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Form Coding Instructions

The RAPID3 includes a subset of core variables found in the Multi-dimensional HAQ (MD-HAQ). Page 1 of the MD-HAQ, shown here, includes an assessment of physical function (section 1), a patient global assessment (PGA) for pain (section 2), and a PGA for global health (section 3). RAPID3 scores are quickly tallied by adding subsets of the MD-HAQ as follows:How to calculate RAPID 3 scores 1. Ask the patient to complete questions 1, 2, and 3 while in the waiting room prior to his/her visit. 2. For question 1, add up the scores in questions A-J only (questions K-M have been found to be informative, but are not scored formally). Use the formula in the box on the right to calculate the formal score (0-10). For example, a patient whose answers total 19 would score a 6.3. Enter this score as an evaluation of the patient's functional status (FN). 3. For question 2, enter the raw score (0-10) in the box on the right as an evaluation of the patient's pain tolerance (PN). 4. For question 3, enter the raw score (0-10) in the box on the right as an evaluation of the patient's global estimate (PTGE). 5. Add the total score (0-30) from questions 1, 2, and 3 and enter them as the patient's RAPID 3 cumulative score. Use the final conversion table to simplify the patient's weighed RAPID 3 score. For example, a patient who scores 11 on the cumulative RAPID 3 scale would score a weighed 3.7. A patient who scores between 0-1.0 is defined as near remission (NR); 1.3-2.0 as low severity (LS); 2.3-4.0 as moderate severity (MS); and 4.3-10.0 as high severity (HS)

Source: Dr. Theodore Pincus

Form Coding Instructions

Please check the ONE best answer for your abilities at this time:

Source: Dr. Theodore Pincus

75820-1 Over the last week, were you able to dress yourself, including shoelaces and buttons

Observation ID in Form

1a.

Fully-Specified Name

Component
Over the past W, are you able to dress yourself, including shoelaces and buttons
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Long Common Name

Over the past week, are you able to dress yourself, including shoelaces and buttons [HAQ]

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54 (MIN)
Order vs. Observation
Observation

Normative Answer List LL3066-9

AnswerCodeScoreAnswer ID
Without any difficulty0LA13921-4
With some difficulty1LA13920-6
With much difficulty2LA13919-8
Unable to do3LA13912-3

Member of these Panels

LOINCLong Common Name
71950-0Health Assessment Questionnaire [HAQ]
75877-1Patient activity scale [PAS]
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

75823-5 Over the last week, were you able to get in and out of bed

Observation ID in Form

1b.

Fully-Specified Name

Component
Over the past W, are you able to get in and out of bed
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Long Common Name

Over the past week, are you able to get in and out of bed [HAQ]

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54 (MIN)
Order vs. Observation
Observation

Normative Answer List LL3066-9

AnswerCodeScoreAnswer ID
Without any difficulty0LA13921-4
With some difficulty1LA13920-6
With much difficulty2LA13919-8
Unable to do3LA13912-3

Member of these Panels

LOINCLong Common Name
71950-0Health Assessment Questionnaire [HAQ]
75877-1Patient activity scale [PAS]
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

75825-0 Over the last week, were you able to lift a full cup or glass to your mouth

Observation ID in Form

1c.

Fully-Specified Name

Component
Over the past W, are you able to lift a full cup or glass to your mouth
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Long Common Name

Over the past week, are you able to lift a full cup or glass to your mouth [HAQ]

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54 (MIN)
Order vs. Observation
Observation

Normative Answer List LL3066-9

AnswerCodeScoreAnswer ID
Without any difficulty0LA13921-4
With some difficulty1LA13920-6
With much difficulty2LA13919-8
Unable to do3LA13912-3

Member of these Panels

LOINCLong Common Name
71950-0Health Assessment Questionnaire [HAQ]
75877-1Patient activity scale [PAS]
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

75827-6 Over the last week, were you able to walk outdoors on flat ground

Observation ID in Form

1d.

