Structure LinkId Text Cardinality Type Description & Constraints ABCQuestionnaire Questionnaire https://smart-bear.eu/fhir/ABC#0.3.2 ABC_1 How confident are you that you will not lose your balance or become unsteady when you... Walk around the house? 1..1 integer Options: 11 options ABC_2 How confident are you that you will not lose your balance or become unsteady when you... Walk up or down stairs? 1..1 integer Options: 11 options ABC_3 How confident are you that you will not lose your balance or become unsteady when you... Bend over and pick up a slipper (or item) from the front of a closet floor 1..1 integer Options: 11 options ABC_4 How confident are you that you will not lose your balance or become unsteady when you... Reach for a small can off a shelf at eye level? 1..1 integer Options: 11 options ABC_5 How confident are you that you will not lose your balance or become unsteady when you... Stand on your tiptoes and reach for something above your head? 1..1 integer Options: 11 options ABC_6 How confident are you that you will not lose your balance or become unsteady when you... Stand on a chair and reach for something? 1..1 integer Options: 11 options ABC_7 How confident are you that you will not lose your balance or become unsteady when you... Sweep the floor? 1..1 integer Options: 11 options ABC_8 How confident are you that you will not lose your balance or become unsteady when you... Walk outside the house to a car parked in the driveway? 1..1 integer Options: 11 options ABC_9 How confident are you that you will not lose your balance or become unsteady when you... Get into or out of a car? 1..1 integer Options: 11 options ABC_10 How confident are you that you will not lose your balance or become unsteady when you... Walk across a parking lot to the mall (store)? 1..1 integer Options: 11 options ABC_11 How confident are you that you will not lose your balance or become unsteady when you... Walk up or down a ramp? 1..1 integer Options: 11 options ABC_12 How confident are you that you will not lose your balance or become unsteady when you... Walk in a crowded mall where people rapidly walk past you? 1..1 integer Options: 11 options ABC_13 How confident are you that you will not lose your balance or become unsteady when you... Are bumped into by people as you walk through the mall? 1..1 integer Options: 11 options ABC_14 How confident are you that you will not lose your balance or become unsteady when you... Step onto or off an escalator while you are holding onto a railing? 1..1 integer Options: 11 options ABC_15 How confident are you that you will not lose your balance or become unsteady when you... Step onto or off an escalator while holding onto parcels such that you cannot hold onto the railing? 1..1 integer Options: 11 options ABC_16 How confident are you that you will not lose your balance or become unsteady when you... Walk outside on icy sidewalks? 1..1 integer Options: 11 options score Score 1..1 string Documentation for this format Option Sets Answer options for ABC_1 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_2 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_3 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_4 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_5 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_6 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_7 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_8 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_9 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_10 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_11 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_12 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_13 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_14 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_15 0 10 20 30 40 50 60 70 80 90 100 Answer options for ABC_16 0 10 20 30 40 50 60 70 80 90 100
Activities-Specific Balance Confidence Scale
How confident are you that you will not lose your balance or become unsteady when you... Walk around the house?
How confident are you that you will not lose your balance or become unsteady when you... Walk up or down stairs?
How confident are you that you will not lose your balance or become unsteady when you... Bend over and pick up a slipper (or item) from the front of a closet floor
How confident are you that you will not lose your balance or become unsteady when you... Reach for a small can off a shelf at eye level?
How confident are you that you will not lose your balance or become unsteady when you... Stand on your tiptoes and reach for something above your head?
How confident are you that you will not lose your balance or become unsteady when you... Stand on a chair and reach for something?
How confident are you that you will not lose your balance or become unsteady when you... Sweep the floor?
How confident are you that you will not lose your balance or become unsteady when you... Walk outside the house to a car parked in the driveway?
How confident are you that you will not lose your balance or become unsteady when you... Get into or out of a car?
How confident are you that you will not lose your balance or become unsteady when you... Walk across a parking lot to the mall (store)?
How confident are you that you will not lose your balance or become unsteady when you... Walk up or down a ramp?
How confident are you that you will not lose your balance or become unsteady when you... Walk in a crowded mall where people rapidly walk past you?
How confident are you that you will not lose your balance or become unsteady when you... Are bumped into by people as you walk through the mall?
How confident are you that you will not lose your balance or become unsteady when you... Step onto or off an escalator while you are holding onto a railing?
How confident are you that you will not lose your balance or become unsteady when you... Step onto or off an escalator while holding onto parcels such that you cannot hold onto the railing?
How confident are you that you will not lose your balance or become unsteady when you... Walk outside on icy sidewalks?