CATEGORY/DOCATEGORY VARIABLE ID ITEM DEFINITION

(e.g., demographics)
N/A Patient ID Indicate the pat
CASE MIX Demographic FaYearOfBirth Year of birth Year of birth
Sex Sex The patient's sex
Gender Gender identity The patient's ge
SexualOrientation Sexual orientation The patient's se
EducationLevel Level of Education Highest level of
EducationLevel Level of Education Highest level of
WORK_Ext Work status What is your w
Work_FollowUp Work status / Educational sThe patient's wo
Housing_Q01 Housing status Question 1 Indicate whether
Housing_Q02 Housing status Question 2 Indicate whether
LivingArrangements Living arrangements The living arran
Ethnicity Ethnicity The cultural eth
Race Race The biological r
EthnicMinority_Q1 Ethnic minority / marginali Indicate whether
EthnicMinority_Q2 Ethnic minority / marginali Indicate whether
ComorbiditiesSACQ SACQ comorbidities Indicate whether
ComorbiditiesSACQ_HeartDiseSACQ comorbidities: HeartPlease indicate i
ComorbiditiesSACQ_HeartDiseSACQ comorbidities: HeartPlease indicate i
ComorbiditiesSACQ_HighBloodSACQ comorbidities: High BPlease indicate
ComorbiditiesSACQ_HighBloodSACQ comorbidities: High BPlease indicate i
ComorbiditiesSACQ_LungDise SACQ comorbidities: Lung Please indicate
ComorbiditiesSACQ_LungDise SACQ comorbidities: Lung Please indicate i
ComorbiditiesSACQ_DiabetesFSACQ comorbidities: DiabetPlease indicate
ComorbiditiesSACQ_Diabetes SACQ comorbidities: DiabePlease indicate i
ComorbiditiesSACQ_StomachDSACQ comorbidities: StomaPlease indicate
ComorbiditiesSACQ_StomachDSACQ comorbidities: StomaPlease indicate i
ComorbiditiesSACQ_KidneyDisSACQ comorbidities: Kidney Please indicate
ComorbiditiesSACQ_KidneyDisSACQ comorbidities: KidnePlease indicate i
ComorbiditiesSACQ_LiverDise SACQ comorbidities: Liver Please indicate i
ComorbiditiesSACQ_LiverDise SACQ comorbidities: Liver Please indicate i
ComorbiditiesSACQ_BloodDiseSACQ comorbidities: BloodPlease indicate
ComorbiditiesSACQ_BloodDiseSACQ comorbidities: BloodPlease indicate i
ComorbiditiesSACQ_CancerFU SACQ comorbidities: CancePlease indicate
ComorbiditiesSACQ_CancerFUSACQ comorbidities: CancePlease indicate i
ComorbiditiesSACQ_DepressioSACQ comorbidities: DeprePlease indicate
ComorbiditiesSACQ_DepressioSACQ comorbidities: DeprePlease indicate i
ComorbiditiesSACQ_OsteoarthrSACQ comorbidities: Osteoa Please indicate i
ComorbiditiesSACQ_OsteoarthrSACQ comorbidities: Osteoa Please indicate i
ComorbiditiesSACQ_BackPain SACQ comorbidities: Back PPlease indicate
ComorbiditiesSACQ_BackPain SACQ comorbidities: Back PPlease indicate i
ComorbiditiesSACQ_RheumatoiSACQ comorbidities: Rheuma Please indicate
ComorbiditiesSACQ_RheumatoiSACQ comorbidities: Rheuma Please indicate i
ComorbiditiesSACQ_Other SACQ comorbidities: OtherPlease indicate
ComorbiditiesSACQ_Score Score of the SACQ comorbid Please indicate
Hosp_Lifetime Hospitalisations- Lifetime Number of lifeti
Hosp12mo Hospitalisations- 12 monthsNumber of hospit
PC-PTSD-5_Qo1 Question 1 of the Primary Sometimes
PC-PTSD-5_Qo2 Question 2 of the Primary things happen
In the past
to people
month, that
have
are
you…unusually
or
Hadespecially
frightening,
nightmares
horrible,
about theor
traumatic.
event(s) or For
 PC-PTSD-5_Qo3 Question 3 of the Primary Tried hard not t
PC-PTSD-5_Qo4 Question 4 of the Primary Been constantly
PC-PTSD-5_Qo5 Question 5 of the Primary Felt numb or det
PC-PTSD-5_Qo6 Question 6 of the Primary Felt guilty or u
Intervention FacInterventionSetting_Q01 Question 1 of Intervention Indicate the pati
InterventionSetting_Q02 Question 2 of Intervention Indicate the pati
InterventionType_Q01 Question 1 of Intervention Indicate the pati
InterventionType_Q02 Question 2 of Intervention Indicate the pat
InterventionType_Q03 Question 3 of Intervention Indicate the pat
OUTCOMES Severity of Dep PROMIS-ALCOHOL_Q00 Screener question of PROMIIn the past 30 d
Covering Symptoms PROMIS-ALCOHOL_Q01
of Alcohol Dependence outcome.
