| SPECIFICATION |
{"test":[{"content":[{"choice":[{"choiceId":5335,"choiceText":"1 No difficulty, either subjectively or objectively.","ien":100298,"legacyValue":1,"sequence":1},{"choiceId":5336,"choiceText":"2 Complains of forgetting location of objects. Su
limited to approximately a half a dozen intelligible different words or fewer, in the course of an average day or in the course of an intensive interview.","ien":100308,"legacyValue":7,"sequence":11},{"choiceId":5346,"choiceText":"7b Speec
h 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).","ien":100309,"legacyValue":7,"sequence":12},{"choiceId":5347,"choiceText":"7c Amb
ulatory ability lost (cannot walk without personal assistance).","ien":100310,"legacyValue":7,"sequence":13},{"choiceId":5348,"choiceText":"7d Cannot sit up without assistance (e.g., the individual will fall over if there are no lateral res
ts [arms] on the chair).","ien":100311,"legacyValue":7,"sequence":14},{"choiceId":5349,"choiceText":"7e Loss of ability to smile.","ien":100312,"legacyValue":7,"sequence":15},{"choiceId":5350,"choiceText":"7f Loss of ability to hold up head
independently.","ien":100313,"legacyValue":7,"sequence":16}],"choiceDisplay":82590,"choiceIdentifier":"N","choiceIdentifierIen":42305,"choiceTypeId":15060,"designator":1,"hint":null,"id":8853,"instrument":154,"introDisplay":82614,"introId"
:2473,"introText":"The FAST scale is a functional scale designed to evaluate patients at the moderate-severe stages of dementia.\r\n In the early stages the patient may be able to participate in the FAST administration but usually the infor
mation\r\n should be collected from a caregiver or, in the case of nursing home care, the nursing home staff. The FAST Stage\r\n is the highest consecutive level of disability. For clinical purposes, in addition to staging the level of\r\n
disability, additional, non-ordinal (nonconsecutive) deficits should be noted, since these additional deficits\r\n are of clear clinical relevance.","max":0,
"min":0,"questionDisplay":97350,"questionId":8788,"questionText":"Check the highest consecutive level of disability:","required":true,"responseTypeId":1,"responseTypeText":"MCHOICE","sequence":10}],"display":[{"alignment":"L","columns":1,"c
omponent":"RA","fontBold":false,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":82590,"left":8,"mask":"658|||"},{"alignment":"L","columns":null,"component":null,"fontBold":f
bjective work difficulties.","ien":100299,"legacyValue":2,"sequence":2},{"choiceId":5337,"choiceText":"3 Decreased job functioning evident to co-workers. Difficulty in traveling to new locations. Decreased organizational capacity.","ien":
alse,"fontColor":"clWindowText","fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":82614,"left":3,"mask":null},{"alignment":"L","columns":null,"component":null,"fontBold":false,"fontColor":"clWindowText"
,"fontItalic":false,"fontName":"MS Sans Serif","fontSize":10,"fontUnderlined":false,"id":97350,"left":2,"mask":null}],"info":{"author":"Barry Reisberg, M.D.","auxDate":null,"auxVersion":null,"copyrightText":"Copyright (c) 1984 by Barry Rei
sberg, M.D.","copyrighted":true,"dllDate":null,"dllVersion":null,"enteredBy":"SCHULTZ,ROGER F","entryDate":"2010-10-06","fullText":true,"id":154,"interpretiveText":" Guide for interpreting FAST (range 1-7):\r\n\r\n The higher the score,
the greater the dementia. 1 - normal adult, \r\n 2 - normal older adult, 3 - early dementia, 4 - mild dementia, 5 - moderate \r\n dementia, 6 - moderate severe dementia, 7 - severe dementia.","lastEditDate":3221219.2052,"lastEditedBy":"
HOWELL,LYNN","legacy":false,"licenseCurrent":false,"name":"FAST","national":true,"normSample":null,"operational":"Y","printTitle":"Functional Assessment Staging","publicationDate":1984,"publisher":null,"purpose":"Identify functional deterio
ration due to Alzheimer's disease.","reference":"Reisberg, B. Functional Assessment Staging (FAST). Psychopharmacology Bulletin, 1988; 24:653-659.","requireSignature":false,"requiresLicense":"N","scoringRevision":2,"scoringRoutine":"YTSFAST
","scoringTag":"DLL","staffOnly":"Y","submitNational":true,"suicideriskRoutine":null,"suicideriskTag":null,"targetPopulation":"Geriatic","version":1988,"wasOperational":true},"report":{"id":2,"instrument":154,"template":"|Functional Assessm
