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TX: CodeSystem observation-category

Properties

Profile http://hl7.org/fhir/StructureDefinition/shareablecodesystem
Last updated: April 24, 2024 at 12:00:00 AM UTC
Defining URL http://terminology.hl7.org/CodeSystem/observation-category
Version 2.0.0
Name ObservationCategoryCodes
Title Observation Category Codes
Status active
Definition

Observation Category codes.
Publisher Health Level Seven International
Committee oo
Copyright This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license
Source hl7.terminology.r4#7.3.0
Value Set Observation Category Codes

This case-sensitive code system http://terminology.hl7.org/CodeSystem/observation-category defines the following codes:

Code Display Definition
social-history Social History Social History Observations define the patient's occupational, personal (e.g., lifestyle), social, familial, and environmental history and health risk factors that may impact the patient's health.
vital-signs Vital Signs Clinical observations measure the body's basic functions such as blood pressure, heart rate, respiratory rate, height, weight, body mass index, head circumference, pulse oximetry, temperature, and body surface area.
imaging Imaging Observations generated by imaging. The scope includes observations regarding plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, and nuclear medicine.
laboratory Laboratory The results of observations generated by laboratories. Laboratory results are typically generated by laboratories providing analytic services in areas such as chemistry, hematology, serology, histology, cytology, anatomic pathology (including digital pathology), microbiology, and/or virology. These observations are based on analysis of specimens obtained from the patient and submitted to the laboratory.
procedure Procedure Observations generated by other procedures. This category includes observations resulting from interventional and non-interventional procedures excluding laboratory and imaging (e.g., cardiology catheterization, endoscopy, electrodiagnostics, etc.). Procedure results are typically generated by a clinician to provide more granular information about component observations made during a procedure. An example would be when a gastroenterologist reports the size of a polyp observed during a colonoscopy.
survey Survey Observations from survey instruments (e.g., patient experience surveys), questionnaires, forms (e.g., patient admission forms) and assessment tools (e.g., Apgar Scores, Montreal Cognitive Assessment [MoCA]).
exam Exam Observations generated by physical exam findings, including direct observations made by a clinician using simple instruments or as the result of simple maneuvers performed directly on the patient's body (e.g., signs).
therapy Therapy Observations generated by non-interventional treatment protocols (e.g. occupational, physical, radiation, nutritional and medication therapy).
activity Activity Observations that measure or record any bodily activity that enhances or maintains physical fitness and overall health and wellness.
symptom Symptom Observations which record a manifestation of a disease that is apparent to and has been communicated by the patient.