# 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 2026-03-26 | *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. | |



## Resource Content

```json
{
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  "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" : "2026-03-26T20:08:48+00:00",
  "publisher" : "MITRE",
  "contact" : [{
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    "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)"
  }],
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    "code" : [{
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      "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" : [{
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        "display" : "None"
      }
    },
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      }
    },
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        "display" : "Two"
      }
    },
    {
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        "code" : "LA6395-3",
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      }
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      },
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        "valueCoding" : {
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          "display" : "Missed by 2-5 years"
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      {
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      "text" : "Able to report correct month",
      "type" : "choice",
      "repeats" : false,
      "answerOption" : [{
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          "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"
        }
      },
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        "valueCoding" : {
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          "code" : "LA9927-0",
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        }
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    },
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      "code" : [{
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      }],
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      },
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        "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",
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        "display" : "Able to recall \"blue\""
      }],
      "prefix" : "C0400B",
      "text" : "Able to recall \"blue\"",
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      }]
    }]
  },
  {
    "linkId" : "97488",
    "prefix" : "C0500",
    "text" : "BIMS Summary Score",
    "type" : "decimal"
  }]
}

```
