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-SNF-Admission-Mobility-SelfCare-1 - XML Representation

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<QuestionnaireResponse xmlns="http://hl7.org/fhir">
  <id value="QResponse-SNF-Admission-Mobility-SelfCare-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 11, 2020, 2:32:00 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/GG0130_1</p><p><b>text</b>: Self-care - admission performance [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="2020-07-11T16:32:00-05:00"/>
  <item>
    <linkId value="Section-37"/>
    <text value="Functional abilities and goals - admission [CMS Assessment]"/>
    <item>
      <linkId value="Section-37/GG0130_1"/>
      <text value="Self-care - admission performance [CMS Assessment]"/>
      <item>
        <linkId value="Section-37/GG0130A1"/>
        <text
              value="Eating - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-3"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0130B1"/>
        <text
              value="Oral hygiene - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-7"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0130C1"/>
        <text
              value="Toileting hygiene - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-11"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0130E1"/>
        <text
              value="Shower/bathe self - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-15"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0130F1"/>
        <text
              value="Upper body dressing - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-19"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0130G1"/>
        <text
              value="Lower body dressing - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-23"/>
          </valueReference>
        </answer>
      </item>
      <item>
        <linkId value="Section-37/GG0130H1"/>
        <text
              value="Putting on/taking off footwear - functional ability during 3 day assessment period [CMS Assessment]"/>
        <answer>
          <valueReference>
            <reference
                       value="Observation/FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-27"/>
          </valueReference>
        </answer>
      </item>
    </item>
  </item>
</QuestionnaireResponse>