Codesystem-observation-category.xml

Definition for Code System Observation Category Codes

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="observation-category"/> 
  <meta> 
    <lastUpdated value="2018-04-03T12:05:46.262+10:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2> Observation Category Codes</h2> 
      <div> 
        <p> Observation Category codes.</p> 

      </div> 
      <p> This code system http://hl7.org/fhir/observation-category defines the following codes:</p> 
      <table class="codes">
        <tr> 
          <td style="white-space:nowrap">
            <b> Code</b> 
          </td> 
          <td> 
            <b> Display</b> 
          </td> 
          <td> 
            <b> Definition</b> 
          </td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">social-history
            <a name="observation-category-social-history"> </a> 
          </td> 
          <td> Social History</td> 
          <td> 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 style="white-space:nowrap">vital-signs
            <a name="observation-category-vital-signs"> </a> 
          </td> 
          <td> Vital Signs</td> 
          <td>  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.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">imaging
            <a name="observation-category-imaging"> </a> 
          </td> 
          <td> Imaging</td> 
          <td> Observations generated by imaging. The scope includes observations, plain x-ray, ultrasound,
             CT, MRI, angiography, echocardiography, and nuclear medicine.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">laboratory
            <a name="observation-category-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 style="white-space:nowrap">procedure
            <a name="observation-category-procedure"> </a> 
          </td> 
          <td> Procedure</td> 
          <td> 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, such as where a gastroenterologist reports the size
             of a polyp observed during a colonoscopy.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">survey
            <a name="observation-category-survey"> </a> 
          </td> 
          <td> Survey</td> 
          <td> Assessment tool/survey instrument observations (e.g., Apgar Scores, Montreal Cognitive
             Assessment (MoCA)).</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">exam
            <a name="observation-category-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 style="white-space:nowrap">therapy
            <a name="observation-category-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> 
        <tr> 
          <td style="white-space:nowrap">activity
            <a name="observation-category-activity"> </a> 
          </td> 
          <td> Activity</td> 
          <td> Observations that measure or record any bodily activity that enhances or maintains physical
             fitness and overall health and wellness.  Not under direct supervision of practitioner
             such as a physical therapist. (e.g., laps swum, steps, sleep data)</td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="oo"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status">
    <valueString value="Normative"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="5"/> 
  </extension> 
  <url value="http://hl7.org/fhir/observation-category"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.1.404"/> 
  </identifier> 
  <version value="3.3.0"/> 
  <name value="Observation Category Codes"/> 
  <status value="draft"/> 
  <experimental value="true"/> 
  <publisher value="FHIR Project team"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <description value="Observation Category codes."/> 
  <caseSensitive value="true"/> 
  <valueSet value="http://hl7.org/fhir/ValueSet/observation-category"/> 
  <content value="complete"/> 
  <concept> 
    <code value="social-history"/> 
    <display value="Social History"/> 
    <definition value="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 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, and 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 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, 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> 
  <concept> 
    <code value="activity"/> 
    <display value="Activity"/> 
    <definition value="Observations that measure or record any bodily activity that enhances or maintains physical
     fitness and overall health and wellness.  Not under direct supervision of practitioner
     such as a physical therapist. (e.g., laps swum, steps, sleep data)"/> 
  </concept> 
</CodeSystem>