FAST (47)    MH TEST/SURVEY SPEC (601.712)

Name Value
INSTRUMENT FAST
LAST UPDATE 2022-04-08 08:55:23
ENTRY CHECKSUM 2849990929
ENTRY SPECIFICATION
{"name": "FAST", 
 participate in the FAST administration but usually the information should be
   ]}, 
   {"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,
 collected from a caregiver or, in the case of nursing home care, the nursing
 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": "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.", 
 home staff. The FAST Stage is the highest consecutive level of disability.  For
    "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, 
 clinical purposes, in addition to staging the level of disability, additional,
    "choices":[
     {"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
 non-ordinal (nonconsecutive) deficits should be noted, since these 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}, 
 deficits are of clear clinical relevance."
     {"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,
 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.", 
   {"id": "q3909", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "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, 
    "text": "1. No difficulties, either subjectively or objectively.", 
    "choices":[
     {"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
    "intro": "The FAST scale is a functional scale designed to evaluate patients at the more
 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}, 
 "copyright": "Copyright  (c) 1984 by Barry Reisberg, M.D.", 
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
     {"id": "c241", "text": "1. Yes", "quickKey": 1}
   ]}, 
   {"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
 in a meaningful clinical way. In the early stages the patient may be able to
 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}
   ]}, 
 participate in the FAST administration but usually the information should be
   {"id": "q3927", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "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
 collected from a caregiver or, in the case of nursing home care, the nursing
 deficits are of clear clinical relevance.", 
    "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
 home staff. The FAST Stage is the highest consecutive level of disability.  For
 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":[
 clinical purposes, in addition to staging the level of disability, additional,
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"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
 non-ordinal (nonconsecutive) deficits should be noted, since these additional
 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": "q3932", "type": "ChoiceQuestion", "required": false, "inline": true, 
 deficits are of clear clinical relevance.", 
    "text": "7f. Unable to hold head up.", 
    "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, 
    "columns": 2, 
    "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"]}]
}
    "choices":[
 "restartDays": 2, 
     {"id": "c237", "text": "0. No", "quickKey": 0}, 
     {"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
 "printTitle": "Functional Assessment Staging",
 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}
   ]}, 
 "content":[
   {"id": "q3917", "type": "ChoiceQuestion", "required": false, "inline": true, 
    "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,
   {"id": "i584", "type": "IntroText", 
 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": "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.", 
    "text": "The FAST scale is a functional scale designed to evaluate patients at the more
    "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, 
 moderate-severe stages of dementia when the MMSE no longer can reflect changes
    "choices":[
     {"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
 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}, 
     {"id": "c241", "text": "1. Yes", "quickKey": 1}