PACIO Personal Functioning and Engagement Implementation Guide
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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-ballot 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

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Behavior: Capability Statements

The following artifacts define the specific capabilities that different types of systems are expected to have in order to comply with this implementation guide. Systems conforming to this implementation guide are expected to declare conformance to one or more of the following capability statements.

Personal Functioning and Engagement Capability Statement

This Capability Statement defines the expected capabilities of a Personal Functioning and Engagement FHIR server conforming to the Personal Functioning and Engagement Implementation Guide.

Behavior: Search Parameters

These define the properties by which a RESTful server can be searched. They can also be used for sorting and including related resources.

Condition-bodySite

Select Conditions with the specified BodySite

Condition-code

Select Conditions with the specified code

Condition-identifier

Select Conditions with the specified identifier

Condition-recordedDate

Select Conditions with the specified recordedDate

Goal-achievementStatus

Select Goals with the specified achievementStatus

Goal-addresses

Select Goals with the specified addresses

Goal-identifier

Select Goals with the specified identifier

NutritionOrder-encounter

Select NutritionOrders with the specified encounter

NutritionOrder-identifier

Select NutritionOrders with the specified identifier

NutritionOrder-orderer

Select NutritionOrders with the specified orderer

NutritionOrder-subject

Select NutritionOrders with the specified subject

ServiceRequest-code

Select ServiceRequests with the specified code

ServiceRequest-identifier

Select ServiceRequests with the specified identifier

ServiceRequest-reasonReference

Select ServiceRequests with the specified reasonReference

Structures: Abstract Profiles

These are profiles on resources or data types that describe patterns used by other profiles, but cannot be instantiated directly. I.e. instances can conform to profiles based on these abstract profiles, but do not declare conformance to the abstract profiles themselves.

Personal Functioning and Engagement Abstract Observation

An abstract profile representing the cross-cutting requirements for Personal Functioning and Engagement Observation instances. This profile is not intended to be used directly. Implementers should use specific profiles that layer these requirements on top of specific US Core Observation profiles.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Personal Functioning and Engagement Clinical Test Observation

An exchange of post-acute care observation for a patient. This profile is used for exchanging a single piece of observation data that resulted from a clinical test.

Personal Functioning and Engagement Collection

A point in time collection of post-acute care observations for a patient. This profile is used for exchanging a set of observation data collected through the use of a structured resource (e.g., assessment tool, instrument, or screen) with multiple questions.

Personal Functioning and Engagement Condition Encounter Diagnosis Profile

An exchange of post-acute care condition encounter diagnosis for a patient. This profile is used for exchanging a condition encounter diagnosis.

Personal Functioning and Engagement Condition Problems and Health Concerns Profile

An exchange of post-acute care condition, problem, or health concern for a patient. This profile is used for exchanging a problem list item or a health concern.

Personal Functioning and Engagement Diagnostic Report Note Exchange Profile

An exchange of post-acute care diagonistic report notes for a patient. This profile is used for exchanging diagnostic report notes, as opposed to laboratory notes.

Personal Functioning and Engagement Goal Profile

An exchange of post-acute care goal for a patient. This profile is used for exchanging a personal functioning and engagement goal.

Personal Functioning and Engagement Narrative History of Status

An exchange of a narrative summary regarding the most recent prior status immediately preceding the current admission, illness, or exacerbation for a patient. The use of this profile is encouraged in the absence of formal prior level assessments. For formal assessments conducted with for example, an assessment instrument, use the collection and single observation profiles defined in this IG to capture assessment data.

Personal Functioning and Engagement Nutrition Order Profile

An exchange of post-acute care nutrition order for a patient. This profile is used for exchanging a personal functioning and engagement nutrition order for oral diet, supplement, or enteral formula.

Personal Functioning and Engagement Service Request Profile

An exchange of post-acute care service request for a patient. This profile is used for exchanging service requests.

Personal Functioning and Engagement Single Observation

An exchange of post-acute care observation for a patient. This profile is used for exchanging an observation for a single question generally included in a structured resource (e.g., assessment tool, instrument, or screen).

