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Non-imaging and non-laboratory tests performed that result in structured or unstructured findings specific to the patient to facilitate the diagnosis and management of conditions.
Data Element |
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Clinical Test
The name of the non-imaging or non-laboratory test performed on a patient. |
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Clinical Test Result/Report
Interpreted results of clinical tests that may include study performed, reason performed, findings, and impressions. Includes both structured and unstructured (narrative) components. |
Data Element |
Applicable Vocabulary Standard(s) |
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Clinical Test
Non-imaging or non-laboratory test. |
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Clinical Test Result/Report
Findings of clinical tests. |
Data Element |
Applicable Vocabulary Standard(s) |
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Clinical Test
Non-imaging or non-laboratory test. Examples include but are not limited to electrocardiogram (ECG), visual acuity exam, macular exam, or graded exercise testing (GXT). |
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Clinical Test Result/Report
Findings of clinical tests. |
Data Element |
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Submitted by Steven.Lane on 2020-09-10
While we are considering the addition of Ophthalmic Data I would suggest adding the date that a dilated diabetic eye exam was performed. This is a very important data element for diabetes disease management for individuals and populations as well as for quality reporting.
Submitted by LisaRNelson on 2021-03-15
Common pattern needed for Diagnostic Imaging data elements
Diagnostic Studies/Exams should not be a Data Class. This conceptually is the "test" for the Diagnostic Imaging Data Class. See other comments made for Diagnostic Imaging Data Class.