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Clinical finding #170

Open nklsbckmnn opened 2 years ago

nklsbckmnn commented 2 years ago

Clinical finding is currently defined as "A representation that is either the output of a clinical history taking or a physical examination or an image finding, or some combination thereof.

Clinical findings are supposed to be what a clinical picture is inferred from which in turn is supposed to be the input of a diagnostic process.

But there is a lot the definition does not seem to be able to capture.

Neither "laboratory findings", nor the findings of a lung function test, a biopsy, an endoscopy, a provocation test, an electrocardiography and so on seem to be captured.

The output of clinical history taking might only be part of the complete clinical history. Think of what happens to a patient after the initial history taking. Is the complete clinical history excluded from the definition on purpose? Is the reason for this that it prevents one from having both the information and the assay (as part of the history) as findings? Then one would have to say that cases of "diagnosis ex juvantibus" also yield findings (similar to provocation tests).