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: OT Right Weakness Problem List

Page standards status: Informative

Generated Narrative: Condition OT-ProblemList-RightWeak

Condition Asserted Date: 2024-04-17 15:40:00-0400

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Muscle weakness of upper limb (finding)

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)

recordedDate: 2024-04-27 15:40:00-0400

asserter: PractitionerRole Occupational Therapist

Evidences

-Detail
*Condition Right hemiparesis (disorder)

note: The weakness and lack of coordination in the patient's right shoulder, arm, and hand are secondary to the stroke. PT/OT from SNF report improvements to rotator cuff strength over last month.