PACIO Functional Status Implementation Guide
0.1.0 - CI Build

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

: QResponse-Hospital-Admission-Mobility-1 - XML Representation

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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="QResponse-Hospital-Admission-Mobility-1"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>questionnaire</b>: <a href="https://api.logicahealth.org/PACIO/open/Questionnaire/MDS3.0-NC-1.17">https://api.logicahealth.org/PACIO/open/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 8, 2020, 2:00:00 PM</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-37</p><p><b>text</b>: Functional abilities and goals - admission [CMS Assessment]</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-37/GG0170_1</p><p><b>text</b>: Mobility - admission performance during 3 day assessment period [CMS Assessment]</p></blockquote></blockquote></div>
  </text>
  <questionnaire
                 value="https://api.logicahealth.org/PACIO/open/Questionnaire/MDS3.0-NC-1.17"/>
  <status value="completed"/>
  <subject>
    <reference value="Patient/patientBSJ1"/>
  </subject>
  <authored value="2020-07-08T16:00:00-05:00"/>
  <item>
    <linkId value="Section-37"/>
    <text value="Functional abilities and goals - admission [CMS Assessment]"/>
    <item>
      <linkId value="Section-37/GG0170_1"/>
      <text
            value="Mobility - admission performance during 3 day assessment period [CMS Assessment]"/>
      <item>
        <linkId value="Section-37/GG0170A1"/>
        <text
              value="Roll left and right - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-1"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170B1"/>
        <text
              value="Sit to lying - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-7"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170C1"/>
        <text
              value="Lying to sitting on side of bed - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-13"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170D1"/>
        <text
              value="Sit to stand - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-19"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170E1"/>
        <text
              value="Bed-to-chair transfer - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-25"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170F1"/>
        <text
              value="Toilet transfer - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-31"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170G1"/>
        <text
              value="Car transfer - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-37"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170I1"/>
        <text
              value="Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-43"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170J1"/>
        <text
              value="Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-49"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170K1"/>
        <text
              value="Walk 150 feet - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-55"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170L1"/>
        <text
              value="Walking 10 feet on uneven surfaces - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-61"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170M1"/>
        <text
              value="1 step (curb) - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-67"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170N1"/>
        <text
              value="4 steps - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-73"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170O1"/>
        <text
              value="12 steps - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-79"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170P1"/>
        <text
              value="Picking up object - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-85"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170R1"/>
        <text
              value="Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-91"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170S1"/>
        <text
              value="Wheel 150 feet - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Admission-Mobility-1-Ob-Question-97"/>
          </valueReference>
        </answer>
      </item>
    </item>
  </item>
</QuestionnaireResponse>