2.2.0 - ci-build
2.2.0 - ci-build
VoiceaBiomarkerforAI - Local Development build (v2.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Active as of 2024-05-29 |
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="qmooddsm5adultschema"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> </td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">https://kind-lab.github.io/vbai-fhir/Questionnaire-qmooddsm5adultschema#2.2.0</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.dsm_5_session_id" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> dsm_5_session_id</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire - Metadata: Session ID</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.dsm_5_started_at" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> dsm_5_started_at</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire Started At</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.dsm_5_completed_at" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="String" class="hierarchy"/> dsm_5_completed_at</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire Completed At</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.dsm_5_duration" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-string.png" alt="." style="background-color: white; background-color: inherit" title="String" class="hierarchy"/> dsm_5_duration</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire Duration (seconds)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string">string</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.little_interest" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> little_interest</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.little_interest">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.feeling_down" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> feeling_down</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Feeling down, depressed, or hopeless?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.feeling_down">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.feeling_more_irritated" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> feeling_more_irritated</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Feeling more irritated, grouchy, or angry than usual?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.feeling_more_irritated">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.sleeping_less" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> sleeping_less</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Sleeping less than usual, but still have a lot of energy?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.sleeping_less">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.starting_more_projects" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> starting_more_projects</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Starting lots more projects than usual or doing more risky things than usual?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.starting_more_projects">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.feeling_nervous" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> feeling_nervous</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Feeling nervous, anxious, frightened, worried, or on edge?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.feeling_nervous">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.feeling_panic" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> feeling_panic</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Feeling panic or being frightened?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.feeling_panic">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.avoiding_situations" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> avoiding_situations</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Avoiding situations that make you anxious?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.avoiding_situations">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.unexplained_aches" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> unexplained_aches</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Unexplained aches and pains (e.g., head, back, joints, abdomen, legs)?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.unexplained_aches">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.illness_not_taken_serious" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> illness_not_taken_serious</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Feeling that your illnesses are not being taken seriously enough?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.illness_not_taken_serious">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.self_harm" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> self_harm</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Thoughts of actually hurting yourself?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.self_harm">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.hearing_things" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> hearing_things</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Hearing things other people couldn't hear, such as voices even when no one was around?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.hearing_things">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.someone_hear_thoughts" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> someone_hear_thoughts</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Feeling that someone could hear your thoughts, or that you could hear what another person was thinking?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.someone_hear_thoughts">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.sleep_quality" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> sleep_quality</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Problems with sleep that affected your sleep quality over all?