Template [V]Alcoholism screening Saved on 2.4.2009 at 16:02 BLACK ^tclabbr(1361) Teetotaller ^tclabbr(1362) Trivial ^tclabbr(1363) Light ^tclabbr(1364) Moderate ^tclabbr(1365) Heavy ^tclabbr(1366) Very Heavy ^tclabbr(1367) Stopped ^tclabbr(1368) Gkw ^tclabbr(1369) Suspect - Denied ^tclabbr("136L") sensible limits ^tclabbr("136Z") Just Drinks ^tclabbr("388u") FAST Screen ^tclabbr("38D3") Full Audit ^tclabbr("EGTON418") Alcohol Intake * * ^tclall(136) Alcohol consumption ^tclall(136,7) PN ^tclall(1361) Teetotaller ^tclall(1361,7) P ^tclall(1362) Trivial drinker - <1u/day ^tclall(1362,7) P ^tclall(1363) Light drinker - 1-2u/day ^tclall(1363,7) P ^tclall(1364) Moderate drinker - 3-6u/day ^tclall(1364,7) P ^tclall(1365) Heavy drinker - 7-9u/day ^tclall(1365,7) P ^tclall(1366) Very heavy drinker - >9u/day ^tclall(1366,7) P ^tclall(1367) Stopped drinking alcohol ^tclall(1367,7) P ^tclall(1368) Alcohol consumption unknown ^tclall(1368,7) P ^tclall(1369) Suspect alcohol abuse - denied ^tclall(1369,7) P ^tclall("136A") Ex-trivial drinker (<1u/day) ^tclall("136A",7) P ^tclall("136B") Ex-light drinker - (1-2u/day) ^tclall("136B",7) P ^tclall("136C") Ex-moderate drinker - (3-6u/d) ^tclall("136C",7) P ^tclall("136D") Ex-heavy drinker - (7-9u/day) ^tclall("136D",7) P ^tclall("136E") Ex-very heavy drinker-(>9u/d) ^tclall("136E",7) P ^tclall("136F") Spirit drinker ^tclall("136F",7) P ^tclall("136G") Beer drinker ^tclall("136G",7) P ^tclall("136H") Drinks beer and spirits ^tclall("136H",7) P ^tclall("136I") Drinks wine ^tclall("136I",7) P ^tclall("136J") Social drinker ^tclall("136J",7) P ^tclall("136K") Alcohol intake above rec limit ^tclall("136K",1) Alcohol intake above recommended sensible limits ^tclall("136K",7) P ^tclall("136L") Alcohol intake within rec limt ^tclall("136L",1) Alcohol intake within recommended sensible limits ^tclall("136L",7) P ^tclall("136M") Current non drinker ^tclall("136M",7) P ^tclall("136N") Light drinker ^tclall("136N",7) P ^tclall("136O") Moderate drinker ^tclall("136O",7) P ^tclall("136P") Heavy drinker ^tclall("136P",7) P ^tclall("136Q") Very heavy drinker ^tclall("136Q",7) P ^tclall("136R") Binge drinker ^tclall("136R",7) P ^tclall("136S") Hazardous alcohol use ^tclall("136S",7) P ^tclall("136T") Harmful alcohol use ^tclall("136T",7) P ^tclall("136V") Alcohol units per week ^tclall("136V",7) P ^tclall("136W") Alcohol misuse ^tclall("136W",7) P ^tclall("136Z") Alcohol consumption NOS ^tclall("136Z",7) P ^tclall("388u") Fast alcohol screening test ^tclall("388u",7) G ^tclall("38D3") Alc use disords identific test ^tclall("38D3",1) Alcohol use disorders identification test ^tclall("38D3",7) G ^tclall("38D4") AUDIT-C questionnaire ^tclall("38D4",1) Alcohol use disorder identificatn test consumptn questionnre ^tclall("38D4",7) GN ^tclall("8HkG") Ref to special alco treat serv ^tclall("8HkG",1) Referral to specialist alcohol treatment service ^tclall("8HkG",7) U ^tclall("8IA7") Alcohol cons screen test decld ^tclall("8IA7",1) Alcohol consumption screening test declined ^tclall("8IA7",7) T ^tclall("9k1A") Brief intervent ex alc complet ^tclall("9k1A",1) Brief intervention for excessive alcohol consumptn completed ^tclall("9k1A",7) A ^tclall("9k1B") Extend intervent ex alc complt ^tclall("9k1B",1) Extended intervention for excessive alcohol consumptn complt ^tclall("9k1B",7) A ^tclall("DAVIEOC1") Occasional Drinker ^tclall("DAVIEOC1",7) P? ^tclall("EGTON418") Alcohol Intake ^tclall("EGTON418",7) PN ^tclall("EGTON418",8) M.. ^tclall("EMISQAL1") Alcohol AUDIT Score ^tclall("EMISQAL1",7) P ^tclall("EMISQOT3") Other Alcohol Related Information ^tclall("EMISQOT3",7) P ^tclall("ZV791") [V]Alcoholism screening ^tclall("ZV791",7) E * * ^tclalp(136) C ^tclalp(1361) C ^tclalp(1362) C ^tclalp(1363) C ^tclalp(1364) C ^tclalp(1365) C ^tclalp(1366) C ^tclalp(1367) C ^tclalp(1368) C ^tclalp(1369) C ^tclalp("136A") C ^tclalp("136B") C ^tclalp("136C") C ^tclalp("136D") C ^tclalp("136E") C ^tclalp("136F") C ^tclalp("136G") C ^tclalp("136H") C ^tclalp("136I") C ^tclalp("136J") C ^tclalp("136K") C ^tclalp("136L") C ^tclalp("136M") C ^tclalp("136N") C ^tclalp("136O") C ^tclalp("136P") C ^tclalp("136Q") C ^tclalp("136R") C ^tclalp("136S") C ^tclalp("136T") C ^tclalp("136V") C ^tclalp("136W") C ^tclalp("136Z") C ^tclalp("388u") G ^tclalp("38D3") G ^tclalp("38D4") G ^tclalp("8HkG") G ^tclalp("8IA7") G ^tclalp("9k1A") A ^tclalp("9k1B") A ^tclalp("DAVIEOC1") C ^tclalp("EGTON418") C ^tclalp("EMISQAL1") C ^tclalp("EMISQOT3") C ^tclalp("ZV791") E * * ^tclrdn(136,1361) ^tclrdn(136,1362) ^tclrdn(136,1363) ^tclrdn(136,1364) ^tclrdn(136,1365) ^tclrdn(136,1366) ^tclrdn(136,1367) ^tclrdn(136,1368) ^tclrdn(136,1369) ^tclrdn(136,"136A") ^tclrdn(136,"136B") ^tclrdn(136,"136C") ^tclrdn(136,"136D") ^tclrdn(136,"136E") ^tclrdn(136,"136F") ^tclrdn(136,"136G") ^tclrdn(136,"136H") ^tclrdn(136,"136I") ^tclrdn(136,"136J") ^tclrdn(136,"136K") ^tclrdn(136,"136L") ^tclrdn(136,"136M") ^tclrdn(136,"136N") ^tclrdn(136,"136O") ^tclrdn(136,"136P") ^tclrdn(136,"136Q") ^tclrdn(136,"136R") ^tclrdn(136,"136S") ^tclrdn(136,"136T") ^tclrdn(136,"136V") ^tclrdn(136,"136W") ^tclrdn(136,"136Z") ^tclrdn(136,"DAVIEOC1") ^tclrdn(136,"EGTON418") ^tclrdn(136,"EMISQAL1") ^tclrdn(136,"EMISQOT3") * * ^tclrup(136,1) ^tclrup(136,13) ^tclrup(1361,136) ^tclrup(1362,136) ^tclrup(1363,136) ^tclrup(1364,136) ^tclrup(1365,136) ^tclrup(1366,136) ^tclrup(1367,136) ^tclrup(1368,136) ^tclrup(1369,136) ^tclrup("136A",136) ^tclrup("136B",136) ^tclrup("136C",136) ^tclrup("136D",136) ^tclrup("136E",136) ^tclrup("136F",136) ^tclrup("136G",136) ^tclrup("136H",136) ^tclrup("136I",136) ^tclrup("136J",136) ^tclrup("136K",136) ^tclrup("136L",136) ^tclrup("136M",1) ^tclrup("136M",13) ^tclrup("136M",136) ^tclrup("136N",136) ^tclrup("136O",136) ^tclrup("136P",136) ^tclrup("136Q",136) ^tclrup("136R",136) ^tclrup("136S",136) ^tclrup("136T",136) ^tclrup("136V",136) ^tclrup("136W",136) ^tclrup("136Z",136) ^tclrup("388u",3) ^tclrup("388u",38) ^tclrup("388u",388) ^tclrup("38D3",3) ^tclrup("38D3",38) ^tclrup("38D3","38D") ^tclrup("38D4",3) ^tclrup("38D4",38) ^tclrup("38D4","38D") ^tclrup("8HkG",8) ^tclrup("8HkG","8H") ^tclrup("8HkG","8Hk") ^tclrup("8IA7",8) ^tclrup("8IA7","8I") ^tclrup("8IA7","8IA") ^tclrup("9k1A",9) ^tclrup("9k1A","9k") ^tclrup("9k1A","9k1") ^tclrup("9k1B",9) ^tclrup("9k1B","9k") ^tclrup("9k1B","9k1") ^tclrup("DAVIEOC1",136) ^tclrup("EGTON418",136) ^tclrup("EMISQAL1",136) ^tclrup("EMISQOT3",136) ^tclrup("ZV791","ZV79") * * ^tclsyn("ALC