Individual Davis Observation Codes and Clusters
Codes in Each Cluster | Abbreviated Definitions of Codes |
---|---|
Technical cluster | |
Structuring interaction | Discussing what is to be accomplished in current interactions |
History taking | Physician inquiring about or patient describing details related to the current complaint or to prior illnesses |
Family information | Discussing family, medical, or social history and/or current family functioning |
Physical examination | Any aspect of physical examination of patient |
Evaluation feedback | Physician telling patient about results of history, physical, laboratory work, etc. |
Planning treatment | Physician prescribing a medication, diagnostic, or treatment plan |
Treatment effects | Physician inquiring about or patient describing result of ongoing therapeutic intervention |
Procedure | Any treatment or diagnostic procedure done in office |
Health behavior cluster | |
Compliance | Discussing previously requested behavior |
Health education | Physician presenting information to patient regarding health |
Health promotion | Physician asking for change in patient’s behavior to increase or promote health |
Nutrition | Any question about or discussion about nutrition |
Exercise | Any question about or discussion about exercise |
Addiction cluster | |
Substance use | Any question about or discussion of drinking alcohol or use of other substances |
Smoking behavior | Any question about or discussion of smoking or use of tobacco |
Patient activation cluster | |
Health knowledge | Physician asking or patient spontaneously offering what patient knows or believes about health and disease |
Patient question | Patient asking question |
Chatting | Discussing topics not related to current visit |
Preventive service cluster | |
Preventive service | Physician discussing, planning, or performing any screening task for disease prevention |
Counseling Cluster | |
Counseling | Physician discussing interpersonal relations or current emotional state of patient or patient’s family |
Those Davis Observation Codes in bold print are included in the modified version of DOC, which measures Patient-Centered Care.