PACIO Functional Status Implementation Guide
0.1.0 - STU Ballot
PACIO Functional Status Implementation Guide
0.1.0 - STU Ballot
This page is part of the PACIO Functional Status Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions 
| Defining URL: | http://hl7.org/fhir/us/pacio-fs/StructureDefinition/pacio-bfs |
| Version: | 0.1.0 |
| Name: | BundledFunctionalStatus |
| Title: | Bundled Functional Status |
| Status: | Active as of 2020-10-19T22:19:31+00:00 |
| Definition: | An point in time bundle of functional status observations for a patient. |
| Publisher: | HL7 Patient Care Work Group |
| Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
http://hl7.org/fhir/us/pacio-fs/StructureDefinition/pacio-bfs
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreLaboratoryResultObservationProfile
This structure is derived from USCoreLaboratoryResultObservationProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | 0..* | USCoreLaboratoryResultObservationProfile | Measurements and simple assertions | |
  extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 event-location | S | 0..1 | Reference(Location) | Where event occurred URL: http://hl7.org/fhir/StructureDefinition/event-location |
| device-patient-used | S | 0..* | Reference(UseOfDevice) | Extension URL: http://hl7.org/fhir/us/pacio-fs/StructureDefinition/device-patient-used |
 basedOn | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Currently not used in BundledFunctionalStatus. | |
| status | 1..1 | code | Value should be final. | |
| category | 1..1 | CodeableConcept | If this is from a Post-Acute Care Assessment, category should be survey. | |
| code | 1..1 | CodeableConcept | LOINC code and text for the question, if this is from a Post-Acute Care Assessment. Binding: LOINCCodes (extensible) | |
| subject | 1..1 | Reference(US Core Patient Profile) | Subject should only be Patient for BundledFunctionalStatus. | |
| focus | 0..* | Reference(Resource) | Currently not used in BundledFunctionalStatus. | |
| effective[x] | 1..1 | dateTime, Period | Clinically relevant time/time-period for observation | |
| issued | 0..1 | instant | Currently not used in BundledFunctionalStatus. | |
| performer | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | The person who performed the assessment. Also provide the role and organizationif available. | |
 value[x] | 0..1 | CodeableConcept | Result Value | |
| dataAbsentReason | 0..1 | CodeableConcept | Currently not used in BundledFunctionalStatus. | |
| interpretation | 0..* | CodeableConcept | Currently not used in BundledFunctionalStatus. | |
| bodySite | 0..1 | CodeableConcept | Currently not used in BundledFunctionalStatus. | |
| method | 0..1 | CodeableConcept | Currently not used in BundledFunctionalStatus. | |
| specimen | 0..1 | Reference(Specimen) | Currently not used in BundledFunctionalStatus. | |
| device | 0..1 | Reference(Device | DeviceMetric) | Currently not used in BundledFunctionalStatus. | |
| referenceRange | 0..* | BackboneElement | Currently not used in BundledFunctionalStatus. | |
| hasMember | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Each functional status observation in the bundle. | |
| derivedFrom | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Currently not used in BundledFunctionalStatus. | |
 component | 0..* | BackboneElement | Currently not used in BundledFunctionalStatus. | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | I | 0..* | USCoreLaboratoryResultObservationProfile | Measurements and simple assertions |
 id | Σ | 0..1 | string | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| event-location | S | 0..1 | Reference(Location) | Where event occurred URL: http://hl7.org/fhir/StructureDefinition/event-location |
| device-patient-used | S | 0..* | Reference(UseOfDevice) | Optional Extensions Element URL: http://hl7.org/fhir/us/pacio-fs/StructureDefinition/device-patient-used |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | Business Identifier for observation |
 basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Currently not used in BundledFunctionalStatus. |
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
| status | ?!SΣ | 1..1 | code | Value should be final. Binding: ObservationStatus (required) |
  category | S | 1..1 | (Slice Definition) | If this is from a Post-Acute Care Assessment, category should be survey. Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred) |
  category:Laboratory | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred) Required Pattern: At least the following |
  id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
  coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