USE DISORDS IDENTIFIC TEST",0,"38D3") ^tclsyn("ALCOHOL AUDIT SCORE",0,"EMISQAL1") ^tclsyn("ALCOHOL CONS SCREEN TEST DECLD",0,"8IA7") ^tclsyn("ALCOHOL CONSUMPTION",0,136) ^tclsyn("ALCOHOL CONSUMPTION NOS",0,"136Z") ^tclsyn("ALCOHOL CONSUMPTION UNKNOWN",0,1368) ^tclsyn("ALCOHOL INTAKE",0,"EGTON418") ^tclsyn("ALCOHOL INTAKE ABOVE REC LIMIT",0,"136K") ^tclsyn("ALCOHOL INTAKE WITHIN REC LIMT",0,"136L") ^tclsyn("ALCOHOL MISUSE",0,"136W") ^tclsyn("ALCOHOL UNITS PER WEEK",0,"136V") ^tclsyn("AUDIT-C QUESTIONNAIRE",0,"38D4") ^tclsyn("BEER DRINKER",0,"136G") ^tclsyn("BINGE DRINKER",0,"136R") ^tclsyn("BRIEF INTERVENT EX ALC COMPLET",0,"9k1A") ^tclsyn("CURRENT NON DRINKER",0,"136M") ^tclsyn("DRINKS BEER AND SPIRITS",0,"136H") ^tclsyn("DRINKS WINE",0,"136I") ^tclsyn("EX-HEAVY DRINKER - (7-9U/DAY)",0,"136D") ^tclsyn("EX-LIGHT DRINKER - (1-2U/DAY)",0,"136B") ^tclsyn("EX-MODERATE DRINKER - (3-6U/D)",0,"136C") ^tclsyn("EX-TRIVIAL DRINKER (<1U/DAY)",0,"136A") ^tclsyn("EX-VERY HEAVY DRINKER-(>9U/D)",0,"136E") ^tclsyn("EXTEND INTERVENT EX ALC COMPLT",0,"9k1B") ^tclsyn("FAST ALCOHOL SCREENING TEST",0,"388u") ^tclsyn("HARMFUL ALCOHOL USE",0,"136T") ^tclsyn("HAZARDOUS ALCOHOL USE",0,"136S") ^tclsyn("HEAVY DRINKER",0,"136P") ^tclsyn("HEAVY DRINKER - 7-9U/DAY",0,1365) ^tclsyn("LIGHT DRINKER",0,"136N") ^tclsyn("LIGHT DRINKER - 1-2U/DAY",0,1363) ^tclsyn("MODERATE DRINKER",0,"136O") ^tclsyn("MODERATE DRINKER - 3-6U/DAY",0,1364) ^tclsyn("OCCASIONAL DRINKER",0,"DAVIEOC1") ^tclsyn("OTHER ALCOHOL RELATED INFORMATION",0,"EMISQOT3") ^tclsyn("REF TO SPECIAL ALCO TREAT SERV",0,"8HkG") ^tclsyn("SOCIAL DRINKER",0,"136J") ^tclsyn("SPIRIT DRINKER",0,"136F") ^tclsyn("STOPPED DRINKING ALCOHOL",0,1367) ^tclsyn("SUSPECT ALCOHOL ABUSE - DENIED",0,1369) ^tclsyn("TEETOTALLER",0,1361) ^tclsyn("TRIVIAL DRINKER - <1U/DAY",0,1362) ^tclsyn("VERY HEAVY DRINKER",0,"136Q") ^tclsyn("VERY HEAVY DRINKER - >9U/DAY",0,1366) ^tclsyn("[V]ALCOHOLISM SCREENING",0,"ZV791") * * ^tclvalue(136) Alcohol~units/week~0~99~0~21~ ^tclvalue("136V") units~units/week~0~500~0~21~ ^tclvalue("388u") Fast~/16~0~16~0~3~ ^tclvalue("38D3") AUDIT~/40~~~~ ^tclvalue("38D4") AUDIT C~/12~~~~ ^tclvalue("EGTON418") Alcohol~units/week~0~3000~0~20 * * * * * * * * * * * * * * * * ^tgtemple("ZV791") ^tgtemple("ZV791",1) 8IA7\Alc scr'n declin\16~64\\\\\\YN ^tgtemple("ZV791",1.75) 388u\Fast alcohol\16~64\\\\\\RECORD ^tgtemple("ZV791",2.125) 38D4\AUDIT-C screen\16~64\\\\\\RECORD ^tgtemple("ZV791",2.5) 136\Alcohol consumpt\16~64\\\\\\RECORD ^tgtemple("ZV791",2.8125) 136M\Curr non drinker\16~64\\\\\\YN ^tgtemple("ZV791",3.125) 38D3\Full Audit\16~64\\\\\\YN ^tgtemple("ZV791",5) 9k1B\Extended Adv\16~64\\\\\Y~Free text\YN ^tgtemple("ZV791",6) 9k1A\Brief Adv \16~64\\\\\Y~Free Text\YN ^tgtemple("ZV791",7) 8HkG\Ref alcohol team\16~64\\\\\\YN * * * * * * * * * * ^tproread 5 * * * * ** **