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="RGAQuestionnaire"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire RGAQuestionnaire</b></p><a name="RGAQuestionnaire"> </a><a name="hcRGAQuestionnaire"> </a><a name="RGAQuestionnaire-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,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3goXBCwdPqAP0wAAAldJREFUOMuNk0tIlFEYhp9z/vE2jHkhxXA0zJCMitrUQlq4lnSltEqCFhFG2MJFhIvIFpkEWaTQqjaWZRkp0g26URZkTpbaaOJkDqk10szoODP//7XIMUe0elcfnPd9zsfLOYplGrpRwZaqTtw3K7PtGem7Q6FoidbGgqHVy/HRb669R+56zx7eRV1L31JGxYbBtjKK93cxeqfyQHbehkZbUkK20goELEuIzEd+dHS+qz/Y8PTSif0FnGkbiwcAjHaU1+QWOptFiyCLp/LnKptpqIuXHx6rbR26kJcBX3yLgBfnd7CxwJmflpP2wUg0HIAoUUpZBmKzELGWcN8nAr6Gpu7tLU/CkwAaoKTWRSQyt89Q8w6J+oVQkKnBoblH7V0PPvUOvDYXfopE/SJmALsxnVm6LbkotrUtNowMeIrVrBcBpaMmdS0j9df7abpSuy7HWehwJdt1lhVwi/J58U5beXGAF6c3UXLycw1wdFklArBn87xdh0ZsZtArghBdAA3+OEDVubG4UEzP6x1FOWneHh2VDAHBAt80IbdXDcesNoCvs3E5AFyNSU5nbrDPZpcUEQQTFZiEVx+51fxMhhyJEAgvlriadIJZZksRuwBYMOPBbO3hePVVqgEJhFeUuFLhIPkRP6BQLIBrmMenujm/3g4zc398awIe90Zb5A1vREALqneMcYgP/xVQWlG+Ncu5vgwwlaUNx+3799rfe96u9K0JSDXcOzOTJg4B6IgmXfsygc7/Bvg9g9E58/cDVmGIBOP/zT8Bz1zqWqpbXIsd0O9hajXfL6u4BaOS6SeWAAAAAElFTkSuQmCC" 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"/> RGAQuestionnaire</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Rapid Geriatric 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/RGAQuestionnaire#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">Fatigue: Are you fatigued?</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">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.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">Resistance: Cannot walk up one flight of stairs?</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">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.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">Aerobic: Cannot walk one block?</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">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.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">Illnesses: Do you have more than 5 illnesses?</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">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.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">Loss of weight: Have you lost more than 5% of your weight in the last 6 months?</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">How much difficulty do you have in lifting and carrying 10 pounds?</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">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.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">How much difficulty do you have walking across a room?</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">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.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">How much difficulty do you have transferring from a chair or bed?</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">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.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">How much difficulty do you have climbing a flight of ten stairs?</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">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.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">How many times have you fallen in the last year?</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">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.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"> My appetite is</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">5 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-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" 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">Food tastes</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.11">5 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.12" 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"/> 12</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">When I eat</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.12">5 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.13" 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"/> 13</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Normally I eat</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.13">5 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.14" 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"/> 14</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..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"/></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.15" 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"/> 15</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">[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</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.15">4 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.16" 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"/> 16</td><td style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">What were the five objects I asked you to remember?</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.16">6 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.17" 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"/> 17</td><td style="vertical-align: top; text-align : left; background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">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?</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.17">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.frailScore" 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: #F7F7F7; background-color: inherit" title="integer" class="hierarchy"/> frailScore</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 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.sarcopeniaScore" 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"/> sarcopeniaScore</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">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>
<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.snaqScore" 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: #F7F7F7; background-color: inherit" title="integer" class="hierarchy"/> snaqScore</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 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.RCS" 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"/> RCS</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">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>
<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/RGAFrail#1 ("Yes")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGAFrail#0 ("No")</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/RGAFrail#1 ("Yes")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGAFrail#0 ("No")</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/RGAFrail#1 ("Yes")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGAFrail#0 ("No")</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/RGAFrail#1 ("Yes")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGAFrail#0 ("No")</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/RGASarc#0 ("None")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASarc#1 ("Some")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASarc#2 ("A lot or unable/ A lot , use aids or unable/ A lot or unable without