 text | 0..1 | string | Plain text representation of the concept | |
| code | SΣ | 1..1 | CodeableConcept | LOINC code and text for the question, if this is from a Post-Acute Care Assessment. Binding: LOINCCodes (extensible) |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Subject should only be Patient for BundledFunctionalStatus. |
| focus | Σ | 0..* | Reference(Resource) | Currently not used in BundledFunctionalStatus. |
| encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made |
 effective[x] | SΣI | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| issued | Σ | 0..1 | instant | Currently not used in BundledFunctionalStatus. |
| performer | Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | The person who performed the assessment. Also provide the role and organizationif available. |
| value[x] | SΣI | 0..1 | CodeableConcept | Result Value |
| dataAbsentReason | SI | 0..1 | CodeableConcept | Currently not used in BundledFunctionalStatus. Binding: DataAbsentReason (extensible) |
| interpretation | 0..* | CodeableConcept | Currently not used in BundledFunctionalStatus. Binding: ObservationInterpretationCodes (extensible) | |
| note | 0..* | Annotation | Comments about the observation | |
| bodySite | 0..1 | CodeableConcept | Currently not used in BundledFunctionalStatus. Binding: SNOMEDCTBodyStructures (example) | |
| method | 0..1 | CodeableConcept | Currently not used in BundledFunctionalStatus. Binding: ObservationMethods (example) | |
| specimen | 0..1 | Reference(Specimen) | Currently not used in BundledFunctionalStatus. | |
| device | 0..1 | Reference(Device | DeviceMetric) | Currently not used in BundledFunctionalStatus. | |
| referenceRange | I | 0..* | BackboneElement | Currently not used in BundledFunctionalStatus. |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| low | I | 0..1 | SimpleQuantity | Low Range, if relevant |
| high | I | 0..1 | SimpleQuantity | High Range, if relevant |
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred) | |
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example) | |
| age | 0..1 | Range | Applicable age range, if relevant | |
| text | 0..1 | string | Text based reference range in an observation | |
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Each functional status observation in the bundle. |
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Currently not used in BundledFunctionalStatus. |
 component | Σ | 0..* | BackboneElement | Currently not used in BundledFunctionalStatus. |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example) |
| value[x] | Σ | 0..1 | Actual component result | |
| valueQuantity | Quantity | |||
| valueCodeableConcept | CodeableConcept | |||
| valueString | string | |||
| valueBoolean | boolean | |||
| valueInteger | integer | |||
| valueRange | Range | |||
| valueRatio | Ratio | |||
| valueSampledData | SampledData | |||
| valueTime | time | |||
| valueDateTime | dateTime | |||
| valuePeriod | Period | |||
| dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible) |
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible) | |
| referenceRange | 0..* | See referenceRange | Provides guide for interpretation of component result | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | I | 0..* | USCoreLaboratoryResultObservationProfile | Measurements and simple assertions |
| event-location | 0..1 | Reference(Location) | Where event occurred URL: http://hl7.org/fhir/StructureDefinition/event-location | |
| device-patient-used | 0..* | Reference(UseOfDevice) | Optional Extensions Element URL: http://hl7.org/fhir/us/pacio-fs/StructureDefinition/device-patient-used | |
| status | ?!Σ | 1..1 | code | Value should be final. Binding: ObservationStatus (required) |
| category | 1..1 | (Slice Definition) | If this is from a Post-Acute Care Assessment, category should be survey. Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred) | |
| category:Laboratory | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred) Required Pattern: At least the following | |
 coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |
| code | Σ | 1..1 | CodeableConcept | LOINC code and text for the question, if this is from a Post-Acute Care Assessment. Binding: LOINCCodes (extensible) |
| subject | Σ | 1..1 | Reference(US Core Patient Profile) | Subject should only be Patient for BundledFunctionalStatus. |
| effective[x] | ΣI | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| value[x] | ΣI | 0..1 | CodeableConcept | Result Value |
| dataAbsentReason | I | 0..1 | CodeableConcept | Currently not used in BundledFunctionalStatus. Binding: DataAbsentReason (extensible) |
