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
Page standards status: Informative |
<Condition xmlns="http://hl7.org/fhir">
<id value="OT-ProblemList-RightWeak"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|6.1.0"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Condition OT-ProblemList-RightWeak</b></p><a name="OT-ProblemList-RightWeak"> </a><a name="hcOT-ProblemList-RightWeak"> </a><a name="OT-ProblemList-RightWeak-en-US"> </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="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-condition-problems-health-concerns.html">US Core Condition Problems and Health Concerns Profileversion: null6.1.0)</a></p></div><p><b>Condition Asserted Date</b>: 2024-04-17 15:40:00-0400</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 problem-list-item}">Problem List Item</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 713512009}">Muscle weakness of upper limb (finding)</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-Example-Smith-Johnson-Patient1.html">Smith-Johnson, Betsy Female, DoB: 1958-11-01 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#10A3D58WH1600)</a></p><p><b>recordedDate</b>: 2024-04-27 15:40:00-0400</p><p><b>asserter</b>: <a href="PractitionerRole-Role-OT-JenCadbury.html">PractitionerRole Occupational Therapist</a></p><h3>Evidences</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Detail</b></td></tr><tr><td style="display: none">*</td><td><a href="Condition-BSJ-HemiparesisDiagnosis.html">Condition Right hemiparesis (disorder)</a></td></tr></table><p><b>note</b>: 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.</p></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate">
<valueDateTime value="2024-04-17T15:40:00-04:00"/>
</extension>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
</coding>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="713512009"/>
<display value="Muscle weakness of upper limb (finding)"/>
</coding>
</code>
<bodySite>
<coding>
<system value="http://snomed.info/sct"/>
<code value="368209003"/>
<display value="Right upper arm structure (body structure)"/>
</coding>
</bodySite>
<subject>🔗
<reference value="Patient/Example-Smith-Johnson-Patient1"/>
</subject>
<recordedDate value="2024-04-27T15:40:00-04:00"/>
<asserter>🔗
<reference value="PractitionerRole/Role-OT-JenCadbury"/>
</asserter>
<evidence>
<detail>🔗
<reference value="Condition/BSJ-HemiparesisDiagnosis"/>
</detail>
</evidence>
<note>
<text
value="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."/>
</note>
</Condition>