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.sleep_quality">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.memory_issues" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> memory_issues</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Problems with memory (e.g., learning new information) or with location (e.g., finding your way home)?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.memory_issues">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.unpleasant_thoughts" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> unpleasant_thoughts</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Unpleasant thoughts, urges, or images that repeatedly enter your mind?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.unpleasant_thoughts">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.repeat_acts" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> repeat_acts</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Feeling driven to perform certain behaviors or mental acts over and over again?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.repeat_acts">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.feeling_detached" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> feeling_detached</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Feeling detached or distant from yourself, your body, your physical surroundings, or your memories?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.feeling_detached">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.no_purpose" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> no_purpose</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Not knowing who you really are or what you want out of life?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.no_purpose">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.isolated" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> isolated</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Not feeling close to other people or enjoying your relationships with them?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.isolated">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.drinking_more" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> drinking_more</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Drinking at least 4 drinks of any kind of alcohol in a single day?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.drinking_more">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.smoking_more" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> smoking_more</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Smoking any cigarettes, a cigar, or pipe, or using snuff or chewing tobacco?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.smoking_more">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.medication_use" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> medication_use</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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)]?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.medication_use">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.q1_happy" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> q1_happy</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.sleeping_less">sleeping_less</a> >= 2</li><li><a href="#item.starting_more_projects">starting_more_projects</a> >= 2</li></ul><br/>Options: <a href="#opt-item.q1_happy">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.q2_self_confident" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> q2_self_confident</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Question 2</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.sleeping_less">sleeping_less</a> >= 2</li><li><a href="#item.starting_more_projects">starting_more_projects</a> >= 2</li></ul><br/>Options: <a href="#opt-item.q2_self_confident">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.q3_sleep" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> q3_sleep</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Question 3</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.sleeping_less">sleeping_less</a> >= 2</li><li><a href="#item.starting_more_projects">starting_more_projects</a> >= 2</li></ul><br/>Options: <a href="#opt-item.q3_sleep">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.q4_talk" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> q4_talk</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Question 4</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.sleeping_less">sleeping_less</a> >= 2</li><li><a href="#item.starting_more_projects">starting_more_projects</a> >= 2</li></ul><br/>Options: <a href="#opt-item.q4_talk">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.q5_active" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> q5_active</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Question 5</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.sleeping_less">sleeping_less</a> >= 2</li><li><a href="#item.starting_more_projects">starting_more_projects</a> >= 2</li></ul><br/>Options: <a href="#opt-item.q5_active">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.social_phobia_1" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> social_phobia_1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.feeling_nervous">feeling_nervous</a> >= 2</li><li><a href="#item.feeling_panic">feeling_panic</a> >= 2</li><li><a href="#item.avoiding_situations">avoiding_situations</a> >= 2</li></ul><br/>Options: <a href="#opt-item.social_phobia_1">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.social_phobia_2" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> social_phobia_2</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">felt anxious, worried, or nervous about social situations</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.feeling_nervous">feeling_nervous</a> >= 