# Alcohol Use Disorder Identification Test - Consumption (AUDIT-C) Questionnaire Example - US Core Implementation Guide v8.0.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Alcohol Use Disorder Identification Test - Consumption (AUDIT-C) Questionnaire Example**

## Questionnaire: Alcohol Use Disorder Identification Test - Consumption (AUDIT-C) Questionnaire Example (Experimental) 

| | |
| :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/core/Questionnaire/AUDIT-C | *Version*:8.0.1 |
| * Standards status: *[Informative](http://hl7.org/fhir/R4/versions.html#std-process) | *Computable Name*:AUDIT_C |
| *Other Identifiers:*OID:2.16.840.1.113883.4.642.40.2.35.1 | |
| **Copyright/Legal**: This material contains content from LOINC® (http://loinc.org). LOINC is copyright © 1995-2024, Regenstrief Institute, Inc. and the LOINC Committee, and is available at no cost under the license at http://loinc.org/license. As a WHO-approved instrument, the AUDIT is in the public domain. | |



## Resource Content

```json
{
  "resourceType" : "Questionnaire",
  "id" : "AUDIT-C",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"]
  },
  "url" : "http://hl7.org/fhir/us/core/Questionnaire/AUDIT-C",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.2.35.1"
  }],
  "version" : "8.0.1",
  "name" : "AUDIT_C",
  "title" : "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]",
  "status" : "active",
  "experimental" : true,
  "subjectType" : ["Patient"],
  "date" : "2023-08-14",
  "publisher" : "HL7 International / Cross-Group Projects",
  "contact" : [{
    "name" : "HL7 International / Cross-Group Projects",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cgp"
    },
    {
      "system" : "email",
      "value" : "cgp@lists.HL7.org"
    }]
  }],
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "copyright" : "This material contains content from LOINC® (http://loinc.org). LOINC is copyright © 1995-2024, Regenstrief Institute, Inc. and the LOINC Committee, and is available at no cost under the license at http://loinc.org/license. As a WHO-approved instrument, the AUDIT is in the public domain.",
  "code" : [{
    "system" : "http://loinc.org",
    "code" : "72109-2",
    "display" : "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C]"
  }],
  "item" : [{
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
      "valueCoding" : {
        "system" : "http://unitsofmeasure.org",
        "code" : "{#}/a",
        "display" : "{#}/a"
      }
    }],
    "linkId" : "/68517-2",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "68517-2",
      "display" : "How many times in the past year have you have X or more drinks in a day"
    }],
    "text" : "How many times in the past year have you have X or more drinks in a day",
    "type" : "decimal",
    "required" : false,
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/68517-2-help",
      "text" : "Where X is 5 for men and 4 for women, and a response of  greater than, or equal to, 1 is positive.",
      "type" : "display"
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/68519-8",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "68519-8",
      "display" : "How many standard drinks containing alcohol do you have on a typical day"
    }],
    "text" : "How many standard drinks containing alcohol do you have on a typical day",
    "type" : "choice",
    "required" : false,
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "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/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "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/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "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/questionnaire-optionPrefix",
        "valueString" : "3"
      },
      {
        "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/questionnaire-optionPrefix",
        "valueString" : "4"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18932-6",
        "display" : "10 or more"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/questionnaire-item-control",
          "code" : "drop-down",
          "display" : "Drop down"
        }],
        "text" : "Drop down"
      }
    }],
    "linkId" : "/68520-6",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "68520-6",
      "display" : "How often do you have 6 or more drinks on 1 occasion"
    }],
    "text" : "How often do you have 6 or more drinks on 1 occasion",
    "type" : "choice",
    "required" : false,
    "answerOption" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
        "valueString" : "0"
      },
      {
        "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/questionnaire-optionPrefix",
        "valueString" : "1"
      },
      {
        "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/questionnaire-optionPrefix",
        "valueString" : "2"
      },
      {
        "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/questionnaire-optionPrefix",
        "valueString" : "3"
      },
      {
        "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/questionnaire-optionPrefix",
        "valueString" : "4"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/ordinalValue",
        "valueDecimal" : 4
      }],
      "valueCoding" : {
        "system" : "http://loinc.org",
        "code" : "LA18934-2",
        "display" : "Daily or almost daily"
      }
    }]
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
      "valueCoding" : {
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}",
        "display" : "{score}"
      }
    }],
    "linkId" : "/75626-2",
    "code" : [{
      "system" : "http://loinc.org",
      "code" : "75626-2",
      "display" : "Total score [AUDIT-C]"
    }],
    "text" : "Total score [AUDIT-C]",
    "type" : "decimal",
    "required" : false,
    "item" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/questionnaire-item-control",
            "code" : "help",
            "display" : "Help-Button"
          }],
          "text" : "Help-Button"
        }
      }],
      "linkId" : "/75626-2-help",
      "text" : "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" : "display"
    }]
  }]
}

```
