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.