2</li><li><a href="#item.feeling_panic">feeling_panic</a> >= 2</li><li><a href="#item.avoiding_situations">avoiding_situations</a> >= 2</li></ul><br/>Options: <a href="#opt-item.social_phobia_2">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.social_phobia_3" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> social_phobia_3</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">had thoughts of being rejected, humiliated, embarrassed, ridiculed, or offending others</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.feeling_nervous">feeling_nervous</a> >= 2</li><li><a href="#item.feeling_panic">feeling_panic</a> >= 2</li><li><a href="#item.avoiding_situations">avoiding_situations</a> >= 2</li></ul><br/>Options: <a href="#opt-item.social_phobia_3">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.social_phobia_4" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> social_phobia_4</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">felt a racing heart, sweaty, trouble breathing, faint, or shaky in social situations</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.feeling_nervous">feeling_nervous</a> >= 2</li><li><a href="#item.feeling_panic">feeling_panic</a> >= 2</li><li><a href="#item.avoiding_situations">avoiding_situations</a> >= 2</li></ul><br/>Options: <a href="#opt-item.social_phobia_4">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.social_phobia_5" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> social_phobia_5</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">felt tense muscles, felt on edge or restless, or had trouble relaxing in social situations</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.feeling_nervous">feeling_nervous</a> >= 2</li><li><a href="#item.feeling_panic">feeling_panic</a> >= 2</li><li><a href="#item.avoiding_situations">avoiding_situations</a> >= 2</li></ul><br/>Options: <a href="#opt-item.social_phobia_5">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.social_phobia_6" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> social_phobia_6</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">avoided, or did not approach or enter, social situations</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.feeling_nervous">feeling_nervous</a> >= 2</li><li><a href="#item.feeling_panic">feeling_panic</a> >= 2</li><li><a href="#item.avoiding_situations">avoiding_situations</a> >= 2</li></ul><br/>Options: <a href="#opt-item.social_phobia_6">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.social_phobia_7" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> social_phobia_7</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">left social situations early or participated only minimally (e.g., said little, avoided eye contact)</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.feeling_nervous">feeling_nervous</a> >= 2</li><li><a href="#item.feeling_panic">feeling_panic</a> >= 2</li><li><a href="#item.avoiding_situations">avoiding_situations</a> >= 2</li></ul><br/>Options: <a href="#opt-item.social_phobia_7">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.social_phobia_8" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> social_phobia_8</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">spent a lot of time preparing what to say or how to act in social situations</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.feeling_nervous">feeling_nervous</a> >= 2</li><li><a href="#item.feeling_panic">feeling_panic</a> >= 2</li><li><a href="#item.avoiding_situations">avoiding_situations</a> >= 2</li></ul><br/>Options: <a href="#opt-item.social_phobia_8">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.social_phobia_9" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> social_phobia_9</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">distracted myself to avoid thinking about social situations</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.feeling_nervous">feeling_nervous</a> >= 2</li><li><a href="#item.feeling_panic">feeling_panic</a> >= 2</li><li><a href="#item.avoiding_situations">avoiding_situations</a> >= 2</li></ul><br/>Options: <a href="#opt-item.social_phobia_9">5 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.social_phobia_10" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="Coding" class="hierarchy"/> social_phobia_10</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">needed help to cope with social situations (e.g., alcohol or medications, superstitious objects)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Enable When: <ul><li><a href="#item.feeling_nervous">feeling_nervous</a> >= 2</li><li><a href="#item.feeling_panic">feeling_panic</a> >= 2</li><li><a href="#item.avoiding_situations">avoiding_situations</a> >= 2</li></ul><br/>Options: <a href="#opt-item.social_phobia_10">5 options</a></td></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.little_interest"> </a><p><b>Answer options for little_interest </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.feeling_down"> </a><p><b>Answer options for feeling_down </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.feeling_more_irritated"> </a><p><b>Answer options for feeling_more_irritated </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.sleeping_less"> </a><p><b>Answer options for sleeping_less </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.starting_more_projects"> </a><p><b>Answer options for starting_more_projects </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.feeling_nervous"> </a><p><b>Answer options for feeling_nervous </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.feeling_panic"> </a><p><b>Answer options for feeling_panic </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.avoiding_situations"> </a><p><b>Answer options for avoiding_situations </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.unexplained_aches"> </a><p><b>Answer options for unexplained_aches </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.illness_not_taken_serious"> </a><p><b>Answer options for illness_not_taken_serious </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.self_harm"> </a><p><b>Answer options for self_harm </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.hearing_things"> </a><p><b>Answer options for hearing_things </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.someone_hear_thoughts"> </a><p><b>Answer options for someone_hear_thoughts </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.sleep_quality"> </a><p><b>Answer options for sleep_quality </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.memory_issues"> </a><p><b>Answer options for memory_issues </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.unpleasant_thoughts"> </a><p><b>Answer options for unpleasant_thoughts </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.repeat_acts"> </a><p><b>Answer options for repeat_acts </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.feeling_detached"> </a><p><b>Answer options for feeling_detached </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.no_purpose"> </a><p><b>Answer options for no_purpose </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.isolated"> </a><p><b>Answer options for isolated </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.drinking_more"> </a><p><b>Answer options for drinking_more </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.smoking_more"> </a><p><b>Answer options for smoking_more </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.medication_use"> </a><p><b>Answer options for medication_use </b></p><ul><li style="font-size: 11px">0=None (Not at all)</li><li style="font-size: 11px">1=Slight (Rare less than a day or two)</li><li style="font-size: 11px">2=Mild (Several days)</li><li style="font-size: 11px">3=Moderate (More than half the days)</li><li style="font-size: 11px">4=Severe (Nearly every day)</li></ul><a name="opt-item.q1_happy"> </a><p><b>Answer options for q1_happy </b></p><ul><li style="font-size: 11px">I do not feel happier or more cheerful than usual.</li><li style="font-size: 11px">I occasionally feel happier or more cheerful than usual.</li><li style="font-size: 11px">I often feel happier or more cheerful than usual.</li><li style="font-size: 11px">I feel happier or more cheerful than usual most of the time.</li><li style="font-size: 11px">I feel happier or more cheerful than usual all of the time.</li></ul><a name="opt-item.q2_self_confident"> </a><p><b>Answer options for q2_self_confident </b></p><ul><li style="font-size: 11px">I do not feel more self-confident than usual.</li><li style="font-size: 11px">I occasionally feel more self-confident than usual.</li><li style="font-size: 11px">I often feel more self-confident than usual.</li><li style="font-size: 11px">I frequently feel more self-confident than usual.</li><li style="font-size: 11px">I feel extremely self-confident all of the time.</li></ul><a name="opt-item.q3_sleep"> </a><p><b>Answer options for q3_sleep </b></p><ul><li style="font-size: 11px">I do not need less sleep than usual.</li><li style="font-size: 11px">I occasionally need less sleep than usual.</li><li style="font-size: 11px">I often need less sleep than usual.</li><li style="font-size: 11px">I frequently need less sleep than usual.</li><li style="font-size: 11px">I can go all day and all night without any sleep and still not feel tired.</li></ul><a name="opt-item.q4_talk"> </a><p><b>Answer options for q4_talk </b></p><ul><li style="font-size: 11px">I do not talk more than usual.</li><li style="font-size: 11px">I occasionally talk more than usual.</li><li style="font-size: 11px">I often talk more than usual.</li><li style="font-size: 11px">I frequently talk more than usual.</li><li style="font-size: 11px">I talk constantly and cannot be interrupted.</li></ul><a name="opt-item.q5_active"> </a><p><b>Answer options for q5_active </b></p><ul><li style="font-size: 11px">I have not been more active (either socially sexually at work home or school) than usual.</li><li style="font-size: 11px">I have occasionally been more active than usual.</li><li style="font-size: 11px">I have often been more active than usual.</li><li style="font-size: 11px">I have frequently been more active than usual.</li><li style="font-size: 11px">I am constantly more active or on the go all the time.</li></ul><a name="opt-item.social_phobia_1"> </a><p><b>Answer options for social_phobia_1 </b></p><ul><li style="font-size: 11px">Never</li><li style="font-size: 11px">Occasionally</li><li style="font-size: 11px">Half of the time</li><li style="font-size: 11px">Most of the time</li><li style="font-size: 11px">All of the time</li></ul><a name="opt-item.social_phobia_2"> </a><p><b>Answer options for social_phobia_2 </b></p><ul><li style="font-size: 11px">Never</li><li style="font-size: 11px">Occasionally</li><li style="font-size: 11px">Half of the time</li><li style="font-size: 11px">Most of the time</li><li style="font-size: 11px">All of the time</li></ul><a name="opt-item.social_phobia_3"> </a><p><b>Answer options for social_phobia_3 </b></p><ul><li style="font-size: 11px">Never</li><li style="font-size: 11px">Occasionally</li><li style="font-size: 11px">Half of the time</li><li style="font-size: 11px">Most of the time</li><li style="font-size: 11px">All of the time</li></ul><a name="opt-item.social_phobia_4"> </a><p><b>Answer options for social_phobia_4 </b></p><ul><li style="font-size: 11px">Never</li><li style="font-size: 11px">Occasionally</li><li style="font-size: 11px">Half of the time</li><li style="font-size: 11px">Most of the time</li><li style="font-size: 11px">All of the time</li></ul><a name="opt-item.social_phobia_5"> </a><p><b>Answer options for social_phobia_5 </b></p><ul><li style="font-size: 11px">Never</li><li style="font-size: 11px">Occasionally</li><li style="font-size: 