{
  "resourceType": "Questionnaire",
  "status": "active",
  "item": [
    {
      "linkId": "auditc",
      "text": "AUDIT-C Alcohol Use Screening",
      "type": "group",
      "item": [
        {
          "linkId": "auditc-q1",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "68518-0"
            }
          ],
          "text": "How often do you have a drink containing alcohol?",
          "type": "choice",
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "radio-button"
                  }
                ]
              }
            }
          ],
          "required": true,
          "answerOption": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 0
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA6270-8",
                "display": "Never"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 1
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA18926-8",
                "display": "Monthly or less"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 2
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA18927-6",
                "display": "2-4 times a month"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 3
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA18928-4",
                "display": "2-3 times a week"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 4
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA18929-2",
                "display": "4 or more times a week"
              }
            }
          ]
        },
        {
          "linkId": "auditc-q2",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "68519-8"
            }
          ],
          "text": "How many standard drinks containing alcohol do you have on a typical day?",
          "type": "choice",
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "radio-button"
                  }
                ]
              }
            }
          ],
          "required": true,
          "answerOption": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 0
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA15694-5",
                "display": "1 or 2"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 1
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA15695-2",
                "display": "3 or 4"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 2
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA18930-0",
                "display": "5 or 6"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 3
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA18931-8",
                "display": "7 to 9"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 4
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA18932-6",
                "display": "10 or more"
              }
            }
          ]
        },
        {
          "linkId": "auditc-q3",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "68520-6"
            }
          ],
          "text": "How often do you have 6 or more drinks on 1 occasion?",
          "type": "choice",
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/questionnaire-item-control",
                    "code": "radio-button"
                  }
                ]
              }
            }
          ],
          "required": true,
          "answerOption": [
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 0
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA6270-8",
                "display": "Never"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 1
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA18933-4",
                "display": "Less than monthly"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 2
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA18876-5",
                "display": "Monthly"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 3
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA18891-4",
                "display": "Weekly"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
                  "valueDecimal": 4
                }
              ],
              "valueCoding": {
                "system": "http://loinc.org",
                "code": "LA18934-2",
                "display": "Daily or almost daily"
              }
            }
          ]
        },
        {
          "linkId": "auditc-total",
          "code": [
            {
              "system": "http://loinc.org",
              "code": "75626-2"
            }
          ],
          "text": "AUDIT-C total score (0–12)",
          "type": "decimal",
          "readOnly": true,
          "extension": [
            {
              "url": "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-calculatedExpression",
              "valueExpression": {
                "language": "text/fhirpath",
                "expression": "iif(%resource.repeat(item).where(linkId in ('auditc-q1' | 'auditc-q2' | 'auditc-q3')).answer.valueCoding.extension('http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal.count() = 3, %resource.repeat(item).where(linkId in ('auditc-q1' | 'auditc-q2' | 'auditc-q3')).answer.valueCoding.extension('http://hl7.org/fhir/StructureDefinition/ordinalValue').valueDecimal.sum(), {})"
              }
            }
          ]
        },
        {
          "linkId": "auditc-note",
          "text": "A score of 4 or more for men and 3 or more for women is considered positive for hazardous drinking or active alcohol use disorders. The higher the score, the more likely the drinking is hazardous.",
          "type": "display"
        }
      ]
    }
  ]
}