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 
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:QuestionnaireResponse;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "QResponse-SNF-PHQ9-1"];
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse";
fhir:index 0;
fhir:link <http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse> ]
];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>questionnaire</b>: <a href=\"http://example.org/Questionnaire/MDS3.0-NC-1.17\">http://example.org/Questionnaire/MDS3.0-NC-1.17</a></p><p><b>status</b>: completed</p><p><b>subject</b>: <a href=\"Patient-patientBSJ1.html\">Generated Summary: Betsy Smith-Johnson</a></p><p><b>authored</b>: Jul 11, 2020 4:30:00 PM</p><p><b>author</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><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-4</p><p><b>text</b>: MDS v3.0 - RAI v1.18.1 - Mood - OSA [CMS Assessment]</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-4/D0200</p><p><b>text</b>: Resident mood interview (PHQ-9) [Reported PHQ-9 CMS]</p></blockquote><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-4/D0300</p><p><b>text</b>: PHQ-9 Total Score</p></blockquote></blockquote></div>"
];
fhir:QuestionnaireResponse.questionnaire [
fhir:value "http://example.org/Questionnaire/MDS3.0-NC-1.17";
fhir:link <http://example.org/Questionnaire/MDS3.0-NC-1.17>;
fhir:Element.extension [
fhir:index 0;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/display" ];
fhir:Extension.valueString [ fhir:value "Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.17.1 [CMS Assessment]" ] ]
];
fhir:QuestionnaireResponse.status [ fhir:value "completed"];
fhir:QuestionnaireResponse.subject [
fhir:Reference.reference [ fhir:value "Patient/patientBSJ1" ]
];
fhir:QuestionnaireResponse.authored [ fhir:value "2020-07-11T11:30:00-05:00"^^xsd:dateTime];
fhir:QuestionnaireResponse.author [
fhir:Reference.reference [ fhir:value "PractitionerRole/Role-SLP-LunaBaskins" ]
];
fhir:QuestionnaireResponse.item [
fhir:index 0;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "MDS v3.0 - RAI v1.18.1 - Mood - OSA [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.item [
fhir:index 0;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Resident mood interview (PHQ-9) [Reported PHQ-9 CMS]" ];
fhir:QuestionnaireResponse.item.item [
fhir:index 0;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200_1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Resident mood interview (PHQ-9) - symptom presence in the last 2 weeks [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.item [
fhir:index 0;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200A1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Little interest or pleasure in doing things" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA33-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA33-6" ];
fhir:Coding.display [ fhir:value "Yes" ] ] ] ], [
fhir:index 1;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200B1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Feeling down" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA33-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA33-6" ];
fhir:Coding.display [ fhir:value "Yes" ] ] ] ], [
fhir:index 2;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200C1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Trouble falling or staying asleep" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA33-6;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA33-6" ];
fhir:Coding.display [ fhir:value "Yes" ] ] ] ], [
fhir:index 3;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200D1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Feeling tired or having little energy" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA32-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA32-8" ];
fhir:Coding.display [ fhir:value "No" ] ] ] ], [
fhir:index 4;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200E1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Poor appetite or overeating" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA32-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA32-8" ];
fhir:Coding.display [ fhir:value "No" ] ] ] ], [
fhir:index 5;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200F1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Feeling bad about yourself - or that you are a failure or have let yourself or your family down" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA32-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA32-8" ];
fhir:Coding.display [ fhir:value "No" ] ] ] ], [
fhir:index 6;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200G1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Trouble concentrating on things" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA32-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA32-8" ];
fhir:Coding.display [ fhir:value "No" ] ] ] ], [
fhir:index 7;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200H1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "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" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA32-8;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA32-8" ];
fhir:Coding.display [ fhir:value "No" ] ] ] ], [
fhir:index 8;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200I1" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Thoughts that you would be better off dead" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA10996-9;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA10996-9" ];
fhir:Coding.display [ fhir:value "No response" ] ] ] ] ], [
fhir:index 1;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200_2" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Resident mood interview (PHQ-9) - symptom frequency in the last 2 weeks [CMS Assessment]" ];
fhir:QuestionnaireResponse.item.item [
fhir:index 0;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200A2" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Little interest or pleasure in doing things" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA10998-5;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA10998-5" ];
fhir:Coding.display [ fhir:value "2-6 days (several days)" ] ] ] ], [
fhir:index 1;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200B2" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Feeling down" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA10998-5;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA10998-5" ];
fhir:Coding.display [ fhir:value "2-6 days (several days)" ] ] ] ], [
fhir:index 2;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200C2" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Trouble falling or staying asleep" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA10998-5;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA10998-5" ];
fhir:Coding.display [ fhir:value "2-6 days (several days)" ] ] ] ], [
fhir:index 3;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200D2" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Feeling tired or having little energy" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA10997-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA10997-7" ];
fhir:Coding.display [ fhir:value "Never or 1 day" ] ] ] ], [
fhir:index 4;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200E2" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Poor appetite or overeating" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA10997-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA10997-7" ];
fhir:Coding.display [ fhir:value "Never or 1 day" ] ] ] ], [
fhir:index 5;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200F2" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Feeling bad about yourself - or that you are a failure or have let yourself or your family down" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA10997-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA10997-7" ];
fhir:Coding.display [ fhir:value "Never or 1 day" ] ] ] ], [
fhir:index 6;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200G2" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Trouble concentrating on things" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA10997-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA10997-7" ];
fhir:Coding.display [ fhir:value "Never or 1 day" ] ] ] ], [
fhir:index 7;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200H2" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "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" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueCoding [
a loinc:LA10997-7;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "LA10997-7" ];
fhir:Coding.display [ fhir:value "Never or 1 day" ] ] ] ], [
fhir:index 8;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0200I2" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "Thoughts that you would be better off dead" ] ] ] ], [
fhir:index 1;
fhir:QuestionnaireResponse.item.linkId [ fhir:value "Section-4/D0300" ];
fhir:QuestionnaireResponse.item.text [ fhir:value "PHQ-9 Total Score" ];
fhir:QuestionnaireResponse.item.answer [
fhir:index 0;
fhir:QuestionnaireResponse.item.answer.valueQuantity [
fhir:Quantity.value [ fhir:value "3"^^xsd:decimal ];
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ];
fhir:Quantity.code [ fhir:value "{score}" ] ] ] ]
].
# - ontology header ------------------------------------------------------------
a owl:Ontology;
owl:imports fhir:fhir.ttl.
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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