US Core Implementation Guide
7.0.0-ballot - Ballot United States of America flag

This page is part of the US Core (v7.0.0-ballot: STU7 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 6.1.0. For a full list of available versions, see the Directory of published versions

ValueSet: US Core Clinical Result Observation Category

Official URL: http://hl7.org/fhir/us/core/ValueSet/us-core-clinical-result-observation-category Version: 7.0.0-ballot
Standards status: Trial-use Maturity Level: 3 Computable Name: USCoreClinicalResultObservationCategory

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Used to classify the context of clinical result observations.

References

Logical Definition (CLD)

  • Include these codes as defined in http://terminology.hl7.org/CodeSystem/observation-category
    CodeDisplayDefinition
    laboratoryLaboratoryThe 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.
    examExamObservations 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.
    therapyTherapyObservations generated by non-interventional treatment protocols (e.g. occupational, physical, radiation, nutritional and medication therapy)
    imagingImagingObservations generated by imaging. The scope includes observations regarding plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, and nuclear medicine.
    procedureProcedureObservations 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.
    vital-signsVital SignsClinical 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.
    activityActivityObservations 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)

 

Expansion

Expansion based on codesystem Observation Category Codes v0.1.0 (CodeSystem)

This value set contains 7 concepts

CodeSystemDisplayDefinition
  laboratoryhttp://terminology.hl7.org/CodeSystem/observation-categoryLaboratory

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.

  examhttp://terminology.hl7.org/CodeSystem/observation-categoryExam

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.

  therapyhttp://terminology.hl7.org/CodeSystem/observation-categoryTherapy

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

  imaginghttp://terminology.hl7.org/CodeSystem/observation-categoryImaging

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

  procedurehttp://terminology.hl7.org/CodeSystem/observation-categoryProcedure

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.

  vital-signshttp://terminology.hl7.org/CodeSystem/observation-categoryVital 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.

  activityhttp://terminology.hl7.org/CodeSystem/observation-categoryActivity

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)

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code