This term was originally created for, though not limited in use to, the HL7 Implementation Guide for CDA: Progress Note. The Subjective section describes in a narrative format the patient's current condition and/or interval changes as reported by the patient or by the patient's guardian or another informant.
status
ACTIVE
Fully-Specified Name
component
Subjective
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
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