This page is part of the PACIO Cognitive Status Implementation Guide (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions
{
"resourceType" : "QuestionnaireResponse",
"id" : "QResponse-SNF-CAM-Admission-1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>questionnaire</b>: <a href=\"http://example.org/Questionnaire/MDS3.0-NC-1.17\">http://example.org/Questionnaire/MDS3.0-NC-1.17</a></p><p><b>status</b>: completed</p><p><b>subject</b>: <a href=\"Patient-patientBSJ1.html\">Generated Summary: Betsy Smith-Johnson</a></p><p><b>authored</b>: Apr 9, 2020 11:00:00 PM</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-3</p><p><b>text</b>: Cognitive Patterns</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-3/C1310</p><p><b>text</b>: Signs and Symptoms of Delirium (from CAM)</p></blockquote></blockquote></div>"
},
"questionnaire" : "http://example.org/Questionnaire/MDS3.0-NC-1.17",
"_questionnaire" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/display",
"valueString" : "Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.17.1 [CMS Assessment]"
}
]
},
"status" : "completed",
"subject" : {
"reference" : "Patient/patientBSJ1"
},
"authored" : "2020-04-09T18:00:00-05:00",
"item" : [
{
"linkId" : "Section-3",
"text" : "Cognitive Patterns",
"item" : [
{
"linkId" : "Section-3/C1310",
"text" : "Signs and Symptoms of Delirium (from CAM)",
"item" : [
{
"linkId" : "Section-3/C1310A",
"text" : "Is there evidence of an acute change in mental status from the patients baseline?",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA32-8",
"display" : "No"
}
}
]
},
{
"linkId" : "Section-3/C1310B",
"text" : "Did the patient have difficulty focusing attention, for example being easily distractible, or having difficulty keeping track of what was being said?",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA61-7",
"display" : "Behavior not present"
}
}
]
},
{
"linkId" : "Section-3/C1310C",
"text" : "Did the resident have altered level of consiousness as indicated by any of the following criteria: (1) Vigilant - startles easily to any sound or touch, (2) Lethargic - repeatedly dozed off when being asked questions, but responded to voice or touch, (3) Stuporous - very difficult to arouse and keep aroused for the interview, (4) Comatose - could not be aroused",
"answer" : [
{
"valueCoding" : {
"system" : "http://loinc.org",
"code" : "LA61-7",
"display" : "Behavior not present"
}
}
]
}
]
}
]
}
]
}