ent Staging\r\n|\r\n|Date Given: <.Date_Given.>\r\n|Clinician: <.Staff_Ordered_By.>\r\n|Location: <.Location.>\r\n|\r\n|Veteran: <.Patient_Name_Last_First.>\r\n|SSN: <.Patient_SSN.>\r\n|DOB:<.Patient_Date_Of_Birth.> (<.Patient_Age.>)\r\n|Ge
nder: <.Patient_Gender.>\r\n|\r\n|FAST Stage: <-Stage->\r\n|\r\n| Stage 1: Normal adult\r\n| Stage 2: Normal older adult\r\n| Stage 3: Early dementia\r\n| Stage 4: Mild dementia\r\n| Stage 5: Moderate dementia\r\n| S
tage 6: Moderately severe dementia\r\n| Stage 7: Severe dementia\r\n|\r\n|Questions and Answers\r\n|\r\n|<*Answer_7771*>\r\n|<*Answer_7772*>\r\n|<*Answer_7773*>\r\n|<*Answer_7774*>\r\n|<*Answer_7775*>\r\n|<*Answer_7776*>\r\n|<*Answer_77
100300,"legacyValue":3,"sequence":3},{"choiceId":5338,"choiceText":"4 Decreased ability to perform complex tasks, e.g. planning dinner for guests, handling personal finances (such as forgetting to pay bills), difficulty marketing, etc.","ie
77*>\r\n|<*Answer_7778*>\r\n|<*Answer_7779*>\r\n|<*Answer_7780*>\r\n|<*Answer_7781*>\r\n|<*Answer_7782*>\r\n|<*Answer_7783*>\r\n|<*Answer_7784*>\r\n|<*Answer_7785*>\r\n|<*Answer_7786*>\r\n|\r\n|Copyright (c) 1984 by Barry Reisberg, M.D., Re
produced with permission.\r\n|\r\n|Information contained in this note is based on a self-report assessment and is not sufficient to use alone for\r\n diagnostic purposes. Assessment results should be verified for accuracy and used in conjun
ction with other\r\n diagnostic activities and procedures."},"scaleGroup":[{"grid1":0,"grid2":0,"grid3":0,"id":100,"instrument":154,"name":"FAST Stage","ordInc":1,"ordMax":7,"ordMin":0,"ordTitle":"Stage","scale":[{"groupId":100,"id":509,"na
me":"Stage","sequence":2,"xLabel":"FAST"}],"sequence":1}],"spec":{"entryChecksum":3397187901,"entrySpec":"{\"name\": \"FAST\", \r\n \"copyright\": \"Copyright (c) 1984 by Barry Reisberg, M.D.\", \r\n \"restartDays\": 2, \r\n \"printTitle\"
: \"Functional Assessment Staging\", \r\n \"content\":[\r\n {\"id\": \"i2473\", \"type\": \"IntroText\",
\r\n \"text\": \"The FAST scale is a functional scale designed to evaluate patients at the\r\n moderate-severe stages of dementia. In the early stages the patient may be able\r\n to participate in the FAST administration but usually the
information should be\r\n collected from a caregiver or, in the case of nursing home care, the nursing\r\n home staff. The FAST Stage is the highest consecutive level of disability. For\r\n clinical purposes, in addition to staging the lev
el of disability, additional,\r\n non-ordinal (nonconsecutive) deficits should be noted, since these additional\r\n deficits are of clear clinical relevance.\"\r\n }, \r\n {\"id\": \"q8788\", \"type\": \"ChoiceQuestion\", \"required\":
true, \"inline\": false, \r\n \"text\": \"1. Check the highest consecutive level of disability:\", \r\n \"intro\": \"The FAST scale is a functional scale designed to evaluate patients at the\r\n moderate-severe stages of dementia. In
the early stages the patient may be able\r\n to participate in the FAST administration but usually the information should be\r\n collected from a caregiver or, in the case of nursing home care, the nursing\r\n home staff. The FAST Stage is
n":100301,"legacyValue":4,"sequence":4},{"choiceId":5339,"choiceText":"5 Requires assistance in choosing proper clothing to wear for the day, season, or occasion, e.g. patient may wear the same clothing repeatedly, unless supervised.","ien"
the highest consecutive level of disability. For\r\n clinical purposes, in addition to staging the level of disability, additional,\r\n non-ordinal (nonconsecutive) deficits should be noted, since these additional\r\n deficits are of clea
r clinical relevance.\", \r\n \"columns\": 1, \r\n \"choices\":[\r\n {\"id\": \"c5335\", \"text\": \" 1 No difficulty, either subjectively or objectively.\"}, \r\n {\"id\": \"c5336\", \"text\": \" 2 Complains of forgetting loc
ation of objects. Subjective work difficulties.\"}, \r\n {\"id\": \"c5337\", \"text\": \" 3 Decreased job functioning evident to co-workers. Difficulty in traveling to\r\n new locations. Decreased organizational capacity.\"}, \r\n
{\"id\": \"c5338\", \"text\": \" 4 Decreased ability to perform complex tasks, e.g. planning dinner for guests,\r\n handling personal finances (such as forgetting to pay bills), difficulty\r\n marketing, etc.\"}, \r\n {\"id\": \"c5339\
