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
Official URL: https://smart-bear.eu/fhir/Questionnaire/MOCAQuestionnaire | Version: 0.3.2 | |||
Draft as of 2023-08-01 | Computable Name: MOCAQuestionnaire |
LinkId | Text | Cardinality | Type | Description & Constraints |
---|---|---|---|---|
MOCAQuestionnaire | Questionnaire | https://smart-bear.eu/fhir/Questionnaire/MOCAQuestionnaire#0.3.2 | ||
0 | Ask patient to trace the diagram in order | 1..1 | choice | Options: 2 options |
1 | Ask patient to copy cube | 1..1 | choice | Options: 2 options |
2 | Ask patient to draw a clock (ten past eleven) | 1..1 | choice | Options: 4 options |
3 | Ask patient to name the first animal | 1..1 | choice | Options: 2 options |
4 | Ask patient to name the second animal | 1..1 | choice | Options: 2 options |
5 | Ask patient to name the third animal | 1..1 | choice | Options: 2 options |
6 | Read Face, Velvet, Church, Daisy, Red, and ask patient to repeat (do two trials and a recall later in exam) | 1..1 | choice | Options: 2 options |
7 | Read list of digits (2, 1, 8, 5, 4) at 1 digit/sec and ask patient to repeat them in the forward order | 1..1 | choice | Options: 2 options |
8 | Read list of digits (7, 4, 2) at 1 digit/sec and ask patient to repeat them in the backward order | 1..1 | choice | Options: 2 options |
9 | Read list of letters and ask patient to tap with their hand at each letter A: FBAC MNAA JKLB AFAK DEAA AJAM OFAAB | 1..1 | choice | Options: 2 options |
10 | Ask patient to do five serial 7 subtractions starting at 100; Patient should say 93, 86, 79, 72, 65 | 1..1 | choice | Options: 4 options |
11 | Read and ask patient to repeat:I only know that John is the one to help today | 1..1 | choice | Options: 2 options |
12 | Read and ask patient to repeat:The cat always hid under the couch when dogs were in the room | 1..1 | choice | Options: 2 options |
13 | Ask patient to name maximum number of words in 1 minute that begin with the letter F | 1..1 | integer | Options: 2 options |
14 | Ask patient similarity between train and bicycle (e.g. both are modes of transportation) | 1..1 | integer | Options: 2 options |
15 | Ask patient similarity between watch and ruler (e.g. both are measuring tools) | 1..1 | integer | Options: 2 options |
16 | Ask patient to recall the words with no cue from the memory test previously conducted [ Face, Velvet, Church, Daisy, Red ] | 1..1 | integer | Options: 6 options |
17 | Ask patient the date, month, year, day, place, and city | 1..1 | integer | Options: 7 options |
18 | Does patient have more than a 12th grade education? | 1..1 | integer | Options: 2 options |
score | Score | 1..1 | integer | |
Documentation for this format |
Option Sets
Answer options for 0
Answer options for 1
Answer options for 2
Answer options for 3
Answer options for 4
Answer options for 5
Answer options for 6
Answer options for 7
Answer options for 8
Answer options for 9
Answer options for 10
Answer options for 11
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Answer options for 14
Answer options for 15
Answer options for 16
Answer options for 17
Answer options for 18