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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

Example QuestionnaireResponse: PFEIG-QResponse-SNF-Admission-Mobility-SelfCare-1

LinkId	Text	Definition	Answer
PFEIG-QResponse-SNF-Admission-Mobility-SelfCare-1			Questionnaire:http://example.org/Questionnaire/MDS3.0-NC-1.17
Section-37	Functional abilities and goals - admission [CMS Assessment]
Section-37/GG0130_1	Self-care - admission performance [CMS Assessment]
Section-37/GG0130A1	Eating		Logical Observation Identifiers, Names and Codes (LOINC) LA10055-4: Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort.
Section-37/GG0130B1	Oral hygiene		Logical Observation Identifiers, Names and Codes (LOINC) LA10055-4: Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort.
Section-37/GG0130C1	Toileting hygiene		Logical Observation Identifiers, Names and Codes (LOINC) LA10055-4: Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort.
Section-37/GG0130E1	Shower/bathe self		Logical Observation Identifiers, Names and Codes (LOINC) LA26735-3: Not attempted due to medical condition or safety concerns
Section-37/GG0130F1	Upper body dressing		Logical Observation Identifiers, Names and Codes (LOINC) LA10055-4: Partial/moderate assistance - Helper does less than half the effort. Helper lifts, holds or supports trunk or limbs, but provides less than half the effort.
Section-37/GG0130G1	Lower body dressing		Logical Observation Identifiers, Names and Codes (LOINC) LA11759-0: Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.
Section-37/GG0130H1	Putting on/taking off footwear		Logical Observation Identifiers, Names and Codes (LOINC) LA11759-0: Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.
Documentation for this format