Version:

02

Date:

28^th November 2003

 Code

Description

Note

9b40.

Topic

A subdivision of a composition related to a particular clinical issue (such as a problem)

E.g. that part of the consultation concerned with the patient’s diabetes.

9b41.

Category

A subdivision of a Composition or Topic containing similar elements (e.g. Subjective, Objective, Assessment, Plan)

E. g, the history of the presenting complaint as described by the patient during the consultation

9b42.

Cluster

A subdivision of a Composition, Topic or Category containing closely related Statements and / or Batteries

E.g. a series of blood pressure readings, or a full blood count and ESR 

9b43.

Battery

A subdivision of Composition, Topic, Category  or Cluster containing Statements that comprise the observations from an identifiable investigation.

E.g. the results obtained from a single blood sample or blood pressure observation