Fully-Specified Name

Component
Over the past W, are you able to walk outdoors on flat ground
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Long Common Name

Over the past week, are you able to walk outdoors on flat ground [HAQ]

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54 (MIN)
Order vs. Observation
Observation

Normative Answer List LL3066-9

AnswerCodeScoreAnswer ID
Without any difficulty0LA13921-4
With some difficulty1LA13920-6
With much difficulty2LA13919-8
Unable to do3LA13912-3

Member of these Panels

LOINCLong Common Name
71950-0Health Assessment Questionnaire [HAQ]
75877-1Patient activity scale [PAS]
75876-3Patient activity scale II [PASII]
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

75829-2 Over the last week, were are you able to wash and dry your entire body

Observation ID in Form

1e.

Fully-Specified Name

Component
Over the past W, are you able to wash and dry your body
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Long Common Name

Over the past week, are you able to wash and dry your body [HAQ]

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54 (MIN)
Order vs. Observation
Observation

Normative Answer List LL3066-9

AnswerCodeScoreAnswer ID
Without any difficulty0LA13921-4
With some difficulty1LA13920-6
With much difficulty2LA13919-8
Unable to do3LA13912-3

Member of these Panels

LOINCLong Common Name
71950-0Health Assessment Questionnaire [HAQ]
75877-1Patient activity scale [PAS]
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

75833-4 Over the last week, were are you able to bend down and pick up clothing from the floor

Observation ID in Form

1f.

Fully-Specified Name

Component
Over the past W, are you able to bend down and pick up clothing from the floor
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Long Common Name

Over the past week, are you able to bend down and pick up clothing from the floor [HAQ]

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54 (MIN)
Order vs. Observation
Observation

Normative Answer List LL3066-9

AnswerCodeScoreAnswer ID
Without any difficulty0LA13921-4
With some difficulty1LA13920-6
With much difficulty2LA13919-8
Unable to do3LA13912-3

Member of these Panels

LOINCLong Common Name
71950-0Health Assessment Questionnaire [HAQ]
75877-1Patient activity scale [PAS]
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

75836-7 Over the last week, were are you able to turn faucets on and off

Observation ID in Form

1g.

Fully-Specified Name

Component
Over the past W, are you able to turn faucets on and off
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Long Common Name

Over the past week, are you able to turn faucets on and off [HAQ]

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.50
Last Updated
Version 2.54 (MIN)
Order vs. Observation
Observation

Normative Answer List LL3066-9

AnswerCodeScoreAnswer ID
Without any difficulty0LA13921-4
With some difficulty1LA13920-6
With much difficulty2LA13919-8
Unable to do3LA13912-3

Member of these Panels

LOINCLong Common Name
71950-0Health Assessment Questionnaire [HAQ]
75877-1Patient activity scale [PAS]
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

90030-8 Over the last week, were you able to get in and out of a car, bus, train, or airplane

Observation ID in Form

1h.

Fully-Specified Name

Component
Over the past W, are you able to get in and out of a car, bus, train, or airplane
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Long Common Name

Over the past week, are you able to get in and out of a car, bus, train, or airplane [HAQ]

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65 (ADD)
Order vs. Observation
Observation

Normative Answer List LL3066-9

AnswerCodeScoreAnswer ID
Without any difficulty0LA13921-4
With some difficulty1LA13920-6
With much difficulty2LA13919-8
Unable to do3LA13912-3

Member of these Panels

LOINCLong Common Name
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

90031-6 Over the last week, were you able to walk two miles or three kilometers, if you wish

Observation ID in Form

1i.

Fully-Specified Name

Component
Over the past W, are you able to walk two miles or three kilometers, if you wish
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Long Common Name

Over the past week, are you able to walk two miles or three kilometers, if you wish [HAQ]

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65 (ADD)
Order vs. Observation
Observation

Normative Answer List LL3066-9

AnswerCodeScoreAnswer ID
Without any difficulty0LA13921-4
With some difficulty1LA13920-6
With much difficulty2LA13919-8
Unable to do3LA13912-3

Member of these Panels

LOINCLong Common Name
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

Member of these Groups Get Info

LOINC GroupGroup Name
LG41761-4Exercise/Activity

90032-4 Over the last week, were you able to participate in recreational activities and sports as you would like, if you wish

Observation ID in Form

1j.

