PACIO Sample Data Depot, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/paciowg/sample-data-fsh/ and changes regularly. See the Directory of published versions
Questionnaire: Brief Interview for Mental Status (BIMS)
| Official URL: http://mitre.org/paciowg/Questionnaire/Questionnaire-Brief-Interview-for-Mental-Status | Version: 0.1.0 | |||
| Draft as of 2025-08-26 | Computable Name: Brief_Interview_for_Mental_Status_BIMS | |||
Copyright/Legal: This material contains content from LOINC (http://loinc.org). LOINC is copyright © Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. All rights reserved. LOINC is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. |
||||
| LinkID | Text | Cardinality | Type | Description & Constraints |
|---|---|---|---|---|
  Brief_Interview_for_Mental_Status_BIMS | Questionnaire | http://mitre.org/paciowg/Questionnaire/Questionnaire-Brief-Interview-for-Mental-Status#0.1.0 | ||
  97479 | C0200. Repetition of Three Words. Number of words repeated after first attempt | 0..1 | choice | Options: 4 options |
 97480 | C0300. Temporal Orientation (orientation to year, month, and day) | 1..1 | group | |
 97481 | C0300A. Able to report correct year | 0..1 | choice | Options: 4 options |
| 97482 | C0300B. Able to report correct month | 0..1 | choice | Options: 3 options |
 97483 | C0300C. Able to report correct day of the week | 0..1 | choice | Options: 2 options |
| 97484 | C0400. Recall | 1..1 | group | |
| 97485 | C0400A. Able to recall "sock" | 0..1 | choice | Options: 3 options |
| 97486 | C0400B. Able to recall "blue" | 0..1 | choice | Options: 3 options |
| 97487 | C0400C. Able to recall "bed" | 0..1 | choice | Options: 3 options |
 97488 | C0500. BIMS Summary Score | 0..1 | decimal | |
| Documentation for this format | ||||
Options Sets
Answer options for 97479
- http://loinc.org#LA137-2 ("None")
- http://loinc.org#LA6306-0 ("One")
- http://loinc.org#LA6404-3 ("Two")
- http://loinc.org#LA6395-3 ("Three")
Answer options for 97481
- http://loinc.org#LA10965-4 ("Missed by > 5 years or no answer")
- http://loinc.org#LA10966-2 ("Missed by 2-5 years")
- http://loinc.org#LA10008-3 ("Missed by 1 year")
- http://loinc.org#LA9960-1 ("Correct")
Answer options for 97482
- http://loinc.org#LA10969-6 ("Missed by > 1 month or no answer")
- http://loinc.org#LA10010-9 ("Missed by 6 days to 1 month")
- http://loinc.org#LA9927-0 ("Accurate within 5 days")
Answer options for 97483
- http://loinc.org#LA9981-7 ("Incorrect or no answer")
- http://loinc.org#LA9960-1 ("Correct")
Answer options for 97485
- http://loinc.org#LA10974-6 ("No - could not recall")
- http://loinc.org#LA10126-3 ("Yes, after cueing ("something to wear")")
- http://loinc.org#LA10134-7 ("Yes, no cue required")
Answer options for 97486
- http://loinc.org#LA10974-6 ("No - could not recall")
- http://loinc.org#LA10978-7 ("Yes, after cueing ("a color")")
- http://loinc.org#LA10134-7 ("Yes, no cue required")
Answer options for 97487
- http://loinc.org#LA10974-6 ("No - could not recall")
- http://loinc.org#LA10125-5 ("Yes, after cueing ("a piece of furniture")")
- http://loinc.org#LA10134-7 ("Yes, no cue required")