Conditions, Procedures, and Medications

Navigating to the Reference Sections

These lists can be accessed via the bookmarks under "Supplemental Documents" on the left side of the page. For example, ‘Diagnostic Conditions Reference‘, 'Therapeutic Conditions Reference‘ ‘Procedures Reference‘ or ‘Medications Reference‘.

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Note

The reference lists can also be accessed by clicking relevant items in the pdf. For example: clicking on one of the "specifics" in the Impairments Rundown will take you to the relevant results in "Conditions Reference."

Accessing the reference lists

Accessing the reference lists

Reference Sections - Explained

Each Reference Section presents all the relevant findings (i.e. references), including text-to-text transcriptions that mention the relevant findings.

In the conditions and procedures reference sections citations from all relevant encounters are presented for each condition or procedure, including the date and type of each encounter. Options to navigate to the abstract, full text transcription, or original source document are available for each encounter.

The conditions and procedures reference sections

The conditions and procedures reference sections

Each encounter may have relevant tags representing additional information, such as the following:

  • Procedure value
  • Report type (if segment is a diagnostic type report)
  • Reason for visit
  • Referral
  • Suspected
  • Resolved
  • Worsened
  • Improved
  • Frequency

The Medications Reference is an alphabetically ordered list of all the medications mentioned in the source document. Each medication has the reference dates pertaining to all mentions of these medications within the source documents.

The Medications Reference

The Medications Reference

In addition, the code for the condition/procedure/medication appears where relevant:

Finding the code for the condition/procedure/medication

Finding the code for the condition/procedure/medication

This video tutorial explains how to locate a specific procedure in the Digital Abstract:

This video tutorial explains how to locate a specific medication in the Digital Abstract:

The Family History Reference section contains an overview of family history. Each impairment noted as family history is featured in a distinct section, where all encounters mentioning that specific family history impairment are listed. This includes relevant details such as a code, date, encounter type, and a citation from the source document that references the particular family history impairment.

Each encounter has 3 additional navigation options:

  • Go to abstract (useful to understand the context of that mention)
  • Go to transcription
  • Go to source document
Family History Reference

Family History Reference