Smart Bear Implementation Guide
3.4.1 - ci-build
Smart Bear Implementation Guide - Local Development build (v3.4.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2024-09-17 |
<Questionnaire xmlns="http://hl7.org/fhir">
<id value="EFSQuestionnaire"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire EFSQuestionnaire</b></p><a name="EFSQuestionnaire"> </a><a name="hcEFSQuestionnaire"> </a><a name="EFSQuestionnaire-en-US"> </a><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description & Constraints</a><span style="float: right"><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> EFSQuestionnaire</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Edmonton Frailty Scale</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">https://smart-bear.eu/fhir/Questionnaire/EFSQuestionnaire#3.4.1</td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.0" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 0</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.0">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.1" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">General Health Status : In the past year, how many times have you been admitted to a hospital?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.1">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.2" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 2</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">General Health Status : In general, how would you describe your health? </td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.2">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.3" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 3</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Functional independence: With how many of the following activities do you require help? (meal preparation,shopping, transportation, telephone,housekeeping, laundry, managing money,taking medications)</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.3">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.4" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 4</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Social Support: When you need help, can you count on someone who is willing and able to meet your needs?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.4">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.5" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 5</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Medication use: Do you use five or more different prescription medications on a regular basis?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.5">2 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.6" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 6</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Medication use: At times, do you forget to take your prescription medications?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.6">2 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.7" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 7</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Nutrition: Have you recently lost weight such that your clothing has become looser?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.7">2 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.8" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 8</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Mood: Do you often feel sad or depressed?</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.8">2 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.9" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 9</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Continence: Do you have a problem with losing control of urine when you don’t want to?</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.9">2 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.10" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 10</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.10">3 options</a></td></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.11" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-integer.png" alt="." style="background-color: white; background-color: inherit" title="integer" class="hierarchy"/> 11</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">null</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.score" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-integer.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="integer" class="hierarchy"/> score</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">null</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="http://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer">integer</a></td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
<tr><td colspan="5" class="hierarchy"><br/><a href="http://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.0"> </a><p><b>Answer options for 0 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSCognition#0 ("No errors")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSCognition#1 ("Minor spacing errors")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSCognition#2 ("Other errors")</li></ul><a name="opt-item.1"> </a><p><b>Answer options for 1 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSGeneralHealthStatus#0 ("0")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSGeneralHealthStatus#1 ("1-2")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSGeneralHealthStatus#2 (">=2")</li></ul><a name="opt-item.2"> </a><p><b>Answer options for 2 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSGeneralHealthHospital#0 ("Excellent, very good, or good")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSGeneralHealthHospital#1 ("Fair")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSGeneralHealthHospital#2 ("Very poor")</li></ul><a name="opt-item.3"> </a><p><b>Answer options for 3 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSFunctionalIndipendence#0 ("0-1")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSFunctionalIndipendence#1 ("2-4")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSFunctionalIndipendence#2 ("5-8")</li></ul><a name="opt-item.4"> </a><p><b>Answer options for 4 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSSocialSupport#0 ("Always")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSSocialSupport#1 ("Sometimes")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSSocialSupport#2 ("Never")</li></ul><a name="opt-item.5"> </a><p><b>Answer options for 5 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo#0 ("No")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo#1 ("Yes")</li></ul><a name="opt-item.6"> </a><p><b>Answer options for 6 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo#0 ("No")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo#1 ("Yes")</li></ul><a name="opt-item.7"> </a><p><b>Answer options for 7 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo#0 ("No")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo#1 ("Yes")</li></ul><a name="opt-item.8"> </a><p><b>Answer options for 8 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo#0 ("No")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo#1 ("Yes")</li></ul><a name="opt-item.9"> </a><p><b>Answer options for 9 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo#0 ("No")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo#1 ("Yes")</li></ul><a name="opt-item.10"> </a><p><b>Answer options for 10 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSFunctionalPerformance#0 ("0-10 s")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSFunctionalPerformance#1 ("11-20 s")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/EFSFunctionalPerformance#2 ("One of: >20s or patient unwilling, or requires assistance")</li></ul></div>
</text>
<url value="https://smart-bear.eu/fhir/Questionnaire/EFSQuestionnaire"/>
<version value="3.4.1"/>
<name value="EFSQuestionnaire"/>
<title value="Edmonton Frailty Scale"/>
<status value="draft"/>
<date value="2024-09-17T08:57:54+02:00"/>
<description value="Edmonton Frailty Scale"/>
<item>
<linkId value="0"/>
<text
value="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"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/EFSCognition"/>
<code value="0"/>
<display value="No errors"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/EFSCognition"/>
<code value="1"/>
<display value="Minor spacing errors"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/EFSCognition"/>
<code value="2"/>
<display value="Other errors"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="1"/>
<text
value="General Health Status : In the past year, how many times have you been admitted to a hospital?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSGeneralHealthStatus"/>
<code value="0"/>
<display value="0"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSGeneralHealthStatus"/>
<code value="1"/>
<display value="1-2"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSGeneralHealthStatus"/>
<code value="2"/>
<display value=">=2"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="2"/>
<text
value="General Health Status : In general, how would you describe your health? "/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSGeneralHealthHospital"/>
<code value="0"/>
<display value="Excellent, very good, or good"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSGeneralHealthHospital"/>
<code value="1"/>
<display value="Fair"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSGeneralHealthHospital"/>
<code value="2"/>
<display value="Very poor"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="3"/>
<text
value="Functional independence: With how many of the following activities do you require help? (meal preparation,shopping, transportation, telephone,housekeeping, laundry, managing money,taking medications)"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSFunctionalIndipendence"/>
<code value="0"/>
<display value="0-1"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSFunctionalIndipendence"/>
<code value="1"/>
<display value="2-4"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSFunctionalIndipendence"/>
<code value="2"/>
<display value="5-8"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="4"/>
<text
value="Social Support: When you need help, can you count on someone who is willing and able to meet your needs?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSSocialSupport"/>
<code value="0"/>
<display value="Always"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSSocialSupport"/>
<code value="1"/>
<display value="Sometimes"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSSocialSupport"/>
<code value="2"/>
<display value="Never"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="5"/>
<text
value="Medication use: Do you use five or more different prescription medications on a regular basis?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo"/>
<code value="0"/>
<display value="No"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo"/>
<code value="1"/>
<display value="Yes"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="6"/>
<text
value="Medication use: At times, do you forget to take your prescription medications?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo"/>
<code value="0"/>
<display value="No"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo"/>
<code value="1"/>
<display value="Yes"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="7"/>
<text
value="Nutrition: Have you recently lost weight such that your clothing has become looser?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo"/>
<code value="0"/>
<display value="No"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo"/>
<code value="1"/>
<display value="Yes"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="8"/>
<text value="Mood: Do you often feel sad or depressed?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo"/>
<code value="0"/>
<display value="No"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo"/>
<code value="1"/>
<display value="Yes"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="9"/>
<text
value="Continence: Do you have a problem with losing control of urine when you don’t want to?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo"/>
<code value="0"/>
<display value="No"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/EFSYesOrNo"/>
<code value="1"/>
<display value="Yes"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="10"/>
<text
value="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"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSFunctionalPerformance"/>
<code value="0"/>
<display value="0-10 s"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSFunctionalPerformance"/>
<code value="1"/>
<display value="11-20 s"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/EFSFunctionalPerformance"/>
<code value="2"/>
<display
value="One of: >20s or patient unwilling, or requires assistance"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="11"/>
<type value="integer"/>
<required value="false"/>
</item>
<item>
<linkId value="score"/>
<type value="integer"/>
<required value="true"/>
</item>
</Questionnaire>