Hospital Discharge Report - Objective Findings- A.2.7.1 eHN

Date and time of the examination at or before discharge

Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.

Narrative representation of the observation result and findings.

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

Code representing the observation using the agreed code systems

Observation method (measurement principle) to obtain the result.

Identifies specimen this observation refers to

Codes identifying interpretations of observations

Provides guide for interpretation of result. Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

Narrative text result

A numeric value or interval (open or closed) of the result, Result units of the measurement should be provided Measurement uncertainty interval are provided if needed.

A coded result from a selected coding system(s). This could be a code describing bacteria or other microorganism identified, description of urinary concernment, code explaining technical reason why the test could not be done etc.

Observation of Vital signs: • Recommended: systolic and diastolic blood pressure including site of measurement, pulse rate, respiratory rate • Optional: 02 saturation, temperature, pain (scale), ...

Narrative representation of the observation result and findings.

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

Code representing the observation using the agreed code systems

Observation method (measurement principle) to obtain the result.

Identifies specimen this observation refers to

Codes identifying interpretations of observations

Provides guide for interpretation of result. Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

Narrative text result

A numeric value or interval (open or closed) of the result, Result units of the measurement should be provided Measurement uncertainty interval are provided if needed.

A coded result from a selected coding system(s). This could be a code describing bacteria or other microorganism identified, description of urinary concernment, code explaining technical reason why the test could not be done etc.

Physical examination (at discharge) is the process of evaluating objective anatomical findings. Physical examination can be performed through observation, palpation, percussion, and auscultation.

A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)

Hospital Discharge Report - Objective Findings- A.2.7.1 eHN

Date and time of the examination at or before discharge

Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.

Narrative representation of the observation result and findings.

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

Code representing the observation using the agreed code systems

Observation method (measurement principle) to obtain the result.

Identifies specimen this observation refers to

Codes identifying interpretations of observations

Provides guide for interpretation of result. Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

Narrative text result

A numeric value or interval (open or closed) of the result, Result units of the measurement should be provided Measurement uncertainty interval are provided if needed.

A coded result from a selected coding system(s). This could be a code describing bacteria or other microorganism identified, description of urinary concernment, code explaining technical reason why the test could not be done etc.

Observation of Vital signs: • Recommended: systolic and diastolic blood pressure including site of measurement, pulse rate, respiratory rate • Optional: 02 saturation, temperature, pain (scale), ...

Narrative representation of the observation result and findings.

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

Code representing the observation using the agreed code systems

Observation method (measurement principle) to obtain the result.

Identifies specimen this observation refers to

Codes identifying interpretations of observations

Provides guide for interpretation of result. Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

Narrative text result

A numeric value or interval (open or closed) of the result, Result units of the measurement should be provided Measurement uncertainty interval are provided if needed.

A coded result from a selected coding system(s). This could be a code describing bacteria or other microorganism identified, description of urinary concernment, code explaining technical reason why the test could not be done etc.

Physical examination (at discharge) is the process of evaluating objective anatomical findings. Physical examination can be performed through observation, palpation, percussion, and auscultation.

A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)

Hospital Discharge Report - Objective Findings- A.2.7.1 eHN

Date and time of the examination at or before discharge

Observation of Body weight and height of the patient, BMI, circumference of head, waist, hip, limbs and skin fold thickness.Result of the observation includes text, numeric and coded results of the measurement including measurement units. Multiple observations could be provided.

Narrative representation of the observation result and findings.

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

Code representing the observation using the agreed code systems

Observation method (measurement principle) to obtain the result.

Identifies specimen this observation refers to

Codes identifying interpretations of observations

Provides guide for interpretation of result. Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

Narrative text result

A numeric value or interval (open or closed) of the result, Result units of the measurement should be provided Measurement uncertainty interval are provided if needed.

A coded result from a selected coding system(s). This could be a code describing bacteria or other microorganism identified, description of urinary concernment, code explaining technical reason why the test could not be done etc.

Observation of Vital signs: • Recommended: systolic and diastolic blood pressure including site of measurement, pulse rate, respiratory rate • Optional: 02 saturation, temperature, pain (scale), ...

Narrative representation of the observation result and findings.

Observation details include code that identifies observation, specification of the observed body structure or specimen, date and time of the specimen collection, observation method or protocol used and other aspects of the observation.

Code representing the observation using the agreed code systems

Observation method (measurement principle) to obtain the result.

Identifies specimen this observation refers to

Codes identifying interpretations of observations

Provides guide for interpretation of result. Reference ranges are usually implied only for a numeric scale type. Use of the same units for reference range and value is implied.

Result of the observation including numeric and coded results of the measurement, details about how the tests were done to get the result values, information about reference ranges and result interpretation. Content of the observation result will vary according to the type of the observation.

Narrative text result

A numeric value or interval (open or closed) of the result, Result units of the measurement should be provided Measurement uncertainty interval are provided if needed.

A coded result from a selected coding system(s). This could be a code describing bacteria or other microorganism identified, description of urinary concernment, code explaining technical reason why the test could not be done etc.

Physical examination (at discharge) is the process of evaluating objective anatomical findings. Physical examination can be performed through observation, palpation, percussion, and auscultation.

A narrative description of the observation. It should be structured by the organ system (e.g. head, neck, body, arms, ...)