# Brief Interview for Mental Status (BIMS) - PACIO Sample Data Depot v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Brief Interview for Mental Status (BIMS)**

## 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 2025-12-02 | *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. | |

**Structure**

* [LinkID](https://hl7.org/fhir/R4/formats.html#table): Brief_Interview_for_Mental_Status_BIMS
  * [Text](https://hl7.org/fhir/R4/formats.html#table): 
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 
  * [Type](https://hl7.org/fhir/R4/formats.html#table): Questionnaire
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): http://mitre.org/paciowg/Questionnaire/Questionnaire-Brief-Interview-for-Mental-Status#0.1.0
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)97479
  * [Text](https://hl7.org/fhir/R4/formats.html#table): C0200. Repetition of Three Words. Number of words repeated after first attempt
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[4 options](#opt-item.97479)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-group.png)97480
  * [Text](https://hl7.org/fhir/R4/formats.html#table): C0300. Temporal Orientation (orientation to year, month, and day)
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 1..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [group](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)97481
  * [Text](https://hl7.org/fhir/R4/formats.html#table): C0300A. Able to report correct year
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[4 options](#opt-item.97481)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)97482
  * [Text](https://hl7.org/fhir/R4/formats.html#table): C0300B. Able to report correct month
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[3 options](#opt-item.97482)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)97483
  * [Text](https://hl7.org/fhir/R4/formats.html#table): C0300C. Able to report correct day of the week
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[2 options](#opt-item.97483)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-group.png)97484
  * [Text](https://hl7.org/fhir/R4/formats.html#table): C0400. Recall
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 1..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [group](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)97485
  * [Text](https://hl7.org/fhir/R4/formats.html#table): C0400A. Able to recall "sock"
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[3 options](#opt-item.97485)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)97486
  * [Text](https://hl7.org/fhir/R4/formats.html#table): C0400B. Able to recall "blue"
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[3 options](#opt-item.97486)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-coding.png)97487
  * [Text](https://hl7.org/fhir/R4/formats.html#table): C0400C. Able to recall "bed"
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [choice](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): Options:[3 options](#opt-item.97487)
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](icon-q-decimal.png)97488
  * [Text](https://hl7.org/fhir/R4/formats.html#table): C0500. BIMS Summary Score
  * [Cardinality](https://hl7.org/fhir/R4/formats.html#table): 0..1
  * [Type](https://hl7.org/fhir/R4/formats.html#table): [decimal](https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal)
  * [Description & Constraints](https://hl7.org/fhir/R4/formats.html#table)![](data:image/png;base64, ): 
* [LinkID](https://hl7.org/fhir/R4/formats.html#table): ![](data:image/png;base64, )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")



## Resource Content

```json
{
  "resourceType" : "Questionnaire",
  "id" : "Questionnaire-Brief-Interview-for-Mental-Status",
  "url" : "http://mitre.org/paciowg/Questionnaire/Questionnaire-Brief-Interview-for-Mental-Status",
  "version" : "0.1.0",
  "name" : "Brief_Interview_for_Mental_Status_BIMS",
  "title" : "Brief Interview for Mental Status (BIMS)",
  "status" : "draft",
  "subjectType" : ["Patient"],
  "date" : "2025-12-02T05:34:32+00:00",
  "publisher" : "MITRE",
  "contact" : [
    {
      "name" : "MITRE",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.mitre.org"
        }
      ]
    },
    {
      "name" : "May Terry",
      "telecom" : [
        {
          "system" : "email",
          "value" : "mayT@mitre.org",
          "use" : "work"
        }
      ]
    }
  ],
  "copyright" : "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.",
  "code" : [
    {
      "system" : "http://loinc.org",
      "code" : "52491-8",
      "display" : "Brief Interview for Mental Status (BIMS)"
    }
  ],
  "item" : [
    {
      "linkId" : "97479",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "52731-7",
          "display" : "Repetition of Three Words. Number of words repeated after first attempt"
        }
      ],
      "prefix" : "C0200",
      "text" : "Repetition of Three Words. Number of words repeated after first attempt",
      "type" : "choice",
      "repeats" : false,
      "answerOption" : [
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA137-2",
            "display" : "None"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6306-0",
            "display" : "One"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6404-3",
            "display" : "Two"
          }
        },
        {
          "valueCoding" : {
            "system" : "http://loinc.org",
            "code" : "LA6395-3",
            "display" : "Three"
          }
        }
      ]
    },
    {
      "linkId" : "97480",
      "prefix" : "C0300",
      "text" : "Temporal Orientation (orientation to year, month, and day)",
      "type" : "group",
      "required" : true,
      "item" : [
        {
          "linkId" : "97481",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "52732-5",
              "display" : "Able to report correct year"
            }
          ],
          "prefix" : "C0300A",
          "text" : "Able to report correct year",
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10965-4",
                "display" : "Missed by > 5 years or no answer"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10966-2",
                "display" : "Missed by 2-5 years"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10008-3",
                "display" : "Missed by 1 year"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA9960-1",
                "display" : "Correct"
              }
            }
          ]
        },
        {
          "linkId" : "97482",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "52733-3",
              "display" : "Able to report correct month"
            }
          ],
          "prefix" : "C0300B",
          "text" : "Able to report correct month",
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10969-6",
                "display" : "Missed by > 1 month or no answer"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10010-9",
                "display" : "Missed by 6 days to 1 month"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA9927-0",
                "display" : "Accurate within 5 days"
              }
            }
          ]
        },
        {
          "linkId" : "97483",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "54609-3",
              "display" : "Able to report correct day of the week"
            }
          ],
          "prefix" : "C0300C",
          "text" : "Able to report correct day of the week",
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA9981-7",
                "display" : "Incorrect or no answer"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA9960-1",
                "display" : "Correct"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId" : "97484",
      "prefix" : "C0400",
      "text" : "Recall",
      "type" : "group",
      "required" : true,
      "item" : [
        {
          "linkId" : "97485",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "52735-8",
              "display" : "Able to recall \"sock\""
            }
          ],
          "prefix" : "C0400A",
          "text" : "Able to recall \"sock\"",
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10974-6",
                "display" : "No - could not recall"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10126-3",
                "display" : "Yes, after cueing (\"something to wear\")"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10134-7",
                "display" : "Yes, no cue required"
              }
            }
          ]
        },
        {
          "linkId" : "97486",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "52736-6",
              "display" : "Able to recall \"blue\""
            }
          ],
          "prefix" : "C0400B",
          "text" : "Able to recall \"blue\"",
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10974-6",
                "display" : "No - could not recall"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10978-7",
                "display" : "Yes, after cueing (\"a color\")"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10134-7",
                "display" : "Yes, no cue required"
              }
            }
          ]
        },
        {
          "linkId" : "97487",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "52737-4",
              "display" : "Able to recall \"bed\""
            }
          ],
          "prefix" : "C0400C",
          "text" : "Able to recall \"bed\"",
          "type" : "choice",
          "repeats" : false,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10974-6",
                "display" : "No - could not recall"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10125-5",
                "display" : "Yes, after cueing (\"a piece of furniture\")"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA10134-7",
                "display" : "Yes, no cue required"
              }
            }
          ]
        }
      ]
    },
    {
      "linkId" : "97488",
      "prefix" : "C0500",
      "text" : "BIMS Summary Score",
      "type" : "decimal"
    }
  ]
}

```
