DER Reference Model Version 1.0.0
ecqm.dataelement

Retinal Or Dilated Eye Exam

Description:
Clinical Focus: Under Development
Data Element Scope: Under Development
Inclusion Criteria: Under Development
Exclusion Criteria: Under Development
ObservableCode constrained to codes in the Retinal or Dilated Eye Exam valueset (2.16.840.1.113883.3.464.1003.115.12.1088).
QDM Datatype: PhysicalExam

Physical Exam represents the evaluation of the patient's body and/or mental status exam to determine its state of health. The techniques of examination can include palpation (feeling with the hands or fingers), percussion (tapping with the fingers), auscultation (listening), visual inspection or observation, inquisition and smell. Measurements may include vital signs (blood pressure, pulse, respiration) as well as other clinical measures (such as expiratory flow rate and size of lesion). Physical exam includes psychiatric examinations.