PACIO Cognitive Status Implementation Guide
1.0.0 - STU 1

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

: QResponse-SNF-CAM-Admission-1 - XML Representation

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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="QResponse-SNF-CAM-Admission-1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <questionnaire value="http://example.org/Questionnaire/MDS3.0-NC-1.17">
    <extension url="http://hl7.org/fhir/StructureDefinition/display">
      <valueString
                   value="Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.17.1 [CMS Assessment]"/>
    </extension>
  </questionnaire>
  <status value="completed"/>
  <subject>
    <reference value="Patient/patientBSJ1"/>
  </subject>
  <authored value="2020-04-09T18:00:00-05:00"/>
  <item>
    <linkId value="Section-3"/>
    <text value="Cognitive Patterns"/>
    <item>
      <linkId value="Section-3/C1310"/>
      <text value="Signs and Symptoms of Delirium (from CAM)"/>
      <item>
        <linkId value="Section-3/C1310A"/>
        <text
              value="Is there evidence of an acute change in mental status from the patients baseline?"/>
        <answer>
          <valueCoding>
            <system value="http://loinc.org"/>
            <code value="LA32-8"/>
            <display value="No"/>
          </valueCoding>
        </answer>
      </item>
      <item>
        <linkId value="Section-3/C1310B"/>
        <text
              value="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 value="http://loinc.org"/>
            <code value="LA61-7"/>
            <display value="Behavior not present"/>
          </valueCoding>
        </answer>
      </item>
      <item>
        <linkId value="Section-3/C1310C"/>
        <text
              value="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 value="http://loinc.org"/>
            <code value="LA61-7"/>
            <display value="Behavior not present"/>
          </valueCoding>
        </answer>
      </item>
    </item>
  </item>
</QuestionnaireResponse>