Table 1.
Codes in each clustera | Abbreviated definitions of codes |
---|---|
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 | Discussion of topics not related to current visit |
Counseling Cluster | |
Counseling | Physician discussing interpersonal relations or current emotional state of patient or patient's family |
Technical Cluster | |
Structuring interaction | Discussed 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, and so on |
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 regarding health to patient |
Health promotion | Physician asking for change in patient's behavior in order to increase or promote health |
Nutrition | Any question or discussion about nutrition |
Exercise | Any question or discussion about exercise |
Addiction Cluster | |
Substance use | Any question or discussion of drinking alcohol or use of other substances |
Smoking behavior | Any question about or discussion of smoking or use of tobacco |
Preventive Service Cluster | |
Preventive service | Physician discussing, planning, or performing any screening task with disease prevention |
Patient-centered codes are bold.