| Source | hl7.cda.us.ccdar2dot2#current:Consolidated CDA Release 2.1 StructureDefinition Publication (v5.0.0) |
| resourceType | StructureDefinition |
| id | 2.16.840.1.113883.10.20.2.10 |
| canonical | http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.2.10 |
| version | 2.2 |
| status | active |
| publisher | Health Level Seven |
| name | PhysicalExamSection |
| title | Physical Exam Section |
| date | 2021-11-24T17:43:01+00:00 |
| description | The section includes direct observations made by a clinician. The examination may include the use of simple instruments and may also describe simple maneuvers performed directly on the patients body.
It also includes observations made by the examining clinician using only inspection, palpation, auscultation, and percussion. It does not include laboratory or imaging findings.
The exam may be limited to pertinent body systems based on the patients chief complaint or it may include a comprehensive examination. The examination may be reported as a collection of random clinical statements or it may be reported categorically.
The Physical Exam Section may contain multiple nested subsections. |
| jurisdictions | us |
| fhirVersion | 4.0.1 |
| kind | resource |
| abstract | false |
| sdTtype | Section |
| derivation | constraint |
| base | http://hl7.org/fhir/cda/StructureDefinition/Section |
| Usages | |
Section
Slices for templateId
templateId:primary
extension
observation