FHIR IG analytics| Package | hl7.fhir.us.pacio-pfe |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-PFEIG-QResponse-Hospital-Admission-Mobility-1.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: QuestionnaireResponse PFEIG-QResponse-Hospital-Admission-Mobility-1
Language: en
| LinkID | Text | Definition | Answer |
|---|---|---|---|
  PFEIG-QResponse-Hospital-Admission-Mobility-1 | Questionnaire:http://example.org/Questionnaire/MDS3.0-NC-1.17 | ||
  Section-37 | Functional abilities and goals - admission [CMS Assessment] | ||
 Section-37/GG0170_1 | Mobility - admission performance during 3 day assessment period [CMS Assessment] | ||
  Section-37/GG0170A1 | Roll left and right - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA11759-0 (Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.) | |
| Section-37/GG0170B1 | Sit to lying - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA11759-0 (Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.) | |
| Section-37/GG0170C1 | Lying to sitting on side of bed - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA11759-0 (Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.) | |
| Section-37/GG0170D1 | Sit to stand - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA11759-0 (Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.) | |
| Section-37/GG0170E1 | Chair/bed-to-chair transfer - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA27665-1 (Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity.) | |
| Section-37/GG0170F1 | Toilet transfer - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA26735-3 (Not attempted due to medical condition or safety concerns) | |
| Section-37/GG0170G1 | Car transfer - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA26735-3 (Not attempted due to medical condition or safety concerns) | |
| Section-37/GG0170I1 | Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA26735-3 (Not attempted due to medical condition or safety concerns) | |
| Section-37/GG0170J1 | Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA26735-3 (Not attempted due to medical condition or safety concerns) | |
| Section-37/GG0170K1 | Walk 150 feet - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA26735-3 (Not attempted due to medical condition or safety concerns) | |
| Section-37/GG0170L1 | Walking 10 feet on uneven surfaces - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA26735-3 (Not attempted due to medical condition or safety concerns) | |
| Section-37/GG0170M1 | 1 step (curb) - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA26735-3 (Not attempted due to medical condition or safety concerns) | |
| Section-37/GG0170N1 | 4 steps - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA26735-3 (Not attempted due to medical condition or safety concerns) | |
| Section-37/GG0170O1 | 12 steps - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA26735-3 (Not attempted due to medical condition or safety concerns) | |
| Section-37/GG0170P1 | Picking up object - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA26735-3 (Not attempted due to medical condition or safety concerns) | |
| Section-37/GG0170R1 | Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA26735-3 (Not attempted due to medical condition or safety concerns) | |
| Section-37/GG0170S1 | Wheel 150 feet - functional ability during 3 day assessment period [CMS Assessment] | LOINC: LA26735-3 (Not attempted due to medical condition or safety concerns) | |
| Documentation for this format | |||
FHIR
FHIRsmith{
"resourceType": "QuestionnaireResponse",
"id": "PFEIG-QResponse-Hospital-Admission-Mobility-1",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-questionnaireresponse"
]
},
"language": "en",
"text": {
"status": "generated",
"div": "<!-- snip (see above) -->"
},
"questionnaire": "http://example.org/Questionnaire/MDS3.0-NC-1.17",
"_questionnaire": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/display",
"valueString": "Minimum Data Set (MDS) - version 3.0 - Resident Assessment Instrument (RAI) version 1.17.1 [CMS Assessment]"
}
]
},
"status": "completed",
"subject": {
"reference": "Patient/PFEIG-patientBSJ1"
},
"authored": "2020-07-08T16:00:00-05:00",
"author": {
"reference": "PractitionerRole/PFEIG-Role-PT-SallySmith"
},
"item": [
{
"linkId": "Section-37",
"text": "Functional abilities and goals - admission [CMS Assessment]",
"item": [
{
"linkId": "Section-37/GG0170_1",
"text": "Mobility - admission performance during 3 day assessment period [CMS Assessment]",
"item": [
{
"linkId": "Section-37/GG0170A1",
"text": "Roll left and right - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA11759-0",
"display": "Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."
}
}
]
},
{
"linkId": "Section-37/GG0170B1",
"text": "Sit to lying - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA11759-0",
"display": "Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."
}
}
]
},
{
"linkId": "Section-37/GG0170C1",
"text": "Lying to sitting on side of bed - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA11759-0",
"display": "Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."
}
}
]
},
{
"linkId": "Section-37/GG0170D1",
"text": "Sit to stand - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA11759-0",
"display": "Substantial/maximal assistance - Helper does more than half the effort. Helper lifts or holds trunk or limbs and provides more than half the effort."
}
}
]
},
{
"linkId": "Section-37/GG0170E1",
"text": "Chair/bed-to-chair transfer - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA27665-1",
"display": "Dependent - Helper does all of the effort. Patient does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the patient to complete the activity."
}
}
]
},
{
"linkId": "Section-37/GG0170F1",
"text": "Toilet transfer - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA26735-3",
"display": "Not attempted due to medical condition or safety concerns"
}
}
]
},
{
"linkId": "Section-37/GG0170G1",
"text": "Car transfer - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA26735-3",
"display": "Not attempted due to medical condition or safety concerns"
}
}
]
},
{
"linkId": "Section-37/GG0170I1",
"text": "Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA26735-3",
"display": "Not attempted due to medical condition or safety concerns"
}
}
]
},
{
"linkId": "Section-37/GG0170J1",
"text": "Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA26735-3",
"display": "Not attempted due to medical condition or safety concerns"
}
}
]
},
{
"linkId": "Section-37/GG0170K1",
"text": "Walk 150 feet - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA26735-3",
"display": "Not attempted due to medical condition or safety concerns"
}
}
]
},
{
"linkId": "Section-37/GG0170L1",
"text": "Walking 10 feet on uneven surfaces - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA26735-3",
"display": "Not attempted due to medical condition or safety concerns"
}
}
]
},
{
"linkId": "Section-37/GG0170M1",
"text": "1 step (curb) - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA26735-3",
"display": "Not attempted due to medical condition or safety concerns"
}
}
]
},
{
"linkId": "Section-37/GG0170N1",
"text": "4 steps - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA26735-3",
"display": "Not attempted due to medical condition or safety concerns"
}
}
]
},
{
"linkId": "Section-37/GG0170O1",
"text": "12 steps - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA26735-3",
"display": "Not attempted due to medical condition or safety concerns"
}
}
]
},
{
"linkId": "Section-37/GG0170P1",
"text": "Picking up object - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA26735-3",
"display": "Not attempted due to medical condition or safety concerns"
}
}
]
},
{
"linkId": "Section-37/GG0170R1",
"text": "Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA26735-3",
"display": "Not attempted due to medical condition or safety concerns"
}
}
]
},
{
"linkId": "Section-37/GG0170S1",
"text": "Wheel 150 feet - functional ability during 3 day assessment period [CMS Assessment]",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA26735-3",
"display": "Not attempted due to medical condition or safety concerns"
}
}
]
}
]
}
]
}
]
}