Base Data type
sub class of: Restriction
  on property: ANY.nullFlavor
  max cardinality: 1^^xs:nonNegativeInteger
terms: An abstract type that defines the basic properties common to all data values defined in this specification. Data Value is an abstract type, meaning that no proper value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type
comment: An abstract type that defines the basic properties common to all data values defined in this specification. Data Value is an abstract type, meaning that no proper value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type
label: Base Data type

ANY.nullFlavor
type: Property
terms: An indicator of a data value's exceptional status, sometimes also denoting the manner and rationale for that status.
comment: An indicator of a data value's exceptional status, sometimes also denoting the manner and rationale for that status.
occurs: Zero-or-one
domain: Base Data type
range: NullFlavor
binding: NullFlavor
binding strength: required

CodedSimpleValue
sub class of: Base Data type
sub class of: Restriction
  on property: CS.code
  max cardinality: 1^^xs:nonNegativeInteger
description: Coded data in its simplest form, where only the code is not predetermined. The code system and code system version are fixed by the context in which CS value occurs. CS is used for coded attributes that have a single HL7-defined value set
comment: Coded data in its simplest form, where only the code is not predetermined. The code system and code system version are fixed by the context in which CS value occurs. CS is used for coded attributes that have a single HL7-defined value set
label: CodedSimpleValue

Boolean
sub class of: Base Data type
sub class of: Restriction
  on property: BL.value
  max cardinality: 1^^xs:nonNegativeInteger
description: A binary value for use in boolean logic. A BL value can be either true or false, or, as any other value, MAY be NULL
comment: A binary value for use in boolean logic. A BL value can be either true or false, or, as any other value, MAY be NULL
label: Boolean

IntegerNumber
sub class of: Base Data type
sub class of: Restriction
  on property: INT.value
  max cardinality: 1^^xs:nonNegativeInteger
description: Integer numbers (-1,0,1,2, 100, 3398129, etc.) are precise numbers that are results of counting and enumerating. Integer numbers are discrete, the set of integers is infinite but countable. No arbitrary limit is imposed on the range of integer numbers. Two NULL flavors are defined for the positive and negative infinity
comment: Integer numbers (-1,0,1,2, 100, 3398129, etc.) are precise numbers that are results of counting and enumerating. Integer numbers are discrete, the set of integers is infinite but countable. No arbitrary limit is imposed on the range of integer numbers. Two NULL flavors are defined for the positive and negative infinity
label: IntegerNumber

RealNumber
sub class of: Base Data type
sub class of: Restriction
  on property: REAL.value
  max cardinality: 1^^xs:nonNegativeInteger
description: A scalar magnitude. Typically used whenever quantities are measured, estimated, or computed from other real numbers. The typical representation is decimal, where the number of significant decimal digits is known as the precision.
comment: A scalar magnitude. Typically used whenever quantities are measured, estimated, or computed from other real numbers. The typical representation is decimal, where the number of significant decimal digits is known as the precision.
label: RealNumber

ConceptDescriptor
sub class of: Base Data type
sub class of: Restriction
  on property: II.originalText
  max cardinality: 1^^xs:nonNegativeInteger
description: A concept defined by text and/or references to concepts defined in a code system
comment: A concept defined by text and/or references to concepts defined in a code system
label: ConceptDescriptor

CD.coding
type: Property
description: A reference to a concept defined in a code system
comment: A reference to a concept defined in a code system
occurs: Zero-to-many
domain: ConceptDescriptor
range: string

CD.originalText
type: Property
description: The text as seen and/or selected by the user who entered the data which represents the intended meaning of the user
comment: The text as seen and/or selected by the user who entered the data which represents the intended meaning of the user
occurs: Zero-or-one
domain: ConceptDescriptor
range: string

ConceptDescriptorCoding
sub class of: Base Data type
sub class of: Restriction
  on property: II.code
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: II.codeSystem
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: II.codeSystemName
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: II.codeSystemVersion
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: II.valueSet
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: II.valueSetVersion
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: II.displayName
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: II.originalText
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: II.source
  max cardinality: 1^^xs:nonNegativeInteger
description: A reference to a concept defined in a code system
comment: A reference to a concept defined in a code system
label: ConceptDescriptorCoding

CDCoding.code
type: Property
description: The plain code symbol defined by the code system, or an expression in a syntax defined by the code system which describes the concept
comment: The plain code symbol defined by the code system, or an expression in a syntax defined by the code system which describes the concept
occurs: Zero-or-one
domain: ConceptDescriptorCoding
range: string

CDCoding.codeSystem
type: Property
description: The code system that defines the code
comment: The code system that defines the code
occurs: Zero-or-one
domain: ConceptDescriptorCoding
range: anyURI

CDCoding.codeSystemName
type: Property
description: The common name of the coding system
comment: The common name of the coding system
occurs: Zero-or-one
domain: ConceptDescriptorCoding
range: string

CDCoding.codeSystemVersion
type: Property
description: If applicable, a version descriptor defined specifically for the given code system
comment: If applicable, a version descriptor defined specifically for the given code system
occurs: Zero-or-one
domain: ConceptDescriptorCoding
range: string

CDCoding.valueSet
type: Property
description: The value set that applied when this CD was created
comment: The value set that applied when this CD was created
occurs: Zero-or-one
domain: ConceptDescriptorCoding
range: string

CDCoding.valueSetVersion
type: Property
description: The version of the value set that applied when this CD was created
comment: The version of the value set that applied when this CD was created
occurs: Zero-or-one
domain: ConceptDescriptorCoding
range: string

CDCoding.displayName
type: Property
description: A name, title, or representation for the code or expression as it exists in the code system identified by the value of codeSystem
comment: A name, title, or representation for the code or expression as it exists in the code system identified by the value of codeSystem.
occurs: Zero-or-one
domain: ConceptDescriptorCoding
range: string

CDCoding.codingRationale
type: Property
description: The reason a particular CD has been provided
comment: The reason a particular CD has been provided
occurs: Zero-or-one
collection type: DSET
domain: ConceptDescriptorCoding
range: CodingRationale
binding: CodingRationale
binding strength: required

CDCoding.source
type: Property
description: The CD from which this CD was translated, if it was translated from another CD
comment: The CD from which this CD was translated, if it was translated from another CD
occurs: Zero-or-one
domain: ConceptDescriptorCoding
range: ConceptDescriptorCoding

InstanceIdentifier
sub class of: Base Data type
sub class of: Restriction
  on property: II.root
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: II.extension
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: II.identifierName
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: II.scope
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: II.reliability
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: II.display
  max cardinality: 1^^xs:nonNegativeInteger
description: An identifier that uniquely identifies a thing or object. Examples are object identifier for HL7 RIM objects, medical record number, order id, service catalog item id, Vehicle Identification Number (VIN), etc.
comment: An identifier that uniquely identifies a thing or object. Examples are object identifier for HL7 RIM objects, medical record number, order id, service catalog item id, Vehicle Identification Number (VIN), etc.
label: InstanceIdentifier

II.root
type: Property
description: A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier
comment: A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier
occurs: Zero-or-one
domain: InstanceIdentifier
range: anyURI

II.extension
type: Property
description: A character string as a unique identifier within the scope of the identifier root.
comment: A character string as a unique identifier within the scope of the identifier root.
occurs: Zero-or-one
domain: InstanceIdentifier
range: string

II.identifierName
type: Property
description: This is a human-readable name for the namespace represented in the root. It is a descriptive name for the actual namespace; e.g. 'California, U.S. Driver's License Number, 1970-'.
comment: This is a human-readable name for the namespace represented in the root. It is a descriptive name for the actual namespace; e.g. 'California, U.S. Driver's License Number, 1970-'.
occurs: Zero-or-one
domain: InstanceIdentifier
range: string

