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Table 5 Examples of Frailty Instruments implemented with the Cardiac-centered Frailty Ontology

From: Development of a cardiac-centered frailty ontology

Frailty Insrument: Barthell Index
Incontinence finding (CCFOID:11271) of either kind = 0
Continence finding (CCFOID:11271) or absent qualified incontinence finding of both kinds = 2
Able to perform personal care activities finding (CCFOID:11244) for each of its children:
 unqualified or able = 2
with difficulty = 1
unable = 0
Ability to transfer location finding (CCFOID:1122)(any one) = 2
Absent (CCFOID:42) qualified = 0
Able (CCFOID:412) qualified able to mobilize finding (CCFOID:112121) or no aid for walking finding (CCFOID:112472) = 3
Able with difficulty (CCFOID:411) qualified able to mobilize finding or walking aid use finding (any kind) = 2
wheelchair bound finding (CCFOID: 1121223) = 1
unable (CCFOID:413) qualified able to mobilize finding or bed-ridden finding (CCFOID:1121221) = 0
Able qualified able to walk upstairs finding (CCFOID:1124713) or able to walk downstairs finding (CCFOID:1124711) = 2
Unable qualified able to walk upstairs finding = 0
Barthell Index Scoring
Add up the score: 20 = no disability 0 = complete disability
Frailty Instrument: Katz – ADLs
Count the number of:
Each of the able qualified ability to perform personal care activities finding (bathing, dressing, toileting, feeding)(CCFOID:11244) = 1
Unable qualified = 0
Any able qualified ability to transfer location finding (CCFOID:1122) = 1
Unable qualified = 0
Both unqualified continence finding or absent qualified incontinence finding of either kind = 1
Unqualified Incontinence finding of either kind = 0
Katz - ADLs Scoring
Add up the score: 6 = high functioning 0 = low functioning
Frailty Instrument: SF-36
Average the following for General Health score:
Questions 1, 33, 34, 35, 36
First assessment covers 5 questions, 1 score.
unqualified or high frequency (CCFOID:441) qualified fit and well finding = 100
mid-frequency (CCFOID:442) qualified fit and well finding = 75
absent qualified generally unwell finding (CCFOID:1324) = 50
mid-frequency qualified generally unwell finding = 25
unqualified or high frequency qualified generally unwell finding = 0
Question 2
unqualified or high frequency qualified fit and well finding with sudden onset (CCFOID:433) qualification = 100
mid-frequency qualified fit and well finding with sudden onset qualification = 75
absent qualified generally unwell finding = 50
generally unwell finding:
mid-frequency qualified = 25
unqualified or high frequency = 0
Average the following for Pain score
Question 21
absent qualified alteration in comfort: pain finding (CCFOID:1111) = 100
mid-frequency qualified alteration in comfort: pain finding = 50
high frequency qualified alteration in comfort: pain finding = 0
Question 22
absent qualified alteration in comfort: pain finding, with able qualified able to carry out daily routine finding (CCFOID:11245) = 100
mid-frequency qualified alteration in comfort: pain finding, with able qualified able to carry out daily routine finding = 75
high-frequency qualified alteration in comfort: pain finding, with able qualified able to carry out daily routine finding = 50
mid-frequency qualified alteration in comfort: pain finding, with difficulty qualified able to carry out daily routine finding = 25
high-frequency qualified alteration in comfort: pain finding, with unable or with difficulty qualified able to carry out daily routine finding = 0
Average the following for Physical Functioning score:
Question 3
high frequency qualified enjoys vigorous exercise finding (CCFOID:11233) or able qualified ability to run finding (CCFOID:11213) = 100
mid-frequency qualified enjoys vigorous exercise finding = 50
gets no exercise finding or unable qualified ability to run finding or absent qualified enjoys vigorous exercise finding = 0
Question 4
high frequency qualified enjoys moderate exercise finding (CCFOID:11232) = 100
mid-frequency qualified enjoys moderate exercise finding = 50
gets no exercise finding or unable qualified ability to run finding or absent qualified enjoys moderate exercise finding = 0
Question 5
