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 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

: PFEIG-DeviceRequest-RollingWalker

Page standards status: Informative

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<DeviceRequest xmlns="http://hl7.org/fhir">
  <id value="PFEIG-DeviceRequest-RollingWalker"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <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] = -&gt;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 --&gt; (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 --&gt; (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>
</div></blockquote></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-location">
    <valueCodeableConcept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
        <code value="SNF"/>
        <display value="Skilled nursing facility"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-user">
    <extension url="user">
      <valueReference>🔗 
        <reference value="Patient/PFEIG-patientBSJ1"/>
      </valueReference>
    </extension>
    <extension url="relationship">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/deviceassociation-relationship"/>
          <code value="used-by"/>
          <display value="Used By"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-user">
    <extension url="user">
      <valueReference>🔗 
        <reference value="PractitionerRole/PFEIG-Role-SNFPT-RonMarble"/>
      </valueReference>
    </extension>
    <extension url="relationship">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/deviceassociation-relationship"/>
          <code value="managed-by"/>
          <display value="Managed By"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-clinical-justification">
    <extension url="note">
      <valueString
                   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."/>
    </extension>
    <extension url="assessment">
      <valueReference>🔗 
        <reference
                   value="Observation/PFEIG-FSC-Hospital-Admission-Mobility-1"/>
      </valueReference>
    </extension>
    <extension url="assessment">
      <valueReference>🔗 
        <reference
                   value="Observation/PFEIG-FSC-SNF-Admission-Mobility-SelfCare-1"/>
      </valueReference>
    </extension>
    <extension url="use-of-device">
      <valueReference>🔗 
        <reference
                   value="DeviceUseStatement/PFEIG-SNF-Adm-Mobility-UseOfDevice-RollingWalker"/>
      </valueReference>
    </extension>
    <extension url="goal">
      <valueReference>🔗 
        <reference value="Goal/PFEIG-Goal-WalkingGoal"/>
      </valueReference>
    </extension>
  </extension>
  <basedOn>🔗 
    <reference
               value="ServiceRequest/PFEIG-ServiceRequest-SNFDischargePTRefer"/>
  </basedOn>
  <priorRequest>🔗 
    <reference value="DeviceRequest/PFEIG-DeviceRequest-Wheelchair"/>
  </priorRequest>
  <status value="active"/>
  <intent value="order"/>
  <priority value="routine"/>
  <codeCodeableConcept>
    <coding>
      <system
              value="http://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets"/>
      <code value="E0143"/>
      <display value="Walker, folding, wheeled, adjustable or fixed height"/>
    </coding>
  </codeCodeableConcept>
  <parameter>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="103355008"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="21"/>
      <unit value="inches"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="[in_i]"/>
    </valueQuantity>
  </parameter>
  <subject>🔗 
    <reference value="Patient/PFEIG-patientBSJ1"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/PFEIG-Encounter-DeviceRequest-RollingWalker"/>
  </encounter>
  <occurrenceDateTime value="2024-07-18"/>
  <authoredOn value="2024-07-17"/>
  <requester>🔗 
    <extension
               url="http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-additional-requester">
      <valueReference>🔗 
        <reference value="RelatedPerson/PFEIG-RelatedPerson-CharlesJohnson"/>
      </valueReference>
    </extension>
    <reference value="PractitionerRole/PFEIG-Role-SNFPT-RonMarble"/>
  </requester>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="31031000119102"/>
      <display value="Physical deconditioning (finding)"/>
    </coding>
  </reasonCode>
  <reasonReference>🔗 
    <reference value="Condition/PFEIG-Condition-HemiparesisDiagnosis"/>
  </reasonReference>
  <insurance>🔗 
    <reference value="Coverage/PFEIG-PASCoverage-BSJ1"/>
  </insurance>
  <supportingInfo>🔗 
    <reference value="RiskAssessment/PFEIG-RiskAssessment-FallRisk"/>
  </supportingInfo>
  <supportingInfo>🔗 
    <reference
               value="Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-16"/>
  </supportingInfo>
  <supportingInfo>🔗 
    <reference
               value="Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-18"/>
  </supportingInfo>
  <supportingInfo>🔗 
    <reference value="Encounter/PFEIG-Encounter-DeviceRequest-RollingWalker"/>
  </supportingInfo>
  <note>
    <text
          value="Order for a rolling walker to support mobility rehabilitation and to reduce fall risk."/>
  </note>
</DeviceRequest>