This page is part of the Argonaut Questionnaire Implementation Guide (v1.0.0: Release) based on FHIR R3. This is the current published version. For a full list of available versions, see the Directory of published versions 
JSON Format: Questionnaire-questionnaire-example-dast
Download Raw json
{
"resourceType" : "Questionnaire",
"id" : "questionnaire-example-dast",
"meta" : {
"profile" : [
"http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/argo-questionnaire"
]
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3>Drug Abuse Screening Test-10 [DAST-10]</h3><img 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YLrZgfRxbz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\nXmwSJ0qUgmeSZ3V253qyZ3vGx3PKRCnIpTvehHqeBG3uJUyI5jXw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Abuse Screening Test-10 [DAST-10]\"/><p>Center for Addiction and Mental Health\nCopyright 982 Center for Addiction and Mental Health. Used with permission.\nURL: http://www.camh.ca/en/hospital/Pages/home.aspx</p></div>"
},
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-timeLimit",
"valueDuration" : {
"value" : 2,
"unit" : "day",
"system" : "http://unitsofmeasure.org",
"code" : "d"
}
}
],
"url" : "http://fhir.org/guides/argonaut/questionnaire/Questionnaire/questionnaire-example-dast",
"identifier" : [
{
"system" : "http://acme.org/q-identifiers",
"value" : "dast"
}
],
"version" : "0.0.0",
"title" : "Drug Abuse Screening Test-10 [DAST-10]",
"status" : "draft",
"date" : "2018-07-26",
"publisher" : "Argonaut Project",
"useContext" : [
{
"code" : {
"system" : "http://hl7.org/fhir/usage-context-type",
"code" : "task",
"display" : "Workflow Task"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://acme.org",
"code" : "example",
"display" : "Example of Use"
}
]
}
}
],
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://argonautwiki.hl7.org"
}
]
}
],
"copyright" : "Center for Addiction and Mental Health\nCopyright 982 Center for Addiction and Mental Health. Used with permission.\nURL: http://www.camh.ca/en/hospital/Pages/home.aspx",
"code" : [
{
"system" : "http://loinc.org",
"code" : "82666-9",
"display" : "Drug Abuse Screening Test-10 [DAST-10]"
}
],
"subjectType" : [
"Patient"
],
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean" : true
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 0
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/designNote",
"valueMarkdown" : "this is hidden text/should not be displayed to the user"
}
],
"linkId" : "g1",
"text" : "Form",
"type" : "group",
"required" : true,
"item" : [
{
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 0
}
],
"linkId" : "g1.d",
"text" : "The following questions concern information about your possible involvement with drugs not including alcoholic beverages during the past 12 months. \"Drug abuse\" refers to (1) the use of prescribed or over-the-counter drugs in excess of the directions, and (2) any nonmedical use of drugs.\n\n The various classes of drugs may include cannabis (marijuana, hashish), solvents (e.g., paint thinner), tranquilizers (e.g., Valium), barbiturates, cocaine, stimulants (e.g., speed), hallucinogens (e.g., LSD) or narcotics (e.g., heroin). Remember that the questions do not include alcoholic beverages. \n\nPlease answer every question. If you have difficulty with a statement, then choose the response that is mostly right.",
"type" : "display"
},
{
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 1
}
],
"linkId" : "g1.q1",
"code" : [
{
"system" : "http://loinc.org",
"code" : "68525-5"
}
],
"prefix" : "1.",
"text" : "Have you used drugs other than those required for medical reasons?",
"type" : "choice",
"required" : true,
"repeats" : false,
"option" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 0
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 0
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA32-8",
"display" : "No"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 1
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 1
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA33-6",
"display" : "Yes"
}
}
]
},
{
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 2
}
],
"linkId" : "g1.q2",
"code" : [
{
"system" : "http://loinc.org",
"code" : "68526-3"
}
],
"prefix" : "2.",
"text" : "Do you abuse more than one drug at a time?",
"type" : "choice",
"required" : true,
"repeats" : false,
"option" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 0
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 0
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA32-8",
"display" : "No"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 1
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 1
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA33-6",
"display" : "Yes"
}
}
]
},
{
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 3
}
],
"linkId" : "g1.q3",
"code" : [
{
"system" : "http://loinc.org",
"code" : "68527-1"
}
],
"prefix" : "3.",
"text" : "Are you unable to stop abusing drugs when you want to?",
"type" : "choice",
"required" : true,
"repeats" : false,
"option" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 1
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 0
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA32-8",
"display" : "No"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 0
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 1
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA33-6",
"display" : "Yes"
}
}
]
},
{
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 4
}
],
"linkId" : "g1.q4",
"code" : [
{
"system" : "http://loinc.org",
"code" : "68528-9"
}
],
"prefix" : "4.",
"text" : "Have you ever had blackouts or flashbacks as a result of drug use?",
"type" : "choice",
"required" : true,
"repeats" : false,
"option" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 0
