Fax:  916-781-2029

Ph:  916-677-4744

Sierra Rheumatology Inc.

2207 Plaza Drive, Suite 100,  Rocklin, CA 95765

Telephone: (916) 677-4744 Fax: (916) 781-2029 

www.sierrarheumatology.com

Rapid Assessment of Patient Index Data (RAPID3)

The RAPID3 includes a subset of core 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 ad follows:

RAPID3

Please check the one best answer for your abilities at this time

a. Dress yourself, including tying shoelaces and doing buttons.
b. Get in and out of bed?
c. Lift a full cup or glass to your mouth?
d. Walk outdoors on flat ground?
e. Wash and dry your entire body?
f. Bend down to pick up clothing from the floor?
g. Turn regular faucets on and off?
h. Get in and out of a car, bus, train, or airplane?
i. Walk two miles or three kilometers, if you wish?
j. Participate in recreational activities and sports
k. Get a good night's sleep?
l. Deal with feelings of anxiety or being nervous?
m. Deal with feelings of depression or feeling blue?

1. a–j FN (0–10):

FN Value FN Value
1 0.3 16 5.3
2 0.7 17 5.7
3 1.0 18 6.0
4 1.3 19 6.3
5 1.7 20 6.7
6 2.0 21 7.0
7 2.3 22 7.3
8 2.7 23 7.7
9 3.0 24 8.0
10 3.3 25 8.3
11 3.7 26 8.7
12 4.0 27 9.0
13 4.3 28 9.3
14 4.7 29 9.7
15 5.0 30 10

2. PN (0–10):

3. PTGE (0–10):

RAPID3 (0–30):

HOW MUCH PAIN HAVE YOU HAD BECAUSE OF YOUR CONDITION OVER THE PAST WEEK?

Please indicate below how severe your pain has been:

CONSIDERING ALL THE WAYS IN WHICH ILLNESS AND HEALTH CONDITIONS MAY AFFECT YOU AT THIS TIME.

Please indicate below how severe your pain has been:

CONVERSION TABLE

Near Remission (NR): 1=0.3; 2=0.7; 3=1.0

Low Severity (LS): 4=1.3; 5=1.7; 6=2.0

Moderate Severity (MS): 7=2.3; 8=2.7; 9=3.0; 10=3.3; 11=3.7; 12=4.0

High Severity (HS): 13=4.3; 14=4.7; 15=5.0; 16=5.3; 17=5.7; 18=6.0; 19=6.3; 20=6.7; 21=7.0; 22=7.3; 23=7.7; 24=8.0; 25=8.3; 26=8.7; 27=9.0; 28=9.3; 29=9.7; 30=10.0;

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).

FINANCIAL RESPONSIBILITY

Our office will contact your insurance company, and the necessary arrangements will be made for approval of the medication and administration. You may want to follow up with your insurance company also to be sure everything is covered.
Our office does NOT provide a guarantee of coverage for any of these services. If coverage is not provided, YOU WILL BE RESPONSIBLE for any charges incurred for treatment and/or follow-up care.

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