# Example: Hemiparesis Diagnosis - PACIO Transitions of Care Implementation Guide v1.0.0

* [**Table of Contents**](toc.md)
* [**FHIR Artifacts**](artifacts.md)
* **Example: Hemiparesis Diagnosis**

## Example Condition: Example: Hemiparesis Diagnosis

| |
| :--- |
| *Page standards status:*[Informative](http://hl7.org/fhir/R4/versions.html#std-process) |

Profile: [US Core Condition Encounter Diagnosis Profile](http://hl7.org/fhir/us/core/STU8.0.1/StructureDefinition-us-core-condition-encounter-diagnosis.html) version: 8.0.1

**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#1AA3D58WH16)](Patient-Example-Smith-Johnson-Patient1.md)

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

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

**asserter**: [PractitionerRole Neurology Physician](PractitionerRole-Role-Neuro-NuraMekel.md)

**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.




## Resource Content

```json
{
  "resourceType" : "Condition",
  "id" : "BSJ-HemiparesisDiagnosis",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|8.0.1"]
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
    "valueDateTime" : "2024-04-18T13:30:00-04:00"
  }],
  "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/Example-Smith-Johnson-Patient1"
  },
  "onsetDateTime" : "2024-04-17T15:40:00-04:00",
  "recordedDate" : "2024-04-18T13:30:00-04:00",
  "asserter" : {
    "reference" : "PractitionerRole/Role-Neuro-NuraMekel"
  },
  "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."
  }]
}

```
