PACIO Transitions of Care Implementation Guide
1.0.0-ballot - STU 1 Ballot United States of America flag

This page is part of the PACIO Transitions of Care Implementation Guide (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

Example Condition: Hemiparesis Diagnosis

Page standards status: Informative

Generated Narrative: Condition BSJ-HemiparesisDiagnosis

Condition Asserted Date: 2024-04-18 13:30:00-0400

clinicalStatus: Active

verificationStatus: Confirmed

category: Encounter Diagnosis

code: Right hemiparesis (disorder)

bodySite: Right upper arm structure (body structure)

subject: Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600)

onset: 2024-04-17 15:40:00-0400

recordedDate: 2024-04-18 13:30:00-0400

asserter: PractitionerRole Neurology Physician

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.