 5 options q3_sleep Question 3 0..1 choice Enable When: sleeping_less >= 2 starting_more_projects >= 2 Options: 5 options q4_talk Question 4 0..1 choice Enable When: sleeping_less >= 2 starting_more_projects >= 2 Options: 5 options q5_active Question 5 0..1 choice Enable When: sleeping_less >= 2 starting_more_projects >= 2 Options: 5 options social_phobia_1 DSM-5 Adult (Social Phobia) The following questions ask about thoughts, feelings, and behaviors that you may have had about social situations. Usual social situations include: public speaking, speaking in meetings, attending social events or parties, introducing yourself to others, having conversations, giving and receiving compliments, making requests of others, and eating and writing in public. During the PAST 7 DAYS, I have...: felt moments of sudden terror, fear, or fright in social situations 0..1 choice Enable When: feeling_nervous >= 2 feeling_panic >= 2 avoiding_situations >= 2 Options: 5 options social_phobia_2 felt anxious, worried, or nervous about social situations 0..1 choice Enable When: feeling_nervous >= 2 feeling_panic >= 2 avoiding_situations >= 2 Options: 5 options social_phobia_3 had thoughts of being rejected, humiliated, embarrassed, ridiculed, or offending others 0..1 choice Enable When: feeling_nervous >= 2 feeling_panic >= 2 avoiding_situations >= 2 Options: 5 options social_phobia_4 felt a racing heart, sweaty, trouble breathing, faint, or shaky in social situations 0..1 choice Enable When: feeling_nervous >= 2 feeling_panic >= 2 avoiding_situations >= 2 Options: 5 options social_phobia_5 felt tense muscles, felt on edge or restless, or had trouble relaxing in social situations 0..1 choice Enable When: feeling_nervous >= 2 feeling_panic >= 2 avoiding_situations >= 2 Options: 5 options social_phobia_6 avoided, or did not approach or enter, social situations 0..1 choice Enable When: feeling_nervous >= 2 feeling_panic >= 2 avoiding_situations >= 2 Options: 5 options social_phobia_7 left social situations early or participated only minimally (e.g., said little, avoided eye contact) 0..1 choice Enable When: feeling_nervous >= 2 feeling_panic >= 2 avoiding_situations >= 2 Options: 5 options social_phobia_8 spent a lot of time preparing what to say or how to act in social situations 0..1 choice Enable When: feeling_nervous >= 2 feeling_panic >= 2 avoiding_situations >= 2 Options: 5 options social_phobia_9 distracted myself to avoid thinking about social situations 0..1 choice Enable When: feeling_nervous >= 2 feeling_panic >= 2 avoiding_situations >= 2 Options: 5 options social_phobia_10 needed help to cope with social situations (e.g., alcohol or medications, superstitious objects) 0..1 choice Enable When: feeling_nervous >= 2 feeling_panic >= 2 avoiding_situations >= 2 Options: 5 options Documentation for this format Options Sets Answer options for little_interest 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for feeling_down 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for feeling_more_irritated 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for sleeping_less 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for starting_more_projects 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for feeling_nervous 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for feeling_panic 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for avoiding_situations 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for unexplained_aches 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for illness_not_taken_serious 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for self_harm 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for hearing_things 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for someone_hear_thoughts 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for sleep_quality 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for memory_issues 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for unpleasant_thoughts 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for repeat_acts 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for feeling_detached 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for no_purpose 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for isolated 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for drinking_more 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for smoking_more 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for medication_use 0=None (Not at all) 1=Slight (Rare less than a day or two) 2=Mild (Several days) 3=Moderate (More than half the days) 4=Severe (Nearly every day) Answer options for q1_happy I do not feel happier or more cheerful than usual. I occasionally feel happier or more cheerful than usual. I often feel happier or more cheerful than usual. I feel happier or more cheerful than usual most of the time. I feel happier or more cheerful than usual all of the time. Answer options for q2_self_confident I do not feel more self-confident than usual. I occasionally feel more self-confident than usual. I often feel more self-confident than usual. I frequently feel more self-confident than usual. I feel extremely self-confident all of the time. Answer options for q3_sleep I do not need less sleep than usual. I occasionally need less sleep than usual. I often need less sleep than usual. I frequently need less sleep than usual. I can go all day and all night without any sleep and still not feel tired. Answer options for q4_talk I do not talk more than usual. I occasionally talk more than usual. I often talk more than usual. I frequently talk more than usual. I talk constantly and cannot be interrupted. Answer options for q5_active I have not been more active (either socially sexually at work home or school) than usual. I have occasionally been more active than usual. I have often been more active than usual. I have frequently been more active than usual. I am constantly more active or on the go all the time. Answer options for social_phobia_1 Never Occasionally Half of the time Most of the time All of the time Answer options for social_phobia_2 Never Occasionally Half of the time Most of the time All of the time Answer options for social_phobia_3 Never Occasionally Half of the time Most of the time All of the time Answer options for social_phobia_4 Never Occasionally Half of the time Most of the time All of the time Answer options for social_phobia_5 Never Occasionally Half of the time Most of the time All of the time Answer options for social_phobia_6 Never Occasionally Half of the time Most of the time All of the time Answer options for social_phobia_7 Never Occasionally Half of the time Most of the time All of the time Answer options for social_phobia_8 Never Occasionally Half of the time Most of the time All of the time Answer options for social_phobia_9 Never Occasionally Half of the time Most of the time All of the time Answer options for social_phobia_10 Never Occasionally Half of the time Most of the time All of the time
During the past TWO (2) WEEKS, how much (or how often) have you been bothered by the following problems? 0=None (Not at all), 1=Slight (Rare, less than a day or two), 2=Mild (Several days), 3=Moderate (More than half the days), 4=Severe (Nearly every day): Little interest or pleasure in doing things?
