Smart Bear Implementation Guide
0.3.2 - ci-build

Smart Bear Implementation Guide - Local Development build (v0.3.2). See the Directory of published versions

Questionnaire: EFSQuestionnaire

Official URL: https://smart-bear.eu/fhir/Questionnaire/EFSQuestionnaire Version: 0.3.2
Draft as of 2023-08-01 Computable Name: EFSQuestionnaire
Structure
LinkIdTextCardinalityTypeDescription & Constraintsdoco
.. EFSQuestionnaireQuestionnairehttps://smart-bear.eu/fhir/Questionnaire/EFSQuestionnaire#0.3.2
... 0Cognition: Please imagine that this pre-drawn circle is a clock. I would like you to place the numbers in the correct positions then place the hands to indicate a time of ten after eleven1..1integerOptions: 3 options
... 1General Health Status : In the past year, how many times have you been admitted to a hospital?1..1integerOptions: 3 options
... 2General Health Status : In general, how would you describe your health? 1..1integerOptions: 3 options
... 3Functional independence: With how many of the following activities do you require help? (meal preparation,shopping, transportation, telephone,housekeeping, laundry, managing money,taking medications)1..1integerOptions: 3 options
... 4Social Support: When you need help, can you count on someone who is willing and able to meet your needs?1..1integerOptions: 3 options
... 5Medication use: Do you use five or more different prescription medications on a regular basis?1..1integerOptions: 2 options
... 6Medication use: At times, do you forget to take your prescription medications?1..1integerOptions: 2 options
... 7Nutrition: Have you recently lost weight such that your clothing has become looser?1..1integerOptions: 2 options
... 8Mood: Do you often feel sad or depressed?1..1integerOptions: 2 options
... 9Continence: Do you have a problem with losing control of urine when you don’t want to?1..1integerOptions: 2 options
... 10Functional Performance: I would like you to sit in this chair with your back and arms resting. Then, when I say ‘GO’, please stand up and walk at a safe and comfortable pace to the mark on the floor (approximately 3 m away), return to the chair and sit down1..1integerOptions: 3 options
... 11null0..1integer
... scorenull1..1integer

doco Documentation for this format

Option Sets

Answer options for 0

  • 0
  • 1
  • 2

Answer options for 1

  • 0
  • 1
  • 2

Answer options for 2

  • 0
  • 1
  • 2

Answer options for 3

  • 0
  • 1
  • 2

Answer options for 4

  • 0
  • 1
  • 2

Answer options for 5

  • 0
  • 1

Answer options for 6

  • 0
  • 1

Answer options for 7

  • 0
  • 1

Answer options for 8

  • 0
  • 1

Answer options for 9

  • 0
  • 1

Answer options for 10

  • 0
  • 1
  • 2