Severity scale value |
None, mild, moderate…. Grade 0/1/2… |
Temporality |
Course of the condition. Time in life. Pregnancy duration |
Aetiology |
Causation. Infectious agents. Allergens |
Topology scale value |
Relational. Distributional. Laterality. Regional |
Anatomy and topography |
Functional anatomy. Body regions. Partonomic view |
Histopathology |
Gliomas: benign, malignant, uncertain, in situ |
Dimensions of injury |
Types of fractures and whether open or into a joint |
Dimensions of external causes |
Type and part of place. Activity. Objects. Alcohol and drugs |
Consciousness |
Components of Glasgow Coma Scale. Pupil reaction |
Substances |
Medicaments (e.g., oxycodone). Chemicals (e.g., parathion) |
Diagnosis code descriptors |
Diagnosis timing/certainty/method of confirmation |
Capacity or context |
Condition of fetus/newborn reported in context of the mother |
Health devices, equipment, and supplies |
Medical devices, surgical instruments, dialysis supplies |