PACIO Sample Data Depot
0.1.0 - draft

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

## : Brief Interview for Mental Status (BIMS) - XML Representation

Draft as of 2026-03-26

Raw xml | Download

    <Questionnaire xmlns="http://hl7.org/fhir">
      <id value="Questionnaire-Brief-Interview-for-Mental-Status"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Questionnaire Questionnaire-Brief-Interview-for-Mental-Status</b></p><a name="Questionnaire-Brief-Interview-for-Mental-Status"> </a><a name="hcQuestionnaire-Brief-Interview-for-Mental-Status"> </a><b>Structure</b><table border="1" cellpadding="0" cellspacing="0" style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The linkID for the item">LinkID</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Text for the item">Text</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Minimum and Maximum # of times the item can appear in the instance">Cardinality</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="The type of the item">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Additional information about the item">Description &amp; Constraints</a><span style="float: right"><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_q_root.gif" alt="." style="background-color: white; background-color: inherit" title="QuestionnaireRoot" class="hierarchy"/> Brief_Interview_for_Mental_Status_BIMS</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Questionnaire</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">http://mitre.org/paciowg/Questionnaire/Questionnaire-Brief-Interview-for-Mental-Status#0.1.0</td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" id="item.97479" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 97479</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0200. Repetition of Three Words. Number of words repeated after first attempt</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.97479">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.97480" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 97480</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0300. Temporal Orientation (orientation to year, month, and day)</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.97481" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 97481</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0300A. Able to report correct year</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.97481">4 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.97482" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 97482</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0300B. Able to report correct month</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.97482">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.97483" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 97483</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0300C. Able to report correct day of the week</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.97483">2 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" id="item.97484" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-group.png" alt="." style="background-color: white; background-color: inherit" title="group" class="hierarchy"/> 97484</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0400. Recall</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-group">group</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.97485" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 97485</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0400A. Able to recall &quot;sock&quot;</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.97485">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)" id="item.97486" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: white; background-color: inherit" title="coding" class="hierarchy"/> 97486</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0400B. Able to recall &quot;blue&quot;</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.97486">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" id="item.97487" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-coding.png" alt="." style="background-color: #F7F7F7; background-color: inherit" title="coding" class="hierarchy"/> 97487</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0400C. Able to recall &quot;bed&quot;</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice">choice</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Options: <a href="#opt-item.97487">3 options</a></td></tr>
    <tr style="border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" id="item.97488" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon-q-decimal.png" alt="." style="background-color: white; background-color: inherit" title="decimal" class="hierarchy"/> 97488</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">C0500. BIMS Summary Score</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">0..1</td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal">decimal</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/></tr>
    <tr><td colspan="5" class="hierarchy"><br/><a href="https://hl7.org/fhir/R4/formats.html#table" title="Legend for this format"><img src="data:image/png;base64, " alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name="opt-item.97479"> </a><p><b>Answer options for 97479 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA137-2 (&quot;None&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6306-0 (&quot;One&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6404-3 (&quot;Two&quot;)</li><li style="font-size: 11px">http://loinc.org#LA6395-3 (&quot;Three&quot;)</li></ul><a name="opt-item.97481"> </a><p><b>Answer options for 97481 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10965-4 (&quot;Missed by &gt; 5 years or no answer&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10966-2 (&quot;Missed by 2-5 years&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10008-3 (&quot;Missed by 1 year&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9960-1 (&quot;Correct&quot;)</li></ul><a name="opt-item.97482"> </a><p><b>Answer options for 97482 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10969-6 (&quot;Missed by &gt; 1 month or no answer&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10010-9 (&quot;Missed by 6 days to 1 month&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9927-0 (&quot;Accurate within 5 days&quot;)</li></ul><a name="opt-item.97483"> </a><p><b>Answer options for 97483 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA9981-7 (&quot;Incorrect or no answer&quot;)</li><li style="font-size: 11px">http://loinc.org#LA9960-1 (&quot;Correct&quot;)</li></ul><a name="opt-item.97485"> </a><p><b>Answer options for 97485 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10974-6 (&quot;No - could not recall&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10126-3 (&quot;Yes, after cueing (&quot;something to wear&quot;)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10134-7 (&quot;Yes, no cue required&quot;)</li></ul><a name="opt-item.97486"> </a><p><b>Answer options for 97486 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10974-6 (&quot;No - could not recall&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10978-7 (&quot;Yes, after cueing (&quot;a color&quot;)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10134-7 (&quot;Yes, no cue required&quot;)</li></ul><a name="opt-item.97487"> </a><p><b>Answer options for 97487 </b></p><ul><li style="font-size: 11px">http://loinc.org#LA10974-6 (&quot;No - could not recall&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10125-5 (&quot;Yes, after cueing (&quot;a piece of furniture&quot;)&quot;)</li><li style="font-size: 11px">http://loinc.org#LA10134-7 (&quot;Yes, no cue required&quot;)</li></ul></div>
