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: MOCAQuestionnaire

Official URL: https://smart-bear.eu/fhir/Questionnaire/MOCAQuestionnaire Version: 0.3.2
Draft as of 2023-08-01 Computable Name: MOCAQuestionnaire
Structure
LinkIdTextCardinalityTypeDescription & Constraintsdoco
.. MOCAQuestionnaireQuestionnairehttps://smart-bear.eu/fhir/Questionnaire/MOCAQuestionnaire#0.3.2
... 0Ask patient to trace the diagram in order1..1choiceOptions: 2 options
... 1Ask patient to copy cube1..1choiceOptions: 2 options
... 2Ask patient to draw a clock (ten past eleven)1..1choiceOptions: 4 options
... 3Ask patient to name the first animal1..1choiceOptions: 2 options
... 4Ask patient to name the second animal1..1choiceOptions: 2 options
... 5Ask patient to name the third animal1..1choiceOptions: 2 options
... 6Read Face, Velvet, Church, Daisy, Red, and ask patient to repeat (do two trials and a recall later in exam)1..1choiceOptions: 2 options
... 7Read list of digits (2, 1, 8, 5, 4) at 1 digit/sec and ask patient to repeat them in the forward order1..1choiceOptions: 2 options
... 8Read list of digits (7, 4, 2) at 1 digit/sec and ask patient to repeat them in the backward order1..1choiceOptions: 2 options
... 9Read list of letters and ask patient to tap with their hand at each letter A: FBAC MNAA JKLB AFAK DEAA AJAM OFAAB 1..1choiceOptions: 2 options
... 10Ask patient to do five serial 7 subtractions starting at 100; Patient should say 93, 86, 79, 72, 65 1..1choiceOptions: 4 options
... 11Read and ask patient to repeat:I only know that John is the one to help today1..1choiceOptions: 2 options
... 12Read and ask patient to repeat:The cat always hid under the couch when dogs were in the room1..1choiceOptions: 2 options
... 13Ask patient to name maximum number of words in 1 minute that begin with the letter F1..1integerOptions: 2 options
... 14Ask patient similarity between train and bicycle (e.g. both are modes of transportation)1..1integerOptions: 2 options
... 15Ask patient similarity between watch and ruler (e.g. both are measuring tools)1..1integerOptions: 2 options
... 16 Ask patient to recall the words with no cue from the memory test previously conducted [ Face, Velvet, Church, Daisy, Red ]1..1integerOptions: 6 options
... 17Ask patient the date, month, year, day, place, and city1..1integerOptions: 7 options
... 18 Does patient have more than a 12th grade education?1..1integerOptions: 2 options
... scoreScore1..1integer

doco Documentation for this format

Option Sets

Answer options for 0

  • https://smart-bear.eu/fhir/CodeSystem/IntegerResp#0 ("Did not complete correctly")
  • https://smart-bear.eu/fhir/CodeSystem/IntegerResp#1 ("Completed correctly")

Answer options for 1

  • https://smart-bear.eu/fhir/CodeSystem/IntegerResp#0 ("Did not complete correctly")
  • https://smart-bear.eu/fhir/CodeSystem/IntegerResp#1 ("Completed correctly")

Answer options for 2

  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyDrewCS#0 ("None of the above")
  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyDrewCS#1 ("Correctly drew hands only or Correctly drew numbers only or Correctly drew contour only")
  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyDrewCS#2 ("Correctly drew two out of three features (i.e., two out of contour, numbers, and hands)")
  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyDrewCS#3 ("Correctly drew all features (i.e., contour, numbers, and hands)")

Answer options for 3

  • https://smart-bear.eu/fhir/CodeSystem/LionName#0 ("Did not name lion")
  • https://smart-bear.eu/fhir/CodeSystem/LionName#1 ("Named lion")

Answer options for 4

  • https://smart-bear.eu/fhir/CodeSystem/RhinocerosName#0 ("Did not name rhinoceros")
  • https://smart-bear.eu/fhir/CodeSystem/RhinocerosName#1 ("Named rhinoceros")

