US Core Implementation Guide
7.0.0 - STU7 United States of America flag

This page is part of the US Core (v7.0.0: STU7) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] Questionnaire Example - XML Representation

Page standards status: Informative

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<Questionnaire xmlns="http://hl7.org/fhir">
  <id value="AUDIT-C"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"/>
  </meta>
  <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 the itemcan 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 &amp; 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"/> AUDIT_C</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">http://hl7.org/fhir/us/core/Questionnaire/AUDIT-C#7.0.0</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_bck11.png)" id="item./68517-2" 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-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Decimal" class="hierarchy"/> /68517-2</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How many times in the past year have you have X or more drinks in a 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-decimal">decimal</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_bck100.png)" id="item./68517-2-help" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.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-display.png" alt="." style="background-color: white; background-color: inherit" title="Display" class="hierarchy"/> /68517-2-help</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Where X is 5 for men and 4 for women, and a response of  greater than, or equal to, 1 is positive.</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-display">display</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./68519-8" 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: #F7F7F7; background-color: inherit" title="Coding" class="hierarchy"/> /68519-8</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How many standard drinks containing alcohol do you have on a typical 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./68519-8">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./68520-6" 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"/> /68520-6</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">How often do you have 6 or more drinks on 1 occasion?</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./68520-6">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_bck01.png)" id="item./75626-2" 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-decimal.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Decimal" class="hierarchy"/> /75626-2</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Total score [AUDIT-C]</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-decimal">decimal</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_bck000.png)" id="item./75626-2-help" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.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-display.png" alt="." style="background-color: white; background-color: inherit" title="Display" class="hierarchy"/> /75626-2-help</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">The Alcohol Use Disorders Identification Test C (AUDIT-C) is scored on a scale of 0-12 where the higher the score, the more likely the patient's drinking is hazardous. 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. If the points are all from Question 1 alone where 2 and 3 are 0, it is likely the patient is drinking below recommended limits. The care provider may review the patients alcohol intake over that past few months to confirm accuracy. [PMID: 12695273]</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-display">display</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><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>Option Sets</b></p><a name="opt-item./68519-8"> </a><p><b>Answer options for /68519-8</b></p><ul><li style="font-size: 11px">http://loinc.org#LA15694-5 (&quot;1 or 2&quot;)</li><li style="font-size: 11px">http://loinc.org#LA15695-2 (&quot;3 or 4&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18930-0 (&quot;5 or 6&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18931-8 (&quot;7 to 9&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18932-6 (&quot;10 or more&quot;)</li></ul><a name="opt-item./68520-6"> </a><p><b>Answer options for /68520-6</b></p><ul><li style="font-size: 11px">http://loinc.org#LA6270-8 (&quot;Never&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18933-4 (&quot;Less than monthly&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18876-5 (&quot;Monthly&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18891-4 (&quot;Weekly&quot;)</li><li style="font-size: 11px">http://loinc.org#LA18934-2 (&quot;Daily or almost daily&quot;)</li></ul></div>
  </text>
  <url value="http://hl7.org/fhir/us/core/Questionnaire/AUDIT-C"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.2.35.1"/>
  </identifier>
  <version value="7.0.0"/>
  <name value="AUDIT_C"/>
  <title
         value="Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"/>
  <status value="active"/>
  <experimental value="true"/>
  <subjectType value="Patient"/>
  <date value="2023-08-14"/>
  <publisher value="HL7 International / Cross-Group Projects"/>
  <contact>
    <name value="HL7 International / Cross-Group Projects"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cgp"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="cgp@lists.HL7.org"/>
    </telecom>
  </contact>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Used by permission of HL7 International, all rights reserved Creative Commons License"/>
  <code>
    <system value="http://loinc.org"/>
    <code value="72109-2"/>
    <display
             value="Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"/>