II.scope
type: Property
description: Specifies the scope in which the identifier applies to the object with which it is associated
comment: Specifies the scope in which the identifier applies to the object with which it is associated
occurs: Zero-or-one
domain: InstanceIdentifier
range: IdentifierScope
binding: IdentifierScope
binding strength: required

II.reliability
type: Property
description: Specifies the reliability with which the identifier is known. This attribute MAY be used to assist with identifier matching algorithms
comment: Specifies the reliability with which the identifier is known. This attribute MAY be used to assist with identifier matching algorithms
occurs: Zero-or-one
domain: InstanceIdentifier
range: IdentifierReliability
binding: IdentifierReliability
binding strength: required

II.display
type: Property
description: Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)
comment: Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false)
occurs: Zero-or-one
domain: InstanceIdentifier
range: boolean

Base RIM Class
sub class of: Restriction
  on property: InfrastructureRoot.nullFlavor
  max cardinality: 1^^xs:nonNegativeInteger
description: An abstract super-type for all RIM classes, either directly or through inheritance
comment: An abstract super-type for all RIM classes, either directly or through inheritance
label: Base RIM Class

InfrastructureRoot.nullFlavor
type: Property
description: An indicator that the class instance is null, including the flavor of null that is intended
comment: An indicator that the class instance is null, including the flavor of null that is intended
occurs: Zero-or-one
domain: Base RIM Class
range: CodedSimpleValue
binding: NullFlavor
binding strength: required

Entity
sub class of: Base RIM Class
sub class of: Restriction
  on property: Entity.classCode
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Entity.id
  min cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Entity.determinerCode
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Entity.determinerCode
  min cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Entity.statusCode
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Entity.code
  max cardinality: 1^^xs:nonNegativeInteger
description: A physical thing, group of physical things or an organization capable of participating in Acts while in a role
comment: A physical thing, group of physical things or an organization capable of participating in Acts while in a role
label: Entity

Entity.classCode
type: Property
description: The major class of Entities to which an Entity-instance belongs
comment: The major class of Entities to which an Entity-instance belongs
occurs: Exactly-one
domain: Entity
range: EntityClass
binding: EntityClass
binding strength: required

Entity.determinerCode
type: Property
description: A code specifying whether the Entity object represents a universal (KIND) vs. a particular (INSTANCE)
comment: A code specifying whether the Entity object represents a universal (KIND) vs. a particular (INSTANCE)
occurs: Exactly-one
domain: Entity
range: EntityDeterminer
binding: EntityDeterminer
binding strength: required

Entity.statusCode
type: Property
description: A value representing whether the information associated with an Entity is currently active or inactive for the purpose of participation in acts
comment: A value representing whether the information associated with an Entity is currently active or inactive for the purpose of participation in acts
occurs: Zero-or-one
domain: Entity
range: EntityStatus
binding: EntityStatus
binding strength: required

Entity.id
type: Property
description: A unique identifier for the Entity
comment: A unique identifier for the Entity
occurs: Zero-to-many
collection type: DSET
domain: Entity
range: InstanceIdentifier

Entity.code
type: Property
description: The specific kind of Entity to which an Entity-instance belongs
comment: The specific kind of Entity to which an Entity-instance belongs
occurs: Zero-or-one
domain: Entity
range: ConceptDescriptor
binding: EntityCode
binding strength: extensible

Role
sub class of: Base RIM Class
sub class of: Restriction
  on property: Role.classCode
  min cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Role.classCode
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Role.code
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Role.negationInd
  min cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Role.negationInd
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Role.statusCode
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Role.priorityNumber
  max cardinality: 1^^xs:nonNegativeInteger
description: A competency of the Entity that plays the Role as identified, defined, guaranteed, or acknowledged by the Entity that scopes the Role
comment: A competency of the Entity that plays the Role as identified, defined, guaranteed, or acknowledged by the Entity that scopes the Role
label: Role

Role.classCode
type: Property
description: The major class of Role to which a Role-instance belongs
comment: The major class of Role to which a Role-instance belongs
occurs: Exactly-one
domain: Role
range: RoleClass
binding: RoleClass
binding strength: required

Role.code
type: Property
description: The specific kind of Role to which an Role-instance belongs
comment: The specific kind of Role to which an Role-instance belongs
occurs: Zero-or-one
domain: Role
range: ConceptDescriptor
binding: RoleCode
binding strength: extensible

Role.id
type: Property
description: A unique identifier for the player Entity in this Role
comment: A unique identifier for the player Entity in this Role
occurs: Zero-to-many
collection type: DSET
domain: Role
range: InstanceIdentifier

Role.negationInd
type: Property
description: An indicator specifying that the Role is a competency that is specifically not attributed to the Entity playing the Role.
comment: An indicator specifying that the Role is a competency that is specifically not attributed to the Entity playing the Role.
occurs: Exactly-one
domain: Role
range: boolean

Role.statusCode
type: Property
description: The state of this Role as defined in the state-transition mode
comment: The state of this Role as defined in the state-transition mode
occurs: Zero-or-one
domain: Role
range: RoleStatus
binding: RoleStatus
binding strength: required

Role.priorityNumber
type: Property
description: An integer specifying the relative preference for considering this role instance before other like-typed Roles (same classCode and code) having the same scoper. Roles with lower priorityNumber values are considered before and above those with higher values.
comment: An integer specifying the relative preference for considering this role instance before other like-typed Roles (same classCode and code) having the same scoper. Roles with lower priorityNumber values are considered before and above those with higher values.
occurs: Zero-or-one
domain: Role
range: IntegerNumber

Participation
sub class of: Base RIM Class
sub class of: Restriction
  on property: Participation.typeCode
  min cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Participation.typeCode
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Participation.functionCode
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Participation.negationInd
  min cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Participation.negationInd
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Participation.sequenceNumber
  max cardinality: 1^^xs:nonNegativeInteger
description: An association between an Act and a Role. The Entity playing the Role is the actor
comment: An association between an Act and a Role. The Entity playing the Role is the actor
label: Participation

Participation.typeCode
type: Property
description: The kind of Participation or involvement the Entity playing the Role associated with the Participation has with regard to the associated Act
comment: The kind of Participation or involvement the Entity playing the Role associated with the Participation has with regard to the associated Act
occurs: Exactly-one
domain: Participation
range: ParticipationType
binding: ParticipationType
binding strength: required

Participation.functionCode
type: Property
description: Additional detail about the function that the Participation has in the Act, if such detail is not implied by the Participation.typeCode
comment: Additional detail about the function that the Participation has in the Act, if such detail is not implied by the Participation.typeCode
occurs: Exactly-one
domain: Participation
range: ConceptDescriptor
binding: ParticipationFunction
binding strength: extensible

Participation.negationInd
type: Property
description: An indicator stipulating that the specified participation did not, does not, or should not occur, depending on mood.
comment: An indicator stipulating that the specified participation did not, does not, or should not occur, depending on mood.
occurs: Exactly-one
domain: Participation
range: boolean

Participation.sequenceNumber
type: Property
description: An integer specifying the relative order of occurrence of the Participation in relation to other Participations of the same Act of the same type (same typeCode)
comment: An integer specifying the relative order of occurrence of the Participation in relation to other Participations of the same Act of the same type (same typeCode)
occurs: Zero-or-one
domain: Participation
range: IntegerNumber

Act
sub class of: Base RIM Class
sub class of: Restriction
  on property: Act.classCode
  min cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Act.classCode
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Act.moodCode
  min cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Act.moodCode
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Act.code
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Act.actionNegationInd
  min cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Act.actionNegationInd
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Act.statusCode
  max cardinality: 1^^xs:nonNegativeInteger
description: A record of something that is being done, has been done, can be done, or is intended or requested to be done
comment: A record of something that is being done, has been done, can be done, or is intended or requested to be done
label: Act

Act.classCode
type: Property
description: The major class of Acts to which an Act-instance belongs.
comment: The major class of Acts to which an Act-instance belongs.
occurs: Exactly-one
domain: Act
range: ActClass
binding: ActClass
binding strength: required