Question 1 of PROMIS Short In the past 30 days...
If answer is yes, PROMIS-ALCOHOL_Q02
proceed to short form items. Question 2 of PROMIS Short IIdrank
spent heavily
too muchat time drinking.
If answer is no, skip the remaining
PROMIS-ALCOHOL_Q03 short form items.
Question 3 of PROMIS Short I drank too muc
PROMIS-ALCOHOL_Q04 Question 4 of PROMIS Short I drank more th
PROMIS-ALCOHOL_Q05 Question 5 of PROMIS Short I had trouble co
PROMIS-ALCOHOL_Q06 Question 6 of PROMIS Short It was difficult
PROMIS-ALCOHOL_Q07 Question 7 of PROMIS Short It was difficult
Covering Symptoms PROMIS-SUBSTANCE_Q00
of Substance Use DependenceScreener
outcome.
question of PROMISIn the past 30 d
If answer is yes, PROMIS-SUBSTANCE_Q01
proceed to short form items. Question 1 of PROMIS Short In the past 30 days...
If answer is no, skip the remaining short form items.
PROMIS-SUBSTANCE_Q02 Question 2 of PROMIS Short I felt
My that my
desire drug use was out of
to us
PROMIS-SUBSTANCE_Q03 Question 3 of PROMIS Short Drugs were the o
PROMIS-SUBSTANCE_Q04 Question 4 of PROMIS Short My drug use cau
PROMIS-SUBSTANCE_Q05 Question 5 of PROMIS Short I have a drug pr
PROMIS-SUBSTANCE_Q06 Question 6 of PROMIS Short I craved drugs.
PROMIS-SUBSTANCE_Q07 Question 7 of PROMIS Short I spent a lot of
Covering SymptPROMIS-SMOKING_Q01 Question 1 of PROMIS Short When I haven't b
PROMIS-SMOKING_Q02 Question 2 of PROMIS ShorI find myself rea
PROMIS-SMOKING_Q03 Question 3 of PROMIS Short I drop everythin
PROMIS-SMOKING_Q04 Question 4 of PROMIS ShorI smoke more bef
PROMIS-SMOKING_Q05 Question 5 of PROMIS ShorWhen I'm really c
PROMIS-SMOKING_Q06 Question 6 of PROMIS ShorAfter not smokin
PROMIS-SMOKING_Q07 Question 7 of PROMIS Short I crave cigarette
PROMIS-SMOKING_Q08 Question 8 of PROMIS ShorMy urges to smok
Covering SymptHSI_Q01 Question 1 of the Heavines On the days that
HSI_Q02 Question 2 of the HeavinesHow many cigare
Covering Sympto PGSI_Q01 Question 1 of the Problem Have you bet mor
PGSI_Q02 Question 2 of the Problem Have you needed
PGSI_Q03 Question 3 of the Problem Have you gone b
PGSI_Q04 Question 4 of the Problem Have you borrow
PGSI_Q05 Question 5 of the Problem Have you felt t
PGSI_Q06 Question 6 of the Problem Have people crit
PGSI_Q07 Question 7 of the Problem Have you felt g
PGSI_Q08 Question 8 of the Problem Has gambling cau
PGSI_Q09 Question 9 of the Problem Has your gambli
Covering SymptIGDT-10_Q01 Question 1 of the Ten-ItemWhen you were n
IGDT-10_Q02 Question 2 of the Ten-ItemHow often have y
IGDT-10_Q03 Question 3 of the Ten-ItemHave you ever in
IGDT-10_Q04 Question 4 of the Ten-ItemHave you ever in
IGDT-10_Q05 Question 5 of the Ten-ItemHave you ever in
IGDT-10_Q06 Question 6 of the Ten-ItemHave you played
 IGDT-10_Q07 Question 7 of the Ten-ItemHave you tried
IGDT-10_Q08 Question 8 of the Ten-ItemHave you played
IGDT-10_Q09 Question 9 of the Ten-ItemHave you risked
IGDT-10_Q10 Question 10 of the Ten-Ite Have you ever i
Covering TOP-S1_Q01_AVG Question 1 of the NHS Record the
Frequency and TOP-S1_Q01_W1 Treatment1 Outcomes
Question of the NHS averagethe
Record
Quantity of TOP-S1_Q01_W2 Profile for
Treatment Substance
Outcomes
Question 1 of the NHS amount
average
Record the on a
Activity Misuse
Profile - Section 1-
for1Substance
Treatment Outcomes using
amount
average dayonand
a
outcome. TOP-S1_Q01_W3 Question
Average of the NHS Record
number the
of
Misuse
Profile - Section
for 1-
Substance
Treatment1 Outcomes Week 1 using
amount
average dayonand
a
TOP-S1_Q01_W4 Question of the NHS Record
days
number the
of
Misuse
Profile - Section
for
Treatment 1-
Substance Week using
amount dayonand
a
TOP-S1_Q02_AVG Question
2 2 Outcomes
of the NHS average
substances
Record
days
number the
of
Misuse
Profile - Section 1-
for2Substance
Treatment Outcomes Week 3 using
amount
used
average day and
on a
onthe
TOP-S1_Q02_W1 Question of the NHS substances
Record
days
number of
Misuse
Profile - Section
for 1-
Substance
Treatment2 Outcomes Week using
average
amount
used
average day
in on
theand
overa
TOP-S1_Q02_W2 Question
4 of the NHS substances
Record
days
number the
of
Misuse
Profile - Section 1-
for2Substance the
using
past
amount
used past
day
week four
and
on a
in the
TOP-S1_Q02_W3 Treatment
Question Outcomes
of the NHS average
substances
Record
days
weeks: the
Average
Misuse
Profile - Section
for 1-
Substance Week 1 number
(Week
using
past
amount day
week of
1):
onand
a
TOP-S1_Q02_W4 Treatment2 Outcomes
Question of the NHS used
average
substances
Alcohol.
