PACIO Cognitive Status Implementation Guide
1.0.0 - STU 1
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 
{
"resourceType" : "Observation",
"id" : "CSC-SNF-PHQ9-1",
"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-03.html\">Generated Summary: status: active; name: Sky Harbor Home Health Services</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 54635-8}\">Resident mood interview (PHQ-9) [Reported PHQ-9 CMS]</span></p><p><b>subject</b>: <a href=\"Patient-patientBSJ1.html\">Generated Summary: Betsy Smith-Johnson</a></p><p><b>effective</b>: Jul 11, 2020 4:30:00 PM</p><p><b>performer</b>: <a href=\"PractitionerRole-Role-SLP-LunaBaskins.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-PHQ9-1-Ob-Question-11.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 54636-6}\">Little interest or pleasure in doing things</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA33-6}\">Yes</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-12.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 54637-4}\">Little interest or pleasure in doing things</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA10998-5}\">2-6 days (several days)</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-13.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 54638-2}\">Feeling down</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA33-6}\">Yes</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-14.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 54639-0}\">Feeling down</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA10998-5}\">2-6 days (several days)</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-15.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 54640-8}\">Trouble falling or staying asleep</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA33-6}\">Yes</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-16.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 54641-6}\">Trouble falling or staying asleep</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA10998-5}\">2-6 days (several days)</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-17.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 54642-4}\">Feeling tired or having little energy</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA32-8}\">No</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-18.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 54643-2}\">Feeling tired or having little energy</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA10997-7}\">Never or 1 day</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-19.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 54644-0}\">Poor appetite or overeating</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA32-8}\">No</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-20.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 54645-7}\">Poor appetite or overeating</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA10997-7}\">Never or 1 day</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-21.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 54646-5}\">Feeling bad about yourself - or that you are a failure or have let yourself or your family down</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA32-8}\">No</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-22.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 54647-3}\">Feeling bad about yourself - or that you are a failure or have let yourself or your family down</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA10997-7}\">Never or 1 day</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-23.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 54648-1}\">Trouble concentrating on things</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA32-8}\">No</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-24.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 54649-9}\">Trouble concentrating on things</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA10997-7}\">Never or 1 day</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-25.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 54650-7}\">Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA32-8}\">No</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-26.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 54651-5}\">Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA10997-7}\">Never or 1 day</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-27.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 54652-3}\">Thoughts that you would be better off dead</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://loinc.org LA10996-9}\">No response</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-28.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 54653-1}\">Thoughts that you would be better off dead</span>; effective: Jul 11, 2020 4:30:00 PM; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/data-absent-reason not-asked}\">Not Asked</span></a></li><li><a href=\"Observation-CSC-SNF-PHQ9-1-Ob-Question-29.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 54654-9}\">Total Severity Score</span>; effective: Jul 11, 2020 4:30:00 PM; 3 {score}</a></li></ul><p><b>derivedFrom</b>: <a href=\"QuestionnaireResponse-QResponse-SNF-PHQ9-1.html\">Generated Summary: questionnaire: http://example.org/Questionnaire/MDS3.0-NC-1.17; status: completed; authored: Jul 11, 2020 4:30:00 PM</a></p></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/pacio-cs/StructureDefinition/event-location",
"valueReference" : {
"reference" : "Location/Org-Loc-03"
}
}
],
"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" : "54635-8",
"display" : "Resident mood interview (PHQ-9) [Reported PHQ-9 CMS]"
}
]
},
"subject" : {
"reference" : "Patient/patientBSJ1"
},
"effectiveDateTime" : "2020-07-11T11:30:00-05:00",
"performer" : [
{
"reference" : "PractitionerRole/Role-SLP-LunaBaskins"
}
],
"hasMember" : [
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-11"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-12"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-13"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-14"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-15"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-16"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-17"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-18"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-19"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-20"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-21"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-22"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-23"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-24"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-25"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-26"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-27"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-28"
},
{
"reference" : "Observation/CSC-SNF-PHQ9-1-Ob-Question-29"
}
],
"derivedFrom" : [
{
"reference" : "QuestionnaireResponse/QResponse-SNF-PHQ9-1"
}
]
}
IG © 2020+ HL7 Patient Care Work Group. Package hl7.fhir.us.pacio-cs#1.0.0 based on FHIR 4.0.1. Generated 2021-11-03
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