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 0
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA32-8",
"display" : "No"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 1
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 1
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA33-6",
"display" : "Yes"
}
}
]
},
{
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 5
}
],
"linkId" : "g1.q5",
"code" : [
{
"system" : "http://loinc.org",
"code" : "68529-7"
}
],
"prefix" : "5.",
"text" : "Do you ever feel bad or guilty about your drug use?",
"type" : "choice",
"required" : true,
"repeats" : false,
"option" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 0
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 0
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA32-8",
"display" : "No"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 1
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 1
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA33-6",
"display" : "Yes"
}
}
]
},
{
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 6
}
],
"linkId" : "g1.q6",
"code" : [
{
"system" : "http://loinc.org",
"code" : "68530-5"
}
],
"prefix" : "6.",
"text" : "Does your spouse (or parents) ever complain about your involvement with drugs?",
"type" : "choice",
"required" : true,
"repeats" : false,
"option" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 0
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 0
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA32-8",
"display" : "No"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 1
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 1
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA33-6",
"display" : "Yes"
}
}
]
},
{
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 7
}
],
"linkId" : "g1.q7",
"code" : [
{
"system" : "http://loinc.org",
"code" : "68531-3"
}
],
"prefix" : "7.",
"text" : "Have you neglected your family because of your use of drugs?",
"type" : "choice",
"required" : true,
"repeats" : false,
"option" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 0
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 0
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA32-8",
"display" : "No"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 1
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 1
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA33-6",
"display" : "Yes"
}
}
]
},
{
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 8
}
],
"linkId" : "g1.q8",
"code" : [
{
"system" : "http://loinc.org",
"code" : "68532-1"
}
],
"prefix" : "8.",
"text" : "Have you engaged in illegal activities in order to obtain drugs?",
"type" : "choice",
"required" : true,
"repeats" : false,
"option" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 0
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 0
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA32-8",
"display" : "No"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 1
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 1
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA33-6",
"display" : "Yes"
}
}
]
},
{
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 9
}
],
"linkId" : "g1.q9",
"code" : [
{
"system" : "http://loinc.org",
"code" : "68533-9"
}
],
"prefix" : "9.",
"text" : "Have you ever experienced withdrawal symptoms (felt sick) when you stopped taking drugs?",
"type" : "choice",
"required" : true,
"repeats" : false,
"option" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 0
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 0
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA32-8",
"display" : "No"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 1
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 1
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA33-6",
"display" : "Yes"
}
}
]
},
{
"extension" : [
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 10
}
],
"linkId" : "g1.q10",
"code" : [
{
"system" : "http://loinc.org",
"code" : "68534-7"
}
],
"prefix" : "10.",
"text" : "Have you had medical problems as a result of your drug use (e.g. memory loss, hepatitis, convulsions, bleeding)?",
"type" : "choice",
"repeats" : false,
"option" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 0
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 0
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA32-8",
"display" : "No"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-ordinalValue",
"valueDecimal" : 1
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 1
}
],
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA33-6",
"display" : "Yes"
}
}
]
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean" : true
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 1
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/designNote",
"valueMarkdown" : "this is hidden text/should not be displayed to the user"
}
],
"linkId" : "g2",
"text" : "Scoring Instructions",
"type" : "group",
"required" : true,
"item" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-hidden",
"valueBoolean" : true
},
{
"url" : "http://fhir.org/guides/argonaut/questionnaire/StructureDefinition/extension-itemOrder",
"valueInteger" : 0
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/designNote",
"valueMarkdown" : "this is hidden text/should not be displayed to the user"
}
],
"linkId" : "g2.d",
"text" : "Scoring: Score 1 point for each question answered “Yes,” except for question 3 for which\na “No” receives 1 point.\n\nInterpretation of Score:\nScore Degree of Problems Related to Drug Abuse Suggested Action\n0 No problems reported None at this time\n1‐2 Low level Monitor, re‐assess at a later date\n3‐5 Moderate level Further investigation\n6‐8 Substantial level Intensive assessment\n9‐10 Severe level Intensive assessment",
"type" : "display"
}
]
}
]
}
