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 |
{
"resourceType" : "Condition",
"id" : "PFEIG-Condition-HemiparesisDiagnosis",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/pacio-pfe/StructureDefinition/pfe-condition-encounter-diagnosis"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Condition PFEIG-Condition-HemiparesisDiagnosis</b></p><a name=\"PFEIG-Condition-HemiparesisDiagnosis\"> </a><a name=\"hcPFEIG-Condition-HemiparesisDiagnosis\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-pfe-condition-encounter-diagnosis.html\">Personal Functioning and Engagement Condition Encounter Diagnosis Profile</a></p></div><p><b>Condition Asserted Date</b>: 2023-12-16 13:30:00-0500</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 278286009}\">Right hemiparesis (disorder)</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 368209003}\">Right upper arm structure (body structure)</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>onset</b>: 2023-12-15 15:40:00-0500</p><p><b>recordedDate</b>: 2023-12-16 13:30:00-0500</p><p><b>note</b>: </p><blockquote><div><p>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.</p>\n</div></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
"valueDateTime" : "2023-12-16T13:30:00-05:00"
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "278286009",
"display" : "Right hemiparesis (disorder)"
}
]
},
"bodySite" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "368209003",
"display" : "Right upper arm structure (body structure)"
}
]
}
],
"subject" : {
🔗 "reference" : "Patient/PFEIG-patientBSJ1"
},
"onsetDateTime" : "2023-12-15T15:40:00-05:00",
"recordedDate" : "2023-12-16T13:30:00-05:00",
"note" : [
{
"text" : "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."
}
]
}