PACIO Personal Functioning and Engagement Implementation Guide
2.0.0 - STU 2
PACIO Personal Functioning and Engagement Implementation Guide
2.0.0 - STU 2
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
| Page standards status: Informative |
{
"resourceType" : "DeviceRequest",
"id" : "PFEIG-DeviceRequest-RollingWalker",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DeviceRequest PFEIG-DeviceRequest-RollingWalker</b></p><a name=\"PFEIG-DeviceRequest-RollingWalker\"> </a><a name=\"hcPFEIG-DeviceRequest-RollingWalker\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-pfe-device-request.html\">Personal Functioning and Engagement Device Request Profile</a></p></div><p><b>PFEDeviceRequestLocation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode SNF}\">Skilled nursing facility</span></p><blockquote><p><b>PFEDeviceRequestUser</b></p><ul><li>user: <a href=\"Patient-PFEIG-patientBSJ1.html\">Betsy Smith-Johnson Female, DoB Unknown ( http://example.org/identifiers/patient#10A3D58WH1600)</a></li><li>relationship: <span title=\"Codes:{http://hl7.org/fhir/us/pacio-pfe/CodeSystem/pfe-deviceassociation-relationship-cs patient}\">Patient</span></li></ul></blockquote><blockquote><p><b>PFEDeviceRequestUser</b></p><ul><li>user: <a href=\"PractitionerRole-PFEIG-Role-SNFPT-RonMarble.html\">PractitionerRole Physiotherapist</a></li><li>relationship: <span title=\"Codes:{http://hl7.org/fhir/us/pacio-pfe/CodeSystem/pfe-deviceassociation-relationship-cs operator}\">Operator</span></li></ul></blockquote><blockquote><p><b>PFEDeviceRequestClinicalJustification</b></p><ul><li>note: </li><li>assessment: <a href=\"Observation-PFEIG-FSC-Hospital-Discharge-Mobility-1.html\">Observation Mobility - discharge performance during 3 day assessment period [CMS Assessment]</a></li><li>assessment: <a href=\"Observation-PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1.html\">Observation Self-care - admission performance [CMS Assessment]</a></li><li>use-of-device: <a href=\"DeviceUseStatement-PFEIG-SNF-Adm-Mobility-UseOfDevice-RollingWalker.html\">DeviceUseStatement: status = active; recordedOn = 2020-07-11 16:32:00-0500</a></li><li>goal: <a href=\"Goal-PFEIG-Goal-WalkingGoal.html\">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.</a></li></ul></blockquote><div><p>Betsy requires a rolling walker to support safe ambulation, transfers, and participation in rehabilitation activities while recovering from stroke-related right-sided weakness and physical deconditioning. In her current state, Betsy is unable to ambulate safely and has been assessed as a fall risk. The use of the walker during physical therapy will support the pateint's ability to engage in re-conditioning activities and decrease her fall risk.</p>\n</div><p><b>basedOn</b>: <a href=\"ServiceRequest-PFEIG-ServiceRequest-SNFDischargePTRefer.html\">ServiceRequest Physical therapy assessment (procedure)</a></p><p><b>priorRequest</b>: <a href=\"DeviceRequest-PFEIG-DeviceRequest-Wheelchair.html\">DeviceRequest: status = completed; intent = order; code[x] = ->Device: type = </a></p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:{http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets E0143}\">Walker, folding, wheeled, adjustable or fixed height</span></p><h3>Parameters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 103355008}\">Width</span></td><td>21 inches<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code[in_i] = '[in_i]')</span></td></tr></table><p><b>subject</b>: <a href=\"Patient-PFEIG-patientBSJ1.html\">Betsy Smith-Johnson Female, DoB Unknown ( http://example.org/identifiers/patient#10A3D58WH1600)</a></p><p><b>encounter</b>: <a href=\"Encounter-PFEIG-Encounter-DeviceRequest-RollingWalker.html\">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)</a></p><p><b>occurrence</b>: 2024-07-18</p><p><b>authoredOn</b>: 2024-07-17</p><p><b>requester</b>: <a href=\"PractitionerRole-PFEIG-Role-SNFPT-RonMarble.html\">PractitionerRole Physiotherapist</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 31031000119102}\">Physical deconditioning (finding)</span></p><p><b>reasonReference</b>: </p><ul><li><a href=\"Condition-PFEIG-Condition-Decondition.html\">Condition Physical deconditioning (finding)</a></li><li><a href=\"Condition-PFEIG-Condition-HemiparesisDiagnosis.html\">Condition Right hemiparesis (disorder)</a></li></ul><p><b>insurance</b>: <a href=\"Coverage-PFEIG-PASCoverage-BSJ1.html\">Coverage: identifier = Member Number: PAS-987654321; status = active; subscriberId = SUB-123456789; relationship = Self</a></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"RiskAssessment-PFEIG-RiskAssessment-FallRisk.html\">RiskAssessment </a></li><li><a href=\"Observation-PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-16.html\">Observation Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]</a></li><li><a href=\"Observation-PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-18.html\">Observation Walk 50 feet with two turns - functional ability during 3 day assessment period [CMS Assessment]</a></li></ul><p><b>note</b>: </p><blockquote><div><p>Order for a rolling walker to support reconditioning and mobility rehabilitation, and to reduce fall risk.