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 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/DeviceRequest/PFEIG-DeviceRequest-RollingWalker> a fhir:DeviceRequest ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "PFEIG-DeviceRequest-RollingWalker"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request" ;
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request>
]
] ;
fhir:Resource.language [ fhir:value "en"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "extensions" ] ;
fhir:Narrative.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>"
] ;
fhir:DomainResource.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-location" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-RoleCode" ] ;
fhir:Coding.code [ fhir:value "SNF" ] ;
fhir:Coding.display [ fhir:value "Skilled nursing facility" ]
]
]
], [
fhir:index -1 ;
fhir:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "user" ] ;
fhir:Extension.valueReference [
fhir:link <http://hl7.org/fhir/Patient/PFEIG-patientBSJ1> ;
fhir:Reference.reference [ fhir:value "Patient/PFEIG-patientBSJ1" ]
]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "relationship" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/deviceassociation-relationship" ] ;
fhir:Coding.code [ fhir:value "used-by" ] ;
fhir:Coding.display [ fhir:value "Used By" ]
]
]
] ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-user" ]
], [
fhir:index -1 ;
fhir:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "user" ] ;
fhir:Extension.valueReference [
fhir:link <http://hl7.org/fhir/PractitionerRole/PFEIG-Role-SNFPT-RonMarble> ;
fhir:Reference.reference [ fhir:value "PractitionerRole/PFEIG-Role-SNFPT-RonMarble" ]
]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "relationship" ] ;
fhir:Extension.valueCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/deviceassociation-relationship" ] ;
fhir:Coding.code [ fhir:value "managed-by" ] ;
fhir:Coding.display [ fhir:value "Managed By" ]
]
]
] ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-user" ]
], [
fhir:index -1 ;
fhir:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "note" ] ;
fhir:Extension.valueString [ fhir:value "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." ]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "assessment" ] ;
fhir:Extension.valueReference [
fhir:link <http://hl7.org/fhir/Observation/PFEIG-FSC-Hospital-Admission-Mobility-1> ;
fhir:Reference.reference [ fhir:value "Observation/PFEIG-FSC-Hospital-Admission-Mobility-1" ]
]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "assessment" ] ;
fhir:Extension.valueReference [
fhir:link <http://hl7.org/fhir/Observation/PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1> ;
fhir:Reference.reference [ fhir:value "Observation/PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1" ]
]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "use-of-device" ] ;
fhir:Extension.valueReference [
fhir:link <http://hl7.org/fhir/DeviceUseStatement/PFEIG-SNF-Adm-Mobility-UseOfDevice-RollingWalker> ;
fhir:Reference.reference [ fhir:value "DeviceUseStatement/PFEIG-SNF-Adm-Mobility-UseOfDevice-RollingWalker" ]
]
], [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "goal" ] ;
fhir:Extension.valueReference [
fhir:link <http://hl7.org/fhir/Goal/PFEIG-Goal-WalkingGoal> ;
fhir:Reference.reference [ fhir:value "Goal/PFEIG-Goal-WalkingGoal" ]
]
] ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-clinical-justification" ]
] ;
fhir:DeviceRequest.basedOn [
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/ServiceRequest/PFEIG-ServiceRequest-SNFDischargePTRefer> ;
fhir:Reference.reference [ fhir:value "ServiceRequest/PFEIG-ServiceRequest-SNFDischargePTRefer" ]
] ;
fhir:DeviceRequest.priorRequest [
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/DeviceRequest/PFEIG-DeviceRequest-Wheelchair> ;
fhir:Reference.reference [ fhir:value "DeviceRequest/PFEIG-DeviceRequest-Wheelchair" ]
] ;
fhir:DeviceRequest.status [ fhir:value "active"] ;
fhir:DeviceRequest.intent [ fhir:value "order"] ;
fhir:DeviceRequest.priority [ fhir:value "routine"] ;
fhir:DeviceRequest.codeCodeableConcept [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets" ] ;
fhir:Coding.code [ fhir:value "E0143" ] ;
fhir:Coding.display [ fhir:value "Walker, folding, wheeled, adjustable or fixed height" ]
]
] ;
fhir:DeviceRequest.parameter [
fhir:index -1 ;
fhir:DeviceRequest.parameter.code [
fhir:CodeableConcept.coding [
fhir:index -1 ;
a sct:103355008 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "103355008" ]
]
] ;
fhir:DeviceRequest.parameter.valueQuantity [
