This term was originally created for, though not limited in use to, the HL7 Implementation Guide for CDA: Progress Note. The Objective section contains data about the patient gathered through tests, measures, or observations that produce a quantified or categorized result. It includes important and relevant positive and negative test results, physical findings, review of systems, and other measurements and observations.
status
ACTIVE
Fully-Specified Name
component
Objective
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
DOC.MISC; Finding; Findings; MISC; Narrative; Point in time; Random; Report