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

Resource Profile: FunctionalStatus

Defining URL:http://hl7.org/fhir/us/pacio-fs/StructureDefinition/pacio-fs
Version:0.1.0
Name:FunctionalStatus
Title:Functional Status
Status:Active as of 2020-10-19T22:19:31+00:00
Definition:

An exchange of functional status data 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-fs

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from USCoreLaboratoryResultObservationProfile

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Extensions

This structure refers to these extensions:

This structure is derived from USCoreLaboratoryResultObservationProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... event-location S0..1Reference(Location)Where event occurred
URL: http://hl7.org/fhir/StructureDefinition/event-location
... device-patient-used S0..*Reference(UseOfDevice)Extension
URL: http://hl7.org/fhir/us/pacio-fs/StructureDefinition/device-patient-used
... partOf 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Currently not used in FunctionalStatus.
... status 1..1codeValue should be final as FunctionalStatus Observation should be completed before transfer between facilities.
... category 1..*CodeableConceptFor a Post-Acute Care Assessment, category should be survey.
... code 1..1CodeableConceptFor a Post-Acute Care Assessment, code should be a LOINC code and text for the question.
Binding: LOINCCodes (extensible)
... subject 1..1Reference(US Core Patient Profile)Subject should only be Patient for functional status
... focus 0..*Reference(Resource)Currently not used in FunctionalStatus.
... effective[x] 1..1dateTimeClinically relevant time/time-period for observation
... issued 0..1instantCurrently not used in FunctionalStatus.
... performer 1..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)The person who performed the assessment. Also provide the role and organization if available.
... value[x] 0..1CodeableConceptFor a Post-Acute Care Assessment, should include a LOINC code and text for the answer or value.
Binding: LOINCCodes (extensible)
... dataAbsentReason 0..1CodeableConceptCurrently not used in FunctionalStatus.
... interpretation 0..*CodeableConceptCurrently not used in FunctionalStatus.
... bodySite 0..1CodeableConceptCurrently not used in FunctionalStatus.
... method 0..1CodeableConceptCurrently not used in FunctionalStatus.
... specimen 0..1Reference(Specimen)Currently not used in FunctionalStatus.
... device 0..1Reference(Device | DeviceMetric)Currently not used in FunctionalStatus.
... referenceRange 0..*BackboneElementCurrently not used in FunctionalStatus.
... hasMember 0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Currently not used in FunctionalStatus.
... derivedFrom 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Currently not used in FunctionalStatus.
... component 0..*BackboneElementCurrently not used in FunctionalStatus.
.... code 1..1CodeableConceptCurrently not used in FunctionalStatus.
.... value[x] 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodCurrently not used in FunctionalStatus.

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... event-location S0..1Reference(Location)Where event occurred
URL: http://hl7.org/fhir/StructureDefinition/event-location
... device-patient-used S0..*Reference(UseOfDevice)Optional Extensions Element
URL: http://hl7.org/fhir/us/pacio-fs/StructureDefinition/device-patient-used
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Currently not used in FunctionalStatus.
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Currently not used in FunctionalStatus.
... status ?!SΣ1..1codeValue should be final as FunctionalStatus Observation should be completed before transfer between facilities.
Binding: ObservationStatus (required)
... category S1..*(Slice Definition)For a Post-Acute Care Assessment, category should be survey.
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred)
.... category:Laboratory S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptFor a Post-Acute Care Assessment, code should be a LOINC code and text for the question.
Binding: LOINCCodes (extensible)
... subject SΣ1..1Reference(US Core Patient Profile)Subject should only be Patient for functional status
... focus Σ0..*Reference(Resource)Currently not used in FunctionalStatus.
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣI1..1dateTimeClinically relevant time/time-period for observation
... issued Σ0..1instantCurrently not used in FunctionalStatus.
... performer Σ1..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)The person who performed the assessment. Also provide the role and organization if available.
... value[x] SΣI0..1CodeableConceptFor a Post-Acute Care Assessment, should include a LOINC code and text for the answer or value.
Binding: LOINCCodes (extensible)
... dataAbsentReason SI0..1CodeableConceptCurrently not used in FunctionalStatus.
Binding: DataAbsentReason (extensible)
... interpretation 0..*CodeableConceptCurrently not used in FunctionalStatus.
Binding: ObservationInterpretationCodes (extensible)
... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptCurrently not used in FunctionalStatus.
Binding: SNOMEDCTBodyStructures (example)
... method 0..1CodeableConceptCurrently not used in FunctionalStatus.
Binding: ObservationMethods (example)
... specimen 0..1Reference(Specimen)Currently not used in FunctionalStatus.
... device 0..1Reference(Device | DeviceMetric)Currently not used in FunctionalStatus.
... referenceRange I0..*BackboneElementCurrently not used in FunctionalStatus.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred)
.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example)
.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Currently not used in FunctionalStatus.
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Currently not used in FunctionalStatus.
... component Σ0..*BackboneElementCurrently not used in FunctionalStatus.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1CodeableConceptCurrently not used in FunctionalStatus.
Binding: LOINCCodes (example)
.... value[x] Σ0..1Currently not used in FunctionalStatus.
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
.... referenceRange 0..*See referenceRangeProvides guide for interpretation of component result

