PACIO Cognitive Status Implementation Guide
1.0.0 - STU 1

This page is part of the PACIO Cognitive 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

: CSC-SNF-CAM-Admission-1 - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "CSC-SNF-CAM-Admission-1",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/pacio-cs/StructureDefinition/pacio-csc"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>ObservationEventLocation</b>: <a href=\"Location-Org-Loc-02.html\">Generated Summary: status: active; name: Happy Nursing Facility</a></p><p></p><p><b>category</b>: <span title=\"Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}\">Functioning</span>, <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes: {http://loinc.org 86585-7}\">MDS v3.0 - RAI v1.17.2 - Signs and symptoms of delirium (from CAM) [CMS Assessment]</span></p><p><b>subject</b>: <a href=\"Patient-patientBSJ1.html\">Generated Summary: Betsy Smith-Johnson</a></p><p><b>effective</b>: Apr 9, 2020 11:00:00 PM</p><p><b>performer</b>: <a href=\"PractitionerRole-Role-SLP-HoneyJones.html\">Generated Summary: active: true; <span title=\"Codes: {http://snomed.info/sct 159026005}\">Speech and language therapist</span></a></p><p><b>hasMember</b>: </p><ul><li><a href=\"Observation-CSC-SNF-CAM-Admission-1-Ob-Question-1.html\">Generated Summary: <span title=\"Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}\">Functioning</span>, <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span>; <span title=\"Codes: {http://loinc.org 54632-5}\">Acute Onset Mental Status Change. Is there evidence of an acute change in mental status from the resident's baseline?</span>; effective: Apr 9, 2020 11:00:00 PM; <span title=\"Codes: {http://loinc.org LA32-8}\">No</span></a></li><li><a href=\"Observation-CSC-SNF-CAM-Admission-1-Ob-Question-3.html\">Generated Summary: <span title=\"Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}\">Functioning</span>, <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span>; <span title=\"Codes: {http://loinc.org 54628-3}\">Inattention - Did the resident have difficulty focusing attention, for example, being easily distractible or having difficulty keeping track of what was being said?</span>; effective: Apr 9, 2020 11:00:00 PM; <span title=\"Codes: {http://loinc.org LA61-7}\">Behavior not present</span></a></li><li><a href=\"Observation-CSC-SNF-CAM-Admission-1-Ob-Question-5.html\">Generated Summary: <span title=\"Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}\">Functioning</span>, <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span>; <span title=\"Codes: {http://loinc.org 54629-1}\">Disorganized Thinking - Was the resident's thinking disorganized or incoherent (rambling or irrelevant conversation, unclear or illogical flow of ideas, or unpredictable switching from subject to subject)?</span>; effective: Apr 9, 2020 11:00:00 PM; <span title=\"Codes: {http://loinc.org LA61-7}\">Behavior not present</span></a></li></ul><p><b>derivedFrom</b>: <a href=\"QuestionnaireResponse-QResponse-SNF-CAM-Admission-1.html\">Generated Summary: questionnaire: http://example.org/Questionnaire/MDS3.0-NC-1.17; status: completed; authored: Apr 9, 2020 11:00:00 PM</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/pacio-cs/StructureDefinition/event-location",
      "valueReference" : {
        "reference" : "Location/Org-Loc-02"
      }
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs",
          "code" : "functioning",
          "display" : "Functioning"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "survey",
          "display" : "Survey"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "86585-7",
        "display" : "MDS v3.0 - RAI v1.17.2 - Signs and symptoms of delirium (from CAM) [CMS Assessment]"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/patientBSJ1"
  },
  "effectiveDateTime" : "2020-04-09T18:00:00-05:00",
  "performer" : [
    {
      "reference" : "PractitionerRole/Role-SLP-HoneyJones"
    }
  ],
  "hasMember" : [
    {
      "reference" : "Observation/CSC-SNF-CAM-Admission-1-Ob-Question-1"
    },
    {
      "reference" : "Observation/CSC-SNF-CAM-Admission-1-Ob-Question-3"
    },
    {
      "reference" : "Observation/CSC-SNF-CAM-Admission-1-Ob-Question-5"
    }
  ],
  "derivedFrom" : [
    {
      "reference" : "QuestionnaireResponse/QResponse-SNF-CAM-Admission-1"
    }
  ]
}