PACIO Personal Functioning and Engagement Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-pfe/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/assistance-required | Version: 2.0.0 | |||
| Standards status: Trial-use Active as of 2025-07-23 | Maturity Level: 3 | Computable Name: AssistanceRequired | ||
Associated with the Narrative History of Status profile to provide a high-level indication of assistance required for the person's baseline ability (status immediately preceding the current admission, illness, or exacerbation for a patient). The CMS Assessment answer list LL4309-2 provides possible values for this extension.
Context of Use
This extension may be used on the following element(s)
DiagnosticReport    
  Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | 
|---|---|---|---|---|
![]()  | 
0..* | Extension | Extension | |
![]() ![]()  | 
0..0 | |||
![]() ![]()  | 
1..1 | uri | "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/assistance-required" | |
![]() ![]()  | 
0..1 | CodeableConcept | Value of extension Binding: LOINC Answer List LL4309-2 (extensible)  | |
  Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | 
|---|---|---|---|---|
![]()  | 
0..* | Extension | Extension | |
![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |
![]() ![]()  | 
0..0 | |||
![]() ![]()  | 
1..1 | uri | "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/assistance-required" | |
![]() ![]()  | 
0..1 | CodeableConcept | Value of extension Binding: LOINC Answer List LL4309-2 (extensible)  | |
  Documentation for this format | ||||
This structure is derived from Extension
Summary
Simple Extension with the type CodeableConcept: Associated with the Narrative History of Status profile to provide a high-level indication of assistance required for the person's baseline ability (status immediately preceding the current admission, illness, or exacerbation for a patient). The CMS Assessment answer list LL4309-2 provides possible values for this extension.
Maturity: 3
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | 
|---|---|---|---|---|
![]()  | 
0..* | Extension | Extension | |
![]() ![]()  | 
0..0 | |||
![]() ![]()  | 
1..1 | uri | "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/assistance-required" | |
![]() ![]()  | 
0..1 | CodeableConcept | Value of extension Binding: LOINC Answer List LL4309-2 (extensible)  | |
  Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints    Filter:  ![]() ![]()  | 
|---|---|---|---|---|
![]()  | 
0..* | Extension | Extension | |
![]() ![]()  | 
0..1 | string | Unique id for inter-element referencing | |
![]() ![]()  | 
0..0 | |||
![]() ![]()  | 
1..1 | uri | "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/assistance-required" | |
![]() ![]()  | 
0..1 | CodeableConcept | Value of extension Binding: LOINC Answer List LL4309-2 (extensible)  | |
  Documentation for this format | ||||
This structure is derived from Extension
Summary
Simple Extension with the type CodeableConcept: Associated with the Narrative History of Status profile to provide a high-level indication of assistance required for the person's baseline ability (status immediately preceding the current admission, illness, or exacerbation for a patient). The CMS Assessment answer list LL4309-2 provides possible values for this extension.
Maturity: 3
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet | URI | 
| Extension.value[x] | extensible | LOINC LL4309-2http://loinc.org/vs/LL4309-2 | 
| Id | Grade | Path(s) | Details | Requirements | 
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())  | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists()  |