Act.moodCode
type: Property
description: The intended use of the Act statement: as a report of fact, a command, a possibility, a goal, etc
comment: The intended use of the Act statement: as a report of fact, a command, a possibility, a goal, etc
occurs: Exactly-one
domain: Act
range: ActMood
binding: ActMood
binding strength: required

Act.code
type: Property
description: The particular kind of Act that the Act-instance represents within its class
comment: The particular kind of Act that the Act-instance represents within its class
occurs: Exactly-one
domain: Act
range: ConceptDescriptor
binding: ActCode
binding strength: preferred

Act.actionNegationInd
type: Property
description: An indicator specifying that the Act statement is a negation of the Act in Event mood as described by the descriptive attributes
comment: An indicator specifying that the Act statement is a negation of the Act in Event mood as described by the descriptive attributes
occurs: Exactly-one
domain: Act
range: boolean

Act.statusCode
type: Property
description: The state of the Act
comment: The state of the Act
occurs: Zero-or-one
domain: Act
range: ActStatus
binding: ActStatus
binding strength: required

Act.priorityCode
type: Property
description: The urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen.
comment: The urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen.
occurs: Zero-to-many
domain: Act
range: ConceptDescriptor
binding: ActPriority
binding strength: preferred

Observation
sub class of: Act
sub class of: Restriction
  on property: Act.valueNegationInd
  min cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: Act.valueNegationInd
  max cardinality: 1^^xs:nonNegativeInteger
description: An act that is intended to result in new information about a subject
comment: An act that is intended to result in new information about a subject
label: Observation

Act.valueNegationInd
type: Property
description: Indicates that when the observation event occurred, the finding communicated by the value attribute was NOT found. This attribute should only be used when the terminology used for Observation.value is not itself capable of expressing negated findings. (E.g. ICD9).
comment: Indicates that when the observation event occurred, the finding communicated by the value attribute was NOT found. This attribute should only be used when the terminology used for Observation.value is not itself capable of expressing negated findings. (E.g. ICD9).
occurs: Exactly-one
domain: Act
range: boolean

ActRelationship
sub class of: Base RIM Class
sub class of: Restriction
  on property: ActRelationship.typeCode
  min cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: ActRelationship.typeCode
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: ActRelationship.inversionInd
  min cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: ActRelationship.inversionInd
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: ActRelationship.negationInd
  min cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: ActRelationship.negationInd
  max cardinality: 1^^xs:nonNegativeInteger
sub class of: Restriction
  on property: ActRelationship.priorityNumber
  max cardinality: 1^^xs:nonNegativeInteger
description: A directed association between a source Act and a target Act
comment: A directed association between a source Act and a target Act
label: ActRelationship

ActRelationship.typeCode
type: Property
description: The meaning and purpose of the ActRelationship instance
comment: The meaning and purpose of the ActRelationship instance
occurs: Exactly-one
domain: ActRelationship
range: ActRelationshipType
binding: ActRelationshipType
binding strength: required

ActRelationship.inversionInd
type: Property
description: An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed
comment: An indicator specifying that the ActRelationship.typeCode should be interpreted as if the roles of the source and target Acts were reversed
occurs: Exactly-one
domain: ActRelationship
range: boolean

ActRelationship.negationInd
type: Property
description: An indicator that asserts that the meaning of the link is negated
comment: An indicator that asserts that the meaning of the link is negated
occurs: Exactly-one
domain: ActRelationship
range: boolean

ActRelationship.priorityNumber
type: Property
description: An integer specifying the relative preference for considering this relationship before other like-typed relationships having the same source Act. Relationships with lower priorityNumber values are considered before and above those with higher values
comment: An integer specifying the relative preference for considering this relationship before other like-typed relationships having the same source Act. Relationships with lower priorityNumber values are considered before and above those with higher values
occurs: Zero-or-one
domain: ActRelationship
range: RealNumber

v3 Code System AcknowledgementCondition
type: ValueSet
version: 2015-11-30
label: v3 Code System AcknowledgementCondition
comment: The codes identify the conditions under which accept acknowledgements are required to be returned in response to this message. Note that accept acknowledgement address two different issues at the same time: reliable transport as well as syntactical correctness
description: The codes identify the conditions under which accept acknowledgements are required to be returned in response to this message. Note that accept acknowledgement address two different issues at the same time: reliable transport as well as syntactical correctness
date: 2015-11-30
status: active
canonical status: active
include: AcknowledgementCondition

v3 Code System AcknowledgementCondition
type: CodeSystem
label: v3 Code System AcknowledgementCondition
comment: The codes identify the conditions under which accept acknowledgements are required to be returned in response to this message. Note that accept acknowledgement address two different issues at the same time: reliable transport as well as syntactical correctness
description: The codes identify the conditions under which accept acknowledgements are required to be returned in response to this message. Note that accept acknowledgement address two different issues at the same time: reliable transport as well as syntactical correctness
date: Mon Nov 30 00:00:00 AEDT 2015

Always
sub class of: AcknowledgementCondition
label: Always
comment: Always send an acknowledgement.
description: Always send an acknowledgement.

Error/reject only
sub class of: AcknowledgementCondition
label: Error/reject only
comment: Send an acknowledgement for error/reject conditions only.
description: Send an acknowledgement for error/reject conditions only.

Never
sub class of: AcknowledgementCondition
label: Never
comment: Never send an acknowledgement.
description: Never send an acknowledgement.

Successful only
sub class of: AcknowledgementCondition
label: Successful only
comment: Send an acknowledgement for successful completions only.
description: Send an acknowledgement for successful completions only.

v3 Code System AcknowledgementDetailCode
type: ValueSet
version: 2015-11-30
label: v3 Code System AcknowledgementDetailCode
comment: OpenIssue: Missing description.
description: OpenIssue: Missing description.
date: 2015-11-30
status: active
canonical status: active
include: AcknowledgementDetailCode

v3 Code System AcknowledgementDetailCode
type: CodeSystem
label: v3 Code System AcknowledgementDetailCode
comment: OpenIssue: Missing description.
description: OpenIssue: Missing description.
date: Mon Nov 30 00:00:00 AEDT 2015

AcknowledgementDetailNotSupportedCode
sub class of: AcknowledgementDetailCode
label: AcknowledgementDetailNotSupportedCode
comment: Refelects rejections because elements of the communication are not supported in the current context.
description: Refelects rejections because elements of the communication are not supported in the current context.

Unsupported interaction
sub class of: AcknowledgementDetailNotSupportedCode
label: Unsupported interaction
comment: The interaction (or: this version of the interaction) is not supported.
description: The interaction (or: this version of the interaction) is not supported.

Unsupported processing id
sub class of: AcknowledgementDetailNotSupportedCode
label: Unsupported processing id
comment: The Processing ID is not supported.
description: The Processing ID is not supported.

Unsupported version id
sub class of: AcknowledgementDetailNotSupportedCode
label: Unsupported version id
comment: The Version ID is not supported.
description: The Version ID is not supported.

Unsupported processing Mode
sub class of: AcknowledgementDetailNotSupportedCode
label: Unsupported processing Mode
comment: The processing mode is not supported.
description: The processing mode is not supported.

Unknown sender
sub class of: AcknowledgementDetailNotSupportedCode
label: Unknown sender
comment: The Device.id of the sender is unknown.
description: The Device.id of the sender is unknown.

Unrecognized attentionline
sub class of: AcknowledgementDetailNotSupportedCode
label: Unrecognized attentionline
comment: The receiver requires information in the attentionLine classes for routing purposes.
description: The receiver requires information in the attentionLine classes for routing purposes.

Internal system error
sub class of: AcknowledgementDetailCode
label: Internal system error
comment: An internal software component (database, application, queue mechanism, etc.) has failed, leading to inability to process the message.
description: An internal software component (database, application, queue mechanism, etc.) has failed, leading to inability to process the message.