help")</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/RGASarc#0 ("None")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASarc#1 ("Some")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASarc#2 ("A lot or unable/ A lot , use aids or unable/ A lot or unable without")</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/RGASarc#0 ("None")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASarc#1 ("Some")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASarc#2 ("A lot or unable/ A lot , use aids or unable/ A lot or unable without")</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/RGASarc#0 ("None")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASarc#1 ("Some")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASarc#2 ("A lot or unable/ A lot , use aids or unable/ A lot or unable without")</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/RGASarc#0 ("None")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASarc#1 ("Some")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASarc#2 ("A lot or unable/ A lot , use aids or unable/ A lot or unable without")</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/RGASarcFalls#0 ("None")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASarcFalls#1 ("1-3 falls")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASarcFalls#2 ("4 or more falls")</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/RGASNAQAppetite#1 ("very poor")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite#2 ("poor")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite#3 ("average")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite#4 ("good")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite#5 ("very good")</li></ul><a name="opt-item.11"> </a><p><b>Answer options for 11 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste#1 ("very bad")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste#2 ("bad")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste#3 ("average")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste#4 ("good")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste#5 ("very good")</li></ul><a name="opt-item.12"> </a><p><b>Answer options for 12 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat#1 ("I feel full after eating only a few mouthfuls")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat#2 ("I feel full after eating about a third of a meal")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat#3 ("I feel full after eating over half a meal")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat#4 ("I feel full after eating most of the meal")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat#5 ("I hardly ever feel full")</li></ul><a name="opt-item.13"> </a><p><b>Answer options for 13 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat#1 ("Less than one meal a day")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat#2 ("One meal a day")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat#3 ("Two meals a day")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat#4 ("Three meals a day")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat#5 ("More than three meals a day")</li></ul><a name="opt-item.15"> </a><p><b>Answer options for 15 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGARCSClock#0 ("no time markers correct")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGARCSClock#1 ("correct hours")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGARCSClock#2 ("correct markers")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGARCSClock#3 ("both correct")</li></ul><a name="opt-item.16"> </a><p><b>Answer options for 16 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords#5 ("Recall all words")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords#4 ("Recalled 4 words")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords#3 ("Recalled 3 words")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords#2 ("Recalled 2 words")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords#1 ("Recalled 1 words")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords#0 ("Did not recall any words")</li></ul><a name="opt-item.17"> </a><p><b>Answer options for 17 </b></p><ul><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallStory#1 ("Replied correctly")</li><li style="font-size: 11px">https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallStory#0 ("Do not replied correctly")</li></ul></div>
</text>
<url value="https://smart-bear.eu/fhir/Questionnaire/RGAQuestionnaire"/>
<version value="3.4.1"/>
<name value="RGAQuestionnaire"/>
<title value="Rapid Geriatric Assessment"/>
<status value="draft"/>
<date value="2024-09-17T08:57:54+02:00"/>
<description value="Rapid Geriatric Assessment"/>
<item>
<linkId value="0"/>
<text value="Fatigue: Are you fatigued?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGAFrail"/>
<code value="1"/>
<display value="Yes"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGAFrail"/>
<code value="0"/>
<display value="No"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="1"/>
<text value="Resistance: Cannot walk up one flight of stairs?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGAFrail"/>
<code value="1"/>
<display value="Yes"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGAFrail"/>
<code value="0"/>
<display value="No"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="2"/>
<text value="Aerobic: Cannot walk one block?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGAFrail"/>
<code value="1"/>
<display value="Yes"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGAFrail"/>
<code value="0"/>
<display value="No"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="3"/>
<text value="Illnesses: Do you have more than 5 illnesses?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGAFrail"/>
<code value="1"/>
<display value="Yes"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGAFrail"/>
<code value="0"/>
<display value="No"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="4"/>
<text
value="Loss of weight: Have you lost more than 5% of your weight in the last 6 months?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="0"/>
<display value="None"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="1"/>
<display value="Some"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="2"/>
<display
value="A lot or unable/ A lot , use aids or unable/ A lot or unable without
help"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="5"/>
<text
value="How much difficulty do you have in lifting and carrying 10 pounds?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="0"/>
<display value="None"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="1"/>
<display value="Some"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="2"/>
