PACIO Cognitive Status Implementation Guide
0.1.0 - STU Ballot

PACIO Cognitive Status Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions

: CSC-SNF-BIMS-1 - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "CSC-SNF-BIMS-1",
  "meta" : {
    "profile" : [
      "http://paciowg.github.io/cognitive-status-ig/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><b>DevicePatientUsed</b>: <a href=\"DeviceUseStatement-CSC-SNF-BIMS-1-UseOfDevice-1.html\">Generated Summary: status: active; recordedOn: Jul 11, 2020, 9:30:00 AM</a></p><p><b>DevicePatientUsed</b>: <a href=\"DeviceUseStatement-CSC-SNF-BIMS-1-UseOfDevice-2.html\">Generated Summary: status: active; recordedOn: Jul 11, 2020, 9:30:00 AM</a></p><p></p><p><b>category</b>: <span title=\"Codes: {http://paciowg.github.io/cognitive-status-ig/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 52491-8}\">Brief interview for mental status [BIMS]</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, 9:30:00 AM</p><p><b>performer</b>: <a href=\"PractitionerRole-Role-SLP-HoneyJones.html\">Generated Summary: active; <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-BIMS-1-Ob-Question-3.html\">Generated Summary: <span title=\"Codes: {http://paciowg.github.io/cognitive-status-ig/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 52731-7}\">Repetition of Three Words. Number of words repeated after first attempt</span>; effective: Jul 11, 2020, 9:30:00 AM; <span title=\"Codes: {http://loinc.org LA6404-3}\">Two</span></a></li><li><a href=\"Observation-CSC-SNF-BIMS-1-Ob-Question-4.html\">Generated Summary: <span title=\"Codes: {http://paciowg.github.io/cognitive-status-ig/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 52732-5}\">Able to report correct year</span>; effective: Jul 11, 2020, 9:30:00 AM; <span title=\"Codes: {http://loinc.org LA10008-3}\">Missed by 1 year</span></a></li><li><a href=\"Observation-CSC-SNF-BIMS-1-Ob-Question-5.html\">Generated Summary: <span title=\"Codes: {http://paciowg.github.io/cognitive-status-ig/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 52733-3}\">Able to report correct month</span>; effective: Jul 11, 2020, 9:30:00 AM; <span title=\"Codes: {http://loinc.org LA10010-9}\">Missed by 6 days to 1 month</span></a></li><li><a href=\"Observation-CSC-SNF-BIMS-1-Ob-Question-6.html\">Generated Summary: <span title=\"Codes: {http://paciowg.github.io/cognitive-status-ig/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 54609-3}\">Able to report correct day of the week</span>; effective: Jul 11, 2020, 9:30:00 AM; <span title=\"Codes: {http://loinc.org LA9960-1}\">Correct</span></a></li><li><a href=\"Observation-CSC-SNF-BIMS-1-Ob-Question-7.html\">Generated Summary: <span title=\"Codes: {http://paciowg.github.io/cognitive-status-ig/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 52735-8}\">Able to recall \"sock\"</span>; effective: Jul 11, 2020, 9:30:00 AM; <span title=\"Codes: {http://loinc.org LA10126-3}\">Yes, after cueing (\"something to wear\")</span></a></li><li><a href=\"Observation-CSC-SNF-BIMS-1-Ob-Question-8.html\">Generated Summary: <span title=\"Codes: {http://paciowg.github.io/cognitive-status-ig/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 52736-6}\">Able to recall \"blue\"</span>; effective: Jul 11, 2020, 9:30:00 AM; <span title=\"Codes: {http://loinc.org LA10978-7}\">Yes, after cueing (\"a color\")</span></a></li><li><a href=\"Observation-CSC-SNF-BIMS-1-Ob-Question-9.html\">Generated Summary: <span title=\"Codes: {http://paciowg.github.io/cognitive-status-ig/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 52737-4}\">Able to recall \"bed\"</span>; effective: Jul 11, 2020, 9:30:00 AM; <span title=\"Codes: {http://loinc.org LA10125-5}\">Yes, after cueing (\"a piece of furniture\")</span></a></li><li><a href=\"Observation-CSC-SNF-BIMS-1-Ob-Question-10.html\">Generated Summary: <span title=\"Codes: {http://paciowg.github.io/cognitive-status-ig/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 54614-3}\">BIMS Summary Score\t\t\t{score}</span>; effective: Jul 11, 2020, 9:30:00 AM; 9 {score}</a></li></ul><p><b>derivedFrom</b>: <a href=\"QuestionnaireResponse-QResponse-SNF-BIMS-1.html\">Generated Summary: questionnaire: http://paciowg.github.io/cognitive-status-ig/MDS3.0-NC-1.17; status: completed; authored: Jul 11, 2020, 9:30:00 AM</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://paciowg.github.io/cognitive-status-ig/StructureDefinition/event-location",
      "valueReference" : {
        "reference" : "Location/Org-Loc-02"
      }
    },
    {
      "url" : "http://paciowg.github.io/cognitive-status-ig/StructureDefinition/device-patient-used",
      "valueReference" : {
        "reference" : "DeviceUseStatement/CSC-SNF-BIMS-1-UseOfDevice-1"
      }
    },
    {
      "url" : "http://paciowg.github.io/cognitive-status-ig/StructureDefinition/device-patient-used",
      "valueReference" : {
        "reference" : "DeviceUseStatement/CSC-SNF-BIMS-1-UseOfDevice-2"
      }
    }
  ],
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://paciowg.github.io/cognitive-status-ig/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" : "52491-8",
        "display" : "Brief interview for mental status [BIMS]"
      }
    ]
  },
  "subject" : {
    "reference" : "Patient/patientBSJ1"
  },
  "effectiveDateTime" : "2020-07-11T11:30:00-05:00",
  "performer" : [
    {
      "reference" : "PractitionerRole/Role-SLP-HoneyJones"
    }
  ],
  "hasMember" : [
    {
      "reference" : "Observation/CSC-SNF-BIMS-1-Ob-Question-3"
    },
    {
      "reference" : "Observation/CSC-SNF-BIMS-1-Ob-Question-4"
    },
    {
      "reference" : "Observation/CSC-SNF-BIMS-1-Ob-Question-5"
    },
    {
      "reference" : "Observation/CSC-SNF-BIMS-1-Ob-Question-6"
    },
    {
      "reference" : "Observation/CSC-SNF-BIMS-1-Ob-Question-7"
    },
    {
      "reference" : "Observation/CSC-SNF-BIMS-1-Ob-Question-8"
    },
    {
      "reference" : "Observation/CSC-SNF-BIMS-1-Ob-Question-9"
    },
    {
      "reference" : "Observation/CSC-SNF-BIMS-1-Ob-Question-10"
    }
  ],
  "derivedFrom" : [
    {
      "reference" : "QuestionnaireResponse/QResponse-SNF-BIMS-1"
    }
  ]
}