HL7 Terminology
1.0.0 - Publication

This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Observation Category Codes

Summary

Defining URL:http://terminology.hl7.org/CodeSystem/observation-category
Version:4.2.0
Name:ObservationCategoryCodes
Title:Observation Category Codes
Status:draft
Content:All the concepts defined by the code system are included in the code system resource
Definition:

Observation Category codes.

Publisher:FHIR Project team
Committee:Orders and Observations
OID:2.16.840.1.113883.4.642.1.1125 (for OID based terminology systems)
Content Mode:Complete
Value Set:http://terminology.hl7.org/ValueSet/observation-category ( is the value set for all codes in this code system)
Source Resource:XML / JSON / Turtle

This Code system is referenced in the content logical definition of the following value sets:

Observation Category Codes

Observation Category codes.

This code system http://terminology.hl7.org/CodeSystem/observation-category defines the following codes:

CodeDisplayDefinition
social-history Social 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-signs Vital 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.
imaging ImagingObservations generated by imaging. The scope includes observations regarding plain x-ray, ultrasound, CT, MRI, angiography, echocardiography, and nuclear medicine.
laboratory LaboratoryThe 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.
procedure ProcedureObservations 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.
survey SurveyAssessment tool/survey instrument observations (e.g., Apgar Scores, Montreal Cognitive Assessment (MoCA)).
exam ExamObservations 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.
therapy TherapyObservations generated by non-interventional treatment protocols (e.g. occupational, physical, radiation, nutritional and medication therapy)
activity ActivityObservations 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)

History

DateActionAuthorCustodianComment
2020-05-06reviseTed KleinVocabulary WGMigrated to the UTG maintenance environment and publishing tooling.