PACIO Personal Functioning and Engagement Implementation Guide
1.0.0 - STU1 United States of America flag

This page is part of the PACIO Personal Functioning and Engagement Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example QuestionnaireResponse: PFEIG-QResponse-SNF-BIMS-1

LinkIdTextDefinitionAnswerdoco
.. PFEIG-QResponse-SNF-BIMS-1Questionnaire:http://example.org/Questionnaire/MDS3.0-NC-1.17
... Section-3MDS v3.0 - RAI v1.17.2 - Cognitive patterns [CMS Assessment]
.... Section-3/C0200-C0500Brief interview for mental status [BIMS]
..... Section-3/C0200Repetition of Three Words. Number of words repeated after first attemptLogical Observation Identifiers, Names and Codes (LOINC) LA6404-3: Two
..... Section-3/C0300Temporal orientation (orientation to year, month, and day) [BIMS]
...... Section-3/C0300AAble to report correct yearLogical Observation Identifiers, Names and Codes (LOINC) LA10008-3: Missed by 1 year
...... Section-3/C0300BAble to report correct monthLogical Observation Identifiers, Names and Codes (LOINC) LA10010-9: Missed by 6 days to 1 month
...... Section-3/C0300CAble to report correct day of the weekLogical Observation Identifiers, Names and Codes (LOINC) LA9960-1: Correct
..... Section-3/C0400Recall [BIMS]
...... Section-3/C0400AAble to recall "sock"Logical Observation Identifiers, Names and Codes (LOINC) LA10126-3: Yes, after cueing ("something to wear")
...... Section-3/C0400BAble to recall "blue"Logical Observation Identifiers, Names and Codes (LOINC) LA10978-7: Yes, after cueing ("a color")
...... Section-3/C0400CAble to recall "bed"Logical Observation Identifiers, Names and Codes (LOINC) LA10125-5: Yes, after cueing ("a piece of furniture")
..... Section-3/C0500BIMS Summary Score9 {score}

doco Documentation for this format