PACIO Transitions of Care Implementation Guide
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Example Condition: OT Right Weakness Problem List

Generated Narrative: Condition

ResourceCondition "OT-ProblemList-RightWeak"

Profile: US Core Condition Problems and Health Concerns Profile

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

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Power of muscles of one limb (International Classification of Functioning, Disability and Health#b7301), Problem List Item (US Core Condition Category Extension Codes#problem-list-item), Functional Status (US Core Category#functional-status)

code: Weakness of right upper limb (finding) (SNOWMED CT#570961000124101)

bodySite: Right upper arm structure (body structure) (SNOWMED CT#368209003)

subject: Patient/Example-Smith-Johnson-Patient1 " SMITH-JOHNSON"

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

asserter: PractitionerRole/Role-OT-JenCadbury

Evidences

-Detail
*Condition/BSJ-HemiparesisDiagnosis

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.