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
Questionnaire: Clinical response questionnaire at baseline
| Official URL: https://smart-bear.eu/fhir/Questionnaire/IADLQuestionnaire | Version: 3.4.1 | |||
| Draft as of 2024-09-17 | Computable Name: IADLQuestionnaire | |||
Clinical response IADL questionnaire
Generated Narrative: Questionnaire IADLQuestionnaire
Structure| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  IADLQuestionnaire | Clinical response IADL questionnaire | Questionnaire | https://smart-bear.eu/fhir/Questionnaire/IADLQuestionnaire#3.4.1 | |
  0 | Ability to Use Telephone | 1..1 | choice | Options: 4 options |
| 1 | Shopping | 1..1 | choice | Options: 4 options |
| 2 | Food Preparation | 1..1 | choice | Options: 4 options |
| 3 | Housekeeping | 1..1 | choice | Options: 5 options |
| 4 | Laundry | 1..1 | choice | Options: 3 options |
| 5 | Mode of Transportation | 1..1 | choice | Options: 5 options |
| 6 | Responsibility for own medications | 1..1 | choice | Options: 3 options |
| 7 | Ability to Handle Finances | 1..1 | choice | Options: 3 options |
 globalScore | null | 1..1 | integer | |
 ptScore | null | 1..1 | integer | |
| Documentation for this format | ||||
Options Sets
Answer options for 0
- https://smart-bear.eu/fhir/CodeSystem/IADLTelephone#3 ("Operates telephone on own initiative; looks up and dials numbers")
- https://smart-bear.eu/fhir/CodeSystem/IADLTelephone#2 ("Dials a few well-known numbers")
- https://smart-bear.eu/fhir/CodeSystem/IADLTelephone#1 ("Answers telephone, but does not dial")
- https://smart-bear.eu/fhir/CodeSystem/IADLTelephone#0 ("Does not use telephone at all")
Answer options for 1
- https://smart-bear.eu/fhir/CodeSystem/IADLShopping#3 ("Takes care of all shopping needs independent")
- https://smart-bear.eu/fhir/CodeSystem/IADLShopping#2 ("Shops independently for small purchases")
- https://smart-bear.eu/fhir/CodeSystem/IADLShopping#1 ("Needs to be accompanied on any shopping trip")
- https://smart-bear.eu/fhir/CodeSystem/IADLShopping#0 ("Completely unable to shop")
Answer options for 2
- https://smart-bear.eu/fhir/CodeSystem/IADLMeals#3 ("Plans, prepares, and serves adequate meals independently")
- https://smart-bear.eu/fhir/CodeSystem/IADLMeals#2 ("Prepares adequate meals if supplied with ingredients")
- https://smart-bear.eu/fhir/CodeSystem/IADLMeals#1 ("Heats and serves prepared meals or prepares meals but does not maintain adequate diet")
- https://smart-bear.eu/fhir/CodeSystem/IADLMeals#0 ("Needs to have meals prepared and served")
Answer options for 3
- https://smart-bear.eu/fhir/CodeSystem/IADLHouseKeeping#4 ("Maintains house alone with occasion assistance (heavy work)")
- https://smart-bear.eu/fhir/CodeSystem/IADLHouseKeeping#3 ("Performs light daily tasks such as dishwashing, bed making")
- https://smart-bear.eu/fhir/CodeSystem/IADLHouseKeeping#2 ("Performs light daily tasks, but cannot maintain acceptable level of cleanliness")
- https://smart-bear.eu/fhir/CodeSystem/IADLHouseKeeping#1 ("Needs help with all home maintenance tasks")
- https://smart-bear.eu/fhir/CodeSystem/IADLHouseKeeping#0 ("Does not participate in any housekeeping tasks")
Answer options for 4
- https://smart-bear.eu/fhir/CodeSystem/IADLLaundry#2 ("Does personal laundry completely.")
- https://smart-bear.eu/fhir/CodeSystem/IADLLaundry#1 ("Launders small items, rinses socks, stockings, etc")
- https://smart-bear.eu/fhir/CodeSystem/IADLLaundry#0 ("All laundry must be done by others")
Answer options for 5
- https://smart-bear.eu/fhir/CodeSystem/IADLTransportation#4 ("Travels independently on public transportation or drives own car")
- https://smart-bear.eu/fhir/CodeSystem/IADLTransportation#3 ("Arranges own travel via taxi, but does not otherwise use public transportation")
- https://smart-bear.eu/fhir/CodeSystem/IADLTransportation#2 ("Travels on public transportation when assisted or accompanied by another")
- https://smart-bear.eu/fhir/CodeSystem/IADLTransportation#1 ("Travel limited to taxi or automobile with assistance of another")
- https://smart-bear.eu/fhir/CodeSystem/IADLTransportation#0 ("Does not travel at all")
Answer options for 6
- https://smart-bear.eu/fhir/CodeSystem/IADLMedications#2 ("Is responsible for taking medication in correct dosages at correct time")
- https://smart-bear.eu/fhir/CodeSystem/IADLMedications#1 ("Takes responsibility if medication is prepared in advance in separate dosages")
- https://smart-bear.eu/fhir/CodeSystem/IADLMedications#0 ("Is not capable of dispensing own medication")
Answer options for 7
- https://smart-bear.eu/fhir/CodeSystem/IADLMoney#2 ("Manages financial matters independently (budgets, writes checks, pays rent and bills, goes to bank); collects and keeps track of income")
- https://smart-bear.eu/fhir/CodeSystem/IADLMoney#1 ("Manages day-to-day purchases, but needs help with banking, major purchases, etc")
- https://smart-bear.eu/fhir/CodeSystem/IADLMoney#0 ("Incapable of handling money")