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
... event-location 0..1Reference(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 ?!Σ1..1codeValue should be final as FunctionalStatus Observation should be completed before transfer between facilities.
Binding: ObservationStatus (required)
.... category:Laboratory 1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred)

Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
... code Σ1..1CodeableConceptFor a Post-Acute Care Assessment, code should be a LOINC code and text for the question.
Binding: LOINCCodes (extensible)
... subject Σ1..1Reference(US Core Patient Profile)Subject should only be Patient for functional status
... effective[x] ΣI1..1dateTimeClinically relevant time/time-period for observation
... value[x] ΣI0..1CodeableConceptFor a Post-Acute Care Assessment, should include a LOINC code and text for the answer or value.
Binding: LOINCCodes (extensible)
... dataAbsentReason I0..1CodeableConceptCurrently not used in FunctionalStatus.
Binding: DataAbsentReason (extensible)

doco Documentation for this format

This structure is derived from USCoreLaboratoryResultObservationProfile

Summary

Mandatory: 2 elements
Must-Support: 2 elements

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from USCoreLaboratoryResultObservationProfile

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... event-location S0..1Reference(Location)Where event occurred
URL: http://hl7.org/fhir/StructureDefinition/event-location
... device-patient-used S0..*Reference(UseOfDevice)Extension
URL: http://hl7.org/fhir/us/pacio-fs/StructureDefinition/device-patient-used
... partOf 0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Currently not used in FunctionalStatus.
... status 1..1codeValue should be final as FunctionalStatus Observation should be completed before transfer between facilities.
... category 1..*CodeableConceptFor a Post-Acute Care Assessment, category should be survey.
... code 1..1CodeableConceptFor a Post-Acute Care Assessment, code should be a LOINC code and text for the question.
Binding: LOINCCodes (extensible)
... subject 1..1Reference(US Core Patient Profile)Subject should only be Patient for functional status
... focus 0..*Reference(Resource)Currently not used in FunctionalStatus.
... effective[x] 1..1dateTimeClinically relevant time/time-period for observation
... issued 0..1instantCurrently not used in FunctionalStatus.
... performer 1..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)The person who performed the assessment. Also provide the role and organization if available.
... value[x] 0..1CodeableConceptFor a Post-Acute Care Assessment, should include a LOINC code and text for the answer or value.
Binding: LOINCCodes (extensible)
... dataAbsentReason 0..1CodeableConceptCurrently not used in FunctionalStatus.
... interpretation 0..*CodeableConceptCurrently not used in FunctionalStatus.
... bodySite 0..1CodeableConceptCurrently not used in FunctionalStatus.
... method 0..1CodeableConceptCurrently not used in FunctionalStatus.
... specimen 0..1Reference(Specimen)Currently not used in FunctionalStatus.
... device 0..1Reference(Device | DeviceMetric)Currently not used in FunctionalStatus.
... referenceRange 0..*BackboneElementCurrently not used in FunctionalStatus.
... hasMember 0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Currently not used in FunctionalStatus.
... derivedFrom 0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Currently not used in FunctionalStatus.
... component 0..*BackboneElementCurrently not used in FunctionalStatus.
.... code 1..1CodeableConceptCurrently not used in FunctionalStatus.
.... value[x] 0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodCurrently not used in FunctionalStatus.

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation I0..*USCoreLaboratoryResultObservationProfileMeasurements and simple assertions
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... event-location S0..1Reference(Location)Where event occurred
URL: http://hl7.org/fhir/StructureDefinition/event-location
... device-patient-used S0..*Reference(UseOfDevice)Optional Extensions Element
URL: http://hl7.org/fhir/us/pacio-fs/StructureDefinition/device-patient-used
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for observation
... basedOn Σ0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)Currently not used in FunctionalStatus.
... partOf Σ0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)Currently not used in FunctionalStatus.
... status ?!SΣ1..1codeValue should be final as FunctionalStatus Observation should be completed before transfer between facilities.
Binding: ObservationStatus (required)
... category S1..*(Slice Definition)For a Post-Acute Care Assessment, category should be survey.
Slice: Unordered, Open by pattern:$this
Binding: ObservationCategoryCodes (preferred)
.... category:Laboratory S1..1CodeableConceptClassification of type of observation
Binding: ObservationCategoryCodes (preferred)

