FAST-ORIGINAL (148)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT FAST-ORIGINAL
LAST UPDATE 2023-01-10 16:43:33
ENTRY CHECKSUM 348911753
ENTRY SPECIFICATION
{"name": "FAST-ORIGINAL", 
 collected from a caregiver or, in the case of nursing home care, the nursing
   {"id": "q3920", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "6a. Difficulty putting clothing on properly without assistance.", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q3921", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "6b. Unable to bathe properly (e.g., difficulty adjusting bath water temperature)
 occasionally or more frequently over the past weeks.", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 clinical purposes, in addition to staging the level of disability, additional,
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q3922", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "6c. Inability to handle mechanics of toileting (e.g., forgets to flush the
 toilet, does not wipe properly or properly dispose of toilet tissue)
 occasionally or more frequently over the past weeks.", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 deficits are of clear clinical relevance."
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
    }, 
   ]}, 
   {"id": "q3923", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "6d. Urinary incontinence, occasional or more frequent.", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
   {"id": "q3909", "type": "ChoiceQuestion", "required": false, "inline": true, 
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q3924", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "6e. Fecal incontinence, occasional or more frequently over the past week.", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
    "text": "1. No difficulties, either subjectively or objectively.", 
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q3925", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "7a. Ability to speak limited to approximately a half dozen different words, or
 fewer, in the course of an average day or in the course of an intensive
 interview.", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
 "restartDays": 2, 
 in a meaningful clinical way. In the early stages the patient may be able to
   ]}, 
   {"id": "q3926", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "7b. Speech ability limited to the use of a single intelligible word in an average
 day or in the course of an interview (the person may repeat the word over and
 over).", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 participate in the FAST administration but usually the information should be
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q3927", "type": "ChoiceQuestion", "required": false, "inline": true, 
 collected from a caregiver or, in the case of nursing home care, the nursing
    "text": "7c. Ambulatory ability lost (cannot walk without personal assistance).", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 deficits are of clear clinical relevance.", 
 home staff. The FAST Stage is the highest consecutive level of disability.  For
    "columns": 2, 
    "choices":[
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q3928", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "7d. Ability to sit up without assistance lost (e.g., the individual will fall
 over if there are no lateral rests [arms] on the chair).", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 clinical purposes, in addition to staging the level of disability, additional,
 in a meaningful clinical way. In the early stages the patient may be able to
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q3929", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "7e. Loss of the ability to smile.", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 deficits are of clear clinical relevance.", 
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q3932", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "7f. Unable to hold head up.", 
    "columns": 2, 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
    "choices":[
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}], 
 "rules":[
   {"question": "q3909", "operator": "EQ", "value": "c241", 
    "skips":["q3916","q3917","q3918","q3919","q3920","q3921","q3922","q3923","q3924","q3925","q3926","q3927","q3928","q3929","q3932"]}]
}
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
 "printTitle": "Placeholder for original FAST questions, choices, and rules", 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q3916", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "2. Complains of forgetting location of objects. Subjective word finding
 difficulties.", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 "content":[
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q3917", "type": "ChoiceQuestion", "required": false, "inline": true, 
   {"id": "i584", "type": "IntroText", 
    "text": "3. Decreased job function evident to co-workers; difficulty in traveling to new
 locations. Decreased organizational capacity.", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
    "text": "The FAST scale is a functional scale designed to evaluate patients at the more
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q3918", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "4. Decreased ability to perform complex tasks (e.g., planning dinner for guests),
 handling personal finances (forgetting to pay bills), difficulty marketing, etc.", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
 in a meaningful clinical way. In the early stages the patient may be able to
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"id": "q3919", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "text": "5. Requires assistance in choosing proper clothing to wear for day, season, or
 occasion.", 
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
 in a meaningful clinical way. In the early stages the patient may be able to
 participate in the FAST administration but usually the information should be
 participate in the FAST administration but usually the information should be
 collected from a caregiver or, in the case of nursing home care, the nursing
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 clinical purposes, in addition to staging the level of disability, additional,
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 deficits are of clear clinical relevance.", 
    "columns": 2, 
    "choices":[
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]},