Personal Functioning and Engagement Use of Device

A record of an assistive device (e.g., eyeglasses or hearing aid) being used by a patient during a post-acute care observation. This profile based on the DeviceUseStatement resource provides a way to include information about device usage during an assessment.

Structures: Extension Definitions

These define constraints on FHIR data types for systems conforming to this implementation guide.

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.

DevicePatientUsed

Associated with the PAC Collection profile to point to a record indicating what healthcare-related assistive device was used by a patient during an observation. This extension leverages the DeviceUseStatement resource instead of Device resource so as to indicate appropriately a record of assistive device usage by a patient.

ObservationEventLocation

This extension is used to indicate the principal physical location where an observation event occurred.

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

Personal Functioning and Engagement Body Structures Value Set

This value set includes LOINC codes that represent patient observations regarding individual's body structures.

Personal Functioning and Engagement Category Value Set

This value set includes codes representing health and health-related domains into which functioning observations can be further categorized.

Personal Functioning and Engagement Communication Value Set

This value set includes LOINC codes that represent patient observations regarding individual's communication.

Personal Functioning and Engagement Domestic Life Value Set

This value set includes LOINC codes that represent patient observations regarding individual's domestic life.

Personal Functioning and Engagement Example Observations Value Set

This value set includes LOINC codes that provide examples of observations within the scope of the Personal Functioning and Engagement IG.

Personal Functioning and Engagement Functions Of Digestive, Metabolic, and Endocrine Systems Value Set

This value set includes LOINC codes that represent patient observations regarding individual's digestive, metabolic, and endocrine systems functioning.

Personal Functioning and Engagement Functions of Skin and Related Structures Value Set

This value set includes LOINC codes that represent patient observations regarding individual's skin and related structures functioning.

Personal Functioning and Engagement Genitourinary and Reproductive Functions Value Set

This value set includes LOINC codes that represent patient observations regarding individual's genitourinary and reproductive functioning.

Personal Functioning and Engagement Goals Mobility Value Set

This value set includes LOINC codes that represent patient goals regarding individual's mobility.

Personal Functioning and Engagement Goals Panel Value Set

This value set includes LOINC panel codes that are goals represent headers and sub-headers in CMS assessments and are tied to PFE collections.

Personal Functioning and Engagement Goals Self-Care Value Set

This value set includes LOINC codes that represent patient goals regarding individual's ability to perform self-care.

Personal Functioning and Engagement Learning and Applying Knowledge Value Set

This value set includes LOINC codes that represent patient observations regarding individual's ability to learn and apply knowledge.

Personal Functioning and Engagement Mental Functions Value Set

This value set includes LOINC codes that represent patient observations regarding individual's mental functioning.

Personal Functioning and Engagement Mobility Value Set

This value set includes LOINC codes that represent patient observations regarding individual's mobility.

Personal Functioning and Engagement Neuromusculoskeletal and Movement Related Functions Value Set

This value set includes LOINC codes that represent patient observations regarding individual's neuromusculoskeletal and movement related functioning.

Personal Functioning and Engagement Panel Value Set

This value set includes LOINC panel codes that represent headers and sub-headers in CMS assessments and are tied to PFE collections.

Personal Functioning and Engagement Products and Technology Value Set

This value set includes LOINC codes that represent patient observations regarding the products and technology that affect their lives.

Personal Functioning and Engagement Self-Care Value Set

This value set includes LOINC codes that represent patient observations regarding individual's ability to perform self-care.

Personal Functioning and Engagement Sensory Functions and Pain Clinical Test Value Set

This value set includes LOINC codes that represent clinicl test observations regarding individual's sensory functioning and pain.

Personal Functioning and Engagement Sensory Functions and Pain Value Set

This value set includes LOINC codes that represent patient observations regarding individual's sensory functioning and pain.

Personal Functioning and Engagement Structures Involved in Voice and Speech Value Set

This value set includes LOINC codes that represent patient observations regarding individual's structures involved in voice and speech.

Personal Functioning and Engagement Survey Value Set

Used to indicate that all PFE observations of of type Survey

Personal Functioning and Engagement US Core Value Set

Subset of the us core categories to identify the type of PFE observation

Personal Functioning and Engagement Voice and Speech Functions Value Set

This value set includes LOINC codes that represent patient observations regarding individual's voice and speech functioning.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide.