Record
days in the
the
Misuse - Section 1- Week Alcohol.
number
(Week
using
past day
week of
2): and
TOP-S1_Q03_AVG Profile for
Treatment Substance
Question 3 Outcomes
of the NHS amount
used
average
substances
Record on
in the
the a
2
Misuse - Section 1- Week 3 days
Alcohol.
number
(Week
using dayof
3): and
Profile for3Substance
Treatment Outcomes past
amount
used
average week
substances on a
onthe
TOP-S1_Q03_W1 Question of the NHS Record
days
Alcohol.
number
(Week of
4):
Misuse
Profile - Section
for 1-
Substance
Treatment3 Outcomes Week using
average
amount
used
average day
in on
theand
overa
TOP-S1_Q03_W2 Question
4 of the NHS substances
Record
days
Alcohol.
number the
of
Misuse
Profile - Section
for 1-
Substance the
using
past
amount
used past
day
week four
on
in theand
a
TOP-S1_Q03_W3 Treatment
Question 3 Outcomes
of the NHS average
substances
Record
days
weeks: the
Average
Misuse
Profile - Section 1-
for3Substance Week 1 number
(Week
using
past
amount day
week of
1): and
on a
TOP-S1_Q03_W4 Treatment
Question Outcomes
of the NHS used
average
substances
Opiates/
Record
days in the
the
Misuse - Section 1- Week Opiates/
number
(Week
using dayof
2):
TOP-S1_Q04_AVG Profile for Substance
Treatment4 Outcomes
Question of the NHS
past
amount
used
opioids
average week
substances
opioids
Record in onand
the
the a
2
Misuse - Section 1- Week 3 days
Opiates/
number
(Week
using dayof
3): and
Profile for4Substance
Treatment Outcomes past
amount
used
average week
(illicit)*.
substances on a
onthe
(illicit)*.
TOP-S1_Q04_W1 Question of the NHS opioids
Record
days
Opiates/
number
(Week of
4):
Misuse
Profile - Section
for 1-
Substance
Treatment4 Outcomes Week *Includes
using
average
*Includes
amount
used day
in
(illicit)*.
average on
theand
overa
TOP-S1_Q04_W2 Question
4 of the NHS substances
opioids
Record
days
Opiates/
street
number the
heroin
of
Misuse
Profile - Section
for 1-
Substance the
street
using
past past
*Includes
amount
used day
week four
heroin
on
in theand
a
TOP-S1_Q04_W3 Treatment
Question 4 Outcomes
of the NHS (illicit)*.
average
substances
opioids
Record
and
days
weeks: any the
non-
Average
Misuse
Profile - Section 1-
for4Substance Week 1 and
number
(Week
street
using
past any
*Includes
amount day
week non-
of
1):
heroin
and
on a
TOP-S1_Q04_W4 Treatment
Question Outcomes
of the NHS used
average
prescribed
substances
Crack
Record
prescribed
days in the
(illicit)*. the
Misuse - Section 1- Week Crack
and
number
(Week
street
using
past anyday
week non-
of
2):
heroin
and
TOP-S1_Q05_AVG Profile for Substance
Treatment5 Outcomes
Question of the NHS *Includes
amount
opioid,
used
average
opioid,
substances
Record in on
such
the
such
the aas
as
2
Misuse - Section 1- Week 3 prescribed
days
Crack
and
number
(Week
street
using any non-
of
3):
heroin
day and
Profile for
Treatment Substance
Outcomes methadone
past
amount
methadone
used
average
opioid, week
substanceson on
such aas
TOP-S1_Q05-W1 Question 5 of the NHS Record
prescribed
days
Crack
and any the
non-
Misuse
Profile - Section
for
Treatment 1- Week number
Substance
Outcomes
(Week
using
and
average
amount
methadone
used
average day
in
of
4):
on
theand
overa
TOP-S1_Q05_W2 Question
4 5 of the NHS opioid,
substances
Record
prescribed
days
buprenorphine
Crack
number such
the
of as
Misuse
Profile - Section
for 1-
Substance buprenorphine
the
using
and
past
amount past
methadone
used day
week
in four
on
theand
aas
TOP-S1_Q05_W3 Treatment
Question 5 Outcomes
of the NHS average
opioid,
substances
.