</p>\n</div></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-location",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code" : "SNF",
"display" : "Skilled nursing facility"
}
]
}
},
{
"extension" : [
{
"url" : "user",
"valueReference" : {
🔗 "reference" : "Patient/PFEIG-patientBSJ1"
}
},
{
"url" : "relationship",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/pacio-pfe/CodeSystem/pfe-deviceassociation-relationship-cs",
"code" : "patient",
"display" : "Patient"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-user"
},
{
"extension" : [
{
"url" : "user",
"valueReference" : {
🔗 "reference" : "PractitionerRole/PFEIG-Role-SNFPT-RonMarble"
}
},
{
"url" : "relationship",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/pacio-pfe/CodeSystem/pfe-deviceassociation-relationship-cs",
"code" : "operator",
"display" : "Operator"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-user"
},
{
"extension" : [
{
"url" : "note",
"valueMarkdown" : "Betsy requires a rolling walker to support safe ambulation, transfers, and participation in rehabilitation activities while recovering from stroke-related right-sided weakness and physical deconditioning. In her current state, Betsy is unable to ambulate safely and has been assessed as a fall risk. The use of the walker during physical therapy will support the pateint's ability to engage in re-conditioning activities and decrease her fall risk."
},
{
"url" : "assessment",
"valueReference" : {
🔗 "reference" : "Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1"
}
},
{
"url" : "assessment",
"valueReference" : {
🔗 "reference" : "Observation/PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1"
}
},
{
"url" : "use-of-device",
"valueReference" : {
🔗 "reference" : "DeviceUseStatement/PFEIG-SNF-Adm-Mobility-UseOfDevice-RollingWalker"
}
},
{
"url" : "goal",
"valueReference" : {
🔗 "reference" : "Goal/PFEIG-Goal-WalkingGoal"
}
}
],
"url" : "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-clinical-justification"
}
],
"basedOn" : [
{
🔗 "reference" : "ServiceRequest/PFEIG-ServiceRequest-SNFDischargePTRefer"
}
],
"priorRequest" : [
{
🔗 "reference" : "DeviceRequest/PFEIG-DeviceRequest-Wheelchair"
}
],
"status" : "active",
"intent" : "order",
"priority" : "routine",
"codeCodeableConcept" : {
"coding" : [
{
"system" : "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets",
"code" : "E0143",
"display" : "Walker, folding, wheeled, adjustable or fixed height"
}
]
},
"parameter" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "103355008"
}
]
},
"valueQuantity" : {
"value" : 21,
"unit" : "inches",
"system" : "http://unitsofmeasure.org",
"code" : "[in_i]"
}
}
],
"subject" : {
🔗 "reference" : "Patient/PFEIG-patientBSJ1"
},
"encounter" : {
🔗 "reference" : "Encounter/PFEIG-Encounter-DeviceRequest-RollingWalker"
},
"occurrenceDateTime" : "2024-07-18",
"authoredOn" : "2024-07-17",
"requester" : {
🔗 "extension" : [
{
"url" : "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-additional-requester",
"valueReference" : {
🔗 "reference" : "RelatedPerson/PFEIG-RelatedPerson-CharlesJohnson"
}
}
],
"reference" : "PractitionerRole/PFEIG-Role-SNFPT-RonMarble"
},
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "31031000119102",
"display" : "Physical deconditioning (finding)"
}
]
}
],
"reasonReference" : [
{
🔗 "reference" : "Condition/PFEIG-Condition-Decondition"
},
{
🔗 "reference" : "Condition/PFEIG-Condition-HemiparesisDiagnosis"
}
],
"insurance" : [
{
🔗 "reference" : "Coverage/PFEIG-PASCoverage-BSJ1"
}
],
"supportingInfo" : [
{
🔗 "reference" : "RiskAssessment/PFEIG-RiskAssessment-FallRisk"
},
{
🔗 "reference" : "Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-16"
},
{
🔗 "reference" : "Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-18"
}
],
"note" : [
{
"text" : "Order for a rolling walker to support reconditioning and mobility rehabilitation, and to reduce fall risk."
}
]
}
IG © 2022+ HL7 International / Patient Care.
Package hl7.fhir.us.pacio-pfe#2.0.0 based on FHIR 4.0.1.
Generated
2026-05-07
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