11px">Half of the time</li><li style="font-size: 11px">Most of the time</li><li style="font-size: 11px">All of the time</li></ul><a name="opt-item.social_phobia_6"> </a><p><b>Answer options for social_phobia_6 </b></p><ul><li style="font-size: 11px">Never</li><li style="font-size: 11px">Occasionally</li><li style="font-size: 11px">Half of the time</li><li style="font-size: 11px">Most of the time</li><li style="font-size: 11px">All of the time</li></ul><a name="opt-item.social_phobia_7"> </a><p><b>Answer options for social_phobia_7 </b></p><ul><li style="font-size: 11px">Never</li><li style="font-size: 11px">Occasionally</li><li style="font-size: 11px">Half of the time</li><li style="font-size: 11px">Most of the time</li><li style="font-size: 11px">All of the time</li></ul><a name="opt-item.social_phobia_8"> </a><p><b>Answer options for social_phobia_8 </b></p><ul><li style="font-size: 11px">Never</li><li style="font-size: 11px">Occasionally</li><li style="font-size: 11px">Half of the time</li><li style="font-size: 11px">Most of the time</li><li style="font-size: 11px">All of the time</li></ul><a name="opt-item.social_phobia_9"> </a><p><b>Answer options for social_phobia_9 </b></p><ul><li style="font-size: 11px">Never</li><li style="font-size: 11px">Occasionally</li><li style="font-size: 11px">Half of the time</li><li style="font-size: 11px">Most of the time</li><li style="font-size: 11px">All of the time</li></ul><a name="opt-item.social_phobia_10"> </a><p><b>Answer options for social_phobia_10 </b></p><ul><li style="font-size: 11px">Never</li><li style="font-size: 11px">Occasionally</li><li style="font-size: 11px">Half of the time</li><li style="font-size: 11px">Most of the time</li><li style="font-size: 11px">All of the time</li></ul></div>
</text>
<url
value="https://kind-lab.github.io/vbai-fhir/Questionnaire-qmooddsm5adultschema"/>
<version value="2.2.0"/>
<title value="q_mood_dsm5_adult_schema"/>
<status value="active"/>
<date value="2024-05-29T18:29:31Z"/>
<publisher value="KinD Lab"/>
<contact>
<name value="KinD Lab"/>
<telecom>
<system value="url"/>
<value value="http://fhir.kindlab.sickkids.ca"/>
</telecom>
</contact>
<item>
<linkId value="dsm_5_session_id"/>
<text value="Questionnaire - Metadata: Session ID"/>
<type value="string"/>
</item>
<item>
<linkId value="dsm_5_started_at"/>
<text value="Questionnaire Started At"/>
<type value="string"/>
</item>
<item>
<linkId value="dsm_5_completed_at"/>
<text value="Questionnaire Completed At"/>
<type value="string"/>
</item>
<item>
<linkId value="dsm_5_duration"/>
<text value="Questionnaire Duration (seconds)"/>
<type value="string"/>
</item>
<item>
<linkId value="little_interest"/>
<text
value="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?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="feeling_down"/>
<text value="Feeling down, depressed, or hopeless?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="feeling_more_irritated"/>
<text value="Feeling more irritated, grouchy, or angry than usual?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="sleeping_less"/>
<text value="Sleeping less than usual, but still have a lot of energy?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="starting_more_projects"/>
<text
value="Starting lots more projects than usual or doing more risky things than usual?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="feeling_nervous"/>
<text value="Feeling nervous, anxious, frightened, worried, or on edge?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="feeling_panic"/>
<text value="Feeling panic or being frightened?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="avoiding_situations"/>
<text value="Avoiding situations that make you anxious?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="unexplained_aches"/>
<text
value="Unexplained aches and pains (e.g., head, back, joints, abdomen, legs)?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="illness_not_taken_serious"/>
<text
value="Feeling that your illnesses are not being taken seriously enough?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="self_harm"/>
<text value="Thoughts of actually hurting yourself?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="hearing_things"/>
<text
value="Hearing things other people couldn't hear, such as voices even when no one was around?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="someone_hear_thoughts"/>
<text
value="Feeling that someone could hear your thoughts, or that you could hear what another person was thinking?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="sleep_quality"/>
<text
value="Problems with sleep that affected your sleep quality over all?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="memory_issues"/>
<text
value="Problems with memory (e.g., learning new information) or with location (e.g., finding your way home)?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="unpleasant_thoughts"/>
<text
value="Unpleasant thoughts, urges, or images that repeatedly enter your mind?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="repeat_acts"/>
<text
value="Feeling driven to perform certain behaviors or mental acts over and over again?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="feeling_detached"/>
<text
value="Feeling detached or distant from yourself, your body, your physical surroundings, or your memories?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="no_purpose"/>
<text
value="Not knowing who you really are or what you want out of life?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="isolated"/>
<text
value="Not feeling close to other people or enjoying your relationships with them?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="drinking_more"/>
<text
value="Drinking at least 4 drinks of any kind of alcohol in a single day?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="smoking_more"/>
<text
