PACIO Personal Functioning and Engagement Implementation Guide
2.0.0 - STU 2 United States of America flag

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

: PFEIG-DeviceRequest-RollingWalker

Page standards status: Informative

Raw xml | Download


<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://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>
</div><p><b>basedOn</b>: <a href="ServiceRequest-PFEIG-ServiceRequest-SNFDischargePTRefer.html">ServiceRequest Physical therapy assessment (procedure)</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}">103355008</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>: </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>
</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://hl7.org/fhir/us/pacio-pfe/CodeSystem/pfe-deviceassociation-relationship-cs"/>
          <code value="patient"/>
          <display value="Patient"/>
        </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://hl7.org/fhir/us/pacio-pfe/CodeSystem/pfe-deviceassociation-relationship-cs"/>
          <code value="operator"/>
          <display value="Operator"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-device-request-clinical-justification">
    <extension url="note">
      <valueMarkdown
                     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 pateint's ability to engage in re-conditioning activities and decrease her fall risk."/>
    </extension>
    <extension url="assessment">
      <valueReference>🔗 
        <reference
                   value="Observation/PFEIG-FSC-Hospital-Discharge-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>
  <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-Decondition"/>
  </reasonReference>
  <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>
  <note>
    <text
          value="Order for a rolling walker to support reconditioning and mobility rehabilitation, and to reduce fall risk."/>
  </note>
</DeviceRequest>