Required Pattern: At least the following
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... id0..1stringUnique id for inter-element referencing
...... extension0..*ExtensionAdditional content defined by implementations
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... version0..1stringVersion of the system - if relevant
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: laboratory
...... display0..1stringRepresentation defined by the system
...... userSelected0..1booleanIf this coding was chosen directly by the user
..... text0..1stringPlain text representation of the concept
... code SΣ1..1CodeableConceptFor a Post-Acute Care Assessment, code should be a LOINC code and text for the question.
Binding: LOINCCodes (extensible)
... subject SΣ1..1Reference(US Core Patient Profile)Subject should only be Patient for functional status
... focus Σ0..*Reference(Resource)Currently not used in FunctionalStatus.
... encounter Σ0..1Reference(Encounter)Healthcare event during which this observation is made
... effective[x] SΣI1..1dateTimeClinically relevant time/time-period for observation
... issued Σ0..1instantCurrently not used in FunctionalStatus.
... performer Σ1..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)The person who performed the assessment. Also provide the role and organization if available.
... value[x] SΣI0..1CodeableConceptFor a Post-Acute Care Assessment, should include a LOINC code and text for the answer or value.
Binding: LOINCCodes (extensible)
... dataAbsentReason SI0..1CodeableConceptCurrently not used in FunctionalStatus.
Binding: DataAbsentReason (extensible)
... interpretation 0..*CodeableConceptCurrently not used in FunctionalStatus.
Binding: ObservationInterpretationCodes (extensible)
... note 0..*AnnotationComments about the observation
... bodySite 0..1CodeableConceptCurrently not used in FunctionalStatus.
Binding: SNOMEDCTBodyStructures (example)
... method 0..1CodeableConceptCurrently not used in FunctionalStatus.
Binding: ObservationMethods (example)
... specimen 0..1Reference(Specimen)Currently not used in FunctionalStatus.
... device 0..1Reference(Device | DeviceMetric)Currently not used in FunctionalStatus.
... referenceRange I0..*BackboneElementCurrently not used in FunctionalStatus.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... low I0..1SimpleQuantityLow Range, if relevant
.... high I0..1SimpleQuantityHigh Range, if relevant
.... type 0..1CodeableConceptReference range qualifier
Binding: ObservationReferenceRangeMeaningCodes (preferred)
.... appliesTo 0..*CodeableConceptReference range population
Binding: ObservationReferenceRangeAppliesToCodes (example)
.... age 0..1RangeApplicable age range, if relevant
.... text 0..1stringText based reference range in an observation
... hasMember Σ0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)Currently not used in FunctionalStatus.
... derivedFrom Σ0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)Currently not used in FunctionalStatus.
... component Σ0..*BackboneElementCurrently not used in FunctionalStatus.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code Σ1..1CodeableConceptCurrently not used in FunctionalStatus.
Binding: LOINCCodes (example)
.... value[x] Σ0..1Currently not used in FunctionalStatus.
..... valueQuantityQuantity
..... valueCodeableConceptCodeableConcept
..... valueStringstring
..... valueBooleanboolean
..... valueIntegerinteger
..... valueRangeRange
..... valueRatioRatio
..... valueSampledDataSampledData
..... valueTimetime
..... valueDateTimedateTime
..... valuePeriodPeriod
.... dataAbsentReason I0..1CodeableConceptWhy the component result is missing
Binding: DataAbsentReason (extensible)
.... interpretation 0..*CodeableConceptHigh, low, normal, etc.
Binding: ObservationInterpretationCodes (extensible)
.... referenceRange 0..*See referenceRangeProvides guide for interpretation of component result

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet / Code
Observation.languagepreferredCommonLanguages
Max Binding: AllLanguages
Observation.statusrequiredObservationStatus
Observation.categorypreferredObservationCategoryCodes
Observation.category:LaboratorypreferredPattern: laboratory
Observation.codeextensibleLOINCCodes
Observation.value[x]extensibleLOINCCodes
Observation.dataAbsentReasonextensibleDataAbsentReason
Observation.interpretationextensibleObservationInterpretationCodes
Observation.bodySiteexampleSNOMEDCTBodyStructures
Observation.methodexampleObservationMethods
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
Observation.component.codeexampleLOINCCodes
Observation.component.dataAbsentReasonextensibleDataAbsentReason
Observation.component.interpretationextensibleObservationInterpretationCodes