No storage space for message.
sub class of: AcknowledgementDetailCode
label: No storage space for message.
comment: Rejection: The message can't be stored by the receiver due to an unspecified internal application issue. The message was neither processed nor stored by the receiving application.
description: Rejection: The message can't be stored by the receiver due to an unspecified internal application issue. The message was neither processed nor stored by the receiving application.

Message routing error, destination unreachable.
sub class of: AcknowledgementDetailCode
label: Message routing error, destination unreachable.
comment: Error: The destination of this message is known to the receiving application. Messages have been successfully routed to that destination in the past. The link to the destination application or an intermediate application is unavailable.
description: Error: The destination of this message is known to the receiving application. Messages have been successfully routed to that destination in the past. The link to the destination application or an intermediate application is unavailable.

Error: Message routing error, unknown destination.
sub class of: AcknowledgementDetailCode
label: Error: Message routing error, unknown destination.
comment: The destination of this message is unknown to the receiving application. The receiving application in the message does not match the application which received the message. The message was neither routed, processed nor stored by the receiving application.
description: The destination of this message is unknown to the receiving application. The receiving application in the message does not match the application which received the message. The message was neither routed, processed nor stored by the receiving application.

Message routing warning, destination unreachable.
sub class of: AcknowledgementDetailCode
label: Message routing warning, destination unreachable.
comment: Warning: The destination of this message is known to the receiving application. Messages have been successfully routed to that destination in the past. The link to the destination application or an intermediate application is (temporarily) unavailable. The receiving application will forward the message as soon as the destination can be reached again.
description: Warning: The destination of this message is known to the receiving application. Messages have been successfully routed to that destination in the past. The link to the destination application or an intermediate application is (temporarily) unavailable. The receiving application will forward the message as soon as the destination can be reached again.

Syntax error
sub class of: AcknowledgementDetailCode
label: Syntax error
comment: Reflects errors in the syntax or structure of the communication.
description: Reflects errors in the syntax or structure of the communication.

Data type error
sub class of: Syntax error
label: Data type error
comment: The attribute contained data of the wrong data type, e.g. a numeric attribute contained "FOO".
description: The attribute contained data of the wrong data type, e.g. a numeric attribute contained "FOO".

Required element missing
sub class of: Syntax error
label: Required element missing
comment: Description: Required association or attribute missing in message; or the sequence of the classes is different than required by the standard or one of the conformance profiles identified in the message.
description: Description: Required association or attribute missing in message; or the sequence of the classes is different than required by the standard or one of the conformance profiles identified in the message.

Required association missing
sub class of: Required element missing
label: Required association missing
comment: Required association missing in message; or the sequence of the classes is different than required by the standard or one of the conformance profiles identified in the message.
description: Required association missing in message; or the sequence of the classes is different than required by the standard or one of the conformance profiles identified in the message.

Required attribute missing
sub class of: Required element missing
label: Required attribute missing
comment: A required attribute is missing in a class.
description: A required attribute is missing in a class.

Insufficient repetitions
sub class of: Required element missing
label: Insufficient repetitions
comment: Description: The number of repetitions of a group of association or attributes is less than the required minimum for the standard or of one of the conformance profiles or templates identified in the message.
description: Description: The number of repetitions of a group of association or attributes is less than the required minimum for the standard or of one of the conformance profiles or templates identified in the message.

Terminology error
sub class of: Syntax error
label: Terminology error
comment: Description: A coded attribute or datatype property violates one of the terminology constraints specified in the standard or one of the conformance profiles or templates declared by the instance.
description: Description: A coded attribute or datatype property violates one of the terminology constraints specified in the standard or one of the conformance profiles or templates declared by the instance.

Value not found in code system
sub class of: Terminology error
label: Value not found in code system
comment: An attribute value was compared against the corresponding code system, and no match was found.
description: An attribute value was compared against the corresponding code system, and no match was found.

Invalid code system in CNE
sub class of: Terminology error
label: Invalid code system in CNE
comment: An attribute value referenced a code system that is not valid for an attribute constrained to CNE.
description: An attribute value referenced a code system that is not valid for an attribute constrained to CNE.

Deprecated code
sub class of: Terminology error
label: Deprecated code
comment: Description: A coded attribute is referencing a code that has been deprecated by the owning code system.
description: Description: A coded attribute is referencing a code that has been deprecated by the owning code system.

Number of repetitions exceeds limit
sub class of: Syntax error
label: Number of repetitions exceeds limit
comment: Description: The number of repetitions of a (group of) association(s) or attribute(s) exceeds the limits of the standard or of one of the conformance profiles or templates identified in the message.
description: Description: The number of repetitions of a (group of) association(s) or attribute(s) exceeds the limits of the standard or of one of the conformance profiles or templates identified in the message.

Number of association repetitions exceeds limit
sub class of: Number of repetitions exceeds limit
label: Number of association repetitions exceeds limit
comment: The number of repetitions of a (group of) association(s) exceeds the limits of the standard or of one of the conformance profiles identified in the message.
description: The number of repetitions of a (group of) association(s) exceeds the limits of the standard or of one of the conformance profiles identified in the message.

Number of attribute repetitions exceeds limit
sub class of: Number of repetitions exceeds limit
label: Number of attribute repetitions exceeds limit
comment: The number of repetitions of an attribute exceeds the limits of the standard or of one of the conformance profiles identified in the message.
description: The number of repetitions of an attribute exceeds the limits of the standard or of one of the conformance profiles identified in the message.

Mandatory element with null value
sub class of: Syntax error
label: Mandatory element with null value
comment: Description: An attribute or association identified as mandatory in a specification or declared conformance profile or template has been specified with a null flavor.
description: Description: An attribute or association identified as mandatory in a specification or declared conformance profile or template has been specified with a null flavor.

Value does not match fixed value
sub class of: Syntax error
label: Value does not match fixed value
comment: Description: The value of an attribute or property differs from the fixed value asserted in the standard or one of the conformance profiles or templates declared in the message.
description: Description: The value of an attribute or property differs from the fixed value asserted in the standard or one of the conformance profiles or templates declared in the message.

Formal constraint violation
sub class of: Syntax error
label: Formal constraint violation
comment: Description: A formal constraint asserted in the standard or one of the conformance profiles or templates declared in the message has been violated.
description: Description: A formal constraint asserted in the standard or one of the conformance profiles or templates declared in the message has been violated.

v3 Code System AcknowledgementDetailType
type: ValueSet
version: 2015-11-30
label: v3 Code System AcknowledgementDetailType
comment: A code identifying the specific message to be provided. Discussion: A textual value may be specified as the print name, or for non-coded messages, as the original text. Examples: 'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'
description: A code identifying the specific message to be provided. Discussion: A textual value may be specified as the print name, or for non-coded messages, as the original text. Examples: 'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'
date: 2015-11-30
status: active
canonical status: active
include: AcknowledgementDetailType

v3 Code System AcknowledgementDetailType
type: CodeSystem
label: v3 Code System AcknowledgementDetailType
comment: A code identifying the specific message to be provided. Discussion: A textual value may be specified as the print name, or for non-coded messages, as the original text. Examples: 'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'
description: A code identifying the specific message to be provided. Discussion: A textual value may be specified as the print name, or for non-coded messages, as the original text. Examples: 'Required attribute xxx is missing', 'System will be unavailable March 19 from 0100 to 0300'
date: Mon Nov 30 00:00:00 AEDT 2015

Error
sub class of: AcknowledgementDetailType
label: Error
comment: Definition:An issue which has prevented, or will prevent (unless a management is provided for the issue by the sender), the successful processing of an interaction. Response interactions which include an issue which is an Error are a 'rejection', indicating that the request was not successfully processed. Example:Unable to find specified patient.
description: Definition:An issue which has prevented, or will prevent (unless a management is provided for the issue by the sender), the successful processing of an interaction. Response interactions which include an issue which is an Error are a 'rejection', indicating that the request was not successfully processed. Example:Unable to find specified patient.

