US Core Implementation Guide
8.0.0 - STU 8 United States of America flag

This page is part of the US Core (v8.0.0: STU8) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions. Page versions: R8 R7 R6

ValueSet: US Core Simple Observation Category

Official URL: http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category Version: 8.0.0
Standards status: Trial-use Maturity Level: 3 Computable Name: USCoreSimpleObservationCategory
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.48.14

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

This value set is a value set of category codes used in the US Core Simple Observation and Condition Problems and Health Concerns Profiles that any conformant system SHOULD support to help identify the type of USCDI Health Status/Assessment data class being reported.

References

Changes since version 7.0.0:

  • The resource metadata has changed (description)

    • Logical Definition (CLD)

    This value set includes codes based on the following rules:

     

    Expansion

    This value set contains 16 concepts

    CodeSystemDisplay (en-US)Definition
      sdohhttp://hl7.org/fhir/us/core/CodeSystem/us-core-categorySDOHSocial Determinants of Health category
      functional-statushttp://hl7.org/fhir/us/core/CodeSystem/us-core-categoryFunctional StatusFunctional Status category
      disability-statushttp://hl7.org/fhir/us/core/CodeSystem/us-core-categoryDisability StatusDisability Status category
      cognitive-statushttp://hl7.org/fhir/us/core/CodeSystem/us-core-categoryCognitive StatusCognitive Status category
      treatment-intervention-preferencehttp://hl7.org/fhir/us/core/CodeSystem/us-core-categoryTreatment Intervention PreferenceA personal preference for a type of medical intervention (treatment) request under certain conditions.
      care-experience-preferencehttp://hl7.org/fhir/us/core/CodeSystem/us-core-categoryCare Experience PreferencePersonal thoughts about something a person feels is relevant to their care experience and may be pertinent when planning their care.
      observation-adi-documentationhttp://hl7.org/fhir/us/core/CodeSystem/us-core-categoryObservation ADI DocumentationStatement of presence and properties of patient or provider authored documents that record a patient's goals, preferences and priorities should a patient be unable to communicate them to a provider.
      social-historyhttp://terminology.hl7.org/CodeSystem/observation-categorySocial HistorySocial 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-signshttp://terminology.hl7.org/CodeSystem/observation-categoryVital 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.
      imaginghttp://terminology.hl7.org/CodeSystem/observation-categoryImagingObservations generated by imaging. The scope includes observations regarding plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, and nuclear medicine.
      laboratoryhttp://terminology.hl7.org/CodeSystem/observation-categoryLaboratoryThe 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.
      procedurehttp://terminology.hl7.org/CodeSystem/observation-categoryProcedureObservations 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.
      surveyhttp://terminology.hl7.org/CodeSystem/observation-categorySurveyAssessment tool/survey instrument observations (e.g., Apgar Scores, Montreal Cognitive Assessment (MoCA)).
      examhttp://terminology.hl7.org/CodeSystem/observation-categoryExamObservations 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-categoryTherapyObservations generated by non-interventional treatment protocols (e.g. occupational, physical, radiation, nutritional and medication therapy)
      activityhttp://terminology.hl7.org/CodeSystem/observation-categoryActivityObservations 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