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Person—level of cognitive ability, Standardised Mini-Mental State Examination item score code N

Identifying and definitional attributes

Metadata item type:Help on this termData Element
Short name:Help on this termLevel of cognitive ability (SMMSE item score)
Synonymous names:Help on this termSMMSE item score; Mini-Mental item score
METEOR identifier:Help on this term617812
Registration status:Help on this term
  • Health, Superseded 03/11/2016
Definition:Help on this term

The person's degree of cognitive ability to process thoughts and respond appropriately and safely, as represented by a Standardised Mini-Mental State Examination (SMMSE) score-based code.

Data Element Concept:Person—level of cognitive ability

Value domain attributes

Representational attributes

Representation class:Help on this termCode
Data type:Help on this termNumber
Format:Help on this termN
Maximum character length:Help on this term1
Permissible values:Help on this term
ValueMeaning
0Score of 0
1Score of 1
2Score of 2
3Score of 3
4Score of 4
5Score of 5
Supplementary values:Help on this term
ValueMeaning
7Not applicable - item has been omitted
8Not known/not specified

Collection and usage attributes

Guide for use:Help on this term

The Standardised Mini-Mental State Examination (SMMSE) is a clinical assessment tool which is used as a screening test for cognitive impairment (Molloy et al.1991a).

The SMMSE consists of 12 items or questions which assess a range of cognitive domains, requiring vocal and physical actions (such as memory recall and drawing) in response to reading and listening to commands. Each item has a maximum score:

Question/ Item number

Cognitive domain

Maximum score

1

Orientation - time

5

2

Orientation - place

5

3

Memory - immediate

3

4

Language/attention

5

5

Memory - short

3

6

Language/memory - long

1

7

Language/memory - long

1

8

Language/abstract thinking/verbal fluency

1

9

Language

1

10

Language/attention/comprehension

1

11

Attention/comprehension/follow commands/constructional

1

12

Attention/comprehension/ construction/follow commands

3

Total

30

 

Scores above 1 are not permissible for items 6-11.

Scores above 3 are not permissible for items 3 and 12.

Scores above 5 are not permissible for items 1, 2 and 4.

The final SMMSE score is a sum of the 12 items, and can range from a minimum of 0 to a maximum of 30. The SMMSE can be adjusted for non-cognitive disabilities.

As outlined in the SMMSE guidelines, if an item cannot be modified or adjusted then the item is omitted, reducing the maximum obtainable score from 30 (Molloy et al.1991a). The formula ((Actual score x 30)/Maximum obtainable score) is used to readjust the score to be comparable with unadjusted scores.

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Reference documents:Help on this term

Molloy D, Alemayehy E, Roberts R 1991a. Reliability of a standardized Mini-Mental State Examination compared with the traditional Mini-Mental state Examination. American Journal of Psychiatry, Vol. 14:102-105.

Molloy D, Alemayehy E, Roberts R 1991b. The Standardised Mini-Mental State Examination tool, Independent Hospital Pricing Authority, Australia. Viewed 4 September 2014, https://www.ihpa.gov.au/sites/g/files/net636/f/publications/smmse-tool-v2.pdf.

Molloy D, Alemayehy E, Roberts R 1991c. The Standardised Mini-Mental State Examination guidelines, Independent Hospital Pricing Authority, Australia. Viewed 4 September 2014, https://www.ihpa.gov.au/sites/g/files/net636/f/publications/smmse-guidelines-v2.pdf.

 

Data element attributes

Collection and usage attributes

Guide for use:Help on this term

This data element is used to report a score for one of the 12 items that comprise the Standardised Mini-Mental State Examination tool. It should be reported in an array of 12 to enable to gain a full SMMSE assessment score

Source and reference attributes

Submitting organisation:Help on this term

Independent Hospital Pricing Authority

Relational attributes

Related metadata references:Help on this term
Supersedes Person—level of cognitive ability, Standardised Mini-Mental State Examination assessment code N
  • Health, Superseded 19/11/2015
Has been superseded by Person—level of cognitive ability, Standardised Mini-Mental State Examination item score code N
  • Health, Superseded 25/01/2018
Implementation in Data Set Specifications:Help on this term
All attributes +

Admitted subacute and non-acute hospital care NBEDS 2016-17Health, Superseded 03/11/2016

DSS specific attributes +

Implementation start date: 01/07/2016

Implementation end date: 30/06/2017

Conditional obligation:

Only required to be reported on a 'best efforts' basis for 2016-17.

Only required to be reported for episodes of admitted patient care with Hospital service—care type, code N[N] recorded as Code 4, Geriatric evaluation and management.

Only required to be reported when the Episode of admitted patient care—clinical assessment only indicator, yes/no code N value is recorded as Code 2, No.

Only one array of SMMSE scores (i.e. 12 individual scores) per Geriatric Evaluation and Management episode are required to be reported.

If multiple sets of SMMSE scores are recorded in the patient's record, the set of scores (12 individual scores) which demonstrate the lowest level of cognitive ability recorded during the Geriatric Evaluation and Management episode should be reported.


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