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Use Case(s) 

<add link to use case(s) if there are any>

Artifact

<name of refset>To express presence or absence of a clinical phenomenon

Artifact

Presence Absence reference set

Purpose of Refset

<describe in words what the refset will be used for>This reference set is for recording and retrieving presence-absence information. In practice, the presence or absence of a phenomenon will be coordinated or constructed using members of this refset to convey the 'absent-ness' or present-ness' of something a clinician wishes to record.

Examples of what to include

<Provide examples of content that would be included in this refset>Absent (qualifier value)

Examples of what to exclude

<Provide examples of content that should not be in this refset>Absent leg (finding); Absence (morphlogic abnormality); Absences (finding); Not detected (qualifier value); Not seen (qualifier value); Present ++ out of ++++ (qualifier value); Presence (property) (qualifier value)

Zero or one OR Zero or more

<Is there no more than one value from the refset that can be selected? or Are there more than one? e.g. ethnicity>

Editorial Guidelines

<Describe any Editorial Guidelines that are needed for this refset

e.g. concept should not indicate presence or absence just describe the phenomena that is being measured>

Similar Refsets

<List similar existing refsets and either explain why they are different or consider consolidation and/or VSAC value sets>

Associated Clinical Quality Measures

<Identify if this refset will be associated with any clinical quality measures>Zero or one

Editorial Guidelines

This reference set is intended to be a two-value reference. Intermediate or graded levels of absence/presence, or levels of certainty about absence/presence and other related meanings are out of scope. See "Examples of what to exclude" above.

Similar Refsets

Yes-No refset


Associated Clinical Quality Measures