Information
sub class of: AcknowledgementDetailType
label: Information
comment: Definition: The message relates to an issue which has no bearing on the successful processing of the request. Information issues cannot be overridden by specifying a management. Example: A Patient's coverage will expire in 5 days.
description: Definition: The message relates to an issue which has no bearing on the successful processing of the request. Information issues cannot be overridden by specifying a management. Example: A Patient's coverage will expire in 5 days.

Warning
sub class of: AcknowledgementDetailType
label: Warning
comment: Definition: The message relates to an issue which cannot prevent the successful processing of a request, but which could result in the processing not having the ideal or intended effect. Managing a warning issue is not required for successful processing, but will suppress the warning from being raised. Example: Unexpected additional repetitions of phone number have been ignored.
description: Definition: The message relates to an issue which cannot prevent the successful processing of a request, but which could result in the processing not having the ideal or intended effect. Managing a warning issue is not required for successful processing, but will suppress the warning from being raised. Example: Unexpected additional repetitions of phone number have been ignored.

v3 Code System AcknowledgementType
type: ValueSet
version: 2015-11-30
label: v3 Code System AcknowledgementType
comment: This attribute contains an acknowledgement code as described in the HL7 message processing rules. OpenIssue: Description was copied from attribute and needs to be improved to be appropriate for a value set.
description: This attribute contains an acknowledgement code as described in the HL7 message processing rules. OpenIssue: Description was copied from attribute and needs to be improved to be appropriate for a value set.
date: 2015-11-30
status: active
canonical status: active
include: AcknowledgementType

v3 Code System AcknowledgementType
type: CodeSystem
label: v3 Code System AcknowledgementType
comment: This attribute contains an acknowledgement code as described in the HL7 message processing rules. OpenIssue: Description was copied from attribute and needs to be improved to be appropriate for a code system.
description: This attribute contains an acknowledgement code as described in the HL7 message processing rules. OpenIssue: Description was copied from attribute and needs to be improved to be appropriate for a code system.
date: Mon Nov 30 00:00:00 AEDT 2015

Application Acknowledgement Accept
sub class of: AcknowledgementType
label: Application Acknowledgement Accept
comment: Receiving application successfully processed message.
description: Receiving application successfully processed message.

Application Acknowledgement Error
sub class of: AcknowledgementType
label: Application Acknowledgement Error
comment: Receiving application found error in processing message. Sending error response with additional error detail information.
description: Receiving application found error in processing message. Sending error response with additional error detail information.

Application Acknowledgement Reject
sub class of: AcknowledgementType
label: Application Acknowledgement Reject
comment: Receiving application failed to process message for reason unrelated to content or format. Original message sender must decide on whether to automatically send message again.
description: Receiving application failed to process message for reason unrelated to content or format. Original message sender must decide on whether to automatically send message again.

Accept Acknowledgement Commit Accept
sub class of: AcknowledgementType
label: Accept Acknowledgement Commit Accept
comment: Receiving message handling service accepts responsibility for passing message onto receiving application.
description: Receiving message handling service accepts responsibility for passing message onto receiving application.

Accept Acknowledgement Commit Error
sub class of: AcknowledgementType
label: Accept Acknowledgement Commit Error
comment: Receiving message handling service cannot accept message for any other reason (e.g. message sequence number, etc.).
description: Receiving message handling service cannot accept message for any other reason (e.g. message sequence number, etc.).

Accept Acknowledgement Commit Reject
sub class of: AcknowledgementType
label: Accept Acknowledgement Commit Reject
comment: Receiving message handling service rejects message if interaction identifier, version or processing mode is incompatible with known receiving application role information.
description: Receiving message handling service rejects message if interaction identifier, version or processing mode is incompatible with known receiving application role information.

v3 Code System ActClass
type: ValueSet
version: 2015-11-30
label: v3 Code System ActClass
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: ActClass

v3 Code System ActClass
type: CodeSystem
label: v3 Code System ActClass
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

act
sub class of: ActClass
label: act
comment: A record of something that is being done, has been done, can be done, or is intended or requested to be done. Examples:The kinds of acts that are common in health care are (1) a clinical observation, (2) an assessment of health condition (such as problems and diagnoses), (3) healthcare goals, (4) treatment services (such as medication, surgery, physical and psychological therapy), (5) assisting, monitoring or attending, (6) training and education services to patients and their next of kin, (7) and notary services (such as advanced directives or living will), (8) editing and maintaining documents, and many others. Discussion and Rationale: Acts are the pivot of the RIM; all domain information and processes are represented primarily in Acts. Any profession or business, including healthcare, is primarily constituted of intentional and occasionally non-intentional actions, performed and recorded by responsible actors. An Act-instance is a record of such an action. Acts connect to Entities in their Roles through Participations and connect to other Acts through ActRelationships. Participations are the authors, performers and other responsible parties as well as subjects and beneficiaries (which includes tools and material used in the performance of the act, which are also subjects). The moodCode distinguishes between Acts that are meant as factual records, vs. records of intended or ordered services, and the other modalities in which act can appear. One of the Participations that all acts have (at least implicitly) is a primary author, who is responsible of the Act and who "owns" the act. Responsibility for the act means responsibility for what is being stated in the Act and as what it is stated. Ownership of the act is assumed in the sense of who may operationally modify the same act. Ownership and responsibility of the Act is not the same as ownership or responsibility of what the Act-object refers to in the real world. The same real world activity can be described by t…
description: A record of something that is being done, has been done, can be done, or is intended or requested to be done. Examples:The kinds of acts that are common in health care are (1) a clinical observation, (2) an assessment of health condition (such as problems and diagnoses), (3) healthcare goals, (4) treatment services (such as medication, surgery, physical and psychological therapy), (5) assisting, monitoring or attending, (6) training and education services to patients and their next of kin, (7) and notary services (such as advanced directives or living will), (8) editing and maintaining documents, and many others. Discussion and Rationale: Acts are the pivot of the RIM; all domain information and processes are represented primarily in Acts. Any profession or business, including healthcare, is primarily constituted of intentional and occasionally non-intentional actions, performed and recorded by responsible actors. An Act-instance is a record of such an action. Acts connect to Entities in their Roles through Participations and connect to other Acts through ActRelationships. Participations are the authors, performers and other responsible parties as well as subjects and beneficiaries (which includes tools and material used in the performance of the act, which are also subjects). The moodCode distinguishes between Acts that are meant as factual records, vs. records of intended or ordered services, and the other modalities in which act can appear. One of the Participations that all acts have (at least implicitly) is a primary author, who is responsible of the Act and who "owns" the act. Responsibility for the act means responsibility for what is being stated in the Act and as what it is stated. Ownership of the act is assumed in the sense of who may operationally modify the same act. Ownership and responsibility of the Act is not the same as ownership or responsibility of what the Act-object refers to in the real world. The same real world activity can be described by t…

record organizer
sub class of: act
label: record organizer
comment: Used to group a set of acts sharing a common context. Organizer structures can nest within other context structures - such as where a document is contained within a folder, or a folder is contained within an EHR extract.
description: Used to group a set of acts sharing a common context. Organizer structures can nest within other context structures - such as where a document is contained within a folder, or a folder is contained within an EHR extract.

composition
sub class of: record organizer
label: composition
comment: A context representing a grouped commitment of information to the EHR. It is considered the unit of modification of the record, the unit of transmission in record extracts, and the unit of attestation by authorizing clinicians. A composition represents part of a patient record originating from a single interaction between an authenticator and the record. Unless otherwise stated all statements within a composition have the same authenticator, apply to the same patient and were recorded in a single session of use of a single application. A composition contains organizers and entries.
description: A context representing a grouped commitment of information to the EHR. It is considered the unit of modification of the record, the unit of transmission in record extracts, and the unit of attestation by authorizing clinicians. A composition represents part of a patient record originating from a single interaction between an authenticator and the record. Unless otherwise stated all statements within a composition have the same authenticator, apply to the same patient and were recorded in a single session of use of a single application. A composition contains organizers and entries.