Personal Functioning and Engagement Category

Includes codes representing health and health-related domains into which functioning observations can be further categorized.

Personal Functioning and Engagement Functioning Category Code System

Defines a specific code for the classification of patient observations regarding individual's functioning and engagement.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

PFEIG-AllergyACE

Example Allergy Intolerance for angiotensin-converting enzyme inhibitor mechanism of action.

PFEIG-CMS-Device-BedsideRails

Example Device: Bedside rails

PFEIG-CMS-Device-Eyeglasses

Example Device: Eyeglasses

PFEIG-CMS-Device-HandleBars

Example Device: Handle bars

PFEIG-CMS-Device-HearingAid

Example Device: Hearing aid

PFEIG-CMS-Device-RaisedToiletSeat

Example Device: Raised toilet seat

PFEIG-CMS-Device-RollingWalker

Example Device: Rolling walker

PFEIG-CMS-Device-Walker

Example Device: Walker

PFEIG-CSC-Hospital-MMSE-1

Example PFE Collection for hospital MMSE assessment

PFEIG-CSC-Hospital-MMSE-1-Ob-Question-31

Example PFE Observation: Total score [MMSE]

PFEIG-CSC-Hospital-MOCA-1

Example PFE Collection for hospital MOCA assessment

PFEIG-CSC-Hospital-MOCA-1-Ob-Question-1

Example PFE Observation: Total score [MoCA]

PFEIG-CSC-SNF-BIMS-1

Example PFE Collection for SNF BIMS assessment

PFEIG-CSC-SNF-BIMS-1-Ob-Question-10

Example PFE Observation: Brief Interview for Mental Status - summary score [BIMS]

PFEIG-CSC-SNF-BIMS-1-Ob-Question-3

Example PFE Observation: Temporal orientation - current year [BIMS]

PFEIG-CSC-SNF-BIMS-1-Ob-Question-4

Example PFE Observation: Recall - bed [BIMS]

PFEIG-CSC-SNF-BIMS-1-Ob-Question-5

Example PFE Observation: Recall - blue [BIMS]

PFEIG-CSC-SNF-BIMS-1-Ob-Question-6

Example PFE Observation: Recall - sock [BIMS]

PFEIG-CSC-SNF-BIMS-1-Ob-Question-7

Example PFE Observation: Temporal orientation - current day of the week [BIMS]

PFEIG-CSC-SNF-BIMS-1-Ob-Question-8

Example PFE Observation: Temporal orientation - current month [BIMS]

PFEIG-CSC-SNF-BIMS-1-Ob-Question-9

Example PFE Observation: Repetition of three words # [BIMS]

PFEIG-CSC-SNF-BIMS-1-Recall

Example PFE Collection for SNF BIMS assessment: recall

PFEIG-CSC-SNF-BIMS-1-Temporal

Example PFE Collection for SNF BIMS assessment: temporal

PFEIG-CSC-SNF-BIMS-1-UseOfDevice-1

Example PFE Use of Device for eyeglasses

PFEIG-CSC-SNF-BIMS-1-UseOfDevice-2

Example PFE Use of Device for hearing aid

PFEIG-CSC-SNF-CAM-Admission-1

Example PFE Collection for SNF CAM assessment

PFEIG-CSC-SNF-CAM-Admission-1-Ob-Question-1

Example PFE Observation: Inattention in last 7 days [CAM.CMS]

PFEIG-CSC-SNF-CAM-Admission-1-Ob-Question-3

Example PFE Observation: Disorganized thinking in last 7 days [CAM.CMS]

PFEIG-CSC-SNF-CAM-Admission-1-Ob-Question-5

Example PFE Observation: Acute onset mental status change [CAM.CMS]

PFEIG-CSC-SNF-PHQ9-1

Example PFE Collection for resident mood interview

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-11

Example PFE Observation: Feeling tired or having little energy in last 2 weeks.frequency [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-12

Example PFE Observation: Poor appetite or overeating in last 2 weeks.presence [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-13

Example PFE Observation: Feeling down, depressed or hopeless in last 2 weeks.frequency [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-14

Example PFE Observation: Trouble falling or staying asleep, or sleeping too much in last 2 weeks.presence [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-15

