Smart Bear Implementation Guide
0.3.2 - ci-build
Smart Bear Implementation Guide - Local Development build (v0.3.2). See the Directory of published versions
Official URL: https://smart-bear.eu/fhir/Questionnaire/EFSQuestionnaire | Version: 0.3.2 | |||
Draft as of 2023-11-21 | Computable Name: EFSQuestionnaire |
LinkId | Text | Cardinality | Type | Description & Constraints |
---|---|---|---|---|
EFSQuestionnaire | Questionnaire | https://smart-bear.eu/fhir/Questionnaire/EFSQuestionnaire#0.3.2 | ||
0 | Cognition: Please imagine that this pre-drawn circle is a clock. I would like you to place the numbers in the correct positions then place the hands to indicate a time of ten after eleven | 1..1 | integer | Options: 3 options |
1 | General Health Status : In the past year, how many times have you been admitted to a hospital? | 1..1 | integer | Options: 3 options |
2 | General Health Status : In general, how would you describe your health? | 1..1 | integer | Options: 3 options |
3 | Functional independence: With how many of the following activities do you require help? (meal preparation,shopping, transportation, telephone,housekeeping, laundry, managing money,taking medications) | 1..1 | integer | Options: 3 options |
4 | Social Support: When you need help, can you count on someone who is willing and able to meet your needs? | 1..1 | integer | Options: 3 options |
5 | Medication use: Do you use five or more different prescription medications on a regular basis? | 1..1 | integer | Options: 2 options |
6 | Medication use: At times, do you forget to take your prescription medications? | 1..1 | integer | Options: 2 options |
7 | Nutrition: Have you recently lost weight such that your clothing has become looser? | 1..1 | integer | Options: 2 options |
8 | Mood: Do you often feel sad or depressed? | 1..1 | integer | Options: 2 options |
9 | Continence: Do you have a problem with losing control of urine when you don’t want to? | 1..1 | integer | Options: 2 options |
10 | Functional Performance: I would like you to sit in this chair with your back and arms resting. Then, when I say ‘GO’, please stand up and walk at a safe and comfortable pace to the mark on the floor (approximately 3 m away), return to the chair and sit down | 1..1 | integer | Options: 3 options |
11 | null | 0..1 | integer | |
score | null | 1..1 | integer | |
Documentation for this format |
Option Sets
Answer options for 0
Answer options for 1
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Answer options for 10