PACIO Cognitive Status Implementation Guide
1.0.0 - STU 1

PACIO Cognitive Status Implementation Guide, published by HL7 Patient Care Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/fhir-pacio-cognitive-status/ and changes regularly. See the Directory of published versions

: CSC-SNF-PHQ9-1 - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="CSC-SNF-PHQ9-1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/pacio-cs/StructureDefinition/pacio-csc"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>ObservationEventLocation</b>: <a href="Location-Org-Loc-03.html">Generated Summary: status: active; name: Sky Harbor Home Health Services</a></p><p></p><p><b>category</b>: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span></p><p><b>code</b>: <span title="Codes: {http://loinc.org 54635-8}">Resident mood interview (PHQ-9) [Reported PHQ-9 CMS]</span></p><p><b>subject</b>: <a href="Patient-patientBSJ1.html">Generated Summary: Betsy Smith-Johnson</a></p><p><b>effective</b>: Jul 11, 2020, 4:30:00 PM</p><p><b>performer</b>: <a href="PractitionerRole-Role-SLP-LunaBaskins.html">Generated Summary: active: true; <span title="Codes: {http://snomed.info/sct 159026005}">Speech and language therapist</span></a></p><p><b>hasMember</b>: </p><ul><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-11.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54636-6}">Little interest or pleasure in doing things</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA33-6}">Yes</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-12.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54637-4}">Little interest or pleasure in doing things</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA10998-5}">2-6 days (several days)</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-13.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54638-2}">Feeling down</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA33-6}">Yes</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-14.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54639-0}">Feeling down</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA10998-5}">2-6 days (several days)</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-15.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54640-8}">Trouble falling or staying asleep</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA33-6}">Yes</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-16.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54641-6}">Trouble falling or staying asleep</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA10998-5}">2-6 days (several days)</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-17.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54642-4}">Feeling tired or having little energy</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA32-8}">No</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-18.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54643-2}">Feeling tired or having little energy</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA10997-7}">Never or 1 day</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-19.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54644-0}">Poor appetite or overeating</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA32-8}">No</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-20.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54645-7}">Poor appetite or overeating</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA10997-7}">Never or 1 day</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-21.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54646-5}">Feeling bad about yourself - or that you are a failure or have let yourself or your family down</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA32-8}">No</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-22.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54647-3}">Feeling bad about yourself - or that you are a failure or have let yourself or your family down</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA10997-7}">Never or 1 day</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-23.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54648-1}">Trouble concentrating on things</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA32-8}">No</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-24.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54649-9}">Trouble concentrating on things</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA10997-7}">Never or 1 day</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-25.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54650-7}">Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA32-8}">No</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-26.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54651-5}">Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA10997-7}">Never or 1 day</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-27.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54652-3}">Thoughts that you would be better off dead</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://loinc.org LA10996-9}">No response</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-28.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54653-1}">Thoughts that you would be better off dead</span>; effective: Jul 11, 2020, 4:30:00 PM; <span title="Codes: {http://terminology.hl7.org/CodeSystem/data-absent-reason not-asked}">Not Asked</span></a></li><li><a href="Observation-CSC-SNF-PHQ9-1-Ob-Question-29.html">Generated Summary: <span title="Codes: {http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs functioning}">Functioning</span>, <span title="Codes: {http://terminology.hl7.org/CodeSystem/observation-category survey}">Survey</span>; <span title="Codes: {http://loinc.org 54654-9}">Total Severity Score</span>; effective: Jul 11, 2020, 4:30:00 PM; 3 {score}</a></li></ul><p><b>derivedFrom</b>: <a href="QuestionnaireResponse-QResponse-SNF-PHQ9-1.html">Generated Summary: questionnaire: http://example.org/Questionnaire/MDS3.0-NC-1.17; status: completed; authored: Jul 11, 2020, 4:30:00 PM</a></p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/pacio-cs/StructureDefinition/event-location">
    <valueReference>
      <reference value="Location/Org-Loc-03"/>
    </valueReference>
  </extension>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://hl7.org/fhir/us/pacio-cs/CodeSystem/pacio-cat-cs"/>
      <code value="functioning"/>
      <display value="Functioning"/>
    </coding>
  </category>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="survey"/>
      <display value="Survey"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="54635-8"/>
      <display value="Resident mood interview (PHQ-9) [Reported PHQ-9 CMS]"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/patientBSJ1"/>
  </subject>
  <effectiveDateTime value="2020-07-11T11:30:00-05:00"/>
  <performer>
    <reference value="PractitionerRole/Role-SLP-LunaBaskins"/>
  </performer>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-11"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-12"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-13"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-14"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-15"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-16"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-17"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-18"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-19"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-20"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-21"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-22"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-23"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-24"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-25"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-26"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-27"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-28"/>
  </hasMember>
  <hasMember>
    <reference value="Observation/CSC-SNF-PHQ9-1-Ob-Question-29"/>
  </hasMember>
  <derivedFrom>
    <reference value="QuestionnaireResponse/QResponse-SNF-PHQ9-1"/>
  </derivedFrom>
</Observation>