DSTU2 QA Preview

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Valueset-observation-category.xml

Raw XML (canonical form)

Definition for Value SetObservation Category Codes

Raw XML

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="observation-category"/>
  <meta>
    <lastUpdated value="2015-09-01T14:38:48.206+10:00"/>
    <profile value="http://hl7.org/fhir/StructureDefinition/valueset-shareable-definition"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>Observation Category Codes</h2>
      <p>Observation Category codes</p>
      <p>This value set has an inline code system http://hl7.org/fhir/observation-category, which
         defines the following codes:</p>
      <table class="codes">
        <tr>
          <td>
            <b>Code</b>
          </td>
          <td>
            <b>Display</b>
          </td>
          <td>
            <b>Definition</b>
          </td>
        </tr>
        <tr>
          <td>social-history
            <a name="social-history"> </a>
          </td>
          <td>Social History</td>
          <td> The Social History Observations define the patient’s occupational, personal (e.g. lifestyle),
             social, and environmental history and health risk factors, as well as administrative data
             such as marital status, race, ethnicity and religious affiliation.</td>
        </tr>
        <tr>
          <td>vital-signs
            <a name="vital-signs"> </a>
          </td>
          <td>Vital Signs</td>
          <td> Clinical observations measure the body’s basic functions such as such as blood pressure,
             heart rate, respiratory rate, height, weight, body mass index, head circumference, pulse
             oximetry, temperature, and body surface area.</td>
        </tr>
        <tr>
          <td>imaging
            <a name="imaging"> </a>
          </td>
          <td>Imaging</td>
          <td>    Observations generated by imaging. The scope includes observations, plain x-ray, ultrasound,
             CT, MRI, angiography, echocardiography, nuclear medicine.</td>
        </tr>
        <tr>
          <td>laboratory
            <a name="laboratory"> </a>
          </td>
          <td>Laboratory</td>
          <td> 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, microbiology, and/or virology. These
             observations are based on analysis of specimens obtained from the patient and submitted
             to the laboratory.</td>
        </tr>
        <tr>
          <td>procedure
            <a name="procedure"> </a>
          </td>
          <td>Procedure</td>
          <td>  Observations generated by other procedures.  This category includes observations resulting
             from interventional and non-interventional procedures excluding lab 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, such as where a gastroenterologist reports the size
             of a polyp observed during a colonoscopy.</td>
        </tr>
        <tr>
          <td>survey
            <a name="survey"> </a>
          </td>
          <td>Survey</td>
          <td>  Assessment tool/survey instrument observations (e.g. Apgar Scores, Montreal Cognitive
             Assessment (MoCA))</td>
        </tr>
        <tr>
          <td>exam
            <a name="exam"> </a>
          </td>
          <td>Exam</td>
          <td>  Observations generated by physical exam findings including direct observations made
             by a clinician and use of simple instruments and the result of simple maneuvers performed
             directly on the patient’s body.</td>
        </tr>
        <tr>
          <td>therapy
            <a name="therapy"> </a>
          </td>
          <td>Therapy</td>
          <td>  Observations generated by non-interventional treatment protocols (e.g. occupational,
             physical, radiation, nutritional and medication therapy)</td>
        </tr>
      </table>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/valueset-oid">
    <valueUri value="urn:oid:2.16.840.1.113883.4.642.2.222"/>
  </extension>
  <url value="http://hl7.org/fhir/ValueSet/observation-category"/>
  <version value="1.0.0"/>
  <name value="Observation Category Codes"/>
  <status value="draft"/>
  <experimental value="true"/>
  <publisher value="FHIR Project team"/>
  <contact>
    <telecom>
      <system value="other"/>
      <value value="http://hl7.org/fhir"/>
    </telecom>
  </contact>
  <date value="2015-09-01T14:38:48+10:00"/>
  <description value="Observation Category codes"/>
  <codeSystem>
    <extension url="http://hl7.org/fhir/StructureDefinition/valueset-oid">
      <valueUri value="urn:oid:2.16.840.1.113883.4.642.1.222"/>
    </extension>
    <system value="http://hl7.org/fhir/observation-category"/>
    <caseSensitive value="true"/>
    <concept>
      <code value="social-history"/>
      <display value="Social History"/>
      <definition value=" The Social History Observations define the patient’s occupational, personal (e.g. lifestyle),
       social, and environmental history and health risk factors, as well as administrative data
       such as marital status, race, ethnicity and religious affiliation."/>
    </concept>
    <concept>
      <code value="vital-signs"/>
      <display value="Vital Signs"/>
      <definition value=" Clinical observations measure the body’s basic functions such as such as blood pressure,
       heart rate, respiratory rate, height, weight, body mass index, head circumference, pulse
       oximetry, temperature, and body surface area."/>
    </concept>
    <concept>
      <code value="imaging"/>
      <display value="Imaging"/>
      <definition value="    Observations generated by imaging. The scope includes observations, plain x-ray, ultrasound,
       CT, MRI, angiography, echocardiography, nuclear medicine."/>
    </concept>
    <concept>
      <code value="laboratory"/>
      <display value="Laboratory"/>
      <definition value=" 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, microbiology, and/or virology. These
       observations are based on analysis of specimens obtained from the patient and submitted
       to the laboratory."/>
    </concept>
    <concept>
      <code value="procedure"/>
      <display value="Procedure"/>
      <definition value="  Observations generated by other procedures.  This category includes observations resulting
       from interventional and non-interventional procedures excluding lab 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, such as where a gastroenterologist reports the size
       of a polyp observed during a colonoscopy."/>
    </concept>
    <concept>
      <code value="survey"/>
      <display value="Survey"/>
      <definition value="  Assessment tool/survey instrument observations (e.g. Apgar Scores, Montreal Cognitive
       Assessment (MoCA))"/>
    </concept>
    <concept>
      <code value="exam"/>
      <display value="Exam"/>
      <definition value="  Observations generated by physical exam findings including direct observations made
       by a clinician and use of simple instruments and the result of simple maneuvers performed
       directly on the patient’s body."/>
    </concept>
    <concept>
      <code value="therapy"/>
      <display value="Therapy"/>
      <definition value="  Observations generated by non-interventional treatment protocols (e.g. occupational,
       physical, radiation, nutritional and medication therapy)"/>
    </concept>
  </codeSystem>
</ValueSet>

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.