Appendix A.

Six Clusters of Physician Practice Behaviors and the Davis Observation Codes Included in Each Cluster

Codes in Each Cluster Technical ClusterAbbreviated Davis Observation Code (DOC) Definitions
Structuring interactionDiscussing what is to be accomplished in current interactions
History takingPhysician inquiring about or patient describing details related to the chief complaint or to previous illnesses
Family informationDiscussing family medical or social history, and/or current family functioning
Physical examinationAny aspect of physical examination of patient
Evaluation feedbackPhysician telling patient about results of history, physical examination, laboratory work, etc
Planning treatmentPhysician prescribing a medication, diagnostic, or treatment plan
Treatment effectsPhysician inquiring about or patient describing result of ongoing therapeutic intervention
ProcedureAny treatment or diagnostic procedure done in office
Health behavior cluster
ComplianceDiscussing previously requested behavior
Health educationPhysician presenting information regarding health to patient
Health promotionPhysician asking for change in patient’s behavior in order to increase or promote health
NutritionAny question or discussion about nutrition
ExerciseAny question or discussion about exercise
Addiction Cluster
Substance useAny question or discussion of drinking alcohol or use of other substances
Smoking behaviorAny question about or discussion of smoking or other use of tobacco
Patient activation cluster
Health knowledgePhysician asking or patient spontaneously offering what patient knows or believes about health and disease
Patient questionPatient asking question
ChattingDiscussion of topics not related to current visit
Preventive service cluster
Preventive servicePhysician discussing, planning, or performing any screening task with disease prevention
Counseling cluster
CounselingPhysician discussing interpersonal relations or current emotional state of patient or patient’s family