ARCHETYPE Alcohol Use Disorders Identification Test (AUDIT) (openEHR-EHR-OBSERVATION.alcohol_audit.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.alcohol_audit.v0
ConceptAlcohol Use Disorders Identification Test (AUDIT)
DescriptionTen question screening test to identify harmful alcohol consumption.
UseUse to record the results of the AUDIT screening test (or the AUDIT-C subset) as a means to identify individuals with hazardous and harmful patterns of alcohol consumption, indicators of alcohol dependence and some consequences from harmful drinking. The test can be administered during an oral interview or as a self-reported questionnaire. Each of the questions in the AUDIT test will be recorded as a separate data element. For pragmatic reasons, in this archetype, each data element is not labelled as the full question, but as a summary of the question topic. The full question to which each data element refers is identified in the 'Description' for each data element. For example: "How often did you have six or more drinks on one occasion in the past year?" is represented as the 'Bingeing' data element. The AUDIT-C test is a shortened version of the full AUDIT test, using only the first three questions related to consumption.
MisuseNot to be used to record a diary of alcohol consumption - use OBSERVATION.alcohol_use. Not to be used to record a summary about the individual's alcohol consumption - use EVALUATION.alcohol_summary.
PurposeTo identify individuals with hazardous and harmful patterns of alcohol consumption, indicators of alcohol dependence and some consequences from harmful drinking.
ReferencesDerived from: Derived from: Alcohol Use Disorders Identification Test (AUDIT), Draft archetype [Internet]. Australian Digital Health Agency, ADHA Clinical Knowledge Manager. Authored: 2013 Jun 10. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1320_1 (discontinued).

Babor T, Higgins-Biddle J, Saunders J, Monteiro M. The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care, Second Edition [Internet]. Geneva: Department of Mental Health and Substance Dependence, World Health Organization. 2001 (Accessed 2013 Jun 10). Available at: http://whqlibdoc.who.int/hq/2001/WHO_MSD_MSB_01.6a.pdf.

Alcohol Screen (AUDIT). Australian Government, Department of Veteran's Affairs. (Accessed 2013 Jun 11). Available at: http://www.health.nt.gov.au/library/scripts/objectifyMedia.aspx?file=pdf/63/68.pdf

The AUDIT Alcohol Consumption Questions (Audit – C). Northern Territory Government, Department of Health & Families. (Accessed 2013 Jun 10). Available from: http://www.health.nt.gov.au/library/scripts/objectifyMedia.aspx?file=pdf/64/44.pdf.