able qualified ability to perform general purpose physical activity finding (CCFOID:11243) or able qualified ability to perform shopping activities finding (CCFOID:112413) = 100
with difficulty qualified ability to perform general purpose physical activity finding or with difficulty qualified ability to perform shopping activities finding = 50
unable qualified ability to perform general purpose physical activity finding or unable qualified ability to perform shopping activities finding = 0
Question 6 & 7
This covers 2 question (scores twice) able qualified able to walk upstairs finding = 200
with difficulty qualified able to walk upstairs finding = 100
unable qualified able to walk upstairs finding = 0
Question 8
able qualified able to kneel finding (CCFOID:11211) = 100
with difficulty qualified able to kneel finding = 50
unable qualified able to kneel finding = 0
Questions 9–11
This covers 3 question (scores three times) able qualified able to walk finding (CCFOID:112471) = 300
with difficulty qualified able to walk finding = 200
unable qualified able to walk finding = 0
Question 12
able qualified ability to perform personal care activities finding = 100
with difficulty qualified ability to perform personal care activities finding = 50
unable qualified ability to perform personal care activities finding = 0
Average the following for Role Limitations due to Physical Health score:
Question 13–15
This covers 3 question (scores three times) absent qualified occupational maladjustment finding (CCFOID:1154) = 300
mid-frequency qualified occupational maladjustment finding = 150
high-frequency qualified occupational maladjustment finding = 0
Question 16
able qualified able to carry out daily routine finding = 100
with difficulty qualified able to carry out daily routine finding = 50
unable qualified able to carry out daily routine finding = 0
Average the following for Role Limitations due to Emotional Problems score
Question 17–19
This covers 3 question (scores three times) absent qualified occupational maladjustment finding and any psychological finding (CCFOID:113) = 300
mid-frequency qualified occupational maladjustment finding and any psychological finding = 150
high-frequency qualified occupational maladjustment finding and any psychological finding = 0
Average the following for Energy/Fatigue score
Questions 23, 27, 29, 31 (1 score)
able qualified able to sustain energy level finding (CCFOID:132221) or absent qualified lack of energy finding or absent qualified fatigue = 100
with difficulty qualified able to sustain energy level finding or mid-frequency qualified lack of energy finding or mid-frequency qualified fatigue = 50
unable qualified able to sustain energy level finding or high frequency qualified lack of energy finding or high frequency qualified fatigue = 0
Average the following for Emotional Well-Being score
Questions 24, 26
This covers 2 question (scores twice) high frequency qualified calm finding or absent qualified nervous finding or absent qualified anxiety diagnosis (CCFOID:21) = 200
mid-frequency qualified calm finding = 150
mid-frequency qualified nervous finding = 100
absent qualified calm finding = 50
high frequency qualified nervous finding or anxiety diagnosis = 0
Questions 25, 28, 30
This covers 3 question (scores three times) high frequency qualified happy finding or absent qualified sad finding (CCFOID:113334) or absent qualified depression diagnosis (CCFOID:22) = 300
mid-frequency qualified happy finding = 225
mid-frequency qualified sad finding = 150
absent qualified happy finding = 75
high frequency qualified sad finding or depression diagnosis = 0
Average the following for Social Functioning score
Question 32
able qualified ability to perform community living activities finding (CCFOID:11241) = 100
with difficulty qualified ability to perform community living activities finding = 50
unable qualified ability to perform community living activities finding = 0
Question 20
absent qualified impaired social interaction finding (CCFOID:11531) = 100
mid-frequency qualified impaired social interaction finding = 50
high frequency qualified impaired social interaction finding = 0
SF-36 Scoring
Scores are from 0 to 100 for each section, higher score = less frail/better health