{
  "description": "Grille d'évaluation AGGIR PH SSIAD",
  "_filename": "Questionnaire-tddui-questionnaire-aggir-ph-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": "d510",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Washing oneself"
      } ],
      "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",
      "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": "d540",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Dressing"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "habiller-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": "habiller-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "habiller-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "habiller-habit"
      } ],
      "text": "S'habiller",
      "type": "choice",
      "linkId": "s'habiller",
      "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": "d530",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Toileting"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "toilette-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": "toilette-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "toilette-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "toilette-habit"
      } ],
      "text": "Aller aux toilettes",
      "type": "choice",
      "linkId": "aller-aux-toilettes",
      "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": "d410",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Changing basic body position"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "position-corps-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": "position-corps-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "position-corps-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "position-corps-habit"
      } ],
      "text": "Changer la position corporelle de base",
      "type": "choice",
      "linkId": "position-corps",
      "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": "d4600",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Moving around within the home"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "deplacer-maison-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": "deplacer-maison-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "deplacer-maison-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "deplacer-maison-habit"
      } ],
      "text": "Se déplacer dans la maison",
      "type": "choice",
      "linkId": "deplacer-maison",
      "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": "d4602",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Moving around outside the home and other buildings"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "deplacer-hors-maison-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": "deplacer-hors-maison-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "deplacer-hors-maison-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "deplacer-hors-maison-habit"
      } ],
      "text": "Se déplacer en dehors de la maison et d'autres bâtiments",
      "type": "choice",
      "linkId": "deplacer-hors-maison",
      "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": "d3608",
        "system": "http://hl7.org/fhir/sid/icf",
        "display": "Using communication devices and techniques, other specified"
      } ],
      "item": [ {
        "code": [ {
          "code": "MED-1307",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait spontanément"
        } ],
        "text": "fait spontanément",
        "type": "boolean",
        "linkId": "appareil-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": "appareil-tot"
      }, {
        "code": [ {
          "code": "MED-1309",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait correctement"
        } ],
        "text": "fait correctement",
        "type": "boolean",
        "linkId": "appareil-correct"
      }, {
        "code": [ {
          "code": "MED-1310",
          "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
          "display": "fait habituellement"
        } ],
        "text": "fait habituellement",
        "type": "boolean",
        "linkId": "appareil-habit"
      } ],
      "text": "Utiliser d'autres appareils et techniques de communication précisés",
      "type": "choice",
      "linkId": "appareil-communication",
      "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"
        }
      } ]
    } ],
    "text": "Résultat évaluation",
    "type": "choice",
    "linkId": "resultat-eval",
    "repeats": false,
    "required": false,
    "answerOption": [ {
      "valueCoding": {
        "code": "MED-339",
        "system": "https://smt.esante.gouv.fr/fhir/CodeSystem/terminologie-cisis",
        "display": "GIR-1"
      }
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