CIRG-PC-PTSD-5.json

{
  "resourceType": "Questionnaire",
  "id": "CIRG-PC-PTSD-5",
  "title": "The Primary Care PTSD Screen for DSM-5 [PC-PTSD-5]",
  "name": "The Primary Care PTSD Screen for DSM-5 [PC-PTSD-5]",
  "description": "The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5). Reference: [https://www.ptsd.va.gov/professional/assessment/screens/pc-ptsd.asp ](https://www.ptsd.va.gov/professional/assessment/screens/pc-ptsd.asp)",
  "status": "active",
  "code": [
    {
      "system": "http://loinc.org",
      "code": "102010-6",
      "display": "The Primary Care PTSD Screen for DSM-5 [PC-PTSD-5]"
    }
  ],
  "item": [
    {
      "linkId": "introduction",
      "type": "display",
      "_text": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/rendering-xhtml",
            "valueString": "<div>Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example:<ul><li>a serious accident or fire</li><li>a physical or sexual assault or abuse</li><li>an earthquake or flood</li><li>a war</li><li>seeing someone be killed or seriously injured</li><li>having a loved one die through homicide or suicide</li></ul></div>"
          }
        ]
      }
    },
    {
      "type": "choice",
      "required": false,
      "linkId": "/102011-4",
      "text": "Have you ever experienced this kind of event?",
      "answerOption": [
        {
          "valueCoding": {
            "code": "LA33-6",
            "display": "Yes",
            "system": "http://loinc.org"
          }
        },
        {
          "valueCoding": {
            "code": "LA32-8",
            "display": "No",
            "system": "http://loinc.org"
          }
        }
      ]
    },
    {
      "type": "choice",
      "required": false,
      "linkId": "/102012-2",
      "text": "In the past month, have you had nightmares about the event(s) or thought about the event(s) when you did not want to?",
      "answerOption": [
        {
          "valueCoding": {
            "code": "LA33-6",
            "display": "Yes",
            "system": "http://loinc.org"
          }
        },
        {
          "valueCoding": {
            "code": "LA32-8",
            "display": "No",
            "system": "http://loinc.org"
          }
        }
      ]
    },
    {
      "type": "choice",
      "required": false,
      "linkId": "/102013-0",
      "text": "In the past month, have you tried hard not to think about the event(s) or went out of your way to avoid situations that reminded you of the event(s)?",
      "answerOption": [
        {
          "valueCoding": {
            "code": "LA33-6",
            "display": "Yes",
            "system": "http://loinc.org"
          }
        },
        {
          "valueCoding": {
            "code": "LA32-8",
            "display": "No",
            "system": "http://loinc.org"
          }
        }
      ]
    },
    {
      "type": "choice",
      "required": false,
      "linkId": "/102014-8",
      "text": "In the past month, have you been constantly on guard, watchful, or easily startled?",
      "answerOption": [
        {
          "valueCoding": {
            "code": "LA33-6",
            "display": "Yes",
            "system": "http://loinc.org"
          }
        },
        {
          "valueCoding": {
            "code": "LA32-8",
            "display": "No",
            "system": "http://loinc.org"
          }
        }
      ]
    },
    {
      "type": "choice",
      "required": false,
      "linkId": "/102015-5",
      "text": "In the past month have you felt numb or detached from people, activities, or your surroundings?",
      "answerOption": [
        {
          "valueCoding": {
            "code": "LA33-6",
            "display": "Yes",
            "system": "http://loinc.org"
          }
        },
        {
          "valueCoding": {
            "code": "LA32-8",
            "display": "No",
            "system": "http://loinc.org"
          }
        }
      ]
    },
    {
      "type": "choice",
      "required": false,
      "linkId": "/102016-3",
      "text": "In the past month have you felt guilty or unable to stop blaming yourself or others for the event(s) or any problems the event(s) may have caused?",
      "answerOption": [
        {
          "valueCoding": {
            "code": "LA33-6",
            "display": "Yes",
            "system": "http://loinc.org"
          }
        },
        {
          "valueCoding": {
            "code": "LA32-8",
            "display": "No",
            "system": "http://loinc.org"
          }
        }
      ]
    },
    {
      "type": "decimal",
      "code": [
        {
          "code": "102017-1",
          "display": "PC-PTSD-5 score",
          "system": "http://loinc.org"
        }
      ],
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
          "valueCoding": {
            "code": "{score}",
            "display": "{score}",
            "system": "http://unitsofmeasure.org"
          }
        }
      ],
      "required": false,
      "linkId": "/102017-1",
      "text": "PC-PTSD-5 score"
    }
  ]
}