PACIO Functional Status Implementation Guide
1.0.0 - STU 1
PACIO Functional Status Implementation Guide
1.0.0 - STU 1
This page is part of the PACIO Functional 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 
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:QuestionnaireResponse;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "QResponse-Hospital-Admission-Mobility-1"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse";
fhir:index 0;
fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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>: Jul 8, 2020 9:00:00 PM</p><p><b>author</b>: <a href=\"PractitionerRole-Role-PT-SallySmith.html\">Generated Summary: active: true; <span title=\"Codes: {http://snomed.info/sct 36682004}\">Physiotherapist</span></a></p><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-37</p><p><b>text</b>: Functional abilities and goals - admission [CMS Assessment]</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-37/GG0170_1</p><p><b>text</b>: Mobility - admission performance during 3 day assessment period [CMS Assessment]</p></blockquote></blockquote></div>"
];
fhir:QuestionnaireResponse.questionnaire [
fhir:value "http://example.org/Questionnaire/MDS3.0-NC-1.17";
fhir:link <http://example.org/Questionnaire/MDS3.0-NC-1.17>;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/display" ];
fhir:Extension.valueString [ fhir:value "Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.17.1 [CMS Assessment]" ] ]
];
fhir:QuestionnaireResponse.status [ fhir:value "completed"];
fhir:QuestionnaireResponse.subject [
fhir:Reference.reference [ fhir:value "Patient/patientBSJ1" ]
];
fhir:QuestionnaireResponse.authored [ fhir:value "2020-07-08T16:00:00-05:00"^^xsd:dateTime];
fhir:QuestionnaireResponse.author [
fhir:Reference.reference [ fhir:value "PractitionerRole/Role-PT-SallySmith" ]
];
fhir:QuestionnaireResponse.item [
fhir:index 0;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Functional abilities and goals - admission [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.item [
fhir:index 0;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170_1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Mobility - admission performance during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.item [
fhir:index 0;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170A1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Roll left and right - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA11759-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA11759-0" ];
fhir:Coding.display [ fhir:value "Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort." ] ] ] ], [
fhir:index 1;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170B1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Sit to lying - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA11759-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA11759-0" ];
fhir:Coding.display [ fhir:value "Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort." ] ] ] ], [
fhir:index 2;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170C1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Lying to sitting on side of bed - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA11759-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA11759-0" ];
fhir:Coding.display [ fhir:value "Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort." ] ] ] ], [
fhir:index 3;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170D1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Sit to stand - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA11759-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA11759-0" ];
fhir:Coding.display [ fhir:value "Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort." ] ] ] ], [
fhir:index 4;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170E1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Chair/bed-to-chair transfer - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA27665-1;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA27665-1" ];
fhir:Coding.display [ fhir:value "Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity." ] ] ] ], [
fhir:index 5;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170F1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Toilet transfer - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA26735-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26735-3" ];
fhir:Coding.display [ fhir:value "Not attempted due to medical condition or safety concerns" ] ] ] ], [
fhir:index 6;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170G1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Car transfer - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA26735-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26735-3" ];
fhir:Coding.display [ fhir:value "Not attempted due to medical condition or safety concerns" ] ] ] ], [
fhir:index 7;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170I1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA26735-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26735-3" ];
fhir:Coding.display [ fhir:value "Not attempted due to medical condition or safety concerns" ] ] ] ], [
fhir:index 8;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170J1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA26735-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26735-3" ];
fhir:Coding.display [ fhir:value "Not attempted due to medical condition or safety concerns" ] ] ] ], [
fhir:index 9;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170K1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Walk 150 feet - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA26735-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26735-3" ];
fhir:Coding.display [ fhir:value "Not attempted due to medical condition or safety concerns" ] ] ] ], [
fhir:index 10;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170L1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Walking 10 feet on uneven surfaces - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA26735-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26735-3" ];
fhir:Coding.display [ fhir:value "Not attempted due to medical condition or safety concerns" ] ] ] ], [
fhir:index 11;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170M1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "1 step (curb) - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA26735-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26735-3" ];
fhir:Coding.display [ fhir:value "Not attempted due to medical condition or safety concerns" ] ] ] ], [
fhir:index 12;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170N1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "4 steps - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA26735-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26735-3" ];
fhir:Coding.display [ fhir:value "Not attempted due to medical condition or safety concerns" ] ] ] ], [
fhir:index 13;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170O1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "12 steps - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA26735-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26735-3" ];
fhir:Coding.display [ fhir:value "Not attempted due to medical condition or safety concerns" ] ] ] ], [
fhir:index 14;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170P1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Picking up object - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA26735-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26735-3" ];
fhir:Coding.display [ fhir:value "Not attempted due to medical condition or safety concerns" ] ] ] ], [
fhir:index 15;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170R1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA26735-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26735-3" ];
fhir:Coding.display [ fhir:value "Not attempted due to medical condition or safety concerns" ] ] ] ], [
fhir:index 16;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-37/GG0170S1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Wheel 150 feet - functional ability during 3 day assessment period [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA26735-3;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA26735-3" ];
fhir:Coding.display [ fhir:value "Not attempted due to medical condition or safety concerns" ] ] ] ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
IG © 2020+ HL7 Patient Care Work Group. Package hl7.fhir.us.pacio-fs#1.0.0 based on FHIR 4.0.1. Generated 2021-11-03
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