| Documentation for this format | ||||
This structure is derived from USCoreLaboratoryResultObservationProfile
Differential View
This structure is derived from USCoreLaboratoryResultObservationProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 0..* | USCoreLaboratoryResultObservationProfile | Measurements and simple assertions | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| event-location | S | 0..1 | Reference(Location) | Where event occurred URL: http://hl7.org/fhir/StructureDefinition/event-location |
| device-patient-used | S | 0..* | Reference(UseOfDevice) | Extension URL: http://hl7.org/fhir/us/pacio-fs/StructureDefinition/device-patient-used |
| basedOn | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Currently not used in BundledFunctionalStatus. | |
| status | 1..1 | code | Value should be final. | |
| category | 1..1 | CodeableConcept | If this is from a Post-Acute Care Assessment, category should be survey. | |
| code | 1..1 | CodeableConcept | LOINC code and text for the question, if this is from a Post-Acute Care Assessment. Binding: LOINCCodes (extensible) | |
| subject | 1..1 | Reference(US Core Patient Profile) | Subject should only be Patient for BundledFunctionalStatus. | |
| focus | 0..* | Reference(Resource) | Currently not used in BundledFunctionalStatus. | |
| effective[x] | 1..1 | dateTime, Period | Clinically relevant time/time-period for observation | |
| issued | 0..1 | instant | Currently not used in BundledFunctionalStatus. | |
| performer | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | The person who performed the assessment. Also provide the role and organizationif available. | |
| value[x] | 0..1 | CodeableConcept | Result Value | |
| dataAbsentReason | 0..1 | CodeableConcept | Currently not used in BundledFunctionalStatus. | |
| interpretation | 0..* | CodeableConcept | Currently not used in BundledFunctionalStatus. | |
| bodySite | 0..1 | CodeableConcept | Currently not used in BundledFunctionalStatus. | |
| method | 0..1 | CodeableConcept | Currently not used in BundledFunctionalStatus. | |
| specimen | 0..1 | Reference(Specimen) | Currently not used in BundledFunctionalStatus. | |
| device | 0..1 | Reference(Device | DeviceMetric) | Currently not used in BundledFunctionalStatus. | |
| referenceRange | 0..* | BackboneElement | Currently not used in BundledFunctionalStatus. | |
| hasMember | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Each functional status observation in the bundle. | |
| derivedFrom | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Currently not used in BundledFunctionalStatus. | |
| component | 0..* | BackboneElement | Currently not used in BundledFunctionalStatus. | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | I | 0..* | USCoreLaboratoryResultObservationProfile | Measurements and simple assertions |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| event-location | S | 0..1 | Reference(Location) | Where event occurred URL: http://hl7.org/fhir/StructureDefinition/event-location |
| device-patient-used | S | 0..* | Reference(UseOfDevice) | Optional Extensions Element URL: http://hl7.org/fhir/us/pacio-fs/StructureDefinition/device-patient-used |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..* | Identifier | Business Identifier for observation |
| basedOn | Σ | 0..* | Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) | Currently not used in BundledFunctionalStatus. |
| partOf | Σ | 0..* | Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy) | Part of referenced event |
| status | ?!SΣ | 1..1 | code | Value should be final. Binding: ObservationStatus (required) |
| category | S | 1..1 | (Slice Definition) | If this is from a Post-Acute Care Assessment, category should be survey. Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred) |
| category:Laboratory | S | 1..1 | CodeableConcept | Classification of type of observation Binding: ObservationCategoryCodes (preferred) Required Pattern: At least the following |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |
| version | 0..1 | string | Version of the system - if relevant | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: laboratory | |
| display | 0..1 | string | Representation defined by the system | |
| userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |
| text | 0..1 | string | Plain text representation of the concept | |
| code | SΣ | 1..1 | CodeableConcept | LOINC code and text for the question, if this is from a Post-Acute Care Assessment. Binding: LOINCCodes (extensible) |
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Subject should only be Patient for BundledFunctionalStatus. |