Example PFE Observation: Trouble falling or staying asleep, or sleeping too much in last 2 weeks.frequency [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-16

Example PFE Observation: Feeling tired or having little energy in last 2 weeks.presence [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-17

Example PFE Observation: Little interest or pleasure in doing things in last 2 weeks.presence [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-18

Example PFE Observation: Little interest or pleasure in doing things in last 2 weeks.frequency [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-19

Example PFE Observation: Feeling down, depressed or hopeless in last 2 weeks.presence [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-20

Example PFE Observation: 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 in last 2 weeks.presence [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-21

Example PFE Observation: Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.frequency [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-22

Example PFE Observation: Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks.presence [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-23

Example PFE Observation: 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 in last 2 weeks.frequency [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-24

Example PFE Observation: Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks.presence [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-25

Example PFE Observation: Poor appetite or overeating in last 2 weeks.frequency [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-26

Example PFE Observation: Trouble concentrating on things, such as reading the newspaper or watching television in last 2 weeks.presence [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-27

Example PFE Observation: Feeling bad about yourself - or that you are a failure or have let yourself or your family down in last 2 weeks.frequency [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-28

Example PFE Observation: Mood interview total severity score [Reported PHQ-9 CMS]

PFEIG-CSC-SNF-PHQ9-1-Ob-Question-29

Example PFE Observation: Thoughts that you would be better off dead, or of hurting yourself in some way in last 2 weeks.frequency [Reported PHQ-9 CMS]

PFEIG-Condition-AnemiaDiagnosis

Example PFE Condition Encounter Diagnosis for anemia

PFEIG-Condition-Decondition

Example PFE Condition Problems Health Concerns for physical deconditioning

PFEIG-Condition-DiabetesDiagnosis

Example PFE Condition Encounter Diagnosis for diabetes

PFEIG-Condition-DressingConcern

Example PFE Condition Problems Health Concerns for a dressing concern

PFEIG-Condition-HemiparesisDiagnosis

Example PFE Condition Encounter Diagnosis for a hemiparesis diagnosis

PFEIG-Condition-Hyperlipidemia

Example PFE Condition Encounter Diagnosis for hyperlipidemia

PFEIG-Condition-KidneyDisease

Example PFE Condition Encounter Diagnosis for kidney disease

PFEIG-Condition-RightWeak

Example PFE Condition Problems Health Concerns for right-side upper limb weakness

PFEIG-Condition-StrokeDiagnosis

Example PFE Condition Encounter Diagnosis for a stroke diagnosis

PFEIG-Condition-UndressingConcern

Example PFE Condition Problems Health Concerns for an undressing concern

PFEIG-DiagnosticReport

Example Diagnostic Report Note Exchange for nutrition order

PFEIG-FSC-Hospital-Admission-Mobility-1

Example PFE Collection of mobility observations for hospital admission

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-1

Example PFE Observation: Roll left and right - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-11

Example PFE Observation: Toilet transfer - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-13

Example PFE Observation: Car transfer - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-15

Example PFE Observation: Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-17

Example PFE Observation: Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-19

Example PFE Observation: Walk 150 feet - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-21

Example PFE Observation: Walking 10 feet on uneven surfaces - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-23

Example PFE Observation: 1 step (curb) - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-25

Example PFE Observation: 4 steps - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-27

Example PFE Observation: 12 steps - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-29

Example PFE Observation: Picking up object - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-3

Example PFE Observation: Sit to lying - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-31

Example PFE Observation: Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-33

Example PFE Observation: Wheel 150 feet - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-5

Example PFE Observation: Lying to sitting on side of bed - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-7

Example PFE Observation: Sit to stand - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-Ob-Question-9

Example PFE Observation: Bed-to-chair transfer - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Admission-Mobility-1-UseOfDevice-6

Example PFE Use of Device for bedside rails

PFEIG-FSC-Hospital-Admission-Mobility-1-UseOfDevice-7

Example PFE Use of Device for walker

PFEIG-FSC-Hospital-Discharge-Mobility-1

Example PFE Collection of mobility observations for hospital discharge

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-10

Example PFE Observation: Bed-to-chair transfer - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-12