<display
value="A lot or unable/ A lot , use aids or unable/ A lot or unable without"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="6"/>
<text value="How much difficulty do you have walking across a room?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="0"/>
<display value="None"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="1"/>
<display value="Some"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="2"/>
<display
value="A lot or unable/ A lot , use aids or unable/ A lot or unable without"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="7"/>
<text
value="How much difficulty do you have transferring from a chair or bed?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="0"/>
<display value="None"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="1"/>
<display value="Some"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="2"/>
<display
value="A lot or unable/ A lot , use aids or unable/ A lot or unable without"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="8"/>
<text
value="How much difficulty do you have climbing a flight of ten stairs?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="0"/>
<display value="None"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="1"/>
<display value="Some"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarc"/>
<code value="2"/>
<display
value="A lot or unable/ A lot , use aids or unable/ A lot or unable without"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="9"/>
<text value="How many times have you fallen in the last year?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarcFalls"/>
<code value="0"/>
<display value="None"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarcFalls"/>
<code value="1"/>
<display value="1-3 falls"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGASarcFalls"/>
<code value="2"/>
<display value="4 or more falls"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="10"/>
<text value=" My appetite is"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite"/>
<code value="1"/>
<display value="very poor"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite"/>
<code value="2"/>
<display value="poor"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite"/>
<code value="3"/>
<display value="average"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite"/>
<code value="4"/>
<display value="good"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQAppetite"/>
<code value="5"/>
<display value="very good"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="11"/>
<text value="Food tastes"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste"/>
<code value="1"/>
<display value="very bad"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste"/>
<code value="2"/>
<display value="bad"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste"/>
<code value="3"/>
<display value="average"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste"/>
<code value="4"/>
<display value="good"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQFoodtaste"/>
<code value="5"/>
<display value="very good"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="12"/>
<text value="When I eat"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat"/>
<code value="1"/>
<display value="I feel full after eating only a few mouthfuls"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat"/>
<code value="2"/>
<display value="I feel full after eating about a third of a meal"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat"/>
<code value="3"/>
<display value="I feel full after eating over half a meal"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat"/>
<code value="4"/>
<display value="I feel full after eating most of the meal"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQWhenIEat"/>
<code value="5"/>
<display value="I hardly ever feel full"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="13"/>
<text value="Normally I eat"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat"/>
<code value="1"/>
<display value="Less than one meal a day"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat"/>
<code value="2"/>
<display value="One meal a day"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat"/>
<code value="3"/>
<display value="Two meals a day"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat"/>
<code value="4"/>
<display value="Three meals a day"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGASNAQNormallyEat"/>
<code value="5"/>
<display value="More than three meals a day"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="14"/>
<text
value="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"/>
<type value="choice"/>
<required value="false"/>
</item>
<item>
<linkId value="15"/>
<text
value="[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"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGARCSClock"/>
<code value="0"/>
<display value="no time markers correct"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGARCSClock"/>
<code value="1"/>
<display value="correct hours"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGARCSClock"/>
<code value="2"/>
<display value="correct markers"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="https://smart-bear.eu/fhir/CodeSystem/RGARCSClock"/>
<code value="3"/>
<display value="both correct"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="16"/>
<text value="What were the five objects I asked you to remember?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords"/>
<code value="5"/>
<display value="Recall all words"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords"/>
<code value="4"/>
<display value="Recalled 4 words"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords"/>
<code value="3"/>
<display value="Recalled 3 words"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords"/>
<code value="2"/>
<display value="Recalled 2 words"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords"/>
<code value="1"/>
<display value="Recalled 1 words"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallWords"/>
<code value="0"/>
<display value="Did not recall any words"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="17"/>
<text
value="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?"/>
<type value="choice"/>
<required value="true"/>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallStory"/>
<code value="1"/>
<display value="Replied correctly"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system
value="https://smart-bear.eu/fhir/CodeSystem/RGARCSRecallStory"/>
<code value="0"/>
<display value="Do not replied correctly"/>
</valueCoding>
</answerOption>
</item>
<item>
<linkId value="frailScore"/>
<type value="integer"/>
<required value="true"/>
</item>
<item>
<linkId value="sarcopeniaScore"/>
<type value="integer"/>
<required value="true"/>
</item>
<item>
<linkId value="snaqScore"/>
<type value="integer"/>
<required value="true"/>
</item>
<item>
<linkId value="RCS"/>
<type value="integer"/>
<required value="true"/>
</item>
</Questionnaire>