M3 Checklist and AUDIT-C

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Test Details

Use

This is a combined order that provides the M3 Checklist, a 27-question validated assessment that queries for anxiety, bipolar disorder, depression and PTSD (Post Traumatic Stress Disorder) symptoms to help identify people at risk of a mental health condition, and the AUDIT-C, a three-question assessment that can help identify persons who are at risk for alcohol disorders.

Clinical Information

Special Instructions

An email address is required.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
820156 M3 CHECKLIST and AUDIT-C 820180 Assessment Date/Time Not Available
820156 M3 CHECKLIST and AUDIT-C 819973 M3 Score Not Available
820156 M3 CHECKLIST and AUDIT-C 819975 M3 Gateway Not Available
820156 M3 CHECKLIST and AUDIT-C 819974 DIAGNOSIS RISK N/A
820156 M3 CHECKLIST and AUDIT-C 819976 Depression Dx Risk Not Available
820156 M3 CHECKLIST and AUDIT-C 819977 Bipolar Diagnosis Risk Not Available
820156 M3 CHECKLIST and AUDIT-C 819978 Anxiety Diagnosis Risk Not Available
820156 M3 CHECKLIST and AUDIT-C 819981 PTSD Diagnosis Risk Not Available
820156 M3 CHECKLIST and AUDIT-C 819982 GATEWAY QUESTIONS N/A
820156 M3 CHECKLIST and AUDIT-C 820039 Q5 Thoughts of suicide Not Available
820156 M3 CHECKLIST and AUDIT-C 819983 Q24 Impairs work school Not Available
820156 M3 CHECKLIST and AUDIT-C 819984 Q25 Impairs friends family Not Available
820156 M3 CHECKLIST and AUDIT-C 819985 Q26 Led to using alcohol Not Available
820156 M3 CHECKLIST and AUDIT-C 819986 Q27 Led to using drugs Not Available
820156 M3 CHECKLIST and AUDIT-C 819993 SYMPTOM (Sx) SEVERITY N/A
820156 M3 CHECKLIST and AUDIT-C 819994 M3 Depression Sx Subscore Not Available
820156 M3 CHECKLIST and AUDIT-C 819998 M3 Bipolar Sx Subscore Not Available
820156 M3 CHECKLIST and AUDIT-C 819999 M3 Anxiety Sx Subscore Not Available
820156 M3 CHECKLIST and AUDIT-C 820025 M3 PTSD Sx Subscore Not Available
820156 M3 CHECKLIST and AUDIT-C 820026 QUESTIONS N/A
820156 M3 CHECKLIST and AUDIT-C 820027 Q1 Feel sad, unhappy Not Available
820156 M3 CHECKLIST and AUDIT-C 820036 Q2 Can't concentrate/focus Not Available
820156 M3 CHECKLIST and AUDIT-C 820037 Q3 Nothing gives pleasure Not Available
820156 M3 CHECKLIST and AUDIT-C 820038 Q4 Tired, no energy Not Available
820156 M3 CHECKLIST and AUDIT-C 820040 Q6A Difficulty sleeping Not Available
820156 M3 CHECKLIST and AUDIT-C 820041 Q6B Sleeping too much Not Available
820156 M3 CHECKLIST and AUDIT-C 820042 Q7A Decreased appetite Not Available
820156 M3 CHECKLIST and AUDIT-C 820047 Q7B Increased appetite Not Available
820156 M3 CHECKLIST and AUDIT-C 820048 Q8 Tense anxious can't sit Not Available
820156 M3 CHECKLIST and AUDIT-C 820049 Q9 Worried or fearful Not Available
820156 M3 CHECKLIST and AUDIT-C 820056 Q10 Panic Attacks Not Available
820156 M3 CHECKLIST and AUDIT-C 820059 Q11 Dying losing control Not Available
820156 M3 CHECKLIST and AUDIT-C 820060 Q12 Nervous shaky social Not Available
820156 M3 CHECKLIST and AUDIT-C 820061 Q13 Nightmares, flashbacks Not Available
820156 M3 CHECKLIST and AUDIT-C 820062 Q14 Jumpy, startled easily Not Available
820156 M3 CHECKLIST and AUDIT-C 820063 Q15 Avoids places Not Available
820156 M3 CHECKLIST and AUDIT-C 820064 Q16 Dull numb or detached Not Available
820156 M3 CHECKLIST and AUDIT-C 820065 Q17 Can't get thoughts out Not Available
820156 M3 CHECKLIST and AUDIT-C 820066 Q18 Must repeat rituals Not Available
820156 M3 CHECKLIST and AUDIT-C 820067 Q19 Need to check/recheck Not Available
820156 M3 CHECKLIST and AUDIT-C 820068 Q20 More energy than usual Not Available
820156 M3 CHECKLIST and AUDIT-C 820069 Q21 Irritable angry Not Available
820156 M3 CHECKLIST and AUDIT-C 820070 Q22 Excited revved high Not Available
820156 M3 CHECKLIST and AUDIT-C 820071 Q23 Needed less sleep Not Available
820156 M3 CHECKLIST and AUDIT-C 820072 Comments: Not Available
820156 M3 CHECKLIST and AUDIT-C 820073 References: N/A
820156 M3 CHECKLIST and AUDIT-C 820074 Disclaimer: N/A
820156 M3 CHECKLIST and AUDIT-C 820157 PDF Image Not Available
820156 M3 CHECKLIST and AUDIT-C 820101 AUDIT-C Not Available
820156 M3 CHECKLIST and AUDIT-C 820103 AUDIT-C Total Score Not Available
820156 M3 CHECKLIST and AUDIT-C 820104 Q1 How often in past year Not Available
820156 M3 CHECKLIST and AUDIT-C 820105 Q2 How many on a typical day Not Available
820156 M3 CHECKLIST and AUDIT-C 820106 Q3 6+ drinks per occasion Not Available
820156 M3 CHECKLIST and AUDIT-C 820107 Comments: N/A
820156 M3 CHECKLIST and AUDIT-C 820108 Reference: Not Available
820156 M3 CHECKLIST and AUDIT-C 820158 PDF Image Not Available

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