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Functional Status Atomic Unit

Questionnaire Response to capture the functional status of a patient using established scales where available.

Functional Status

The patient’s functional status is recorded by clinicians during encounters with the patient and gives consumers of the data a general indication of the wellness of the patient. The status can be codified using either the Karnofsky scale or Electronic Frailty Index and there is a mandatory textual field for systems that do not store this data as a codeable concept.

The following FHIR profiles are used to form the Functional Status Atomic Unit:

Functional Status event data item mapping to FHIR profiles

The Functional Status data items are fulfilled by elements within the FHIR resources listed below:

EOL Data Item FHIR resource element Mandatory/Required/Optional
Functional Status Type EOL-FunctionalStatus-Observation-1.code Mandatory
Functional Status Value EOL-FunctionalStatus-Observation-1.value or Optional
  EOL-FunctionalStatus-Observation-1.component.value[x] Optional
Functional Satus Text EOL-FunctionalStatus-Observation-1.code.text Mandatory

CareConnect-EOL-FunctionalStatus-Observation-1.Code (codeableConcept) Guidance

Where the sending system supports a terminology system:

  • The codeableConcept.coding element MUST be populated with:
    • system: identity of the terminology system (e.g. SNOMED-CT)
    • code: symbol in syntax defined by the system
    • display: representation defined by the system
  • the codeableConcept.text field MUST be populated with the display value from the codeableConcept.coding.display element e.g. ‘Asthma (disorder)’
  • the codeableConcept.text field MAY contain free text to capture more detail associated with the codeableConcept.coding.code e.g. ‘Patient uses blue inhaler to relieve symptoms’

Where the sending system does not support a terminology system:

  • the codeableConcept.text field MUST be populated with a text description of the concept as a human readable narrative e.g ‘Asthma’.
  • the codeableConcept.text field MAY contain free text to capture more detail associated with the concept e.g. ‘Patient uses blue inhaler to relieve symptoms’.

Functional Status ERD

TODO

Example XML


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