| focus | Σ | 0..* | Reference(Resource) | Currently not used in BundledFunctionalStatus. |
| encounter | Σ | 0..1 | Reference(Encounter) | Healthcare event during which this observation is made |
| effective[x] | SΣI | 1..1 | Clinically relevant time/time-period for observation | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| issued | Σ | 0..1 | instant | Currently not used in BundledFunctionalStatus. |
| performer | Σ | 1..* | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) | The person who performed the assessment. Also provide the role and organizationif available. |
| value[x] | SΣI | 0..1 | CodeableConcept | Result Value |
| dataAbsentReason | SI | 0..1 | CodeableConcept | Currently not used in BundledFunctionalStatus. Binding: DataAbsentReason (extensible) |
| interpretation | 0..* | CodeableConcept | Currently not used in BundledFunctionalStatus. Binding: ObservationInterpretationCodes (extensible) | |
| note | 0..* | Annotation | Comments about the observation | |
| bodySite | 0..1 | CodeableConcept | Currently not used in BundledFunctionalStatus. Binding: SNOMEDCTBodyStructures (example) | |
| method | 0..1 | CodeableConcept | Currently not used in BundledFunctionalStatus. Binding: ObservationMethods (example) | |
| specimen | 0..1 | Reference(Specimen) | Currently not used in BundledFunctionalStatus. | |
| device | 0..1 | Reference(Device | DeviceMetric) | Currently not used in BundledFunctionalStatus. | |
| referenceRange | I | 0..* | BackboneElement | Currently not used in BundledFunctionalStatus. |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| low | I | 0..1 | SimpleQuantity | Low Range, if relevant |
| high | I | 0..1 | SimpleQuantity | High Range, if relevant |
| type | 0..1 | CodeableConcept | Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred) | |
| appliesTo | 0..* | CodeableConcept | Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example) | |
| age | 0..1 | Range | Applicable age range, if relevant | |
| text | 0..1 | string | Text based reference range in an observation | |
| hasMember | Σ | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | Each functional status observation in the bundle. |
| derivedFrom | Σ | 0..* | Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence) | Currently not used in BundledFunctionalStatus. |
| component | Σ | 0..* | BackboneElement | Currently not used in BundledFunctionalStatus. |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code | Σ | 1..1 | CodeableConcept | Type of component observation (code / type) Binding: LOINCCodes (example) |
| value[x] | Σ | 0..1 | Actual component result | |
| valueQuantity | Quantity | |||
| valueCodeableConcept | CodeableConcept | |||
| valueString | string | |||
| valueBoolean | boolean | |||
| valueInteger | integer | |||
| valueRange | Range | |||
| valueRatio | Ratio | |||
| valueSampledData | SampledData | |||
| valueTime | time | |||
| valueDateTime | dateTime | |||
| valuePeriod | Period | |||
| dataAbsentReason | I | 0..1 | CodeableConcept | Why the component result is missing Binding: DataAbsentReason (extensible) |
| interpretation | 0..* | CodeableConcept | High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible) | |
| referenceRange | 0..* | See referenceRange | Provides guide for interpretation of component result | |
| Documentation for this format | ||||
Other representations of profile: Schematron
| Path | Conformance | ValueSet / Code |
| Observation.language | preferred | CommonLanguages Max Binding: AllLanguages |
| Observation.status | required | ObservationStatus |
| Observation.category | preferred | ObservationCategoryCodes |
| Observation.category:Laboratory | preferred | Pattern: laboratory |
| Observation.code | extensible | LOINCCodes |
| Observation.dataAbsentReason | extensible | DataAbsentReason |
| Observation.interpretation | extensible | ObservationInterpretationCodes |
| Observation.bodySite | example | SNOMEDCTBodyStructures |
| Observation.method | example | ObservationMethods |
| Observation.referenceRange.type | preferred | ObservationReferenceRangeMeaningCodes |
| Observation.referenceRange.appliesTo | example | ObservationReferenceRangeAppliesToCodes |
| Observation.component.code | example | LOINCCodes |
| Observation.component.dataAbsentReason | extensible | DataAbsentReason |
| Observation.component.interpretation | extensible | ObservationInterpretationCodes |
IG © 2020+ HL7 Patient Care Work Group. Package hl7.fhir.us.pacio-fs#0.1.0 based on FHIR 4.0.1. Generated 2020-10-19
Links: Table of Contents |
QA Report
| Version History |
Search |
|
Propose a change