A section containing clinical details about the case such as presenting signs and symptoms, onset date of symptoms, the specific diagnosis/condition names (e.g Ulceroglandular tularemia), who made the diagnosis, their contact information , when the diagnosis was made etc., past clinical hx, the overall condition of the patient, etc.
status
ACTIVE
Fully-Specified Name
component
Clinical information
property
Find = Finding
time
Pt = Point in time: To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.
system
^Patient
scale
Nar = Narrative: Text narrative, such as the description of a microscopic part of a surgical papule test.
method
Additional Names
short name
AOEObservation; Finding; Findings; Narrative; Point in time; Public Health; PUBLICHEALTH; Random; Report