PFEDeviceRequestLocation: Skilled nursing facility

PFEDeviceRequestUser

• user: Betsy Smith-Johnson Female, DoB Unknown ( http://example.org/identifiers/patient#10A3D58WH1600)
• relationship: Patient

PFEDeviceRequestUser

• user: PractitionerRole Physiotherapist
• relationship: Operator

PFEDeviceRequestClinicalJustification

• note:
• assessment: Observation Mobility - discharge performance during 3 day assessment period [CMS Assessment]
• assessment: Observation Self-care - admission performance [CMS Assessment]
• use-of-device: DeviceUseStatement: status = active; recordedOn = 2020-07-11 16:32:00-0500
• goal: Goal: lifecycleStatus = active; achievementStatus = In Progress; description = Able to walk in room (finding); start[x] = 2024-01-18; note = Betsy will be able to complete functional mobility including navigating around furniture, mainingin balance, and demonstrating good functional endurance for completing activities of daily life, and instrumental activities of daily life, and in order to decrease risk of fall and risk of hospital readmission.

basedOn: ServiceRequest Physical therapy assessment (procedure)

status: Active

intent: Order

priority: Routine

code: Walker, folding, wheeled, adjustable or fixed height

Parameters

subject: Betsy Smith-Johnson Female, DoB Unknown ( http://example.org/identifiers/patient#10A3D58WH1600)

encounter: Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = Skilled nursing facility; period = 2024-07-17 09:30:00-0500 --> (ongoing); reasonCode = Physical therapy assessment (procedure)

occurrence: 2024-07-18

authoredOn: 2024-07-17

requester: PractitionerRole Physiotherapist

reasonCode: Physical deconditioning (finding)

reasonReference:

• Condition Physical deconditioning (finding)
• Condition Right hemiparesis (disorder)

insurance: Coverage: identifier = Member Number: PAS-987654321; status = active; subscriberId = SUB-123456789; relationship = Self

supportingInfo:

• RiskAssessment
• Observation Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]
• Observation Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]

note:

Order for a rolling walker to support reconditioning and mobility rehabilitation, and to reduce fall risk.