Record
days
.using
weeks: such
the
Average
Misuse
Profile - Section
for 1- Week 1 number
buprenorphine
(Week
and
past day
week of
1):
onand
TOP-S1_Q05_W4 Treatment
Question 5Substance
Outcomes
of the NHS amount
methadone
used
average
Record
days
.
Cocaine
number
in
substances
Cocaine the
the
buprenorphine
(Week of
2):
a
Misuse
Profile - Section 1-
for6Substance
Treatment Outcomes Week using
and
past
amount
used
average day
week and
on a
in the
TOP-S1_Q06_AVG Question
2 of the NHS substances
Record
days
.using
Cocaine
number the
of
Misuse
Profile - Section
for 1-
Substance Week 3 buprenorphine
(Week
past
amount
used 3):
day
week onand
onthe a
TOP-S1_Q06_W1 Treatment
Question 6 Outcomes
of the NHS average
substances
.Record
days
Cocaine
Misuse
Profile - Section 1-
for6Substance Week number
(Week
using
average
amount dayof
4): and
over
on a
TOP-S1_Q06_W2 Treatment
Question Outcomes
of the NHS used
average
Record
days in the
substancesthe
4
Misuse - Section 1- Cocaine
number
the
using
past past
day
week of
four
and
TOP-S1_Q06_W3 Profile for Substance
Treatment6 Outcomes
Question of the NHS amount
used
averagein
substances
Record on
the
the a
Average
Misuse - Section 1- Week 1 days
weeks:
number
(Week
using dayof
1): and
Profile for
Treatment Substance past
amount
used week on
in the a
TOP-S1_Q06_W4 Question 6 Outcomes
of the NHS average
substances
Amphetamines
Record
days
number
(Week the
Amphetamines
of
2):
Misuse
Profile - Section 1-
for7Substance
Treatment Outcomes Week using
past
amount
used day
week
average and
on a
in the
TOP-S1_Q07_AVG Question
2 of the NHS substances
Record
days
number the
Amphetamines
of
Misuse
Profile - Section
for 1-
Substance Week 3 (Week
using
past
amount
used 3):
day
week
on onand
a
TOP-S1_Q07_W1 Treatment7 of
Question Outcomes
the NHS average
substances
Record
days the
Amphetamines
Misuse
Profile - Section
for 1-
Substance Week number
(Week
using
average
amount dayof
4):
onand
overa
TOP-S1_Q07_W2 Treatment
Question Outcomes
7 of the NHS used
average
Record
days in the
substancesthe
4
Misuse - Section 1- Amphetamines
number
the
using
past past
day
week of
four
and
TOP-S1_Q07_W3 Profile
Questionfor7Substance
Treatment Outcomes
of the NHS amount
used
average
substances
Record on a
in the
the
Average
Misuse - Section 1- Week 1 days
weeks:
number
(Week
using dayof
1):
TOP-S1_Q07-W4 Profile for Substance
Treatment7 of
Question Outcomes
the NHS
past
amount
used week
averagein
substances
Cannabis
Record onand
the
the a
Misuse - Section 1- Week days
Cannabis
number
(Week
using dayof
2): and
Profile for8Substance
Treatment Outcomes past
amount
used week on a
in the
TOP-S1-EXTRA_Q08_AVG Question
2 added to the average substances
Record
days
Cannabis
number
(Week the
of
3):
Misuse
Profile - Section
for 1-
Substance
NHS Treatment Week 3 using
past
amount
used day
week
averageon onand
a
TOP-S1-EXTRA_Q08_W1 Question 8 added to the Record substances
days
Cannabis
number the
of
Misuse
Outcomes- Section 1-
Profile forWeek (Week
using
average
amount
used 4):
day and
over
on
in the a
TOP-S1-EXTRA_Q08_W2 NHS Treatment
Question 8 added to the average substances
Record
days
Cannabis the
4
Substance
Outcomes Misuse
Profile - number
the
using
past past
day
week of
four
and
TOP-S1-EXTRA_Q08_W3 NHS
Question
Section added for
Treatment
1-8Average to the averageamount
used
substances
Record
days
weeks:
number
(Week
on a
in the
the
of
1):
Substance
Outcomes
NHS TreatmentMisuse
Profile -
for using
past
amount
used
average day
week
in onand
the a
TOP-S1-EXTRA_Q08_W4 Question
Section 1-8Week
added1 to the Record substances
Other
days
Other
number the
of
Substance
Outcomes Misuse
Profile -
for (Week
using
past
amount
used 2):
day
week on
in theand
a
TOP-S1-EXTRA_Q09_AVG NHS Treatment
Question added2 to the average
9Week substance
substances
substance
Record
days
Other the
Section
Substance
Outcomes 1- Misuse
