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. (e.g., electrocardiogram (ECG), visual acuity exam, macular exam, or graded exercise testing (GXT))
Data Element |
Applicable Vocabulary Standard(s) |
---|---|
Clinical Test
The name of the non-imaging or non-laboratory test performed on a patient. |
|
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) |
---|---|
Clinical Test
Non-imaging or non-laboratory test. |
|
Clinical Test Result/Report
Findings of clinical tests. |
Data Element |
Applicable Vocabulary Standard(s) |
---|---|
Clinical Test
Non-imaging or non-laboratory test. |
|
Clinical Test Result/Report
Findings of clinical tests. |
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.