Mini Mental State screening tool

Patients mental status and

Identifying and definitional attributes

Value Domain METeOR identifier: 583783 Registration status: Definition: A code set representing the score of an item in the Standardised Mini-Mental State Examination (SMMSE) tool completed at the time of clinical assessment, covering a variety of cognitive domains.

Representational attributes

Representation class: Code Data type: Number Format: Maximum character length: Permissible values:
Value Meaning Score of 0 Score of 1 Score of 2 Score of 3 Score of 4 Score of 5
Supplementary values:
Not applicable - item has been omitted Not known/not specified

Collection and usage attributes

Guide for use:

The Standardised Mini-Mental State Examination (SMMSE) is a clinical assessment tool which is used as a screening test for cognitive impairment (Molloy D, Alemayehu E, Roberts R 1991a).

The SMMSE consists of 12 items or questions which cover a range of cognitive domains. Each item has a maximum score:

Question/ Item number Cognitive domain Maximum score Orientation - time Orientation - place Memory - immediate Language/attention Memory - short Language/memory - long Language/abstract thinking/verbal fluency Language 10 Language/attention/comprehension 11 Attention/comprehension/follow commands/constructional 12 Attention/comprehension/ construction/follow commands 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 scores are summed for the 12 items ranging from a minimum of 0 to a maximum of 30. The SMMSE can be adjusted for non-cognitive disabilities.

If an item cannot be modified or adjusted then the item is omitted, reducing the maximum obtainable score from 30. The formula ((Actual score x 30)/Maximum obtainable score) is used to readjust the score to be comparable with unadjusted scores.

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