Profile - number
(Week
using
past day
week of
3): and
TOP-S1-EXTRA_Q09_W1 NHS
Question
Section added3 for
Treatment
1-9Week to the averageamount
used
substances
substance
Record
days
Other
number
(Week
on a
onthe
of
4):
Substance
Outcomes
NHS TreatmentMisuse
Profile -
for using
average
number
used
average day
in of
theand
over
TOP-S1-EXTRA_Q09_W2 Question
Section 1-9Week
added4 to the Record substances
substance
days
Other
number the
of
Substance
Outcomes Misuse
Profile - the
hours
past past four
spent
week
TOP-S1-EXTRA_Q09_W3 NHS
Question
Section added for
Treatment
1-9Average to the averagenumber
used
substances
substance
Record
days
weeks:
gaming
(Week
of
in the
the
and
1):
Substance
Outcomes
NHS TreatmentMisuse
Profile -
for hours
past
number
used
average spent
week
in of
the
TOP-S1-EXTRA_Q09_W4 Question
Section 1-9Week
added1 to the Record substances
Tobacco
number
Tobacco
gaming the
of
and
Substance
Outcomes Misuse
Profile -
for (Week
hours
past
number
used 2):
spent
week
in of
the
TOP-S1-EXTRA_Q10_AVG NHS Treatment
Question 10 added average
days
to the Record
numberplayed,
Tobacco the
of
Section
Substance
Outcomes 1- Week
Misuse2 -
Profile for gaming
(Week
hours
past
number and
3):
spent
week of in
NHS Treatment on average,
average
days
numberplayed
of in
Section
Substance1- Week
Misuse3 for
- Tobacco
gaming
(Week
hours
each and
4):
spent
of the
Outcomes Profile number
the
days past of
week
played in
Section
Substance1- Week
Misuse4 - number
Tobacco
gaming
past
days four of
and
gambled
(Week
the
days past1)week
played in
Section 1- Average number
weeks
on each2)ofof the
(Week
the past
days playedweek
following, onin
(Week
the past3)week
average, in
TOP-S1-EXTRA_Q10_W1 Question 10 added to the Record the
TOP-S1-EXTRA_Q10_W2 NHS Treatment
Question 10 added to the average
Record the
TOP-S1-EXTRA_Q10_W3 Outcomes
NHS 10Profile
addedfor
Treatment
Question to the number
average
Record the of
Substance
Outcomes Misuse
Profile
NHS Treatment -
for days
numbergambled
averagethe of
TOP-S1-EXTRA_Q10_W4 Question
Section 10 added
1- Week to the Record
Substance
Outcomes
NHS Misuse1 for
Profile
Treatment - on
dayseach
number of
of the
gambled
average
TOP-S1-EXTRA_Q11_AVG Question
Section 1-11 added to the
Week Record
followingthe
Substance
Outcomes Misuse2for
Profile
NHS Treatment - on
dayseach
number of
gambled
average
the
of past
TOP-S1-EXTRA_Q11_W1 Question
Section 1-11 added
Week 3 to the during
Record the
following
on each the
of the
Substance
Outcomes
NHS Misusefor
Profile
Treatment - days
number
week gambled
average of past
(Week 1):
TOP-S1-EXTRA_Q11_W2 Question1-11
Section added to the
Week during
Record the
followingthe
Substance
Outcomes
NHS Misuse4for
Profile
Treatment - on
dayseach
number
week
average
of
gambled
Offline the
(real-
of
(Week 2):
TOP-S1-EXTRA_Q11_W3 Question
Section 1-11 added to the
Average during
Record the
following
on each the
of past
the
Substance
Outcomes Misuse
Profile -
for world)
days
number
week gambled
Offline (real-
of
(Week 3):
TOP-S1-EXTRA_Q11_W4 NHS Treatment
Question 11 added to the average
during
Record the
gambling:the
following, past
on
Section
Outcomes1-
Substance Week 1
Misusefor
Profile - on
dayseach
world)
number of
gambled
Offline the
(real-
of
TOP-S1-EXTRA_Q12_AVG NHS Treatment
Question week
average(Week
average,
Electronic 4):
inthe
Section 1-12
Substance
Outcomes
added to the
Week
Misuse2for
Profile -
Record
following
gambling:
on each
world)
days
Offline
number
the
of
gambled
(real-
of
TOP-S1-EXTRA_Q12_W1 NHS Treatment
Question 12 added to the each
gamingof
average
during
Electronic
Record
following past
the
the past
Section 1-
Substance Week 3
Misusefor- gambling:
on each
world)
days
four of
gambled
weeks: the
TOP-S1-EXTRA_Q12_W2 Outcomes
Question 12Profile
NHS Treatmentadded to the machines
number
week
gaming
average
during
Record the
Electronic of(e.g.
