PACIO Sample Data Depot, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/paciowg/sample-data-fsh/ and changes regularly. See the Directory of published versions
Example QuestionnaireResponse: betsysmith-johnson01-qr-pt-assessment-snf-discharge-01
| LinkID | Text | Definition | Answer |
|---|---|---|---|
  betsysmith-johnson01-qr-pt-assessment-snf-discharge-01 | Questionnaire:https://gw.interop.community/paciosandbox/open/Questionnaire/Questionnaire-MDS-Nursing-Home-Comprehensive-Item-Set | ||
  /89398-2 | Roll left and right | LOINC: LA27993-7 (Independent - Resident completes the activity by themself with no assistance from a helper.) | |
| /89394-1 | Sit to lying | LOINC: LA27993-7 (Independent - Resident completes the activity by themself with no assistance from a helper.) | |
| /85927-2 | Lying to sitting on side of bed | LOINC: LA27993-7 (Independent - Resident completes the activity by themself with no assistance from a helper.) | |
| /89392-5 | Sit to stand | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89414-7 | Chair/bed-to-chair transfer | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89390-9 | Toilet transfer | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /101325-9 | Tub/shower transfer | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89412-1 | Car transfer | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89385-9 | Walk 10 feet | LOINC: LA27993-7 (Independent - Resident completes the activity by themself with no assistance from a helper.) | |
| /89381-8 | Walk 50 feet with two turns | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89383-4 | Walk 150 feet | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89379-2 | Walking 10 feet on uneven surfaces | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89420-4 | 1 step (curb) | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89416-2 | 4 steps | LOINC: LA28870-6 (Supervision or touching assistance - Helper provides verbal cues and/or touching/steadying and/or contact guard assistance as resident completes activity. Assistance may be provided throughout the activity or intermittently.) | |
| /89418-8 | 12 steps | LOINC: LA28870-6 (Setup or clean-up assistance - Helper sets up or cleans up; resident completes activity. Helper assists only prior to or following the activity.) | |
| /89402-2 | Picking up object | LOINC: LA27994-5 (Dependent - Helper does all of the effort. Resident does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the resident to complete the activity.) | |
 /95738-1 | Does the resident use a wheelchair and/or scooter? | LOINC: LA32-8 (No) | |
| Documentation for this format | |||