{
  "description": "Grille d'évaluation AGGIR PA SSIAD",
  "_filename": "Questionnaire-tddui-questionnaire-aggir-pa-ssiad.json",
  "package_name": "ans.fhir.fr.tddui",
  "date": "2025-11-04T15:08:21+00:00",
  "publisher": "ANS",
  "jurisdiction": [ {
    "coding": [ {
      "code": "FR",
      "system": "urn:iso:std:iso:3166",
      "display": "FRANCE"
    } ]
  } ],
  "name": null,
  "item": [ {
    "item": [ {
      "code": [ {
        "code": "b160",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Thought functions"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "pensee-spont",
        "repeats": false
      }, {
        "code": [ {
          "code": "MED-1308",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait totalement"
        } ],
        "text": "fait totalement",
        "type": "boolean",
        "linkId": "pensee-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "pensee-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "pensee-habit"
      } ],
      "text": "Fonctions de la pensée",
      "type": "choice",
      "linkId": "fonction-pensee",
      "repeats": false,
      "required": false,
      "answerOption": [ {
        "valueCoding": {
          "code": "qf0",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "aucun facilitateur"
        }
      }, {
        "valueCoding": {
          "code": "qf2",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur modéré"
        }
      }, {
        "valueCoding": {
          "code": "qf4",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur absolu"
        }
      } ]
    }, {
      "code": [ {
        "code": "b114",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Orientation functions"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "orientation-spont",
        "repeats": false
      }, {
        "code": [ {
          "code": "MED-1308",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait totalement"
        } ],
        "text": "fait totalement",
        "type": "boolean",
        "linkId": "orientation-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "orientation-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "orientation-habit"
      } ],
      "text": "Fonctions d'orientation",
      "type": "choice",
      "linkId": "fonction-orientation",
      "repeats": false,
      "required": false,
      "answerOption": [ {
        "valueCoding": {
          "code": "qf0",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "aucun facilitateur"
        }
      }, {
        "valueCoding": {
          "code": "qf2",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur modéré"
        }
      }, {
        "valueCoding": {
          "code": "qf4",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur absolu"
        }
      } ]
    }, {
      "code": [ {
        "code": "d5100",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Washing body parts"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "laver-spont",
        "repeats": false
      }, {
        "code": [ {
          "code": "MED-1308",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait totalement"
        } ],
        "text": "fait totalement",
        "type": "boolean",
        "linkId": "laver-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "laver-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "laver-habit"
      } ],
      "text": "Se laver des parties du corps",
      "type": "choice",
      "linkId": "se-laver",
      "repeats": false,
      "required": false,
      "answerOption": [ {
        "valueCoding": {
          "code": "qf0",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "aucun facilitateur"
        }
      }, {
        "valueCoding": {
          "code": "qf2",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur modéré"
        }
      }, {
        "valueCoding": {
          "code": "qf4",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur absolu"
        }
      } ]
    }, {
      "code": [ {
        "code": "d520",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Caring for body parts"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "prendre-soin-spont",
        "repeats": false
      }, {
        "code": [ {
          "code": "MED-1308",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait totalement"
        } ],
        "text": "fait totalement",
        "type": "boolean",
        "linkId": "prendre-soin-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "prendre-soin-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "prendre-soin-habit"
      } ],
      "text": "Prendre soin des parties de son corps",
      "type": "choice",
      "linkId": "prendre-soin",
      "repeats": false,
      "required": false,
      "answerOption": [ {
        "valueCoding": {
          "code": "qf0",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "aucun facilitateur"
        }
      }, {
        "valueCoding": {
          "code": "qf2",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur modéré"
        }
      }, {
        "valueCoding": {
          "code": "qf4",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur absolu"
        }
      } ]
    }, {
      "code": [ {
        "code": "d5400",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Putting on clothes"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "mettre-vetement-spont",
        "repeats": false
      }, {
        "code": [ {
          "code": "MED-1308",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait totalement"
        } ],
        "text": "fait totalement",
        "type": "boolean",
        "linkId": "mettre-vetement-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "mettre-vetement-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "mettre-vetement-habit"
      } ],
      "text": "Mettre des vêtements",
      "type": "choice",
      "linkId": "mettre-vetement",
      "repeats": false,
      "required": false,
      "answerOption": [ {
        "valueCoding": {
          "code": "qf0",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "aucun facilitateur"
        }
      }, {
        "valueCoding": {
          "code": "qf2",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur modéré"
        }
      }, {
        "valueCoding": {
          "code": "qf4",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur absolu"
