US Core Implementation Guide
7.0.0 - STU7 United States of America flag

US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 7.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions

ValueSet: US Core Simple Observation Category

Official URL: http://hl7.org/fhir/us/core/ValueSet/us-core-simple-observation-category Version: 7.0.0
Standards status: Trial-use Maturity Level: 3 Computable Name: USCoreSimpleObservationCategory
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.48.19

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

Used to classify the context of a survey, screening or assessment for simple observations and may be used to assist with indexing and searching for appropriate instances.

References

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 15 concepts

CodeSystemDisplayDefinition
  sdohhttp://hl7.org/fhir/us/core/CodeSystem/us-core-categorySDOH

Social Determinants of Health category

  functional-statushttp://hl7.org/fhir/us/core/CodeSystem/us-core-categoryFunctional Status

Functional Status category

  disability-statushttp://hl7.org/fhir/us/core/CodeSystem/us-core-categoryDisability Status

Disability Status category

  cognitive-statushttp://hl7.org/fhir/us/core/CodeSystem/us-core-categoryCognitive Status

Cognitive Status category

  treatment-intervention-preferencehttp://hl7.org/fhir/us/core/CodeSystem/us-core-categoryTreatment Intervention Preference

A 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 Preference

Personal thoughts about something a person feels is relevant to their care experience and may be pertinent when planning their care.

  social-historyhttp://terminology.hl7.org/CodeSystem/observation-categorySocial 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-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.

  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.

  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.

  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.

  surveyhttp://terminology.hl7.org/CodeSystem/observation-categorySurvey

Assessment tool/survey instrument observations (e.g., Apgar Scores, Montreal Cognitive Assessment (MoCA)).

  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)

  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