value="Smoking any cigarettes, a cigar, or pipe, or using snuff or chewing tobacco?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="medication_use"/>
<text
value="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)]?"/>
<type value="choice"/>
<answerOption>
<valueString value="0=None (Not at all)"/>
</answerOption>
<answerOption>
<valueString value="1=Slight (Rare less than a day or two)"/>
</answerOption>
<answerOption>
<valueString value="2=Mild (Several days)"/>
</answerOption>
<answerOption>
<valueString value="3=Moderate (More than half the days)"/>
</answerOption>
<answerOption>
<valueString value="4=Severe (Nearly every day)"/>
</answerOption>
</item>
<item>
<linkId value="q1_happy"/>
<text
value="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"/>
<type value="choice"/>
<enableWhen>
<question value="sleeping_less"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="starting_more_projects"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString
value="I do not feel happier or more cheerful than usual."/>
</answerOption>
<answerOption>
<valueString
value="I occasionally feel happier or more cheerful than usual."/>
</answerOption>
<answerOption>
<valueString value="I often feel happier or more cheerful than usual."/>
</answerOption>
<answerOption>
<valueString
value="I feel happier or more cheerful than usual most of the time."/>
</answerOption>
<answerOption>
<valueString
value="I feel happier or more cheerful than usual all of the time."/>
</answerOption>
</item>
<item>
<linkId value="q2_self_confident"/>
<text value="Question 2"/>
<type value="choice"/>
<enableWhen>
<question value="sleeping_less"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="starting_more_projects"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString value="I do not feel more self-confident than usual."/>
</answerOption>
<answerOption>
<valueString
value="I occasionally feel more self-confident than usual."/>
</answerOption>
<answerOption>
<valueString value="I often feel more self-confident than usual."/>
</answerOption>
<answerOption>
<valueString value="I frequently feel more self-confident than usual."/>
</answerOption>
<answerOption>
<valueString value="I feel extremely self-confident all of the time."/>
</answerOption>
</item>
<item>
<linkId value="q3_sleep"/>
<text value="Question 3"/>
<type value="choice"/>
<enableWhen>
<question value="sleeping_less"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="starting_more_projects"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString value="I do not need less sleep than usual."/>
</answerOption>
<answerOption>
<valueString value="I occasionally need less sleep than usual."/>
</answerOption>
<answerOption>
<valueString value="I often need less sleep than usual."/>
</answerOption>
<answerOption>
<valueString value="I frequently need less sleep than usual."/>
</answerOption>
<answerOption>
<valueString
value="I can go all day and all night without any sleep and still not feel tired."/>
</answerOption>
</item>
<item>
<linkId value="q4_talk"/>
<text value="Question 4"/>
<type value="choice"/>
<enableWhen>
<question value="sleeping_less"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="starting_more_projects"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString value="I do not talk more than usual."/>
</answerOption>
<answerOption>
<valueString value="I occasionally talk more than usual."/>
</answerOption>
<answerOption>
<valueString value="I often talk more than usual."/>
</answerOption>
<answerOption>
<valueString value="I frequently talk more than usual."/>
</answerOption>
<answerOption>
<valueString value="I talk constantly and cannot be interrupted."/>
</answerOption>
</item>
<item>
<linkId value="q5_active"/>
<text value="Question 5"/>
<type value="choice"/>
<enableWhen>
<question value="sleeping_less"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="starting_more_projects"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString
value="I have not been more active (either socially sexually at work home or school) than usual."/>
</answerOption>
<answerOption>
<valueString value="I have occasionally been more active than usual."/>
</answerOption>
<answerOption>
<valueString value="I have often been more active than usual."/>
</answerOption>
<answerOption>
<valueString value="I have frequently been more active than usual."/>
</answerOption>
<answerOption>
<valueString
value="I am constantly more active or on the go all the time."/>
</answerOption>
</item>
<item>
<linkId value="social_phobia_1"/>
<text
value="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"/>
<type value="choice"/>
<enableWhen>
<question value="feeling_nervous"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="feeling_panic"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="avoiding_situations"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString value="Never"/>
</answerOption>
<answerOption>
<valueString value="Occasionally"/>
</answerOption>
<answerOption>
<valueString value="Half of the time"/>
</answerOption>
<answerOption>
<valueString value="Most of the time"/>
</answerOption>
<answerOption>
<valueString value="All of the time"/>
</answerOption>
</item>
<item>
<linkId value="social_phobia_2"/>
<text value="felt anxious, worried, or nervous about social situations"/>
<type value="choice"/>
<enableWhen>
<question value="feeling_nervous"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="feeling_panic"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="avoiding_situations"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString value="Never"/>
</answerOption>
<answerOption>
<valueString value="Occasionally"/>
</answerOption>
<answerOption>
<valueString value="Half of the time"/>
</answerOption>
<answerOption>
<valueString value="Most of the time"/>
</answerOption>
<answerOption>
<valueString value="All of the time"/>
</answerOption>
</item>
<item>