Fully-Specified Name

Component
Over the past W, are you able to participate in recreational activities and sports as you would like, if you wish
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Long Common Name

Over the past week, are you able to participate in recreational activities and sports as you would like, if you wish [HAQ]

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65 (ADD)
Order vs. Observation
Observation

Normative Answer List LL3066-9

AnswerCodeScoreAnswer ID
Without any difficulty0LA13921-4
With some difficulty1LA13920-6
With much difficulty2LA13919-8
Unable to do3LA13912-3

Member of these Panels

LOINCLong Common Name
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

Member of these Groups Get Info

LOINC GroupGroup Name
LG41761-4Exercise/Activity

90033-2 Over the last week, were you able to get a good night's sleep

Observation ID in Form

1k.

Fully-Specified Name

Component
Over the past W, are you able to get a good night's sleep
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Long Common Name

Over the past week, are you able to get a good night's sleep [HAQ]

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5123-6

AnswerCodeScoreAnswer ID
Without any difficulty0LA13921-4
With some difficulty1.1LA13920-6
With much difficulty2.2LA13919-8
Unable to do3.3LA13912-3

Member of these Panels

LOINCLong Common Name
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

90034-0 Over the last week, were you able to deal with feelings of anxiety or being nervous

Observation ID in Form

1l.

Fully-Specified Name

Component
Over the past W, are you able to deal with feelings of anxiety or being nervous
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Long Common Name

Over the past week, are you able to deal with feelings of anxiety or being nervous [HAQ]

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5123-6

AnswerCodeScoreAnswer ID
Without any difficulty0LA13921-4
With some difficulty1.1LA13920-6
With much difficulty2.2LA13919-8
Unable to do3.3LA13912-3

Member of these Panels

LOINCLong Common Name
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

90035-7 Over the last week, were you able to deal with feelings of depression or feeling blue

Observation ID in Form

1m.

Fully-Specified Name

Component
Over the past W, are you able to deal with feelings of depression or feeling blue
Property
Find
Time
1W
System
^Patient
Scale
Ord
Method
HAQ

Long Common Name

Over the past week, are you able to deal with feelings of depression or feeling blue [HAQ]

Basic Attributes

Class
SURVEY.HAQ
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65 (ADD)
Order vs. Observation
Observation

Normative Answer List LL5123-6

AnswerCodeScoreAnswer ID
Without any difficulty0LA13921-4
With some difficulty1.1LA13920-6
With much difficulty2.2LA13919-8
Unable to do3.3LA13912-3

Member of these Panels

LOINCLong Common Name
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

90036-5 How much pain have you had because of your condition OVER THE PAST WEEK? Please indicate below how severe your pain has been:

Term Description

The patient is asked to indicate his/her level of pain in the past week on a scale of 0-10 with 0.5 increments and where 0 is no pain and 10 is severe pain.

Form Coding Instructions

Please indicate below how severe your pain has been:

Source: Dr. Theodore Pincus

Fully-Specified Name

Component
Pain severity in the past W - 0-10 (0.5 increments) numeric rating
Property
Score
Time
1W
System
^Patient
Scale
Ord
Method
Reported

Long Common Name

Pain severity in the past week- 0-10 (0.5 increments) numeric rating [Reported]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65 (ADD)
Order vs. Observation
Observation

Example Answer List LL5120-2

AnswerCodeScoreAnswer ID
0 - No painLA19102-5
0.5LA16632-4
1LA6112-2
1.5LA15765-3
2 or moreLA6113-0
2.5LA15766-1
3LA6114-8
3.5LA15767-9
4LA6115-5
4.5LA15768-7
5LA10137-0
5.5LA15769-5
6LA10138-8
6.5LA15770-3
7LA10139-6
7.5LA21653-3
8LA10140-4
8.5LA21654-1
9LA10141-2
9.5LA21655-8
10 - Pain as bad as it could beLA29463-9

Member of these Panels

LOINCLong Common Name
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

90037-3 Considering all the ways in which illness and health conditions may affect you at this time, please indicate below how you are doing:

Term Description

The patient is asked to consider all the ways in which illness and health conditions may affect them and indicate their overall assessment of their global health on a scale of 0-10 with 0.5 increments where 0 is very well and 10 is very poorly.