  </code>
  <item>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
      <valueCoding>
        <system value="http://unitsofmeasure.org"/>
        <code value="{#}/a"/>
        <display value="{#}/a"/>
      </valueCoding>
    </extension>
    <linkId value="/68517-2"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="68517-2"/>
      <display
               value="How many times in the past year have you have X or more drinks in a day?"/>
    </code>
    <text
          value="How many times in the past year have you have X or more drinks in a day?"/>
    <type value="decimal"/>
    <required value="false"/>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="help"/>
            <display value="Help-Button"/>
          </coding>
          <text value="Help-Button"/>
        </valueCodeableConcept>
      </extension>
      <linkId value="/68517-2-help"/>
      <text
            value="Where X is 5 for men and 4 for women, and a response of  greater than, or equal to, 1 is positive."/>
      <type value="display"/>
    </item>
  </item>
  <item>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control"/>
          <code value="drop-down"/>
          <display value="Drop down"/>
        </coding>
        <text value="Drop down"/>
      </valueCodeableConcept>
    </extension>
    <linkId value="/68519-8"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="68519-8"/>
      <display
               value="How many standard drinks containing alcohol do you have on a typical day?"/>
    </code>
    <text
          value="How many standard drinks containing alcohol do you have on a typical day?"/>
    <type value="choice"/>
    <required value="false"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA15694-5"/>
        <display value="1 or 2"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA15695-2"/>
        <display value="3 or 4"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="2"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA18930-0"/>
        <display value="5 or 6"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="3"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA18931-8"/>
        <display value="7 to 9"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="4"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA18932-6"/>
        <display value="10 or more"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
      <valueCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/questionnaire-item-control"/>
          <code value="drop-down"/>
          <display value="Drop down"/>
        </coding>
        <text value="Drop down"/>
      </valueCodeableConcept>
    </extension>
    <linkId value="/68520-6"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="68520-6"/>
      <display value="How often do you have 6 or more drinks on 1 occasion?"/>
    </code>
    <text value="How often do you have 6 or more drinks on 1 occasion?"/>
    <type value="choice"/>
    <required value="false"/>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="0"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="0"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA6270-8"/>
        <display value="Never"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="1"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="1"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA18933-4"/>
        <display value="Less than monthly"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="2"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="2"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA18876-5"/>
        <display value="Monthly"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="3"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="3"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA18891-4"/>
        <display value="Weekly"/>
      </valueCoding>
    </answerOption>
    <answerOption>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix">
        <valueString value="4"/>
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/ordinalValue">
        <valueDecimal value="4"/>
      </extension>
      <valueCoding>
        <system value="http://loinc.org"/>
        <code value="LA18934-2"/>
        <display value="Daily or almost daily"/>
      </valueCoding>
    </answerOption>
  </item>
  <item>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/questionnaire-unit">
      <valueCoding>
        <system value="http://unitsofmeasure.org"/>
        <code value="{score}"/>
        <display value="{score}"/>
      </valueCoding>
    </extension>
    <linkId value="/75626-2"/>
    <code>
      <system value="http://loinc.org"/>
      <code value="75626-2"/>
      <display value="Total score [AUDIT-C]"/>
    </code>
    <text value="Total score [AUDIT-C]"/>
    <type value="decimal"/>
    <required value="false"/>
    <item>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl">
        <valueCodeableConcept>
          <coding>
            <system value="http://hl7.org/fhir/questionnaire-item-control"/>
            <code value="help"/>
            <display value="Help-Button"/>
          </coding>
          <text value="Help-Button"/>
        </valueCodeableConcept>
      </extension>
      <linkId value="/75626-2-help"/>
      <text
            value="The Alcohol Use Disorders Identification Test C (AUDIT-C) is scored on a scale of 0-12 where the higher the score, the more likely the patient's drinking is hazardous. 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. If the points are all from Question 1 alone where 2 and 3 are 0, it is likely the patient is drinking below recommended limits. The care provider may review the patients alcohol intake over that past few months to confirm accuracy. [PMID: 12695273]"/>
      <type value="display"/>
    </item>
  </item>
</Questionnaire>