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Source1

{
  "resourceType": "DeviceRequest",
  "id": "PFEIG-DeviceRequest-RollingWalker",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-location",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
            "code": "SNF",
            "display": "Skilled nursing facility"
          }
        ]
      }
    },
    {
      "extension": [
        {
          "url": "user",
          "valueReference": {
            "reference": "Patient/PFEIG-patientBSJ1"
          }
        },
        {
          "url": "relationship",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/deviceassociation-relationship",
                "code": "used-by",
                "display": "Used By"
              }
            ]
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-user"
    },
    {
      "extension": [
        {
          "url": "user",
          "valueReference": {
            "reference": "PractitionerRole/PFEIG-Role-SNFPT-RonMarble"
          }
        },
        {
          "url": "relationship",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/deviceassociation-relationship",
                "code": "managed-by",
                "display": "Managed By"
              }
            ]
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-user"
    },
    {
      "extension": [
        {
          "url": "note",
          "valueString": "Betsy requires a rolling walker to support safe ambulation, transfers, and participation in rehabilitation activities while recovering from stroke-related right-sided weakness and physical deconditioning. In her current state, Betsy is unable to ambulate safely and has been assessed as a fall risk. The use of the walker during physical therapy will support the patient's ability to decrease her fall risk."
        },
        {
          "url": "assessment",
          "valueReference": {
            "reference": "Observation/PFEIG-FSC-Hospital-Admission-Mobility-1"
          }
        },
        {
          "url": "assessment",
          "valueReference": {
            "reference": "Observation/PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1"
          }
        },
        {
          "url": "use-of-device",
          "valueReference": {
            "reference": "DeviceUseStatement/PFEIG-SNF-Adm-Mobility-UseOfDevice-RollingWalker"
          }
        },
        {
          "url": "goal",
          "valueReference": {
            "reference": "Goal/PFEIG-Goal-WalkingGoal"
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-clinical-justification"
    }
  ],
  "basedOn": [
    {
      "reference": "ServiceRequest/PFEIG-ServiceRequest-SNFDischargePTRefer"
    }
  ],
  "priorRequest": [
    {
      "reference": "DeviceRequest/PFEIG-DeviceRequest-Wheelchair"
    }
  ],
  "status": "active",
  "intent": "order",
  "priority": "routine",
  "codeCodeableConcept": {
    "coding": [
      {
        "system": "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
        "code": "E0143",
        "display": "Walker, folding, wheeled, adjustable or fixed height"
      }
    ]
  },
  "parameter": [
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "103355008"
          }
        ]
      },
      "valueQuantity": {
        "value": 21,
        "unit": "inches",
        "system": "http://unitsofmeasure.org",
        "code": "[in_i]"
      }
    }
  ],
  "subject": {
    "reference": "Patient/PFEIG-patientBSJ1"
  },
  "encounter": {
    "reference": "Encounter/PFEIG-Encounter-DeviceRequest-RollingWalker"
  },
  "occurrenceDateTime": "2024-07-18",
  "authoredOn": "2024-07-17",
  "requester": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-additional-requester",
        "valueReference": {
          "reference": "RelatedPerson/PFEIG-RelatedPerson-CharlesJohnson"
        }
      }
    ],
    "reference": "PractitionerRole/PFEIG-Role-SNFPT-RonMarble"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "31031000119102",
          "display": "Physical deconditioning (finding)"
        }
      ]
    }
  ],
  "reasonReference": [
    {
      "reference": "Condition/PFEIG-Condition-HemiparesisDiagnosis"
    }
  ],
  "insurance": [
    {
      "reference": "Coverage/PFEIG-PASCoverage-BSJ1"
    }
  ],
  "supportingInfo": [
    {
      "reference": "RiskAssessment/PFEIG-RiskAssessment-FallRisk"
    },
    {
      "reference": "Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-16"
    },
    {
      "reference": "Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-18"
    },
    {
      "reference": "Encounter/PFEIG-Encounter-DeviceRequest-RollingWalker"
    }
  ],
  "note": [
    {
      "text": "Order for a rolling walker to support mobility rehabilitation and to reduce fall risk."
    }
  ]
}