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

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: PFEIG-RiskAssessment-FallRisk

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{
  "resourceType" : "RiskAssessment",
  "id" : "PFEIG-RiskAssessment-FallRisk",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: RiskAssessment PFEIG-RiskAssessment-FallRisk</b></p><a name=\"PFEIG-RiskAssessment-FallRisk\"> </a><a name=\"hcPFEIG-RiskAssessment-FallRisk\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:\">Fall risk assessment</span></p><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>: 2024-07-17 09:45:00-0500</p><p><b>performer</b>: <a href=\"PractitionerRole-PFEIG-Role-PT-RonMarble.html\">PractitionerRole Physiotherapist</a></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>basis</b>: </p><ul><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><h3>Predictions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Outcome</b></td><td><b>QualitativeRisk</b></td><td><b>Rationale</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:\">Fall risk</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/risk-probability high}\">High likelihood</span></td><td>Betsy has right-sided weakness and physical deconditioning after stroke, requiring assistance for safe mobility.</td></tr></table><p><b>mitigation</b>: Use rolling walker during rehabilitation activities with physical therapist assistance.</p></div>"
  },
  "status" : "final",
  "code" : {
    "text" : "Fall risk assessment"
  },
  "subject" : {
    🔗 "reference" : "Patient/PFEIG-patientBSJ1"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/PFEIG-Encounter-DeviceRequest-RollingWalker"
  },
  "occurrenceDateTime" : "2024-07-17T09:45:00-05:00",
  "performer" : {
    🔗 "reference" : "PractitionerRole/PFEIG-Role-PT-RonMarble"
  },
  "reasonReference" : [
    {
      🔗 "reference" : "Condition/PFEIG-Condition-Decondition"
    },
    {
      🔗 "reference" : "Condition/PFEIG-Condition-HemiparesisDiagnosis"
    }
  ],
  "basis" : [
    {
      🔗 "reference" : "Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-16"
    },
    {
      🔗 "reference" : "Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-18"
    }
  ],
  "prediction" : [
    {
      "outcome" : {
        "text" : "Fall risk"
      },
      "qualitativeRisk" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/risk-probability",
            "code" : "high",
            "display" : "High likelihood"
          }
        ]
      },
      "rationale" : "Betsy has right-sided weakness and physical deconditioning after stroke, requiring assistance for safe mobility."
    }
  ],
  "mitigation" : "Use rolling walker during rehabilitation activities with physical therapist assistance."
}