(Week
the 1):
past
Section 1- Week
Substance Misuse4for
- following
gambling:
on each
Horses
days of
and
slots/pokies,
gambled the
Outcomes
NHS Profile
Treatment Horses
machines
number
week
gaming
average
during and
(Week
the (e.g.
of past
2):
TOP-S1-EXTRA_Q12_W3 Question
Section 1-12 added to the
Average Electronic
Record
following
sports the
blackjack,
on each
sports of the
Substance
Outcomes Misusefor
Profile
NHS Treatment - slots/pokies,
days
Horses
number
week
gaminggambled
machines
average and
of
(Week (e.g.
3):
TOP-S1-EXTRA_Q12_W4 Question
Section 1-12 added
Week 1 to the during
wagering
Record
poker,
wagering
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by All patients All time points Patient- Single answer
on
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distance or services
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None your
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S8: health
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something other
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such
problems?
health
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None ten minutes?
S9: Getting
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problems
body?
dressed? that or services
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None equivalent]?
may be short or transition
S10: Dealing All patients
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with people or services
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None long
S11: lasting, transition
All patients
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you do not
injuries,
Maintaining mental a or services
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None S12:
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or emotional
friendship or services
adulthood that
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S13: Overall,work? and in adult services
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All patientstoin All time points reported
Patient- Numerical
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None S14:
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or past All patients
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30 days,how forpast or services
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S15:
many Indays
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how
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None Have you had Adolescents with childrenin
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None I have been
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Patients
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None spending
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do not involve substance and/or use
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None I have been Patients All time points Patient- Single answer
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CODE RESPONSE OPTIONS
N/A According to institution
Date YYYY
Code 1 = Male
Code 12==Boy/Man Female
Code 3
102===Straight = Other
Girl/Woman or heterosexual
999
3 = Unemployed
= Undisclosed
Non-binary
Code 2
01==None = Gay or lesbian or homosexual
4
3 = Part-time
= Primary
Trans
Bisexual employment
man/Transgender man/FTM//Trans woman/Transgender woman/MTF
Code 0 1 =
04 522= =None
===
= Full-time
INone
have
None of
no
of
Secondary
employment
these
other
these describe
diseases
describe me,
me, and
and I’d
I’d like
like to
to specify
specify_______________
Code 11999 3 =
== Primary
Retired
Heart
= Prefer 4=
disease
not Unpaid
to
(For
answerwork
example, (student,
angina, caregiver,
heart attack,homemaker, volunteer, etc.)
or heart failure)
52 = I
3 == Tertiary don't
Secondaryknow right now
Code 0999 2 = High
= Unable blood
= Prefertonot pressure
worktodue to a physical condition
answer
0331 == = Lives
Tertiary
alone
Code 0 ==Lung Unable
No disease
to work(For example,
due to mental asthma,
healthchronic bronchitis, or emphysema)
condition
14
2 == Lives
Not with
Diabetes
working others
by choice (retired, homemaker, other)
Code 012 = Yes
53 ===No Lives inor supported home (i.e. assisted living, congregate care, skilled
16
Ulcer
Seeking stomach
employment disease
or applying for studies (I consider myself able tonursing
work) home, etc.)
Code 34 = == Yes
Homeless
Kidney disease
Part-time work, volunteering, school, or vocational training
Code Please 57 = Liver disease
report
Full-time your ethnicity
work, basedschool,
volunteering, on yourorgeographic
vocational region's
training local standards.
Code 8 = Anemia or other blood disease
Please report your race based on your geographic region's local standards.
