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: Rapid Geriatric Assessment
| Official URL: https://smart-bear.eu/fhir/Questionnaire/RGAQuestionnaire | Version: 3.4.1 | |||
| Draft as of 2024-09-17 | Computable Name: RGAQuestionnaire | |||
Rapid Geriatric Assessment
Generated Narrative: Questionnaire RGAQuestionnaire
Structure| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  RGAQuestionnaire | Rapid Geriatric Assessment | Questionnaire | https://smart-bear.eu/fhir/Questionnaire/RGAQuestionnaire#3.4.1 | |
  0 | Fatigue: Are you fatigued? | 1..1 | choice | Options: 2 options |
| 1 | Resistance: Cannot walk up one flight of stairs? | 1..1 | choice | Options: 2 options |
| 2 | Aerobic: Cannot walk one block? | 1..1 | choice | Options: 2 options |
| 3 | Illnesses: Do you have more than 5 illnesses? | 1..1 | choice | Options: 2 options |
| 4 | Loss of weight: Have you lost more than 5% of your weight in the last 6 months? | 1..1 | choice | Options: 3 options |
| 5 | How much difficulty do you have in lifting and carrying 10 pounds? | 1..1 | choice | Options: 3 options |
| 6 | How much difficulty do you have walking across a room? | 1..1 | choice | Options: 3 options |
| 7 | How much difficulty do you have transferring from a chair or bed? | 1..1 | choice | Options: 3 options |
| 8 | How much difficulty do you have climbing a flight of ten stairs? | 1..1 | choice | Options: 3 options |
| 9 | How many times have you fallen in the last year? | 1..1 | choice | Options: 3 options |
| 10 | My appetite is | 1..1 | choice | Options: 5 options |
| 11 | Food tastes | 1..1 | choice | Options: 5 options |
| 12 | When I eat | 1..1 | choice | Options: 5 options |
| 13 | Normally I eat | 1..1 | choice | Options: 5 options |
| 14 | Please remember these five objects. I will ask you what they are later.[Read each object to patient using approx. 1 second intervals.] Apple Pen Tie House Car | 0..1 | choice | |
| 15 | [Give patient pencil and the blank sheet with clock face.] This is a clock face. Please put in the hour markers and the time at ten minutes to eleven o’clock | 1..1 | choice | Options: 4 options |
| 16 | What were the five objects I asked you to remember? | 1..1 | choice | Options: 6 options |
| 17 | I’m going to tell you a story. Please listen carefully because afterwards, I’m going to ask you about it.Jill was a very successful stockbroker. She made a lot of money on the stock market. She then met Jack, a devastatingly handsome man. She married him and had three children. They lived in Chicago. She then topped work and stayed at home to bring up her children. When they were teenagers, she went back to work. She and Jack lived happily ever after.What state did she live in? | 1..1 | choice | Options: 2 options |
 frailScore | null | 1..1 | integer | |
| sarcopeniaScore | null | 1..1 | integer | |
| snaqScore | null | 1..1 | integer | |
 RCS | null | 1..1 | integer | |
| Documentation for this format | ||||
Options Sets
Answer options for 0
- https://smart-bear.eu/fhir/CodeSystem/RGAFrail#1 ("Yes")
- https://smart-bear.eu/fhir/CodeSystem/RGAFrail#0 ("No")
Answer options for 1
- https://smart-bear.eu/fhir/CodeSystem/RGAFrail#1 ("Yes")
- https://smart-bear.eu/fhir/CodeSystem/RGAFrail#0 ("No")
Answer options for 2
- https://smart-bear.eu/fhir/CodeSystem/RGAFrail#1 ("Yes")
- https://smart-bear.eu/fhir/CodeSystem/RGAFrail#0 ("No")
Answer options for 3
- https://smart-bear.eu/fhir/CodeSystem/RGAFrail#1 ("Yes")
- https://smart-bear.eu/fhir/CodeSystem/RGAFrail#0 ("No")
Answer options for 4
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#0 ("None")
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#1 ("Some")
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#2 ("A lot or unable/ A lot , use aids or unable/ A lot or unable without help")
Answer options for 5
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#0 ("None")
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#1 ("Some")
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#2 ("A lot or unable/ A lot , use aids or unable/ A lot or unable without")
Answer options for 6
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#0 ("None")
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#1 ("Some")
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#2 ("A lot or unable/ A lot , use aids or unable/ A lot or unable without")
Answer options for 7
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#0 ("None")
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#1 ("Some")
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#2 ("A lot or unable/ A lot , use aids or unable/ A lot or unable without")
Answer options for 8
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#0 ("None")
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#1 ("Some")
- https://smart-bear.eu/fhir/CodeSystem/RGASarc#2 ("A lot or unable/ A lot , use aids or unable/ A lot or unable without")
Answer options for 9
- https://smart-bear.eu/fhir/CodeSystem/RGASarcFalls#0 ("None")
- https://smart-bear.eu/fhir/CodeSystem/RGASarcFalls#1 ("1-3 falls")
- https://smart-bear.eu/fhir/CodeSystem/RGASarcFalls#2 ("4 or more falls")
Answer options for 10
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite#1 ("very poor")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite#2 ("poor")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite#3 ("average")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite#4 ("good")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite#5 ("very good")
Answer options for 11
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste#1 ("very bad")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste#2 ("bad")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste#3 ("average")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste#4 ("good")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste#5 ("very good")
Answer options for 12
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat#1 ("I feel full after eating only a few mouthfuls")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat#2 ("I feel full after eating about a third of a meal")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat#3 ("I feel full after eating over half a meal")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat#4 ("I feel full after eating most of the meal")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat#5 ("I hardly ever feel full")
Answer options for 13
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat#1 ("Less than one meal a day")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat#2 ("One meal a day")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat#3 ("Two meals a day")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat#4 ("Three meals a day")
- https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat#5 ("More than three meals a day")
Answer options for 15
- https://smart-bear.eu/fhir/CodeSystem/RGARCSClock#0 ("no time markers correct")
- https://smart-bear.eu/fhir/CodeSystem/RGARCSClock#1 ("correct hours")
- https://smart-bear.eu/fhir/CodeSystem/RGARCSClock#2 ("correct markers")
- https://smart-bear.eu/fhir/CodeSystem/RGARCSClock#3 ("both correct")
Answer options for 16
- https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords#5 ("Recall all words")
- https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords#4 ("Recalled 4 words")
- https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords#3 ("Recalled 3 words")
- https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords#2 ("Recalled 2 words")
- https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords#1 ("Recalled 1 words")
- https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords#0 ("Did not recall any words")
Answer options for 17
- https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallStory#1 ("Replied correctly")
- https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallStory#0 ("Do not replied correctly")