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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
Synonymous names:Help on this termSMMSE item score; Mini-Mental item score
METeOR identifier:Help on this term681420
Registration status:Help on this termHealth, Standard 25/01/2018
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
7Not applicable - item has been omitted
8Unknown
9Not stated/inadequately described

Collection and usage attributes

Guide for use:Help on this term

The 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 148:102–105.

Molloy D, Alemayehy E, & Roberts R 1991b. The Standardised Mini-Mental State Examination tool. Sydney: Independent Hospital Pricing Authority. Viewed 31 July 2017, https://www.ihpa.gov.au/sites/g/files/net636/f/publications/smmse-tool-v2.pdf

Molloy D, Alemayehy E, & Roberts R 2014. The Standardised Mini-Mental State Examination guidelines. Sydney: Independent Hospital Pricing Authority. Viewed 31 July 2017, 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 SMMSE tool. It should be reported in an array of 12 to enable 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 item score code N Health, Superseded 25/01/2018

Implementation in Data Set Specifications:Help on this term
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DSS specific attributes +

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DSS specific attributes +
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