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-Discharge-Mobility-1 - XML Representation

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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="QResponse-Hospital-Discharge-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 10, 2020, 12:34:00 PM</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-37</p><p><b>text</b>: Functional abilities and goals - discharge [CMS Assessment]</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-37/GG0170_3</p><p><b>text</b>: Mobility - discharge 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="2020-07-10T14:34:00-05:00"/>
  <item>
    <linkId value="Section-37"/>
    <text value="Functional abilities and goals - discharge [CMS Assessment]"/>
    <item>
      <linkId value="Section-37/GG0170_3"/>
      <text
            value="Mobility - discharge performance during 3 day assessment period [CMS Assessment]"/>
      <item>
        <linkId value="Section-37/GG0170A3"/>
        <text
              value="Roll left and right - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-2"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170B3"/>
        <text
              value="Sit to lying - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-8"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170C3"/>
        <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-Discharge-Mobility-1-Ob-Question-14"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170D3"/>
        <text
              value="Sit to stand - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-20"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170E3"/>
        <text
              value="Bed-to-chair transfer - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-26"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170F3"/>
        <text
              value="Toilet transfer - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-32"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170G3"/>
        <text
              value="Car transfer - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-38"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170I3"/>
        <text
              value="Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-44"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170J3"/>
        <text
              value="Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-50"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170K3"/>
        <text
              value="Walk 150 feet - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-56"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170L3"/>
        <text
              value="Walking 10 feet on uneven surfaces - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-62"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170M3"/>
        <text
              value="1 step (curb) - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-68"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170N3"/>
        <text
              value="4 steps - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-74"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170O3"/>
        <text
              value="12 steps - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-80"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170P3"/>
        <text
              value="Picking up object - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-86"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170R3"/>
        <text
              value="Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-92"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0170S3"/>
        <text
              value="Wheel 150 feet - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-Hospital-Discharge-Mobility-1-Ob-Question-98"/>
          </valueReference>
        </answer>
      </item>
    </item>
  </item>
</QuestionnaireResponse>