<linkId value="social_phobia_3"/>
<text
value="had thoughts of being rejected, humiliated, embarrassed, ridiculed, or offending others"/>
<type value="choice"/>
<enableWhen>
<question value="feeling_nervous"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="feeling_panic"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="avoiding_situations"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString value="Never"/>
</answerOption>
<answerOption>
<valueString value="Occasionally"/>
</answerOption>
<answerOption>
<valueString value="Half of the time"/>
</answerOption>
<answerOption>
<valueString value="Most of the time"/>
</answerOption>
<answerOption>
<valueString value="All of the time"/>
</answerOption>
</item>
<item>
<linkId value="social_phobia_4"/>
<text
value="felt a racing heart, sweaty, trouble breathing, faint, or shaky in social situations"/>
<type value="choice"/>
<enableWhen>
<question value="feeling_nervous"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="feeling_panic"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="avoiding_situations"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString value="Never"/>
</answerOption>
<answerOption>
<valueString value="Occasionally"/>
</answerOption>
<answerOption>
<valueString value="Half of the time"/>
</answerOption>
<answerOption>
<valueString value="Most of the time"/>
</answerOption>
<answerOption>
<valueString value="All of the time"/>
</answerOption>
</item>
<item>
<linkId value="social_phobia_5"/>
<text
value="felt tense muscles, felt on edge or restless, or had trouble relaxing in social situations"/>
<type value="choice"/>
<enableWhen>
<question value="feeling_nervous"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="feeling_panic"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="avoiding_situations"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString value="Never"/>
</answerOption>
<answerOption>
<valueString value="Occasionally"/>
</answerOption>
<answerOption>
<valueString value="Half of the time"/>
</answerOption>
<answerOption>
<valueString value="Most of the time"/>
</answerOption>
<answerOption>
<valueString value="All of the time"/>
</answerOption>
</item>
<item>
<linkId value="social_phobia_6"/>
<text value="avoided, or did not approach or enter, social situations"/>
<type value="choice"/>
<enableWhen>
<question value="feeling_nervous"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="feeling_panic"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="avoiding_situations"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString value="Never"/>
</answerOption>
<answerOption>
<valueString value="Occasionally"/>
</answerOption>
<answerOption>
<valueString value="Half of the time"/>
</answerOption>
<answerOption>
<valueString value="Most of the time"/>
</answerOption>
<answerOption>
<valueString value="All of the time"/>
</answerOption>
</item>
<item>
<linkId value="social_phobia_7"/>
<text
value="left social situations early or participated only minimally (e.g., said little, avoided eye contact)"/>
<type value="choice"/>
<enableWhen>
<question value="feeling_nervous"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="feeling_panic"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="avoiding_situations"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString value="Never"/>
</answerOption>
<answerOption>
<valueString value="Occasionally"/>
</answerOption>
<answerOption>
<valueString value="Half of the time"/>
</answerOption>
<answerOption>
<valueString value="Most of the time"/>
</answerOption>
<answerOption>
<valueString value="All of the time"/>
</answerOption>
</item>
<item>
<linkId value="social_phobia_8"/>
<text
value="spent a lot of time preparing what to say or how to act in social situations"/>
<type value="choice"/>
<enableWhen>
<question value="feeling_nervous"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="feeling_panic"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="avoiding_situations"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString value="Never"/>
</answerOption>
<answerOption>
<valueString value="Occasionally"/>
</answerOption>
<answerOption>
<valueString value="Half of the time"/>
</answerOption>
<answerOption>
<valueString value="Most of the time"/>
</answerOption>
<answerOption>
<valueString value="All of the time"/>
</answerOption>
</item>
<item>
<linkId value="social_phobia_9"/>
<text
value="distracted myself to avoid thinking about social situations"/>
<type value="choice"/>
<enableWhen>
<question value="feeling_nervous"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="feeling_panic"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="avoiding_situations"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString value="Never"/>
</answerOption>
<answerOption>
<valueString value="Occasionally"/>
</answerOption>
<answerOption>
<valueString value="Half of the time"/>
</answerOption>
<answerOption>
<valueString value="Most of the time"/>
</answerOption>
<answerOption>
<valueString value="All of the time"/>
</answerOption>
</item>
<item>
<linkId value="social_phobia_10"/>
<text
value="needed help to cope with social situations (e.g., alcohol or medications, superstitious objects)"/>
<type value="choice"/>
<enableWhen>
<question value="feeling_nervous"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="feeling_panic"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableWhen>
<question value="avoiding_situations"/>
<operator value=">="/>
<answerString value="2"/>
</enableWhen>
<enableBehavior value="any"/>
<answerOption>
<valueString value="Never"/>
</answerOption>
<answerOption>
<valueString value="Occasionally"/>
</answerOption>
<answerOption>
<valueString value="Half of the time"/>
</answerOption>
<answerOption>
<valueString value="Most of the time"/>
</answerOption>
<answerOption>
<valueString value="All of the time"/>
</answerOption>
</item>
</Questionnaire>