Answer options for 5

  • https://smart-bear.eu/fhir/CodeSystem/CamelName#0 ("Did not name camel")
  • https://smart-bear.eu/fhir/CodeSystem/CamelName#1 ("Named camel")

Answer options for 6

  • https://smart-bear.eu/fhir/CodeSystem/RepeatTrials#0 ("Did not complete both trials correctly")
  • https://smart-bear.eu/fhir/CodeSystem/RepeatTrials#1 ("Completed both trials correctly")

Answer options for 7

  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyRepeat#0 ("Did not repeat correctly")
  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyRepeat#1 ("Repeated correctly")

Answer options for 8

  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyRepeat#0 ("Did not repeat correctly")
  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyRepeat#1 ("Repeated correctly")

Answer options for 9

  • https://smart-bear.eu/fhir/CodeSystem/ReadLetterA#0 ("≥2 errors")
  • https://smart-bear.eu/fhir/CodeSystem/ReadLetterA#1 ("<2 errors")

Answer options for 10

  • https://smart-bear.eu/fhir/CodeSystem/FiveSerial#0 ("0 correct")
  • https://smart-bear.eu/fhir/CodeSystem/FiveSerial#1 ("1 correct")
  • https://smart-bear.eu/fhir/CodeSystem/FiveSerial#2 ("2 or 3 correct")
  • https://smart-bear.eu/fhir/CodeSystem/FiveSerial#3 ("4 or 5 correct")

Answer options for 11

  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyRepeat#0 ("Did not repeat correctly")
  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyRepeat#1 ("Repeated correctly")

Answer options for 12

  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyRepeat#0 ("Did not repeat correctly")
  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyRepeat#1 ("Repeated correctly")

Answer options for 13

  • https://smart-bear.eu/fhir/CodeSystem/MaximumNamedLetterF#0 ("Named <11 words")
  • https://smart-bear.eu/fhir/CodeSystem/MaximumNamedLetterF#3 ("Named ≥11 words")

Answer options for 14

  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyAnswered#0 ("Did not answer correctly")
  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyAnswered#3 ("Answered correctly")

Answer options for 15

  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyAnswered#0 ("Did not answer correctly")
  • https://smart-bear.eu/fhir/CodeSystem/CorrectlyAnswered#3 ("Answered correctly")

Answer options for 16

  • https://smart-bear.eu/fhir/CodeSystem/RecallWords#0 ("Did not recall any words")
  • https://smart-bear.eu/fhir/CodeSystem/RecallWords#1 ("Recalled 1 words")
  • https://smart-bear.eu/fhir/CodeSystem/RecallWords#2 ("Recalled 2 words")
  • https://smart-bear.eu/fhir/CodeSystem/RecallWords#3 ("Recalled 3 words")
  • https://smart-bear.eu/fhir/CodeSystem/RecallWords#4 ("Recalled 4 words")
  • https://smart-bear.eu/fhir/CodeSystem/RecallWords#5 ("Recalled all words")

Answer options for 17

  • https://smart-bear.eu/fhir/CodeSystem/AskDatePlaceCity#0 ("None correct")
  • https://smart-bear.eu/fhir/CodeSystem/AskDatePlaceCity#1 ("1 correct")
  • https://smart-bear.eu/fhir/CodeSystem/AskDatePlaceCity#2 ("2 correct")
  • https://smart-bear.eu/fhir/CodeSystem/AskDatePlaceCity#3 ("3 correct")
  • https://smart-bear.eu/fhir/CodeSystem/AskDatePlaceCity#4 ("4 correct")
  • https://smart-bear.eu/fhir/CodeSystem/AskDatePlaceCity#5 ("5 correct")
  • https://smart-bear.eu/fhir/CodeSystem/AskDatePlaceCity#6 ("All correct")

Answer options for 18

  • https://smart-bear.eu/fhir/CodeSystem/GradeEducation#0 ("No")
  • https://smart-bear.eu/fhir/CodeSystem/GradeEducation#1 ("Yes")