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-BIMS-1

LinkId	Text	Definition	Answer
PFEIG-QResponse-SNF-BIMS-1			Questionnaire:http://example.org/Questionnaire/MDS3.0-NC-1.17
Section-3	MDS v3.0 - RAI v1.17.2 - Cognitive patterns [CMS Assessment]
Section-3/C0200-C0500	Brief interview for mental status [BIMS]
Section-3/C0200	Repetition of Three Words. Number of words repeated after first attempt		Logical Observation Identifiers, Names and Codes (LOINC) LA6404-3: Two
Section-3/C0300	Temporal orientation (orientation to year, month, and day) [BIMS]
Section-3/C0300A	Able to report correct year		Logical Observation Identifiers, Names and Codes (LOINC) LA10008-3: Missed by 1 year
Section-3/C0300B	Able to report correct month		Logical Observation Identifiers, Names and Codes (LOINC) LA10010-9: Missed by 6 days to 1 month
Section-3/C0300C	Able to report correct day of the week		Logical Observation Identifiers, Names and Codes (LOINC) LA9960-1: Correct
Section-3/C0400	Recall [BIMS]
Section-3/C0400A	Able to recall "sock"		Logical Observation Identifiers, Names and Codes (LOINC) LA10126-3: Yes, after cueing ("something to wear")
Section-3/C0400B	Able to recall "blue"		Logical Observation Identifiers, Names and Codes (LOINC) LA10978-7: Yes, after cueing ("a color")
Section-3/C0400C	Able to recall "bed"		Logical Observation Identifiers, Names and Codes (LOINC) LA10125-5: Yes, after cueing ("a piece of furniture")
Section-3/C0500	BIMS Summary Score		9 {score}
Documentation for this format