Official Website of the Assistant Secretary for Technology Policy/Office of the National Coordinator for Health IT
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 |
Applicable Vocabulary Standard(s) |
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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 |
Applicable Vocabulary Standard(s) |
|---|---|
|
Clinical Test
Non-imaging or non-laboratory test. Examples include but are not limited to electrocardiogram (ECG), visual acuity exam, macular exam, and 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
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
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.