document
sub class of: composition
label: document
comment: The notion of a document comes particularly from the paper world, where it corresponds to the contents recorded on discrete pieces of paper. In the electronic world, a document is a kind of composition that bears resemblance to their paper world counter-parts. Documents typically are meant to be human-readable. HL7's notion of document differs from that described in the W3C XML Recommendation, in which a document refers specifically to the contents that fall between the root element's start-tag and end-tag. Not all XML documents are HL7 documents.
description: The notion of a document comes particularly from the paper world, where it corresponds to the contents recorded on discrete pieces of paper. In the electronic world, a document is a kind of composition that bears resemblance to their paper world counter-parts. Documents typically are meant to be human-readable. HL7's notion of document differs from that described in the W3C XML Recommendation, in which a document refers specifically to the contents that fall between the root element's start-tag and end-tag. Not all XML documents are HL7 documents.

clinical document
sub class of: document
label: clinical document
comment: A clinical document is a documentation of clinical observations and services, with the following characteristics: Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements; Stewardship - A clinical document is maintained by a person or organization entrusted with its care; Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated; Wholeness - Authentication of a clinical document applies to the whole and does not apply to portions of the document without the full context of the document; Human readability - A clinical document is human readable.
description: A clinical document is a documentation of clinical observations and services, with the following characteristics: Persistence - A clinical document continues to exist in an unaltered state, for a time period defined by local and regulatory requirements; Stewardship - A clinical document is maintained by a person or organization entrusted with its care; Potential for authentication - A clinical document is an assemblage of information that is intended to be legally authenticated; Wholeness - Authentication of a clinical document applies to the whole and does not apply to portions of the document without the full context of the document; Human readability - A clinical document is human readable.

CDA Level One clinical document
sub class of: clinical document
label: CDA Level One clinical document
comment: A clinical document that conforms to Level One of the HL7 Clinical Document Architecture (CDA)
description: A clinical document that conforms to Level One of the HL7 Clinical Document Architecture (CDA)

record container
sub class of: record organizer
label: record container
comment: Description: Container of clinical statements. Navigational. No semantic content. Knowledge of the section code is not required to interpret contained observations. Represents a heading in a heading structure, or "container tree". The record entries relating to a single clinical session are usually grouped under headings that represent phases of the encounter, or assist with layout and navigation. Clinical headings usually reflect the clinical workflow during a care session, and might also reflect the main author's reasoning processes. Much research has demonstrated that headings are used differently by different professional groups and specialties, and that headings are not used consistently enough to support safe automatic processing of the E H R.
description: Description: Container of clinical statements. Navigational. No semantic content. Knowledge of the section code is not required to interpret contained observations. Represents a heading in a heading structure, or "container tree". The record entries relating to a single clinical session are usually grouped under headings that represent phases of the encounter, or assist with layout and navigation. Clinical headings usually reflect the clinical workflow during a care session, and might also reflect the main author's reasoning processes. Much research has demonstrated that headings are used differently by different professional groups and specialties, and that headings are not used consistently enough to support safe automatic processing of the E H R.

category
sub class of: record container
label: category
comment: A group of entries within a composition or topic that have a common characteristic - for example, Examination, Diagnosis, Management OR Subjective, Objective, Analysis, Plan. The distinction from Topic relates to value sets. For Category there is a bounded list of things like "Examination", "Diagnosis" or SOAP categories. For Topic the list is wide open to any clinical condition or reason for a part of an encounter. A CATEGORY MAY CONTAIN ENTRIES.
description: A group of entries within a composition or topic that have a common characteristic - for example, Examination, Diagnosis, Management OR Subjective, Objective, Analysis, Plan. The distinction from Topic relates to value sets. For Category there is a bounded list of things like "Examination", "Diagnosis" or SOAP categories. For Topic the list is wide open to any clinical condition or reason for a part of an encounter. A CATEGORY MAY CONTAIN ENTRIES.

document body
sub class of: record container
label: document body
comment: A context that distinguishes the body of a document from the document header. This is seen, for instance, in HTML documents, which have discrete and elements.
description: A context that distinguishes the body of a document from the document header. This is seen, for instance, in HTML documents, which have discrete and elements.

document section
sub class of: record container
label: document section
comment: A context that subdivides the body of a document. Document sections are typically used for human navigation, to give a reader a clue as to the expected content. Document sections are used to organize and provide consistency to the contents of a document body. Document sections can contain document sections and can contain entries.
description: A context that subdivides the body of a document. Document sections are typically used for human navigation, to give a reader a clue as to the expected content. Document sections are used to organize and provide consistency to the contents of a document body. Document sections can contain document sections and can contain entries.

topic
sub class of: record container
label: topic
comment: A group of entries within a composition that are related to a common clinical theme - such as a specific disorder or problem, prevention, screening and provision of contraceptive services. A topic may contain categories and entries.
description: A group of entries within a composition that are related to a common clinical theme - such as a specific disorder or problem, prevention, screening and provision of contraceptive services. A topic may contain categories and entries.

extract
sub class of: record organizer
label: extract
comment: This context represents the part of a patient record conveyed in a single communication. It is drawn from a providing system for the purposes of communication to a requesting process (which might be another repository, a client application or a middleware service such as an electronic guideline engine), and supporting the faithful inclusion of the communicated data in the receiving system. An extract may be the entirety of the patient record as held by the sender or it may be a part of that record (e.g. changes since a specified date). An extract contains folders or compositions. An extract cannot contain another extract.
description: This context represents the part of a patient record conveyed in a single communication. It is drawn from a providing system for the purposes of communication to a requesting process (which might be another repository, a client application or a middleware service such as an electronic guideline engine), and supporting the faithful inclusion of the communicated data in the receiving system. An extract may be the entirety of the patient record as held by the sender or it may be a part of that record (e.g. changes since a specified date). An extract contains folders or compositions. An extract cannot contain another extract.

electronic health record
sub class of: extract
label: electronic health record
comment: A context that comprises all compositions. The EHR is an extract that includes the entire chart. NOTE: In an exchange scenario, an EHR is a specialization of an extract.
description: A context that comprises all compositions. The EHR is an extract that includes the entire chart. NOTE: In an exchange scenario, an EHR is a specialization of an extract.

folder
sub class of: record organizer
label: folder
comment: A context representing the high-level organization of an extract e.g. to group parts of the record by episode, care team, clinical specialty, clinical condition, or source application. Internationally, this kind of organizing structure is used variably: in some centers and systems the folder is treated as an informal compartmentalization of the overall health record; in others it might represent a significant legal portion of the EHR relating to the originating enterprise or team. A folder contains compositions. Folders may be nested within folders.
description: A context representing the high-level organization of an extract e.g. to group parts of the record by episode, care team, clinical specialty, clinical condition, or source application. Internationally, this kind of organizing structure is used variably: in some centers and systems the folder is treated as an informal compartmentalization of the overall health record; in others it might represent a significant legal portion of the EHR relating to the originating enterprise or team. A folder contains compositions. Folders may be nested within folders.

grouper
sub class of: record organizer
label: grouper
comment: Definition: An ACT that organizes a set of component acts into a semantic grouping that share a particular context such as timeframe, patient, etc. UsageNotes: The focus in a GROUPER act is the grouping of the contained acts. For example "a request to group" (RQO), "a type of grouping that is allowed to occur" (DEF), etc. Unlike WorkingList, which represents a dynamic, shared, continuously updated collection to provide a "view" of a set of objects, GROUPER collections tend to be static and simply indicate a shared set of semantics. Note that sharing of semantics can be achieved using ACT as well. However, with GROUPER, the sole semantic is of grouping.
description: Definition: An ACT that organizes a set of component acts into a semantic grouping that share a particular context such as timeframe, patient, etc. UsageNotes: The focus in a GROUPER act is the grouping of the contained acts. For example "a request to group" (RQO), "a type of grouping that is allowed to occur" (DEF), etc. Unlike WorkingList, which represents a dynamic, shared, continuously updated collection to provide a "view" of a set of objects, GROUPER collections tend to be static and simply indicate a shared set of semantics. Note that sharing of semantics can be achieved using ACT as well. However, with GROUPER, the sole semantic is of grouping.