        }
      } ]
    }, {
      "code": [ {
        "code": "d440",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Fine hand use"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "motricite-fine-spont",
        "repeats": false
      }, {
        "code": [ {
          "code": "MED-1308",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait totalement"
        } ],
        "text": "fait totalement",
        "type": "boolean",
        "linkId": "motricite-fine-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "motricite-fine-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "motricite-fine-habit"
      } ],
      "text": "Activités de motricité fine",
      "type": "choice",
      "linkId": "motricite-fine",
      "repeats": false,
      "required": false,
      "answerOption": [ {
        "valueCoding": {
          "code": "qf0",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "aucun facilitateur"
        }
      }, {
        "valueCoding": {
          "code": "qf2",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur modéré"
        }
      }, {
        "valueCoding": {
          "code": "qf4",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur absolu"
        }
      } ]
    }, {
      "code": [ {
        "code": "d5402",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Putting on footwear"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "mettre-chaussure-spont",
        "repeats": false
      }, {
        "code": [ {
          "code": "MED-1308",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait totalement"
        } ],
        "text": "fait totalement",
        "type": "boolean",
        "linkId": "mettre-chaussure-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "mettre-chaussure-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "mettre-chaussure-habit"
      } ],
      "text": "Mettre des chaussures",
      "type": "choice",
      "linkId": "mettre-chaussure",
      "repeats": false,
      "required": false,
      "answerOption": [ {
        "valueCoding": {
          "code": "qf0",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "aucun facilitateur"
        }
      }, {
        "valueCoding": {
          "code": "qf2",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur modéré"
        }
      }, {
        "valueCoding": {
          "code": "qf4",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur absolu"
        }
      } ]
    }, {
      "code": [ {
        "code": "d550",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Eating"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "manger-spont",
        "repeats": false
      }, {
        "code": [ {
          "code": "MED-1308",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait totalement"
        } ],
        "text": "fait totalement",
        "type": "boolean",
        "linkId": "manger-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "manger-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "manger-habit"
      } ],
      "text": "Manger",
      "type": "choice",
      "linkId": "manger",
      "repeats": false,
      "required": false,
      "answerOption": [ {
        "valueCoding": {
          "code": "qf0",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "aucun facilitateur"
        }
      }, {
        "valueCoding": {
          "code": "qf2",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur modéré"
        }
      }, {
        "valueCoding": {
          "code": "qf4",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur absolu"
        }
      } ]
    }, {
      "code": [ {
        "code": "b5105",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Swallowing"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "passage-aliment-spont",
        "repeats": false
      }, {
        "code": [ {
          "code": "MED-1308",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait totalement"
        } ],
        "text": "fait totalement",
        "type": "boolean",
        "linkId": "passage-aliment-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "passage-aliment-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "passage-aliment-habit"
      } ],
      "text": "Passage des aliments par l'estomac et les intestins",
      "type": "choice",
      "linkId": "passage-aliment",
      "repeats": false,
      "required": false,
      "answerOption": [ {
        "valueCoding": {
          "code": "qf0",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "aucun facilitateur"
        }
      }, {
        "valueCoding": {
          "code": "qf2",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur modéré"
        }
      }, {
        "valueCoding": {
          "code": "qf4",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur absolu"
        }
      } ]
    }, {
      "code": [ {
        "code": "d5300",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Regulating urination"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "miction-spont",
        "repeats": false
      }, {
        "code": [ {
          "code": "MED-1308",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait totalement"
        } ],
        "text": "fait totalement",
        "type": "boolean",
        "linkId": "miction-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "miction-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "miction-habit"
      } ],
      "text": "Assurer la régulation de la miction",
      "type": "choice",
      "linkId": "assurer-regulation-miction",
      "repeats": false,
      "required": false,
      "answerOption": [ {
        "valueCoding": {
          "code": "qf0",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "aucun facilitateur"
        }
      }, {
        "valueCoding": {
          "code": "qf2",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur modéré"
        }
      }, {
        "valueCoding": {
          "code": "qf4",
          "system": "http://hl7.org/fhir/sid/icf",
          "display": "facilitateur absolu"
        }
      } ]
    }, {
      "code": [ {
        "code": "d5301",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Regulating defecation"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
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