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 |
{
"resourceType" : "Questionnaire",
"id" : "MNAQuestionnaire",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire MNAQuestionnaire</b></p><a name=\"MNAQuestionnaire\"> </a><a name=\"hcMNAQuestionnaire\"> </a><a name=\"MNAQuestionnaire-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\"/> MNAQuestionnaire</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Mini Nutritional Assessment</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/MNAQuestionnaire#3.4.1</td></tr>\r\n<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.MNA_A\" 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\"/> MNA_A</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Has food intake declined over the past 3 months due to loss of appetite, digestive problems, chewing or swallowing difficulties?</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.MNA_A\">3 options</a></td></tr>\r\n<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.MNA_B\" 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\"/> MNA_B</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Weight loss during the last 3 months</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.MNA_B\">4 options</a></td></tr>\r\n<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.MNA_C\" 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\"/> MNA_C</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Mobility</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.MNA_C\">3 options</a></td></tr>\r\n<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.MNA_D\" 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\"/> MNA_D</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Has suffered psychological stress or acute disease in the past 3 months?</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.MNA_D\">2 options</a></td></tr>\r\n<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.MNA_E\" 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\"/> MNA_E</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Neuropsychological problems</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.MNA_E\">3 options</a></td></tr>\r\n<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.MNA_F1\" 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\"/> MNA_F1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Body Mass Index (BMI) (weight in kg) / (height in m)2</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.MNA_F1\">4 options</a></td></tr>\r\n<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.MNA_F2\" 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\"/> MNA_F2</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Calf circumference (CC) in cm</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.MNA_F2\">2 options</a></td></tr>\r\n<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_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: white; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> score</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Screening score (max. 14 points)</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-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>\r\n<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.MNA_A\"> </a><p><b>Answer options for MNA_A </b></p><ul><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNAFoodIntake#0 ("0 = severe decrease in food intake")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNAFoodIntake#1 ("1 = moderate decrease in food intake")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNAFoodIntake#2 ("2 = no decrease in food intake")</li></ul><a name=\"opt-item.MNA_B\"> </a><p><b>Answer options for MNA_B </b></p><ul><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNAWeightLoss#0 ("0 = weight loss greater than 3 kg (6.6 lbs)")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNAWeightLoss#1 ("1 = does not know")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNAWeightLoss#2 ("2 = weight loss between 1 and 3 kg (2.2 and 6.6 lbs)")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNAWeightLoss#3 ("3 = no weight loss")</li></ul><a name=\"opt-item.MNA_C\"> </a><p><b>Answer options for MNA_C </b></p><ul><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNAMobility#0 ("0 = bed or chair bound")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNAMobility#1 ("1 = able to get out of bed / chair but does not go out")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNAMobility#2 ("2 = goes out")</li></ul><a name=\"opt-item.MNA_D\"> </a><p><b>Answer options for MNA_D </b></p><ul><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNAPsychologicalStress#0 ("0 = yes")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNAPsychologicalStress#2 ("2 = no")</li></ul><a name=\"opt-item.MNA_E\"> </a><p><b>Answer options for MNA_E </b></p><ul><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNANeuropsychological#0 ("0 = severe dementia or depression")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNANeuropsychological#1 ("1 = mild dementia")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNANeuropsychological#2 ("2 = no psychological problems")</li></ul><a name=\"opt-item.MNA_F1\"> </a><p><b>Answer options for MNA_F1 </b></p><ul><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNABodyMassIndex#0 ("0 = BMI less than 19")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNABodyMassIndex#1 ("1 = BMI 19 to less than 21")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNABodyMassIndex#2 ("2 = BMI 21 to less than 23")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNABodyMassIndex#3 ("3 = BMI 23 or greater")</li></ul><a name=\"opt-item.MNA_F2\"> </a><p><b>Answer options for MNA_F2 </b></p><ul><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNACalfCircumference#0 ("0 = CC less than 31")</li><li style=\"font-size: 11px\">https://smart-bear.eu/fhir/CodeSystem/MNACalfCircumference#3 ("3 = CC 31 or greater")</li></ul></div>"
},
"url" : "https://smart-bear.eu/fhir/Questionnaire/MNAQuestionnaire",
"version" : "3.4.1",
"name" : "MNAQuestionnaire",
"title" : "Mini Nutritional Assessment",
"status" : "draft",
"date" : "2024-09-17T08:57:54+02:00",
"description" : "Mini Nutritional Assessment",
"item" : [
{
"linkId" : "MNA_A",
"text" : "Has food intake declined over the past 3 months due to loss of appetite, digestive problems, chewing or swallowing difficulties?",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNAFoodIntake",
"code" : "0",
"display" : "0 = severe decrease in food intake"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNAFoodIntake",
"code" : "1",
"display" : "1 = moderate decrease in food intake"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNAFoodIntake",
"code" : "2",
"display" : "2 = no decrease in food intake"
}
}
]
},
{
"linkId" : "MNA_B",
"text" : "Weight loss during the last 3 months",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNAWeightLoss",
"code" : "0",
"display" : "0 = weight loss greater than 3 kg (6.6 lbs)"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNAWeightLoss",
"code" : "1",
"display" : "1 = does not know"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNAWeightLoss",
"code" : "2",
"display" : "2 = weight loss between 1 and 3 kg (2.2 and 6.6 lbs)"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNAWeightLoss",
"code" : "3",
"display" : "3 = no weight loss"
}
}
]
},
{
"linkId" : "MNA_C",
"text" : "Mobility",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNAMobility",
"code" : "0",
"display" : "0 = bed or chair bound"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNAMobility",
"code" : "1",
"display" : "1 = able to get out of bed / chair but does not go out"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNAMobility",
"code" : "2",
"display" : "2 = goes out"
}
}
]
},
{
"linkId" : "MNA_D",
"text" : "Has suffered psychological stress or acute disease in the past 3 months?",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNAPsychologicalStress",
"code" : "0",
"display" : "0 = yes"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNAPsychologicalStress",
"code" : "2",
"display" : "2 = no"
}
}
]
},
{
"linkId" : "MNA_E",
"text" : "Neuropsychological problems",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNANeuropsychological",
"code" : "0",
"display" : "0 = severe dementia or depression"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNANeuropsychological",
"code" : "1",
"display" : "1 = mild dementia"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNANeuropsychological",
"code" : "2",
"display" : "2 = no psychological problems"
}
}
]
},
{
"linkId" : "MNA_F1",
"text" : "Body Mass Index (BMI) (weight in kg) / (height in m)2",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNABodyMassIndex",
"code" : "0",
"display" : "0 = BMI less than 19"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNABodyMassIndex",
"code" : "1",
"display" : "1 = BMI 19 to less than 21"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNABodyMassIndex",
"code" : "2",
"display" : "2 = BMI 21 to less than 23"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNABodyMassIndex",
"code" : "3",
"display" : "3 = BMI 23 or greater"
}
}
]
},
{
"linkId" : "MNA_F2",
"text" : "Calf circumference (CC) in cm",
"type" : "choice",
"required" : true,
"answerOption" : [
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNACalfCircumference",
"code" : "0",
"display" : "0 = CC less than 31"
}
},
{
"valueCoding" : {
"system" : "https://smart-bear.eu/fhir/CodeSystem/MNACalfCircumference",
"code" : "3",
"display" : "3 = CC 31 or greater"
}
}
]
},
{
"linkId" : "score",
"text" : "Screening score (max. 14 points)",
"type" : "integer",
"required" : true
}
]
}