Cluster
sub class of: grouper
label: Cluster
comment: Description:An ACT that organizes a set of component acts into a semantic grouping that have a shared subject. The subject may be either a subject participation (SBJ), subject act relationship (SUBJ), or child participation/act relationship types. Discussion: The focus in a CLUSTER act is the grouping of the contained acts. For example "a request to cluster" (RQO), "a type of cluster that is allowed to occur" (DEF), etc. Examples: Radiologic investigations that might include administration of a dye, followed by radiographic observations; "Isolate cluster" which includes all testing and specimen processing performed on a specific isolate; a set of actions to perform at a particular stage in a clinical trial.
description: Description:An ACT that organizes a set of component acts into a semantic grouping that have a shared subject. The subject may be either a subject participation (SBJ), subject act relationship (SUBJ), or child participation/act relationship types. Discussion: The focus in a CLUSTER act is the grouping of the contained acts. For example "a request to cluster" (RQO), "a type of cluster that is allowed to occur" (DEF), etc. Examples: Radiologic investigations that might include administration of a dye, followed by radiographic observations; "Isolate cluster" which includes all testing and specimen processing performed on a specific isolate; a set of actions to perform at a particular stage in a clinical trial.

accommodation
sub class of: act
label: accommodation
comment: An accommodation is a service provided for a Person or other LivingSubject in which a place is provided for the subject to reside for a period of time. Commonly used to track the provision of ward, private and semi-private accommodations for a patient.
description: An accommodation is a service provided for a Person or other LivingSubject in which a place is provided for the subject to reside for a period of time. Commonly used to track the provision of ward, private and semi-private accommodations for a patient.

account
sub class of: act
label: account
comment: A financial account established to track the net result of financial acts.
description: A financial account established to track the net result of financial acts.

accession
sub class of: act
label: accession
comment: A unit of work, a grouper of work items as defined by the system performing that work. Typically some laboratory order fulfillers communicate references to accessions in their communications regarding laboratory orders. Often one or more specimens are related to an accession such that in some environments the accession number is taken as an identifier for a specimen (group).
description: A unit of work, a grouper of work items as defined by the system performing that work. Typically some laboratory order fulfillers communicate references to accessions in their communications regarding laboratory orders. Often one or more specimens are related to an accession such that in some environments the accession number is taken as an identifier for a specimen (group).

financial adjudication
sub class of: act
label: financial adjudication
comment: A transformation process where a requested invoice is transformed into an agreed invoice. Represents the adjudication processing of an invoice (claim). Adjudication results can be adjudicated as submitted, with adjustments or refused. Adjudication results comprise 2 components: the adjudication processing results and a restated (or adjudicated) invoice or claim
description: A transformation process where a requested invoice is transformed into an agreed invoice. Represents the adjudication processing of an invoice (claim). Adjudication results can be adjudicated as submitted, with adjustments or refused. Adjudication results comprise 2 components: the adjudication processing results and a restated (or adjudicated) invoice or claim

control act
sub class of: act
label: control act
comment: An act representing a system action such as the change of state of another act or the initiation of a query. All control acts represent trigger events in the HL7 context. ControlActs may occur in different moods.
description: An act representing a system action such as the change of state of another act or the initiation of a query. All control acts represent trigger events in the HL7 context. ControlActs may occur in different moods.

action
sub class of: control act
label: action
comment: Sender asks addressee to do something depending on the focal Act of the payload. An example is "fulfill this order". Addressee has responsibilities to either reject the message or to act on it in an appropriate way (specified by the specific receiver responsibilities for the interaction).
description: Sender asks addressee to do something depending on the focal Act of the payload. An example is "fulfill this order". Addressee has responsibilities to either reject the message or to act on it in an appropriate way (specified by the specific receiver responsibilities for the interaction).

information
sub class of: control act
label: information
comment: Sender sends payload to addressee as information. Addressee does not have responsibilities beyond serving addressee's own interest (i.e., read and memorize if you see fit). This is equivalent to an FYI on a memo.
description: Sender sends payload to addressee as information. Addressee does not have responsibilities beyond serving addressee's own interest (i.e., read and memorize if you see fit). This is equivalent to an FYI on a memo.

state transition control
sub class of: control act
label: state transition control
comment: Description: Sender transmits a status change pertaining to the focal act of the payload. This status of the focal act is the final state of the state transition. This can be either a request or an event, according to the mood of the control act.
description: Description: Sender transmits a status change pertaining to the focal act of the payload. This status of the focal act is the final state of the state transition. This can be either a request or an event, according to the mood of the control act.

contract
sub class of: act
label: contract
comment: An agreement of obligation between two or more parties that is subject to contractual law and enforcement.
description: An agreement of obligation between two or more parties that is subject to contractual law and enforcement.

financial contract
sub class of: contract
label: financial contract
comment: A contract whose value is measured in monetary terms.
description: A contract whose value is measured in monetary terms.

coverage
sub class of: financial contract
label: coverage
comment: When used in the EVN mood, this concept means with respect to a covered party: A health care insurance policy or plan that is contractually binding between two or more parties; or A health care program, usually administered by government entities, that provides coverage to persons determined eligible under the terms of the program. When used in the definition (DEF) mood, COV means potential coverage for a patient who may or may not be a covered party. The concept's meaning is fully specified by the choice of ActCoverageTypeCode (abstract) ActProgramCode or ActInsurancePolicyCode.
description: When used in the EVN mood, this concept means with respect to a covered party: A health care insurance policy or plan that is contractually binding between two or more parties; or A health care program, usually administered by government entities, that provides coverage to persons determined eligible under the terms of the program. When used in the definition (DEF) mood, COV means potential coverage for a patient who may or may not be a covered party. The concept's meaning is fully specified by the choice of ActCoverageTypeCode (abstract) ActProgramCode or ActInsurancePolicyCode.

concern
sub class of: act
label: concern
comment: Definition: A worry that tends to persist over time and has as its subject a state or process. The subject of the worry has the potential to require intervention or management. Examples: an observation result, procedure, substance administration, equipment repair status, device recall status, a health risk, a financial risk, public health risk, pregnancy, health maintenance, allergy, and acute or chronic illness.
description: Definition: A worry that tends to persist over time and has as its subject a state or process. The subject of the worry has the potential to require intervention or management. Examples: an observation result, procedure, substance administration, equipment repair status, device recall status, a health risk, a financial risk, public health risk, pregnancy, health maintenance, allergy, and acute or chronic illness.

public health case
sub class of: concern
label: public health case
comment: A public health case is a Concern about an observation or event that has a specific significance for public health. The creation of a PublicHealthCase initiates the tracking of the object of concern. The decision to track is related to but somewhat independent of the underlying event or observation. UsageNotes: Typically a Public Health Case involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.
description: A public health case is a Concern about an observation or event that has a specific significance for public health. The creation of a PublicHealthCase initiates the tracking of the object of concern. The decision to track is related to but somewhat independent of the underlying event or observation. UsageNotes: Typically a Public Health Case involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.