Form Coding Instructions

At this time, please indicate below how you are doing:

Source: Dr. Theodore Pincus

Fully-Specified Name

Component
Assessment of global health - 0-10 (0.5 increments) numeric rating
Property
Score
Time
Pt
System
^Patient
Scale
Ord
Method
Reported

Long Common Name

Assessment of global health - 0-10 (0.5 increments) numeric rating [Reported]

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65 (ADD)
Order vs. Observation
Observation

Example Answer List LL5119-4

AnswerCodeScoreAnswer ID
0 - Very wellLA21651-7
0.5LA16632-4
1LA6112-2
1.5LA15765-3
2 or moreLA6113-0
2.5LA15766-1
3LA6114-8
3.5LA15767-9
4LA6115-5
4.5LA15768-7
5LA10137-0
5.5LA15769-5
6LA10138-8
6.5LA15770-3
7LA10139-6
7.5LA21653-3
8LA10140-4
8.5LA21654-1
9LA10141-2
9.5LA21655-8
10 - Very poorlyLA29462-1

Member of these Panels

LOINCLong Common Name
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

90038-1 Weighted score [RAPID3]

Term Description

The RAPID3® is an index to assess and monitor patients with rheumatoid arthritis, without formal joint counts. PMID: 19962621 The weighted RAPID3® score corresponds to disease activity level LOINC 90094-4. It is based on the individual scores for each of the three sections of the RAPID3®, which together represent the RAPID3® cumulative score that is converted to the weighted score.

Reference Information

TypeSourceReference
CitationDr. Theodore PincusCopyright RAPID3 © 2008 - All rights reserved.Pincus, T., (2008), RAPID3 (Routine Assessment of Patient Index Data 3), a rheumatoid arthritis index without formal joint counts for routine care: proposed severity categories compared to disease activity score and clinical disease activity index categories. J Rheumatol. 2008 Nov;35(11):2136-47. Epub 2008 Sep 15.

Fully-Specified Name

Component
Weighted score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
RAPID3

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.65 (ADD)
Order vs. Observation
Observation

Member of these Panels

LOINCLong Common Name
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]

Example Units

UnitSource
{score}Example UCUM Units

90094-4 Rheumatoid arthritis disease severity level [RAPID3]

Term Description

The RAPID3® is an index to assess and monitor patients with rheumatoid arthritis, without formal joint counts. PMID: 19962621 The cumulative score is the sum of the results of the 10 physical function questions reduced to a score between 0 and 10, the score for pain severity LOINC 90036-5, and the patient's global assessment of overall health LOINC 90037-3. The cumulative score is converted to a weighted score that is interpreted as follows: 0-1.0 is near remission (NR); 1.3-2.0 as low severity (LS); 2.3-4.0 as moderate severity (MS); and 4.3-10.0 as high severity (HS). Alternatively, the activity level may be based on the RAPID3 cumulative score as follows: 1-3 is near remission; 4-6 as low severity; 7-12 as moderate severity; and 13-30 as high severity.https://www.rheumatology.org/Portals/0/Files/RAPID3%20Form.pdf

Reference Information

TypeSourceReference
CitationDr. Theodore PincusCopyright RAPID3 © 2008 - All rights reserved.Pincus, T., (2008), RAPID3 (Routine Assessment of Patient Index Data 3), a rheumatoid arthritis index without formal joint counts for routine care: proposed severity categories compared to disease activity score and clinical disease activity index categories. J Rheumatol. 2008 Nov;35(11):2136-47. Epub 2008 Sep 15.

Fully-Specified Name

Component
Rheumatoid arthritis disease severity level
Property
Imp
Time
Pt
System
^Patient
Scale
Ord
Method
RAPID3

Basic Attributes

Class
SURVEY.GNHLTH
Type
Surveys
First Released
Version 2.65
Last Updated
Version 2.72 (MIN)
Order vs. Observation
Observation

Normative Answer List LL5129-3

AnswerCodeScoreAnswer ID
Near remission

RAPID3 weighted score = 0–1.0

LA29471-2
Low severity

RAPID3 weighted score = 1.3–2.0

LA29472-0
Moderate severity

RAPID3 weighted score = 2.3–4.0

LA29473-8
High severity

RAPID3 weighted score = 4.3–10.0

LA29474-6

Member of these Panels

LOINCLong Common Name
90028-2Routine Assessment of Patient Index Data 3 [RAPID3]