This page is part of the PACIO Personal Functioning and Engagement Implementation Guide (v2.0.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Page standards status: Informative |
Condition Asserted Date: 2023-12-16 13:30:00-0500
clinicalStatus: Active
verificationStatus: Confirmed
category: Encounter Diagnosis
code: Right hemiparesis (disorder)
bodySite: Right upper arm structure (body structure)
subject: Betsy Smith-Johnson Female, DoB Unknown ( http://example.org/identifiers/patient#10A3D58WH1600)
onset: 2023-12-15 15:40:00-0500
recordedDate: 2023-12-16 13:30:00-0500
note:
Patient began experiencing right sided weakness, primarily in arm and shoulder. There was no facial droop, but patient reports "tingling" in R face / numbness along R brow. Symptoms in face resolved post tPA administration. Strength improved in shoulder, weakness did not fully resolve. Demonstrates R arm weakness and lack of coordination. Fine motor skills significantly degraded and have not improved post tPA.