09==No
Cancer/Other cancer (within the last 5 years)
Code
10 = Depression
Code 0111===No Yes
Osteoarthritis, degenerative arthritis
999
112==Yes =Back
Prefer not toRheumatoid
say
code pain 13= arthritis 14= Other medical problems
999
No= 1=
Prefer
code 0= Yes not to say
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
code 0= No 1= Yes
string None
quantity Total summed score
quantity None
quantity None
Code 0 = No
Code 01 == No Yes
1 = Yes
Code 0 = No
Code 01 == No Yes
Code 0 = No1 = Yes
Code 01 == No Yes
Code 0 = No1 = Yes
Code 01 == No Yes
Code 0 = No1 = Yesintervention / treatment in place
Code 1
1 = Crisis = Individual
intervention
Code 2
12==Selective = Group
Counselling serotonin reuptake inhibitors (SSRIs)
32==
3 = Tricyclic
A mix of and
Psychotherapybothrelated
(including CBT, IPT, DBT, or other psychotherapies)
antidepressants
Code 1 = No
4
3===Never = Yes atypical antidepressantstherapy, electroconvulsive therapy, rTMS, or others)
Physical
Other treatment (e.g. light
Code 12 54 == Pharmacotherapy (if so, proceed to next question)
Atypical antipsychotic medication
Code 12 56 ====Never
Rarely
Lifestyle
Herbal interventions, guided self-help or psychoeducation
medication
Code 12 3888 ====Never
Sometimes
Rarely
= Other
6
4 = Mood
Often stabilisers
Code 12 3
75===Never = Sometimes
Rarely
Anti-convulsants
4 Almost
= Sometimes
Often always
Code 132 8===
59 =
Beta-blockers
Rarely
Never
Almost always medications
Code 114 3=
2 ====Not
Often
Complementary
Sometimes
Rarely
Never at all
510
32====
4 Almost
==Sometimes
Uncertain
Often always
12
A little bit
Rarely
Code 5888 = Never
= Other
Almost
34 == Somewhat Often always
Code 132 4 = =
=
Sometimes
Rarely
No
Quite
53 == Sometimes
4
2 Often a always
Almost
= Very
Yes
bit
Code 554 = = Almost muchalways
Code 115= ==Never
Often
Not at all
2= = Almost
A always
little bit
Code 12 3= = =Never
Rarely
Somewhat
Code 132 4 ====
Sometimes
Rarely
Never
Quite
34
2 = =
= Often a bit
Sometimes
Rarely
Code 554 == Almost
Very
= Oftenmuch always
Code 135===Never Sometimes
4= = Almost
Often always
Code 12 53===Never
Rarely
Almost always
Code 12==Never Sometimes
Rarely
4
3=== = Sometimes
Often
Code 12 534 ===Never
Rarely
Almost
Often always
= Sometimes
Code 12 534====Never
Rarely
Almost always
112= Often
Sometimes
=Not
Rarelyat all
Code 52 = Never
Code 114 32= ==== Always
=Not
Often
A little
Sometimes
Rarely
Never
bit
at all
52
334 == Somewhat = Always
Often
A little
Sometimes bit
Code 12 4
54 ===Never
Rarely
Quite
Always a bit
32
35 === Sometimes = Somewhat
Often
Rarely
Code 4 Very
Quite much
53 === Sometimes
4 Often a bit
Always
Code 554 = == Very
Oftenmuch
Always
Code 05 == After Always 60 minutes
Code 01 == 10 31-60 minutes
or fewer
Code 01 == Never 2 = 6-30
11-20 minutes
31 =
2 == Sometimes
Within
21-30 5 minutes
Code 0 = Never
312 = == Sometimes
31
Mostor more
of the time
Code 0 = Never
31 = == Sometimes
Always
Code 0 = Neverof the time 2 Most
3 = Sometimes Always
Code 012===Never Most of the time
32 = = Always
Most of the time
Code 01 == Never Sometimes
31 =
2 == Sometimes
Always
Most of the time
Code 0 = Never
312 = == Sometimes
Always
Most of the time
Code 0 = Never
32 = = Always
Most of the time
Code 01 == Never Sometimes
31 =
2 == Sometimes
Always
Most of the time
Code 0 = Never
312 = == Sometimes
Always
Most of the time
Code 0 = Never
31 =
2 == Sometimes
Always
Often
Code 0 = Never
Code 012===Never Often
Sometimes
Code 01 == Never 2 = Often
Sometimes
Code 01 == Never 2 = Often
Sometimes
12 == Sometimes
Often
2 = Often
Code 0 = Never
Code 01 == Never
Sometimes
Code 2
1 == Often
Sometimes
0 = Never
Code 2 = Often
01 == Never
Sometimes
quantity 12 == Sometimes
Often
units/day
quantity 2 = Often
days/week
quantity days/week
quantity days/week
quantity days/week
quantity g/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity g/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity g/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity g/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity spliff/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity g/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity cig/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity hours/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity hours/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity hours/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity hours/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity hours/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity hours/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity hours/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity hours/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity hours/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity hours/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
