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Generated Narrative: CodeSystem observation-category

Last updated: 2024-04-24 00:00:00+0000; Language: en

Profile: Shareable CodeSystem

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.

# 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

# concept[].definition
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.

# concept[].definition
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.

# concept[].definition
Observations generated by imaging. The scope includes observations regarding plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, and nuclear medicine.

# concept[].definition
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.

# concept[].definition
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.

# concept[].definition
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]).

# concept[].definition
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).

# concept[].definition
Observations generated by non-interventional treatment protocols (e.g. occupational, physical, radiation, nutritional and medication therapy).

# concept[].definition
Observations that measure or record any bodily activity that enhances or maintains physical fitness and overall health and wellness.

# concept[].definition
Observations which record a manifestation of a disease that is apparent to and has been communicated by the patient.