FHIR IG analytics| Package | fhir.paciosampledata |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-betsysmith-johnson01-qr-pt-assessment-snf-discharge-01.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: QuestionnaireResponse betsysmith-johnson01-qr-pt-assessment-snf-discharge-01
| LinkID | Text | Definition | Answer |
|---|---|---|---|
  betsysmith-johnson01-qr-pt-assessment-snf-discharge-01 | Questionnaire:https://gw.interop.community/paciosandbox/open/Questionnaire/Questionnaire-MDS-Nursing-Home-Comprehensive-Item-Set | ||
  /89398-2 | Roll left and right | LOINC: LA27993-7 (Independent - Resident completes the activity by themself with no assistance from a helper.) | |
| /89394-1 | Sit to lying | LOINC: LA27993-7 (Independent - Resident completes the activity by themself with no assistance from a helper.) | |
| /85927-2 | Lying to sitting on side of bed | LOINC: LA27993-7 (Independent - Resident completes the activity by themself with no assistance from a helper.) | |
| /89392-5 | Sit to stand | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89414-7 | Chair/bed-to-chair transfer | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89390-9 | Toilet transfer | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /101325-9 | Tub/shower transfer | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89412-1 | Car transfer | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89385-9 | Walk 10 feet | LOINC: LA27993-7 (Independent - Resident completes the activity by themself with no assistance from a helper.) | |
| /89381-8 | Walk 50 feet with two turns | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89383-4 | Walk 150 feet | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89379-2 | Walking 10 feet on uneven surfaces | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89420-4 | 1 step (curb) | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89416-2 | 4 steps | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89418-8 | 12 steps | LOINC: LA28870-6 (Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.) | |
| /89402-2 | Picking up object | LOINC: LA27994-5 (Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.) | |
 /95738-1 | Does the resident use a wheelchair and/or scooter? | LOINC: LA32-8 (No) | |
| Documentation for this format | |||
FHIR
FHIRsmith{
"resourceType": "QuestionnaireResponse",
"id": "betsysmith-johnson01-qr-pt-assessment-snf-discharge-01",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"questionnaire": "https://gw.interop.community/paciosandbox/open/Questionnaire/Questionnaire-MDS-Nursing-Home-Comprehensive-Item-Set",
"status": "completed",
"subject": {
"reference": "Patient/patient-betsysmith-johnson01"
},
"authored": "2025-06-30T09:00:00.000Z",
"author": {
"reference": "PractitionerRole/PractitionerRole-PT-DeyonteDarden"
},
"item": [
{
"linkId": "/89398-2",
"text": "Roll left and right",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 6
}
],
"system": "http://loinc.org",
"code": "LA27993-7",
"display": "Independent - Resident completes the activity by themself with no assistance from a helper."
}
}
]
},
{
"linkId": "/89394-1",
"text": "Sit to lying",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 6
}
],
"system": "http://loinc.org",
"code": "LA27993-7",
"display": "Independent - Resident completes the activity by themself with no assistance from a helper."
}
}
]
},
{
"linkId": "/85927-2",
"text": "Lying to sitting on side of bed",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 6
}
],
"system": "http://loinc.org",
"code": "LA27993-7",
"display": "Independent - Resident completes the activity by themself with no assistance from a helper."
}
}
]
},
{
"linkId": "/89392-5",
"text": "Sit to stand",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"system": "http://loinc.org",
"code": "LA28870-6",
"display": "Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently."
}
}
]
},
{
"linkId": "/89414-7",
"text": "Chair/bed-to-chair transfer",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"system": "http://loinc.org",
"code": "LA28870-6",
"display": "Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently."
}
}
]
},
{
"linkId": "/89390-9",
"text": "Toilet transfer",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"system": "http://loinc.org",
"code": "LA28870-6",
"display": "Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently."
}
}
]
},
{
"linkId": "/101325-9",
"text": "Tub/shower transfer",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"system": "http://loinc.org",
"code": "LA28870-6",
"display": "Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently."
}
}
]
},
{
"linkId": "/89412-1",
"text": "Car transfer",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"system": "http://loinc.org",
"code": "LA28870-6",
"display": "Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently."
}
}
]
},
{
"linkId": "/89385-9",
"text": "Walk 10 feet",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 6
}
],
"system": "http://loinc.org",
"code": "LA27993-7",
"display": "Independent - Resident completes the activity by themself with no assistance from a helper."
}
}
]
},
{
"linkId": "/89381-8",
"text": "Walk 50 feet with two turns",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"system": "http://loinc.org",
"code": "LA28870-6",
"display": "Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently."
}
}
]
},
{
"linkId": "/89383-4",
"text": "Walk 150 feet",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"system": "http://loinc.org",
"code": "LA28870-6",
"display": "Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently."
}
}
]
},
{
"linkId": "/89379-2",
"text": "Walking 10 feet on uneven surfaces",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"system": "http://loinc.org",
"code": "LA28870-6",
"display": "Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently."
}
}
]
},
{
"linkId": "/89420-4",
"text": "1 step (curb)",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"system": "http://loinc.org",
"code": "LA28870-6",
"display": "Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently."
}
}
]
},
{
"linkId": "/89416-2",
"text": "4 steps",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"system": "http://loinc.org",
"code": "LA28870-6",
"display": "Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently."
}
}
]
},
{
"linkId": "/89418-8",
"text": "12 steps",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 4
}
],
"system": "http://loinc.org",
"code": "LA28870-6",
"display": "Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity."
}
}
]
},
{
"linkId": "/89402-2",
"text": "Picking up object",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 5
}
],
"system": "http://loinc.org",
"code": "LA27994-5",
"display": "Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity."
}
}
]
},
{
"linkId": "/95738-1",
"text": "Does the resident use a wheelchair and/or scooter?",
"answer": [
{
"valueCoding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/ordinalValue",
"valueDecimal": 0
}
],
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
}
]
}