Score and Assessment Systems


Author: Null
Original Work: Null
Coypright: unknown

Trademark: unknown

Explanation: R = 6*(HIST) + 14*(MNTL) + 1*(VISN) + 2*(TOIL) + 7*(TSMS)
HL7 v2.x datatype:
HL7 V3 datatype: INT
Specialities: Acute Care / Akutbehandlung


Codesystem Code Value(s) Interpretation
pseudo 1 -8 no risk
pseudo 2 9- risk


Comp. Decription Bezeichnung Code System: Codes/
Score Value
Details /
Score Range
HL7 DT v2 + V3 /
Snomed CT
1 History of Falls
Did the patient present to hospital with a fall or has s/he fallen on ward since admission? If not, has the patient fallen within last 2 months?

at least one yes 1 - NM + INT
all no 0 - NM + INT
2 Mental Status
Is the patient confused? (i.e. unable to make purposeful decisions, disorganized thinking, and memory impairment)Is the patient disoriented?(i.e. lacking awareness, being mistaken about time, place or person)Is the patient agitated?(i.e. fearful affect, frequent movements, and anxious)

at least one yes 1 - NM + INT
all no 1 - NM + INT
3 Vision
Does the patient require eyeglasses continuously?Does the patient report blurred vision?Does the patient have glaucoma, cataracts or macular degeneration?

at least one es 1 - NM + INT
all no 0 - NM + INT
4 Toileting
Are there any alterations in urination?(i.e. frequency, urgency, incontinence, nocturia)

yes 1 - NM + INT
no 0 - NM + INT
5 Stratify Subscore für Transfer and Mobility

STRATIFY-sub 0 4 - 6 NM + INT
STRATIFY-sub 1 0 - 3 NM + INT
R = 6*(HIST) + 14*(MNTL) + 1*(VISN) + 2*(TOIL) + 7*(TSMS)

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Links to Further Information

General Note

The primary purpose of the information provided above is to enhance interoperability. The primary focus lies on the assigned codes.
Therefore, no guarantee can be given whether the use of the score or assessment system is allowed or not. It is highly recommended to check with the author directly. We are aware that the presented information may be not enough in order to work with it. The authors have done their best to ensure copyright and other jurisdictional requirements.

Date of Last Change: Nov 06, 2008 (FO)