Official Website of The Office of the National Coordinator for Health Information Technology (ONC)
Findings or other clinical data collected about a patient during care.
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Advance Directive Observation
Statement of presence and properties of patient or provider authored documents that record a patient’s goals, preferences and priorities should a patient be unable to communicate them to a provider. Usage note: May include whether a person has one or more advance directives, the type of advance directive, the location of the current source document, and whether it has been verified. Examples include but are not limited to indication that a living will is on file, reference to or location of durable medical power of attorney, and validating provider. |
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Sex Parameter for Clinical Use
Category based upon clinical observations typically associated with the designation of male and female. |
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Submitted by Riki Merrick on
APHL supports this suggestion - observation interpretation is highly used in clinical care; the proposed vocabulary has been harmonized across all HL7 product families - it is using this code system, from which appropriate value sets can be created: https://terminology.hl7.org/4.0.0/CodeSystem-v3-ObservationInterpretation.html
Submitted by cmcdonald on
Include Observation interpretation
An especially useful field in the Observation resource. Almost universally included in laboratory results and other measurements. Especially useful in research studies for equivalencing tests about the same analyte across labs AND across numeric and ordinal valued tests. From FHIR, see: https://www.hl7.org/implement/standards/fhir/observation-definitions.html#Observation.interpretation