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

: QResponse-SNF-CAM-Admission-1 - JSON Representation

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{
  "resourceType" : "QuestionnaireResponse",
  "id" : "QResponse-SNF-CAM-Admission-1",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>questionnaire</b>: <a href=\"http://example.org/Questionnaire/MDS3.0-NC-1.17\">http://example.org/Questionnaire/MDS3.0-NC-1.17</a></p><p><b>status</b>: completed</p><p><b>subject</b>: <a href=\"Patient-patientBSJ1.html\">Generated Summary: Betsy Smith-Johnson</a></p><p><b>authored</b>: Apr 9, 2020, 11:00:00 PM</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-3</p><p><b>text</b>: Cognitive Patterns</p><blockquote><p><b>item</b></p><p><b>linkId</b>: Section-3/C1310</p><p><b>text</b>: Signs and Symptoms of Delirium (from CAM)</p></blockquote></blockquote></div>"
  },
  "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/patientBSJ1"
  },
  "authored" : "2020-04-09T18:00:00-05:00",
  "item" : [
    {
      "linkId" : "Section-3",
      "text" : "Cognitive Patterns",
      "item" : [
        {
          "linkId" : "Section-3/C1310",
          "text" : "Signs and Symptoms of Delirium (from CAM)",
          "item" : [
            {
              "linkId" : "Section-3/C1310A",
              "text" : "Is there evidence of an acute change in mental status from the patients baseline?",
              "answer" : [
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "LA32-8",
                    "display" : "No"
                  }
                }
              ]
            },
            {
              "linkId" : "Section-3/C1310B",
              "text" : "Did the patient have difficulty focusing attention, for example being easily distractible, or having difficulty keeping track of what was being said?",
              "answer" : [
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "LA61-7",
                    "display" : "Behavior not present"
                  }
                }
              ]
            },
            {
              "linkId" : "Section-3/C1310C",
              "text" : "Did the resident have altered level of consiousness as indicated by any of the following criteria: (1) Vigilant - startles easily to any sound or touch, (2) Lethargic - repeatedly dozed off when being asked questions, but responded to voice or touch, (3) Stuporous - very difficult to arouse and keep aroused for the interview, (4) Comatose - could not be aroused",
              "answer" : [
                {
                  "valueCoding" : {
                    "system" : "http://loinc.org",
                    "code" : "LA61-7",
                    "display" : "Behavior not present"
                  }
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}