fhir:Quantity.value [ fhir:value "21"^^xsd:decimal ] ;
fhir:Quantity.unit [ fhir:value "inches" ] ;
fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
fhir:Quantity.code [ fhir:value "[in_i]" ]
]
] ;
fhir:DeviceRequest.subject [
fhir:link <http://hl7.org/fhir/Patient/PFEIG-patientBSJ1> ;
fhir:Reference.reference [ fhir:value "Patient/PFEIG-patientBSJ1" ]
] ;
fhir:DeviceRequest.encounter [
fhir:link <http://hl7.org/fhir/Encounter/PFEIG-Encounter-DeviceRequest-RollingWalker> ;
fhir:Reference.reference [ fhir:value "Encounter/PFEIG-Encounter-DeviceRequest-RollingWalker" ]
] ;
fhir:DeviceRequest.occurrenceDateTime [ fhir:value "2024-07-18"^^xsd:date] ;
fhir:DeviceRequest.authoredOn [ fhir:value "2024-07-17"^^xsd:date] ;
fhir:DeviceRequest.requester [
fhir:link <http://hl7.org/fhir/PractitionerRole/PFEIG-Role-SNFPT-RonMarble> ;
fhir:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-additional-requester" ] ;
fhir:Extension.valueReference [
fhir:link <http://hl7.org/fhir/RelatedPerson/PFEIG-RelatedPerson-CharlesJohnson> ;
fhir:Reference.reference [ fhir:value "RelatedPerson/PFEIG-RelatedPerson-CharlesJohnson" ]
]
] ;
fhir:Reference.reference [ fhir:value "PractitionerRole/PFEIG-Role-SNFPT-RonMarble" ]
] ;
fhir:DeviceRequest.reasonCode [
fhir:index -1 ;
fhir:CodeableConcept.coding [
fhir:index -1 ;
a sct:31031000119102 ;
fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
fhir:Coding.code [ fhir:value "31031000119102" ] ;
fhir:Coding.display [ fhir:value "Physical deconditioning (finding)" ]
]
] ;
fhir:DeviceRequest.reasonReference [
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/Condition/PFEIG-Condition-HemiparesisDiagnosis> ;
fhir:Reference.reference [ fhir:value "Condition/PFEIG-Condition-HemiparesisDiagnosis" ]
] ;
fhir:DeviceRequest.insurance [
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/Coverage/PFEIG-PASCoverage-BSJ1> ;
fhir:Reference.reference [ fhir:value "Coverage/PFEIG-PASCoverage-BSJ1" ]
] ;
fhir:DeviceRequest.supportingInfo [
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/RiskAssessment/PFEIG-RiskAssessment-FallRisk> ;
fhir:Reference.reference [ fhir:value "RiskAssessment/PFEIG-RiskAssessment-FallRisk" ]
], [
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-16> ;
fhir:Reference.reference [ fhir:value "Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-16" ]
], [
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-18> ;
fhir:Reference.reference [ fhir:value "Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-18" ]
], [
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/Encounter/PFEIG-Encounter-DeviceRequest-RollingWalker> ;
fhir:Reference.reference [ fhir:value "Encounter/PFEIG-Encounter-DeviceRequest-RollingWalker" ]
] ;
fhir:DeviceRequest.note [
fhir:index -1 ;
fhir:Annotation.text [ fhir:value "Order for a rolling walker to support mobility rehabilitation and to reduce fall risk." ]
] .
<http://hl7.org/fhir/Patient/PFEIG-patientBSJ1> a fhir:Patient .
<http://hl7.org/fhir/PractitionerRole/PFEIG-Role-SNFPT-RonMarble> a fhir:PractitionerRole .
<http://hl7.org/fhir/Observation/PFEIG-FSC-Hospital-Admission-Mobility-1> a fhir:Observation .
<http://hl7.org/fhir/Observation/PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1> a fhir:Observation .
<http://hl7.org/fhir/DeviceUseStatement/PFEIG-SNF-Adm-Mobility-UseOfDevice-RollingWalker> a fhir:DeviceUseStatement .
<http://hl7.org/fhir/Goal/PFEIG-Goal-WalkingGoal> a fhir:Goal .
<http://hl7.org/fhir/ServiceRequest/PFEIG-ServiceRequest-SNFDischargePTRefer> a fhir:ServiceRequest .
<http://hl7.org/fhir/DeviceRequest/PFEIG-DeviceRequest-Wheelchair> a fhir:DeviceRequest .
<http://hl7.org/fhir/Encounter/PFEIG-Encounter-DeviceRequest-RollingWalker> a fhir:Encounter .
<http://hl7.org/fhir/RelatedPerson/PFEIG-RelatedPerson-CharlesJohnson> a fhir:RelatedPerson .
<http://hl7.org/fhir/Condition/PFEIG-Condition-HemiparesisDiagnosis> a fhir:Condition .
<http://hl7.org/fhir/Coverage/PFEIG-PASCoverage-BSJ1> a fhir:Coverage .
<http://hl7.org/fhir/RiskAssessment/PFEIG-RiskAssessment-FallRisk> a fhir:RiskAssessment .
<http://hl7.org/fhir/Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-16> a fhir:Observation .
<http://hl7.org/fhir/Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-18> a fhir:Observation .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/DeviceRequest/PFEIG-DeviceRequest-RollingWalker.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/DeviceRequest/PFEIG-DeviceRequest-RollingWalker.ttl> .
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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