Example PFE Observation: Toilet transfer - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-14

Example PFE Observation: Car transfer - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-16

Example PFE Observation: Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-18

Example PFE Observation: Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-2

Example PFE Observation: Roll left and right - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-20

Example PFE Observation: Walk 150 feet - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-22

Example PFE Observation: Walking 10 feet on uneven surfaces - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-24

Example PFE Observation: 1 step (curb) - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-26

Example PFE Observation: 4 steps - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-28

Example PFE Observation: 12 steps - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-30

Example PFE Observation: Picking up object - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-32

Example PFE Observation: Wheel 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-34

Example PFE Observation: Wheel 150 feet - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-4

Example PFE Observation: Sit to lying - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-6

Example PFE Observation: Lying to sitting on side of bed - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-8

Example PFE Observation: Sit to stand - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-Hospital-Discharge-Mobility-1-UseOfDevice-1

Example PFE Use of Device for bedside rails

PFEIG-FSC-Hospital-Discharge-Mobility-1-UseOfDevice-2

Example PFE Use of Device for rolling walker

PFEIG-FSC-Hospital-Discharge-Mobility-1-UseOfDevice-3

Example PFE Use of Device for walker

PFEIG-FSC-Hospital-Discharge-Mobility-1-UseOfDevice-4

Example PFE Use of Device for raised toilet seat

PFEIG-FSC-Hospital-Discharge-Mobility-1-UseOfDevice-5

Example PFE Use of Device for handle bars

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1

Example PFE Collection of self-care observations for SNF admission

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-11

Example PFE Observation: Toileting hygiene - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-15

Example PFE Observation: Shower/bathe self - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-19

Example PFE Observation: Upper body dressing - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-23

Example PFE Observation: Lower body dressing - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-27

Example PFE Observation: Putting on/taking off footwear - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-3

Example PFE Observation: Eating - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1-Ob-Question-7

Example PFE Observation: Oral hygiene - functional ability during 3 day assessment period [CMS Assessment]

PFEIG-Goal-DressingGoal

Example PFE Goal for dressing

PFEIG-Goal-StandingGoal

Example PFE Goal for standing

PFEIG-Goal-WalkingGoal

Example PFE Goal for walking

PFEIG-Narrative-History-Cognitive-Status-1

Example PFE Narrative History of Status: History of Cognitive Function Narrative

PFEIG-Narrative-History-Functional-Status-1

Example PFE Narrative History of Status for mobility and self-care

PFEIG-Nested-Collection-Mobility

Example Nested Personal Functioning and Engagement Collection, ie. a Collection of Collections

PFEIG-NutritionOrder-SNFDischargeDiet

Example Nutrition Order for a diet to follow upon a skilled nursing facility discharge

PFEIG-Org-01

Example Organization: San Antonio General Hospital

PFEIG-Org-02

Example Organization: Happy Nursing Facility

PFEIG-Org-03

Example Organization: Sky Harbor Home Health Services

PFEIG-Org-Loc-01

Example Location: San Antonio General Hospital

PFEIG-Org-Loc-02

Example Location: Happy Nursing Facility

PFEIG-Org-Loc-03

Example Location: Sky Harbor Home Health Services

PFEIG-Org-Loc-Primary-Care-Michigan

Example Location: Michigan Primary Health Care Associates

PFEIG-Org-Primary-Care-Michigan

Example Organization: Michigan Primary Health Care Associates

PFEIG-Practioner-GeraldPark

Example Practitioner: Gerald Park

PFEIG-Practitioner-AnitaChu

Example Practitioner: Anita Chu

PFEIG-Practitioner-DanielGranger

Example Practitioner: Daniel Granger

PFEIG-Practitioner-HoneyJones

Example Practitioner: Honey Jones

PFEIG-Practitioner-JenCadbury

Example Practitioner: Jen Cadbury

PFEIG-Practitioner-JennyGlass

Example Practitioner: Jenny Glass

PFEIG-Practitioner-JillBradley

Example Practitioner: Jill Bradley

PFEIG-Practitioner-JohnSmith

Example Practitioner: John Smith

PFEIG-Practitioner-LunaBaskins

Example Practitioner: Luna Baskins

PFEIG-Practitioner-NoraOlogist

Example Practitioner: Nora Ologist

PFEIG-Practitioner-RonMarble

Example Practitioner: Ron Marble

PFEIG-Practitioner-SallySmith

Example Practitioner: Sally Smith

PFEIG-Practitioner-ScottDumble

Example Practitioner: Scott Dumble

PFEIG-QResponse-Hospital-Admission-Mobility-1

Example U.S. Core Questionaire Response: Minimum Data Set (MDS) admission mobility assessment