      </text>
      <url
           value="http://mitre.org/paciowg/Questionnaire/Questionnaire-Brief-Interview-for-Mental-Status"/>
      <version value="0.1.0"/>
      <name value="Brief_Interview_for_Mental_Status_BIMS"/>
      <title value="Brief Interview for Mental Status (BIMS)"/>
      <status value="draft"/>
      <subjectType value="Patient"/>
      <date value="2026-03-26T20:08:48+00:00"/>
      <publisher value="MITRE"/>
      <contact>
        <name value="MITRE"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.mitre.org"/>
        </telecom>
      </contact>
      <contact>
        <name value="May Terry"/>
        <telecom>
          <system value="email"/>
          <value value="mayT@mitre.org"/>
          <use value="work"/>
        </telecom>
      </contact>
      <copyright
                 value="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 value="http://loinc.org"/>
        <code value="52491-8"/>
        <display value="Brief Interview for Mental Status (BIMS)"/>
      </code>
      <item>
        <linkId value="97479"/>
        <code>
          <system value="http://loinc.org"/>
          <code value="52731-7"/>
          <display
                   value="Repetition of Three Words. Number of words repeated after first attempt"/>
        </code>
        <prefix value="C0200"/>
        <text
              value="Repetition of Three Words. Number of words repeated after first attempt"/>
        <type value="choice"/>
        <repeats value="false"/>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA137-2"/>
            <display value="None"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6306-0"/>
            <display value="One"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6404-3"/>
            <display value="Two"/>
          </valueCoding>
        </answerOption>
        <answerOption>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA6395-3"/>
            <display value="Three"/>
          </valueCoding>
        </answerOption>
      </item>
      <item>
        <linkId value="97480"/>
        <prefix value="C0300"/>
        <text value="Temporal Orientation (orientation to year, month, and day)"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="97481"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="52732-5"/>
            <display value="Able to report correct year"/>
          </code>
          <prefix value="C0300A"/>
          <text value="Able to report correct year"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10965-4"/>
              <display value="Missed by &gt; 5 years or no answer"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10966-2"/>
              <display value="Missed by 2-5 years"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10008-3"/>
              <display value="Missed by 1 year"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9960-1"/>
              <display value="Correct"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="97482"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="52733-3"/>
            <display value="Able to report correct month"/>
          </code>
          <prefix value="C0300B"/>
          <text value="Able to report correct month"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10969-6"/>
              <display value="Missed by &gt; 1 month or no answer"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10010-9"/>
              <display value="Missed by 6 days to 1 month"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9927-0"/>
              <display value="Accurate within 5 days"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="97483"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="54609-3"/>
            <display value="Able to report correct day of the week"/>
          </code>
          <prefix value="C0300C"/>
          <text value="Able to report correct day of the week"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9981-7"/>
              <display value="Incorrect or no answer"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA9960-1"/>
              <display value="Correct"/>
            </valueCoding>
          </answerOption>
        </item>
      </item>
      <item>
        <linkId value="97484"/>
        <prefix value="C0400"/>
        <text value="Recall"/>
        <type value="group"/>
        <required value="true"/>
        <item>
          <linkId value="97485"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="52735-8"/>
            <display value="Able to recall &quot;sock&quot;"/>
          </code>
          <prefix value="C0400A"/>
          <text value="Able to recall &quot;sock&quot;"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10974-6"/>
              <display value="No - could not recall"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10126-3"/>
              <display value="Yes, after cueing (&quot;something to wear&quot;)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10134-7"/>
              <display value="Yes, no cue required"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="97486"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="52736-6"/>
            <display value="Able to recall &quot;blue&quot;"/>
          </code>
          <prefix value="C0400B"/>
          <text value="Able to recall &quot;blue&quot;"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10974-6"/>
              <display value="No - could not recall"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10978-7"/>
              <display value="Yes, after cueing (&quot;a color&quot;)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10134-7"/>
              <display value="Yes, no cue required"/>
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="97487"/>
          <code>
            <system value="http://loinc.org"/>
            <code value="52737-4"/>
            <display value="Able to recall &quot;bed&quot;"/>
          </code>
          <prefix value="C0400C"/>
          <text value="Able to recall &quot;bed&quot;"/>
          <type value="choice"/>
          <repeats value="false"/>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10974-6"/>
              <display value="No - could not recall"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10125-5"/>
              <display
                       value="Yes, after cueing (&quot;a piece of furniture&quot;)"/>
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://loinc.org"/>
              <code value="LA10134-7"/>
              <display value="Yes, no cue required"/>
            </valueCoding>
          </answerOption>
        </item>
      </item>
      <item>
        <linkId value="97488"/>
        <prefix value="C0500"/>
        <text value="BIMS Summary Score"/>
        <type value="decimal"/>
      </item>
    </Questionnaire>