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 - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="CSC-SNF-BIMS-1"/>
  <meta>
    <profile
             value="http://paciowg.github.io/cognitive-status-ig/StructureDefinition/pacio-csc"/>
  </meta>
  <text>
    <status value="extensions"/>
    <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			{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>
  </text>
  <extension
             url="http://paciowg.github.io/cognitive-status-ig/StructureDefinition/event-location">
    <valueReference>
      <reference value="Location/Org-Loc-02"/>
    </valueReference>
  </extension>
  <extension
             url="http://paciowg.github.io/cognitive-status-ig/StructureDefinition/device-patient-used">
    <valueReference>
      <reference value="DeviceUseStatement/CSC-SNF-BIMS-1-UseOfDevice-1"/>
    </valueReference>
  </extension>
  <extension
             url="http://paciowg.github.io/cognitive-status-ig/StructureDefinition/device-patient-used">
    <valueReference>
      <reference value="DeviceUseStatement/CSC-SNF-BIMS-1-UseOfDevice-2"/>
    </valueReference>
  </extension>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://paciowg.github.io/cognitive-status-ig/CodeSystem/pacio-cat-cs"/>
      <code value="functioning"/>
      <display value="Functioning"/>
    </coding>
  </category>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="survey"/>
      <display value="Survey"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="52491-8"/>
      <display value="Brief interview for mental status [BIMS]"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/patientBSJ1"/>
  </subject>
  <effectiveDateTime value="2020-07-11T11:30:00-05:00"/>
  <performer>
    <reference value="PractitionerRole/Role-SLP-HoneyJones"/>
  </performer>
  <hasMember>
    <reference value="Observation/CSC-SNF-BIMS-1-Ob-Question-3"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-BIMS-1-Ob-Question-4"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-BIMS-1-Ob-Question-5"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-BIMS-1-Ob-Question-6"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-BIMS-1-Ob-Question-7"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-BIMS-1-Ob-Question-8"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-BIMS-1-Ob-Question-9"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-BIMS-1-Ob-Question-10"/>
  </hasMember>
  <derivedFrom>
    <reference value="QuestionnaireResponse/QResponse-SNF-BIMS-1"/>
  </derivedFrom>
</Observation>