PFEIG-QResponse-Hospital-Discharge-Mobility-1

Example U.S. Core Questionaire Response: Minimum Data Set (MDS) discharge mobility assessment

PFEIG-QResponse-Hospital-MMSE-1

Example U.S. Core Questionnaire Response: Mini-Mental State Examination [MMSE]

PFEIG-QResponse-Hospital-MOCA-1

Example U.S. Core Questionnaire Response: Montreal Cognitive Assessment [MoCA]

PFEIG-QResponse-SNF-Admission-Mobility-SelfCare-1

Example U.S. Core Questionaire Response: Minimum Data Set (MDS) admission self-care assessment

PFEIG-QResponse-SNF-BIMS-1

Example U.S. Core Questionnaire Response: Brief interview for mental status [BIMS]

PFEIG-QResponse-SNF-CAM-Admission-1

Example U.S. Core Questionnaire Response: Signs and Symptoms of Delirium (from CAM)

PFEIG-QResponse-SNF-PHQ9-1

Example U.S. Core Questionnaire Response: Resident mood interview (PHQ-9) [Reported PHQ-9 CMS]

PFEIG-Role-Audio-JillBradley

Example Practitioner Role: Audiologist

PFEIG-Role-IMMD-AnitaChu

Example Practitioner Role: Internal Medicine Physician

PFEIG-Role-OT-DanielGranger

Example Practitioner Role: Occupational therapist

PFEIG-Role-OT-JenCadbury

Example Practitioner Role: Occupational therapist

PFEIG-Role-PT-RonMarble

Example Practitioner Role: Physiotherapist

PFEIG-Role-PT-SallySmith

Example Practitioner Role: Physiotherapist

PFEIG-Role-PT-ScottDumble

Example Practitioner Role: Physiotherapist

PFEIG-Role-SLP-HoneyJones

Example Practitioner Role: Speech and language therapist

PFEIG-Role-SLP-JennyGlass

Example Practitioner Role: Speech and language therapist

PFEIG-Role-SLP-LunaBaskins

Example Practitioner Role: Speech and language therapist

PFEIG-Role-SNFDoc-GeraldPark

Example Practitioner Role: Geriatric Medicine Physician

PFEIG-SPLASCH-Hearingtonethresh-01-Obs-L250

Example PFE Clinical Test Observation for sensory functions and pain

PFEIG-ServiceRequest-PCPFollowUp

Example PFE Service Request to order PCP follow-up

PFEIG-ServiceRequest-SNFDischargeCallOTRefer

Example PFE Service Request to order a occupational therapy assessment

PFEIG-ServiceRequest-SNFDischargeCallOrder

Example PFE Service Request to inform doctor

PFEIG-ServiceRequest-SNFDischargeCallSLPRefer

Example PFE Service Request to order a speech therapy assessment

PFEIG-ServiceRequest-SNFDischargeLabOrderBMP

Example PFE Service Request to order a blood chemistry lab procedure

PFEIG-ServiceRequest-SNFDischargeLabOrderCBC

Example PFE Service Request to order a complete blood count

PFEIG-ServiceRequest-SNFDischargePTRefer

Example PFE Service Request to order a physical therapy assessment

PFEIG-patientBSJ1

Example US Core Patient: Betsy Smith-Johnson

PFEIG-provider-org-01

Example Organization: Primary Care INC.

PFEIG-provider-org-16

Example Organization: Neuro Care INC.

PFEIG-provider-org-loc-01

Example Location: Primary Care INC.

PFEIG-provider-org-loc-16

Example Location: Neuro Care INC.

PFEIG-provider-role-neurologist

Example Practitioner Role: Neurologist

PFEIG-provider-role-pcp

Example Practitioner Role: Primary Care Physician