Feeling more irritated, grouchy, or angry than usual?
Sleeping less than usual, but still have a lot of energy?
Starting lots more projects than usual or doing more risky things than usual?
Feeling nervous, anxious, frightened, worried, or on edge?
Avoiding situations that make you anxious?
Unexplained aches and pains (e.g., head, back, joints, abdomen, legs)?
Feeling that your illnesses are not being taken seriously enough?
Hearing things other people couldn't hear, such as voices even when no one was around?
Feeling that someone could hear your thoughts, or that you could hear what another person was thinking?
Problems with sleep that affected your sleep quality over all?
Problems with memory (e.g., learning new information) or with location (e.g., finding your way home)?
Unpleasant thoughts, urges, or images that repeatedly enter your mind?
Feeling driven to perform certain behaviors or mental acts over and over again?
Feeling detached or distant from yourself, your body, your physical surroundings, or your memories?
Not knowing who you really are or what you want out of life?
Not feeling close to other people or enjoying your relationships with them?
Drinking at least 4 drinks of any kind of alcohol in a single day?
Smoking any cigarettes, a cigar, or pipe, or using snuff or chewing tobacco?
Using any of the following medicines ON YOUR OWN, that is, without a doctor's prescription, in greater amounts or longer than prescribed [e.g., painkillers (like Vicodin), stimulants (like Ritalin or Adderall), sedatives or tranquilizers (like sleeping pills or Valium), or drugs like marijuana, cocaine or crack, club drugs (like ecstasy), hallucinogens (like LSD), heroin, inhalants or solvents (like glue), or methamphetamine (like speed)]?
DSM-5 Adult (ASRM) Choose the one statement in each group that best describes the way you (the individual receiving care) have been feeling for the past week. Please note: The word "occasionally" when used here means once or twice; "often" means several times or more and "frequently" means most of the time.: Question 1
I do not feel happier or more cheerful than usual.
I occasionally feel happier or more cheerful than usual.
I often feel happier or more cheerful than usual.
I feel happier or more cheerful than usual most of the time.
I feel happier or more cheerful than usual all of the time.
I do not feel more self-confident than usual.
I occasionally feel more self-confident than usual.
I often feel more self-confident than usual.
I frequently feel more self-confident than usual.
I feel extremely self-confident all of the time.
I occasionally need less sleep than usual.
I frequently need less sleep than usual.
I can go all day and all night without any sleep and still not feel tired.
I talk constantly and cannot be interrupted.
I have not been more active (either socially sexually at work home or school) than usual.
I have occasionally been more active than usual.
I have often been more active than usual.
I have frequently been more active than usual.
I am constantly more active or on the go all the time.
DSM-5 Adult (Social Phobia) The following questions ask about thoughts, feelings, and behaviors that you may have had about social situations. Usual social situations include: public speaking, speaking in meetings, attending social events or parties, introducing yourself to others, having conversations, giving and receiving compliments, making requests of others, and eating and writing in public. During the PAST 7 DAYS, I have...: felt moments of sudden terror, fear, or fright in social situations
felt anxious, worried, or nervous about social situations
had thoughts of being rejected, humiliated, embarrassed, ridiculed, or offending others
felt a racing heart, sweaty, trouble breathing, faint, or shaky in social situations
felt tense muscles, felt on edge or restless, or had trouble relaxing in social situations
avoided, or did not approach or enter, social situations
left social situations early or participated only minimally (e.g., said little, avoided eye contact)
spent a lot of time preparing what to say or how to act in social situations
distracted myself to avoid thinking about social situations
needed help to cope with social situations (e.g., alcohol or medications, superstitious objects)