FHIR IG analytics| Package | hl7.fhir.us.pacio-pfe |
| Resource Type | QuestionnaireResponse |
| Id | QuestionnaireResponse-PFEIG-QResponse-SNF-BIMS-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-SNF-BIMS-1
Language: en
| LinkID | Text | Definition | Answer |
|---|---|---|---|
![]() | Questionnaire:http://example.org/Questionnaire/MDS3.0-NC-1.17 | ||
![]() ![]() | MDS v3.0 - RAI v1.17.2 - Cognitive patterns [CMS Assessment] | ||
![]() ![]() ![]() | Brief interview for mental status [BIMS] | ||
![]() ![]() ![]() ![]() | Repetition of Three Words. Number of words repeated after first attempt | LOINC: LA6404-3 (Two) | |
![]() ![]() ![]() ![]() | Temporal orientation (orientation to year, month, and day) [BIMS] | ||
![]() ![]() ![]() ![]() ![]() | Able to report correct year | LOINC: LA10008-3 (Missed by 1 year) | |
![]() ![]() ![]() ![]() ![]() | Able to report correct month | LOINC: LA10010-9 (Missed by 6 days to 1 month) | |
![]() ![]() ![]() ![]() ![]() | Able to report correct day of the week | LOINC: LA9960-1 (Correct) | |
![]() ![]() ![]() ![]() | Recall [BIMS] | ||
![]() ![]() ![]() ![]() ![]() | Able to recall "sock" | ||
![]() ![]() ![]() ![]() ![]() | Able to recall "blue" | ||
![]() ![]() ![]() ![]() ![]() | Able to recall "bed" | ||
![]() ![]() ![]() ![]() | BIMS Summary Score | 9 | |
{
"resourceType": "QuestionnaireResponse",
"id": "PFEIG-QResponse-SNF-BIMS-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": "2020-07-11T11:30:00-05:00",
"author": {
"reference": "PractitionerRole/PFEIG-Role-SLP-HoneyJones"
},
"item": [
{
"linkId": "Section-3",
"text": "MDS v3.0 - RAI v1.17.2 - Cognitive patterns [CMS Assessment]",
"item": [
{
"linkId": "Section-3/C0200-C0500",
"text": "Brief interview for mental status [BIMS]",
"item": [
{
"linkId": "Section-3/C0200",
"text": "Repetition of Three Words. Number of words repeated after first attempt",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA6404-3",
"display": "Two"
}
}
]
},
{
"linkId": "Section-3/C0300",
"text": "Temporal orientation (orientation to year, month, and day) [BIMS]",
"item": [
{
"linkId": "Section-3/C0300A",
"text": "Able to report correct year",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10008-3",
"display": "Missed by 1 year"
}
}
]
},
{
"linkId": "Section-3/C0300B",
"text": "Able to report correct month",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA10010-9",
"display": "Missed by 6 days to 1 month"
}
}
]
},
{
"linkId": "Section-3/C0300C",
"text": "Able to report correct day of the week",
"answer": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA9960-1",
"display": "Correct"
}
}
]
}
]
},
{
"linkId": "Section-3/C0400",
"text": "Recall [BIMS]",
"item": [
{
"linkId": "Section-3/C0400A",
"text": "Able to recall \"sock\""
},
{
"linkId": "Section-3/C0400B",
"text": "Able to recall \"blue\""
},
{
"linkId": "Section-3/C0400C",
"text": "Able to recall \"bed\""
}
]
},
{
"linkId": "Section-3/C0500",
"text": "BIMS Summary Score",
"answer": [
{
"valueInteger": 9
}
]
}
]
}
]
}
]
}