PACIO Personal Functioning and Engagement Implementation Guide
1.0.0-ballot - ballot1 US

This page is part of the PACIO Personal Functioning and Engagement Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.

Personal Functioning and Engagement Capability Statement

This Capability Statement defines the expected capabilities of a Personal Functioning and Engagement FHIR server conforming to the Personal Functioning and Engagement Implementation Guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide

Personal Functioning and Engagement Collection

A point in time collection of post-acute care observations for a patient. This profile is used for exchanging a set of observation data collected through the use of a structured resource (e.g. assessment tool, instrument, or screen) with multiple questions. The specific questions within the structured tool are captured as child observations.

Personal Functioning and Engagement Narrative History of Status

An exchange of a narrative summary regarding the most recent prior status immediately preceding the current admission, illness, or exacerbation for a patient. The use of this profile is encouraged in the absence of formal prior level assessments. For formal assessments conducted with for example, an assessment instrument, use the collection and observatiuon profiles defined in this IG to capture assessment data.

Personal Functioning and Engagement Observation

An exchange of post-acute care observation for a patient. This profile is used for exchanging a single observation data generally included in a set of observation data collected through the use of a structured resource (e.g. assessment tool, instrument, or screen). The structured tool is captured as a parent collection.

Personal Functioning and Engagement Use of Device

A record of an assistive device, e.g. eyeglasses or hearing aid, being used by a patient during a post-acute care observation. This profile based on the DeviceUseStatement resource provides a way to include information about device usage during an assessment.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide

AssistanceRequired

Associated with the Narrative History of Status profile to provide a high-level indication of assistance required for the person’s baseline ability (status immediately preceding the current admission, illness, or exacerbation for a patient). The CMS Assessment answer list LL4309-2 provides possible values for this extension.

DevicePatientUsed

Associated with the PAC Collection profile to point to a record indicating what healthcare-related assistive device was used by a patient during an observation. This extension leverages the DeviceUseStatement resource instead of Device resource so as to indicate appropriately a record of assistive device usage by a patient.

ObservationEventLocation

This extension is used to indicate the principal physical location where an observation event occurred.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide

Personal Functioning and Engagement Category Value Set

Codes representing health and health-related domains into which functioning observations can be further categorized.

Personal Functioning and Engagement ValueSet LOINC SNOMED

This value set contains all of LOINC and SNOMED CT.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide

Personal Functioning and Engagement Category

Codes representing health and health-related domains into which functioning observations can be further categorized.

Personal Functioning and Engagement Functioning Category Code System

Defining a specific code for the classification of patient observations regarding individual’s functioning and engagement.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like

PFEIG-CMS-Device-BedsideRails

An instance of Device

PFEIG-CMS-Device-Eyeglasses

An instance of Device

PFEIG-CMS-Device-HandleBars

An instance of Device

PFEIG-CMS-Device-HearingAid

An instance of Device

PFEIG-CMS-Device-RaisedToiletSeat

An instance of Device

PFEIG-CMS-Device-RollingWalker

An instance of Device

PFEIG-CMS-Device-Walker

An instance of Device

PFEIG-CSC-Hospital-MMSE-1

An instance of Personal Functioning and Engagement Collection for hospital MMSE assessment

PFEIG-CSC-Hospital-MMSE-1-Ob-Question-31

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-Hospital-MOCA-1

An instance of Personal Functioning and Engagement Collection for hospital MOCA assessment

PFEIG-CSC-Hospital-MOCA-1-Ob-Question-1

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-BIMS-1

An instance of Personal Functioning and Engagement Collection for SNF BIMS assessment

PFEIG-CSC-SNF-BIMS-1-Ob-Question-10

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-BIMS-1-Ob-Question-3

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-BIMS-1-Ob-Question-4

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-BIMS-1-Ob-Question-5

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-BIMS-1-Ob-Question-6

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-BIMS-1-Ob-Question-7

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-BIMS-1-Ob-Question-8

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-BIMS-1-Ob-Question-9

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-BIMS-1-UseOfDevice-1

An instance of PFEUseOfDevice

PFEIG-CSC-SNF-BIMS-1-UseOfDevice-2

An instance of PFEUseOfDevice

PFEIG-CSC-SNF-CAM-Admission-1

An instance of Personal Functioning and Engagement Collection for SNF CAM assessment

PFEIG-CSC-SNF-CAM-Admission-1-Ob-Question-1

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-CAM-Admission-1-Ob-Question-3

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-CAM-Admission-1-Ob-Question-5

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1

An instance of Personal Functioning and Engagement Collection

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-11

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-12

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-13

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-14

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-15

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-16

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-17

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-18

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-19

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-20

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-21

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-22

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-23

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-24

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-25

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-26

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-27

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-28

An instance of Personal Functioning and Engagement Observation

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-29

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1

An instance of Personal Functioning and Engagement Collection

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-1

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-11

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-13

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-15

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-17

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-19

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-21

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-23

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-25

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-27

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-29

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-3

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-31

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-33

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-5

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-7

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-9

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Admission-Mobility-1-UseOfDevice-6