", \"text\": \" 5 Requires assistance in choosing proper clothing to wear for the day, season,\r\n or occasion, e.g. patient may wear the same clothing repeatedly, unless\r\n supervised.\"}, \r\n {\"id\": \"c5340\", \"text\": \" 6a Impr
operly putting on clothes without assistance or cuing (e.g. may put\r\n street clothes on over night clothes, or put shoes on wrong feet, or have\r\n difficulty buttoning clothing) occasionally or more frequently over the past\r\n weeks.\"}
, \r\n {\"id\": \"c5341\", \"text\": \" 6b Unable to bathe (shower) properly (e.g., difficulty adjusting bath-water\r\n (shower) temperature) occasionally or more frequently over the past weeks.\"}, \r\n {\"id\": \"c5342\", \"text\"
: \" 6c Inability to handle mechanics of toileting (e.g., forgets to flush the\r\n toilet, does not wipe properly or properly dispose of toilet tissue)\r\n occasionally or more frequently over the past weeks.\"}, \r\n {\"id\": \"c5343\"
, \"text\": \" 6d Urinary incontinence (occasionally or more frequently over the past weeks).\"}, \r\n {\"id\": \"c5344\", \"text\": \" 6e Fecal incontinence (occasionally or more frequently over the past weeks).\"}, \r\n {\"id\": \
"c5345\", \"text\": \" 7a Ability to speak limited to approximately a half a dozen intelligible\r\n different words or fewer, in the course of an average day or in the course of an\r\n intensive interview.\"}, \r\n {\"id\": \"c5346\", \
:100302,"legacyValue":5,"sequence":5},{"choiceId":5340,"choiceText":"6a Improperly putting on clothes without assistance or cuing (e.g. may put street clothes on over night clothes, or put shoes on wrong feet, or have difficulty buttoning c
"text\": \" 7b Speech ability limited to the use of a single intelligible word in an average\r\n day or in the course of an interview (the person may repeat the word over and\r\n over).\"}, \r\n {\"id\": \"c5347\", \"text\": \" 7c Ambul
atory ability lost (cannot walk without personal assistance).\"},
\r\n {\"id\": \"c5348\", \"text\": \" 7d Cannot sit up without assistance (e.g., the individual will fall over if\r\n there are no lateral rests [arms] on the chair).\"}, \r\n {\"id\": \"c5349\", \"text\": \" 7e Loss of ability to s
mile.\"}, \r\n {\"id\": \"c5350\", \"text\": \" 7f Loss of ability to hold up head independently.\"}\r\n ]}], \r\n \"rules\":[\r\n {\"question\": \"q3909\", \"operator\": \"EQ\", \"value\": \"c241\", \r\n \"skips\":[\"q3916\",\"q
3917\",\"q3918\",\"q3919\",\"q3920\",\"q3921\",\"q3922\",\"q3923\",\"q3924\",\"q3925\",\"q3926\",\"q3927\",\"q3928\",\"q3929\",\"q3932\"]}]\r\n}","instrument":154,"lastUpdate":"2022-12-19T20:44:27","specIen":47},"verify":["601.71:154","601.
72:8788","601.73:2473","601.75:5335","601.75:5336","601.75:5337","601.75:5338","601.75:5339","601.75:5340","601.75:5341","601.75:5342","601.75:5343","601.75:5344","601.75:5345","601.75:5346","601.75:5347","601.75:5348","601.75:5349","601.75
:5350","601.751:100298","601.751:100299","601.751:100300","601.751:100301","601.751:100302","601.751:100303","601.751:100304","601.751:100305","601.751:100306","601.751:100307","601.751:100308","601.751:100309","601.751:100310","601.751:100
311","601.751:100312","601.751:100313","601.76:8853","601.86:100","601.87:509","601.88:82590","601.88:82614","601.88:97350","601.89:42305"]}],"xchg":{"date":3230110.150052,"description":"(no description)","name":"YS*5.01*208 FAST UPD STEP2"
,"source":"MELDRUM@CAMP MASTER","version":1.02}}
lothing) occasionally or more frequently over the past weeks.","ien":100303,"legacyValue":6,"sequence":6},{"choiceId":5341,"choiceText":"6b Unable to bathe (shower) properly (e.g., difficulty adjusting bath-water (shower) temperature) occas
ionally or more frequently over the past weeks.","ien":100304,"legacyValue":6,"sequence":7},{"choiceId":5342,"choiceText":"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.","ien":100305,"legacyValue":6,"sequence":8},{"choiceId":5343,"choiceText":"6d Urinary incontinence (occasionally or more frequently over the past weeks).","ien":
100306,"legacyValue":6,"sequence":9},{"choiceId":5344,"choiceText":"6e Fecal incontinence (occasionally or more frequently over the past weeks).","ien":100307,"legacyValue":6,"sequence":10},{"choiceId":5345,"choiceText":"7a Ability to speak
|
