PACIO Personal Functioning and Engagement Implementation Guide
3.0.0-ballot - STU 3 Ballot
PACIO Personal Functioning and Engagement Implementation Guide
3.0.0-ballot - STU 3 Ballot
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 3.0.0-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
| 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://terminology.hl7.org/CodeSystem/deviceassociation-relationship used-by}\">Used By</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://terminology.hl7.org/CodeSystem/deviceassociation-relationship managed-by}\">Managed By</span></li></ul></blockquote><blockquote><p><b>PFEDeviceRequestClinicalJustification</b></p><ul><li>note: 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 patient's ability to decrease her fall risk.</li><li>assessment: <a href=\"Observation-PFEIG-FSC-Hospital-Admission-Mobility-1.html\">Observation Mobility - admission 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 safe functional mobility independently including navigating around furniture and maintaining balance to decrease risk of falls</a></li></ul></blockquote><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: extension = ; status = completed; intent = order; code[x] = ->Device: distinctIdentifier = WHLCHR-E1130-FLA-FDR; manufactureDate = 2024-01-15; expirationDate = 2030-01-15; lotNumber = LOT20240115; serialNumber = SN-WC-E1130-001; type = Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests</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>: <a href=\"Condition-PFEIG-Condition-HemiparesisDiagnosis.html\">Condition Right hemiparesis (disorder)</a></p><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><li><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></li></ul><p><b>note</b>: </p><blockquote><div><p>Order for a rolling walker to support 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://terminology.hl7.org/CodeSystem/deviceassociation-relationship",
"code" : "used-by",
"display" : "Used By"
}
]
}
}
],
"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://terminology.hl7.org/CodeSystem/deviceassociation-relationship",
"code" : "managed-by",
"display" : "Managed By"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-user"
},
{
"extension" : [
{
"url" : "note",
"valueString" : "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 patient's ability to decrease her fall risk."
},
{
"url" : "assessment",
"valueReference" : {
🔗 "reference" : "Observation/PFEIG-FSC-Hospital-Admission-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-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"
},
{
🔗 "reference" : "Encounter/PFEIG-Encounter-DeviceRequest-RollingWalker"
}
],
"note" : [
{
"text" : "Order for a rolling walker to support mobility rehabilitation and to reduce fall risk."
}
]
}
IG © 2022+ HL7 International / Patient Care.
Package hl7.fhir.us.pacio-pfe#3.0.0-ballot based on FHIR 4.0.1.
Generated
2026-08-04
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