An instance of PFEUseOfDevice

PFEIG-FSC-Hospital-Admission-Mobility-1-UseOfDevice-7

An instance of PFEUseOfDevice

PFEIG-FSC-Hospital-Discharge-Mobility-1

An instance of Personal Functioning and Engagement Collection

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-10

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-12

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-14

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-16

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-18

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-2

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-20

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-22

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-24

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-26

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-28

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-30

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-32

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-34

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-4

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-6

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-8

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-Hospital-Discharge-Mobility-1-UseOfDevice-1

An instance of PFEUseOfDevice

PFEIG-FSC-Hospital-Discharge-Mobility-1-UseOfDevice-2

An instance of PFEUseOfDevice

PFEIG-FSC-Hospital-Discharge-Mobility-1-UseOfDevice-3

An instance of PFEUseOfDevice

PFEIG-FSC-Hospital-Discharge-Mobility-1-UseOfDevice-4

An instance of PFEUseOfDevice

PFEIG-FSC-Hospital-Discharge-Mobility-1-UseOfDevice-5

An instance of PFEUseOfDevice

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1

An instance of Personal Functioning and Engagement Collection

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-11

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-15

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-19

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-23

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-27

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-3

An instance of Personal Functioning and Engagement Observation

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-7

An instance of Personal Functioning and Engagement Observation

PFEIG-Narrative-History-Cognitive-Status-1

An instance of Personal Functioning and Engagement Narrative History of Status

PFEIG-Narrative-History-Functional-Status-1

An instance of Personal Functioning and Engagement Narrative History of Status

PFEIG-Org-01

An instance of Organization

PFEIG-Org-02

An instance of Organization

PFEIG-Org-03

An instance of Organization

PFEIG-Org-Loc-01

An instance of Location

PFEIG-Org-Loc-02

An instance of Location

PFEIG-Org-Loc-03

An instance of Location

PFEIG-Practitioner-DanielGranger

An instance of Practitioner

PFEIG-Practitioner-HoneyJones

An instance of Practitioner

PFEIG-Practitioner-JenCadbury

An instance of Practitioner

PFEIG-Practitioner-JennyGlass

An instance of Practitioner

PFEIG-Practitioner-JohnSmith

An instance of Practitioner

PFEIG-Practitioner-LunaBaskins

An instance of Practitioner

PFEIG-Practitioner-NoraOlogist

An instance of Practitioner

PFEIG-Practitioner-RonMarble

An instance of Practitioner

PFEIG-Practitioner-SallySmith

An instance of Practitioner

PFEIG-Practitioner-ScottDumble

An instance of Practitioner

PFEIG-QResponse-Hospital-Admission-Mobility-1

Minimum Data Set (MDS) admission mobility assessment

PFEIG-QResponse-Hospital-Discharge-Mobility-1

Minimum Data Set (MDS) discharge mobility assessment

PFEIG-QResponse-Hospital-MMSE-1

Montreal Cognitive Assessment [MoCA]

PFEIG-QResponse-Hospital-MOCA-1

Mini-Mental State Examination [MMSE]

PFEIG-QResponse-SNF-Admission-Mobility-SelfCare-1

Minimum Data Set (MDS) admission self-care assessment

PFEIG-QResponse-SNF-BIMS-1

Brief interview for mental status [BIMS]

PFEIG-QResponse-SNF-CAM-Admission-1

Signs and Symptoms of Delirium (from CAM)

PFEIG-QResponse-SNF-PHQ9-1

Resident mood interview (PHQ-9) [Reported PHQ-9 CMS]

PFEIG-Role-OT-DanielGranger

An instance of PractitionerRole

PFEIG-Role-OT-JenCadbury

An instance of PractitionerRole

PFEIG-Role-PT-RonMarble

An instance of PractitionerRole

PFEIG-Role-PT-SallySmith

An instance of PractitionerRole

PFEIG-Role-PT-ScottDumble

An instance of PractitionerRole

PFEIG-Role-SLP-HoneyJones

An instance of PractitionerRole

PFEIG-Role-SLP-JennyGlass

An instance of PractitionerRole

PFEIG-Role-SLP-LunaBaskins

An instance of PractitionerRole

PFEIG-patientBSJ1

An instance of USCorePatientProfile

PFEIG-provider-org-01

An instance of Organization

PFEIG-provider-org-16

An instance of Organization

PFEIG-provider-org-loc-01

An instance of Location

PFEIG-provider-org-loc-16

An instance of Location

PFEIG-provider-role-neurologist

An instance of PractitionerRole

PFEIG-provider-role-pcp

An instance of PractitionerRole