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

• Narrative Content
• XML
• JSON
• TTL

: PFEIG-RiskAssessment-FallRisk

Raw xml | Download

<RiskAssessment xmlns="http://hl7.org/fhir">
  <id value="PFEIG-RiskAssessment-FallRisk"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <status value="final"/>
  <code>
    <text value="Fall risk assessment"/>
  </code>
  <subject>🔗 
    <reference value="Patient/PFEIG-patientBSJ1"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/PFEIG-Encounter-DeviceRequest-RollingWalker"/>
  </encounter>
  <occurrenceDateTime value="2024-07-17T09:45:00-05:00"/>
  <performer>🔗 
    <reference value="PractitionerRole/PFEIG-Role-PT-RonMarble"/>
  </performer>
  <reasonReference>🔗 
    <reference value="Condition/PFEIG-Condition-Decondition"/>
  </reasonReference>
  <reasonReference>🔗 
    <reference value="Condition/PFEIG-Condition-HemiparesisDiagnosis"/>
  </reasonReference>
  <basis>🔗 
    <reference
               value="Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-16"/>
  </basis>
  <basis>🔗 
    <reference
               value="Observation/PFEIG-FSC-Hospital-Discharge-Mobility-1-Ob-Question-18"/>
  </basis>
  <prediction>
    <outcome>
      <text value="Fall risk"/>
    </outcome>
    <qualitativeRisk>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/risk-probability"/>
        <code value="high"/>
        <display value="High likelihood"/>
      </coding>
    </qualitativeRisk>
    <rationale
               value="Betsy has right-sided weakness and physical deconditioning after stroke, requiring assistance for safe mobility."/>
  </prediction>
  <mitigation
              value="Use rolling walker during rehabilitation activities with physical therapist assistance."/>
</RiskAssessment>