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Use Case(s) 

To express presence or absence of a clinical oservationclinical phenomenon

Artifact

Present Absent Presence Absence reference set

Purpose of Refset

This reference set is for recording and retrieving presence-absence information. In practice, the presence or absence of a phenomenon /finding/observation 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

Absent (qualifier value)

Examples of what to exclude

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

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