| Description |
The Results section contains the results of observations generated by laboratories,
imaging procedures, and other procedures. The scope includes observations such as
hematology, chemistry, serology, virology, toxicology, microbiology, plain x-ray,
ultrasound, CT, MRI, angiography, echocardiography, nuclear medicine, pathology, and
procedure observations. The
section often includes notable results such as abnormal values or relevant trends,
and could contain all results for the period of time being documented. Laboratory
results are typically generated by laboratories providing analytic services in areas
such as chemistry, hematology, serology, histology, cytology, anatomic pathology,
microbiology, and/or virology. These observations
are based on analysis of specimens obtained from the patient and submitted to the
laboratory. Imaging results are typically generated by a clinician reviewing the output
of an imaging procedure, such as where a cardiologist reports the left ventricular
ejection fraction based on the review of a cardiac echocardiogram. Procedure results
are typically generated by a clinician to
provide more granular information about component observations made during a procedure,
such as where a gastroenterologist reports the size of a polyp observed during a colonoscopy.
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Template Results Section (entries required)
