| Question | Response |
|---|---|
| Did the patient fall since last visit? |
CE.CEOCCUR No Yes Unknown |
| Date of fall |
CE.CEDTCFA.FADTC |
| Time of the day |
FA.FAORRES when FA.FATESTCD="FALL1" MORNING AFTERNOON EVENING NIGHT UNKNOWN |
| Environment (of fall) |
FA.FAORRES when FA.FATESTCD="FALL2" AT HOME: INSIDE AT HOME: OUTSIDE AWAY FROM HOME: FAMILIAR PLACE AWAY FROM HOME: STRANGE PLACE UNKNOWN |
| Activity at the time of fall |
FA.FAORRES when FA.FATESTCD="FALL3" WALKING CHANGING POSITION STAIRS PHYSICAL ACTIVITY OTHER |
| Fall Mechanism |
FA.FAORRES when FA.FATESTCD="FALL4" TRIPPING SLIPPING STAIR FALL FALL FROM AN UPPER LEVEL OTHER EXTRINSIC MECHANISM INTRINSIC MECHANISM |
| Did the fall result in injury |
FA.FAORRES when FA.FATESTCD="FALL5" No Yes |
| Severity of the injury |
FA.FAORRES when FA.FATESTCD="FALL6" MINOR INJURY NOT REQUIRING MEDICAL ATTENTION MODERATE INJURY REQUIRING MEDICAL ATTENTION SEVERE INJURY REQUIRING EMERGENCY OR INPATIENT THERAPY |