Alcohol Use Disorders Identification Test. US Department of Venterans Affairs. (Accessed 2013 Jun 10). Available at: http://www.hepatitis.va.gov/provider/tools/audit-c.asp.
Copyright© Australian Digital Health Agency, openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics, Australia
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2013-06-10
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics, Australia
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2013-06-10
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/, custodian_organisation=openEHR Foundation, references=Derived from: Derived from: Alcohol Use Disorders Identification Test (AUDIT), Draft archetype [Internet]. Australian Digital Health Agency, ADHA Clinical Knowledge Manager. Authored: 2013 Jun 10. Available at: http://dcm.nehta.org.au/ckm#showArchetype_1013.1.1320_1 (discontinued). Babor T, Higgins-Biddle J, Saunders J, Monteiro M. The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care, Second Edition [Internet]. Geneva: Department of Mental Health and Substance Dependence, World Health Organization. 2001 (Accessed 2013 Jun 10). Available at: http://whqlibdoc.who.int/hq/2001/WHO_MSD_MSB_01.6a.pdf. Alcohol Screen (AUDIT). Australian Government, Department of Veteran's Affairs. (Accessed 2013 Jun 11). Available at: http://www.health.nt.gov.au/library/scripts/objectifyMedia.aspx?file=pdf/63/68.pdf The AUDIT Alcohol Consumption Questions (Audit – C). Northern Territory Government, Department of Health & Families. (Accessed 2013 Jun 10). Available from: http://www.health.nt.gov.au/library/scripts/objectifyMedia.aspx?file=pdf/64/44.pdf. Alcohol Use Disorders Identification Test. US Department of Venterans Affairs. (Accessed 2013 Jun 10). Available at: http://www.hepatitis.va.gov/provider/tools/audit-c.asp., current_contact=Heather Leslie, Atomica Informatics, Australia, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=2EE1F1AF304AB7A6E17842D7252926D9, build_uid=3162380d-f054-4502-b901-ac54646f520f, revision=0.0.1-alpha}
KeywordsAUDIT, AUDIT-C, alcohol, binge
Lifecyclein_development
UID7b61ac07-40a1-421a-8b1e-d38e3cc190d2
Language useden
Citeable Identifier1013.1.1644
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Ten question screening test to identify harmful alcohol consumption., archetypeConceptComment=null, otherContributors=, originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={details=[], identities=[], source=[], credentials=[], context=[], description=[], ism_transition=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=POINT_EVENT, level=2, text=Specific Date/Time, description=The specified point-in-time of the assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=POINT_EVENT, bindings=null, values=null, extendedValues=null]], content=[], items=[], capabilities=[], other_participations=[], contacts=[], target=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=4, text=Frequency of Consumption, description=How often did you have a drink containing alcohol in the past year?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Never [No drinking of alcohol in the past year.]
1: Monthly or Less [Drinking alcohol monthly or less frequently during the past year.]
2: 2 to 4 Times a Month [Drinking alcohol two to four times a month during the past year.]
3: 2 to 3 Times a Week [Drinking alcohol two to three times a week during the past year.]
4: 4 or More Times a Week [Drinking alcohol four or more times a week during the past year.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0010], code=at0010, itemType=ELEMENT, level=4, text=Typical Consumption, description=How many drinks did you have on a typical day when you were drinking in the past year?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: 1 or 2 [One or two drinks of alcohol on a typical day in the past year.]
1: 3 or 4 [Three or four drinks of alcohol on a typical day in the past year.]
2: 5 or 6 [Five or six drinks of alcohol on a typical day in the past year.]
3: 7 to 9 [Seven, eight or nine drinks of alcohol on a typical day in the past year.]
4: 10 or More [Ten or more drinks of alcohol on a typical day in the past year.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0016], code=at0016, itemType=ELEMENT, level=4, text=Binge Drinking, description=How often did you have six or more drinks on one occasion in the past year?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Never [Never, in the past year.]
1: Less than Monthly [Less than monthly, during the past year.]
2: Monthly [Monthly, during the past year.]
3: Weekly [Weekly, during the past year.]
4: Daily or Almost Daily [Daily, or almost daily, during the past year.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0023], code=at0023, itemType=ELEMENT, level=4, text=Inability to Stop, description=How often during the last year have you found that you were not able to stop drinking once you had started?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Never [Never, in the past year.]
1: Less than Monthly [Less than monthly, during the past year.]
2: Monthly [Monthly, during the past year.]
3: Weekly [Weekly, during the past year.]
4: Daily or Almost Daily [Daily, or almost daily, during the past year.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0024], code=at0024, itemType=ELEMENT, level=4, text=Failed Expectations, description=How often during the last year have you failed to do what was normally expected of you because of drinking?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Never [Never, in the past year.]
1: Less than Monthly [Less than monthly, during the past year.]
2: Monthly [Monthly, during the past year.]
3: Weekly [Weekly, during the past year.]
4: Daily or Almost Daily [Daily, or almost daily, during the past year.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0025], code=at0025, itemType=ELEMENT, level=4, text=Morning Drinking, description=How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Never [Never, in the past year.]
1: Less than Monthly [Less than monthly, during the past year.]
2: Monthly [Monthly, during the past year.]
3: Weekly [Weekly, during the past year.]
4: Daily or Almost Daily [Daily, or almost daily, during the past year.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0026], code=at0026, itemType=ELEMENT, level=4, text=Guilt/Remorse, description=How often during the last year have you had a feeling of guilt or remorse after drinking?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Never [Never, in the past year.]
1: Less than Monthly [Less than monthly, during the past year.]
2: Monthly [Monthly, during the past year.]
3: Weekly [Weekly, during the past year.]
4: Daily or Almost Daily [Daily, or almost daily, during the past year.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0027], code=at0027, itemType=ELEMENT, level=4, text=Loss of Memory, description=How often during the last year have you been unable to remember what happened the night before because of your drinking?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: Never [Never, in the past year.]
1: Less than Monthly [Less than monthly, during the past year.]
2: Monthly [Monthly, during the past year.]
3: Weekly [Weekly, during the past year.]
4: Daily or Almost Daily [Daily, or almost daily, during the past year.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0028], code=at0028, itemType=ELEMENT, level=4, text=Injuries, description=Have you or someone else been injured because of your drinking?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No [No occurrence.]
2: Yes, but not in the last year. [Yes, this has occurred, but not in the last year.]
4: Yes, during the last year. [Yes this has occurred during the last year.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0029], code=at0029, itemType=ELEMENT, level=4, text=External Concern, description=Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down?, comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_ORDINAL, bindings=null, values=0: No [No occurrence.]
2: Yes, but not in the last year. [Yes, this has occurred, but not in the last year.]
4: Yes, during the last year. [Yes this has occurred during the last year.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0022], code=at0022, itemType=ELEMENT, level=4, text=AUDIT Total Score, description=Total Score calculated from the 10 AUDIT questions., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=40

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0033], code=at0033, itemType=ELEMENT, level=4, text=AUDIT-C Total Score, description=Total Score calculated from the first 3 questions only., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0; max: <=12

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0034], code=at0034, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the screening test not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], relationships=[], state=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0035]/items[at0036], code=at0036, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null]], activities=[], provider=[]}, topLevelItems={data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0035], code=at0035, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=1..1, cardinalityText=mandatory, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0035]/items[at0036], code=at0036, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
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