PACIO Personal Functioning and Engagement Implementation Guide
2.0.0-ballot - STU2 Ballot United States of America flag

This page is part of the PACIO Personal Functioning and Engagement Implementation Guide (v2.0.0-ballot: STU 2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

Example Condition: PFEIG-Condition-Decondition

Generated Narrative: Condition PFEIG-Condition-Decondition

clinicalStatus: Active

verificationStatus: Confirmed

category: Health Concern, Functional Status

code: Physical deconditioning (finding)

bodySite: Entire lower body (body structure)

subject: Betsy Smith-Johnson Female, DoB Unknown ( http://example.org/identifiers/patient#10A3D58WH1600)

onset: 2023-12-23 16:30:00-0500

recordedDate: 2024-01-18 14:10:00-0500

asserter: Practitioner Jen Cadbury

evidence

detail: Observation Walk 10 feet - functional ability during 3 day assessment period [CMS Assessment]

evidence

detail: Observation Sit to stand - functional ability during 3 day assessment period [CMS Assessment]

evidence

detail: Observation Lying to sitting on side of bed - functional ability during 3 day assessment period [CMS Assessment]

note: The weakness in the patient's lower extremities is secondary to deconditioning. According to the report from Neurology, patient did not have motor or sensory deficits below upper chest. High rehab potential.