quantity hours/day
quantity days/week
quantity days/week
quantity days/week
quantity days/week
 0 = None
10 == Mild None
Code 2
10 == Mild Moderate
None
Code 32 == Severe Moderate
14 = Mild
Extreme
None or cannot do
Code 30
2 == Severe
Moderate
14 = Mild
Extreme
None or cannot do
Code 30
2 == Severe
Moderate
14 = Mild
Extreme
None or cannot do
Code 30
2 == Severe
Moderate
14 = Mild
Extreme
None or cannot do
Code 30
2 == Severe
Moderate
14 = Mild
Extreme
None or cannot do
Code 30
2 == Severe
Moderate
14 = Mild
Extreme
None or cannot do
Code 30
2 == Severe
Moderate
14 = Mild
Extreme
None or cannot do
Code 30
2 == Severe
Moderate
10
4 = Mild
Extreme or cannot do
= Severe
None
Code 32 = Moderate
10
4 = Mild
Extreme or cannot do
= Severe
None
Code 32 = Moderate
14 = Mild Extreme or cannot do
Code 32 == Severe Moderate
4
3Number = Extreme or cannot do
= Severe
quantity of days
54 = Excellent Extreme or cannot do
quantity Number
4 of days
5 == Excellent Very good
quantity 3Number
4 = Good of days
5 == Excellent
2
Very good
Fair
34 = Good Very good
code 12
5 == Poor Excellent
Fair
34 = Good Very good
code 12
5 == Poor Excellent
Fair
34 == Good Very good
code 12
5 = Poor Excellent
Fair
34 == Good Very good
code 12
5 = Poor Completely
Fair
34 == Good Mostly
code 12 = Poor Fair
3 = Moderately
code 12 == Poor A little
code 1 = Not at all
code 5 = Never 4 = Rarely 3 = Sometimes 2 = Often 1 = Always
code 5 = None 4 = Mild 3 = Moderate 2 =Severe 1 = Very severe
code Numerical value between 0 and 10
Code 0 = Not at all
Code 10 == Slightly Never
2
10 == Seldom Moderately
Code 32 == Very Never
10 Quite often
== Seldom
Code 4
32 = Very Extremely
Never
10 = Quiteoften
Seldom often
Code 4
32 = Always
= Very
Never often
14 Quite often
== Seldom
Code 0
32 = Always
Neveroften
Very
14 = Quite
Seldom often
Code 0
32 = Always
= Very
Neveroften
14 Quite often
== Seldom
Code 0
32 = Always
Neveroften
Very
14 = Quite
Seldom often
Code 0
32 == Very Always
Not at all
often
14 = Quite often
Slightly
Code 0
32 == Very Always
Neveroften
0
14 = Moderately
Never
Seldom
Code 0
312 = Always
Poor
= On
Very
0
14 = Fair Quite
Never1 oroften
2 days
Code 2 Extremely
On
312 =
0
= On
Very
Good
Never1 or 24 days
3 or
often days
Code 34
2
31 = = On 5
Always
On 13 or
= On
Very or 6 days
or 24 days
good days
4
0
34 = Every
None
On 5 or
Excellent day
of 6 the time
days
Code 2
10
4 ==
=
Onlittle
A
Every
None
3 orof4 days
day
of thetime
the time
Code 32 = On A 5 or
fair 6 days of the time
amount
10
4 == A littleof
Every
None ofthe
day thetime
time
Code 32 = Most
A fair of the time
amount of the time
10
4 == A
Alllittle
None ofofthe
of of
the the
time
the time
time
Code 32 = Most
A little
fair amount time
of the time
14 = A All of of of the
the timetime
Code 32 == Most the time
A fair amount of the time
4
3 == Most
All of ofthethetime
time
4 = All of the time
 0 = None of the time
10 == A littleofofthe
None thetime
time
Code 2 = A fair amount of the time
10 = A littleofofthe
None thetime
time
Code 32 == Most A little of the
fair amount time
of the time
14 =A All ofofthe
of of
the the
timetime
Code 30
2 = None
Most the time
time
14 == A
A little
All
fair amount
ofofthe
of of
the the
time
of the time
time
Code 30
2
None
== Most
A fair
the
amount
time
time
of the time
14 =A little
All ofofthe
of of
the the
timetime
Code 30
2 = None
Most the time
time
14 == A
A little
All
fair amount
ofofthe
of of
the the
time
of the time
time
Code 30
2 = None
Most the time
time
14 == A
A little
All
fair amount
ofofthe
of of
the the
time
of the time
time
Code 30
2 = None
Most the time
time
14 == A
A little
All
fair amount
ofofthe
of of
the the
time
of the time
time
Code 30
2 = None
Most the time
time
14 == A
A little
All
fair amount
ofofthe
of of
the the
time
of the time
time
Code 30
2 = None
Most the time
time
10
4 ==
=A
A little
fair amount
All of of
None ofofthe
the the
time
the
of the time
time
time
Code 32 = Most
A little
fair amount time
of the time
10
4 == A
All of of
None ofofthe
the the
time
the time
time
Code 32 = Most
A little
fair amount time
of the time
10
4 == A
All of of
None ofofthe
the the
time
the time
time
Code 32 = Most
A little
fair amount time
of the time
14
0 == A
All
None ofofthe
of of
the the
time
the time
time
Code 32 = Most
A little
fair amount time
of the time
14 = A All of of of the
the timetime
Code 30
2=A = Most
Not the
fairimportant time
amount of the time
4
130 == Alllittle
A
Most of of
thethetime
important
time
Code = Not important
2
10 ==
4 Important
Alllittle
A of the time
important
Code 32 = = Very
Not important
important
10 == A Important
little important
Code 32 = VeryNot important
important
10 == A Important
little important
Code Not
32 = Very important
important
Important
1 = A little important
Code 32 == Very important
Important
3 = Very important
ing home, etc.)