outbreak
sub class of: concern
label: outbreak
comment: An Outbreak is a concern resulting from a series of public health cases. UsageNotes: The date on which an outbreak starts is the earliest date of onset among the cases assigned to the outbreak and its ending date is the last date of onset among the cases assigned to the outbreak. The effectiveTime attribute is used to convey the relevant dates for the case. An outbreak definition (Act.moodCode = "definition" includes the criteria for the number, types and occurrence pattern of cases necessary to declare an outbreak and to judge the severity of an outbreak.
description: An Outbreak is a concern resulting from a series of public health cases. UsageNotes: The date on which an outbreak starts is the earliest date of onset among the cases assigned to the outbreak and its ending date is the last date of onset among the cases assigned to the outbreak. The effectiveTime attribute is used to convey the relevant dates for the case. An outbreak definition (Act.moodCode = "definition" includes the criteria for the number, types and occurrence pattern of cases necessary to declare an outbreak and to judge the severity of an outbreak.

consent
sub class of: act
label: consent
comment: The Consent class represents informed consents and all similar medico-legal transactions between the patient (or his legal guardian) and the provider. Examples are informed consent for surgical procedures, informed consent for clinical trials, advanced beneficiary notice, against medical advice decline from service, release of information agreement, etc. The details of consents vary. Often an institution has a number of different consent forms for various purposes, including reminding the physician about the topics to mention. Such forms also include patient education material. In electronic medical record communication, consents thus are information-generating acts on their own and need to be managed similar to medical activities. Thus, Consent is modeled as a special class of Act. The "signatures" to the consent document are represented electronically through Participation instances to the consent object. Typically an informed consent has Participation.typeCode of "performer", the healthcare provider informing the patient, and "consenter", the patient or legal guardian. Some consent may associate a witness or a notary public (e.g., living wills, advanced directives). In consents where a healthcare provider is not required (e.g. living will), the performer may be the patient himself or a notary public. Some consent has a minimum required delay between the consent and the service, so as to allow the patient to rethink his decisions. This minimum delay can be expressed in the act definition by the ActRelationship.pauseQuantity attribute that delays the service until the pause time has elapsed after the consent has been completed.
description: The Consent class represents informed consents and all similar medico-legal transactions between the patient (or his legal guardian) and the provider. Examples are informed consent for surgical procedures, informed consent for clinical trials, advanced beneficiary notice, against medical advice decline from service, release of information agreement, etc. The details of consents vary. Often an institution has a number of different consent forms for various purposes, including reminding the physician about the topics to mention. Such forms also include patient education material. In electronic medical record communication, consents thus are information-generating acts on their own and need to be managed similar to medical activities. Thus, Consent is modeled as a special class of Act. The "signatures" to the consent document are represented electronically through Participation instances to the consent object. Typically an informed consent has Participation.typeCode of "performer", the healthcare provider informing the patient, and "consenter", the patient or legal guardian. Some consent may associate a witness or a notary public (e.g., living wills, advanced directives). In consents where a healthcare provider is not required (e.g. living will), the performer may be the patient himself or a notary public. Some consent has a minimum required delay between the consent and the service, so as to allow the patient to rethink his decisions. This minimum delay can be expressed in the act definition by the ActRelationship.pauseQuantity attribute that delays the service until the pause time has elapsed after the consent has been completed.

container registration
sub class of: act
label: container registration
comment: An Act where a container is registered either via an automated sensor, such as a barcode reader, or by manual receipt
description: An Act where a container is registered either via an automated sensor, such as a barcode reader, or by manual receipt

clinical trial timepoint event
sub class of: act
label: clinical trial timepoint event
comment: An identified point during a clinical trial at which one or more actions are scheduled to be performed (definition mood), or are actually performed (event mood). The actions may or may not involve an encounter between the subject and a healthcare professional.
description: An identified point during a clinical trial at which one or more actions are scheduled to be performed (definition mood), or are actually performed (event mood). The actions may or may not involve an encounter between the subject and a healthcare professional.

disciplinary action
sub class of: act
label: disciplinary action
comment: An action taken with respect to a subject Entity by a regulatory or authoritative body with supervisory capacity over that entity. The action is taken in response to behavior by the subject Entity that body finds to be undesirable. Suspension, license restrictions, monetary fine, letter of reprimand, mandated training, mandated supervision, etc.Examples:
description: An action taken with respect to a subject Entity by a regulatory or authoritative body with supervisory capacity over that entity. The action is taken in response to behavior by the subject Entity that body finds to be undesirable. Suspension, license restrictions, monetary fine, letter of reprimand, mandated training, mandated supervision, etc.Examples:

exposure
sub class of: act
label: exposure
comment: An interaction between entities that provides opportunity for transmission of a physical, chemical, or biological agent from an exposure source entity to an exposure target entity. Examples: The following examples are provided to indicate what interactions are considered exposures rather than other types of Acts: A patient accidentally receives three times the recommended dose of their medication due to a dosing error. This is a substance administration. Public health and/or safety authorities may also be interested in documenting this with an associated exposure. A patient accidentally is dispensed an incorrect medicine (e.g., clomiphene instead of clomipramine). They have taken several doses before the mistake is detected. They are therefore "exposed" to a medicine that there was no therapeutic indication for them to receive. There are several substance administrations in this example. Public health and/or safety authorities may also be interested in documenting this with associated exposures. In a busy medical ward, a patient is receiving chemotherapy for a lymphoma. Unfortunately, the IV infusion bag containing the medicine splits, spraying cytotoxic medication over the patient being treated and the patient in the adjacent bed. There are three substance administrations in this example. The first is the intended one (IV infusion) with its associated (implicit) exposure. There is an incident with an associated substance administration to the same patient involving the medication sprayed over the patient as well as an associated exposure. Additionally, the incident includes a substance administration involving the spraying of medication on the adjacent patient, also with an associated exposure. A patient who is a refugee from a war-torn African nation arrives in a busy inner city A&E department suffering from a cough with bloody sputum. Not understanding the registration and triage process, they sit in the waiting room for several hours before it is noticed that th…
description: An interaction between entities that provides opportunity for transmission of a physical, chemical, or biological agent from an exposure source entity to an exposure target entity. Examples: The following examples are provided to indicate what interactions are considered exposures rather than other types of Acts: A patient accidentally receives three times the recommended dose of their medication due to a dosing error. This is a substance administration. Public health and/or safety authorities may also be interested in documenting this with an associated exposure. A patient accidentally is dispensed an incorrect medicine (e.g., clomiphene instead of clomipramine). They have taken several doses before the mistake is detected. They are therefore "exposed" to a medicine that there was no therapeutic indication for them to receive. There are several substance administrations in this example. Public health and/or safety authorities may also be interested in documenting this with associated exposures. In a busy medical ward, a patient is receiving chemotherapy for a lymphoma. Unfortunately, the IV infusion bag containing the medicine splits, spraying cytotoxic medication over the patient being treated and the patient in the adjacent bed. There are three substance administrations in this example. The first is the intended one (IV infusion) with its associated (implicit) exposure. There is an incident with an associated substance administration to the same patient involving the medication sprayed over the patient as well as an associated exposure. Additionally, the incident includes a substance administration involving the spraying of medication on the adjacent patient, also with an associated exposure. A patient who is a refugee from a war-torn African nation arrives in a busy inner city A&E department suffering from a cough with bloody sputum. Not understanding the registration and triage process, they sit in the waiting room for several hours before it is noticed that th…

acquisition exposure
sub class of: exposure
label: acquisition exposure
comment: Description: An acquisition exposure act describes the proximity (location and time) through which the participating entity was potentially exposed to a physical (including energy), chemical or biological agent from another entity. The acquisition exposure act is used in conjunction with transmission exposure acts as part of an analysis technique for contact tracing. Although an exposure can be decomposed into transmission and acquisition exposures, there is no requirement that all exposures be treated in this fashion. Constraints: The Acquisition Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPSRC (exposure source) participation must never be associated with the Transmission Exposure either directly or via context conduction.
description: Description: An acquisition exposure act describes the proximity (location and time) through which the participating entity was potentially exposed to a physical (including energy), chemical or biological agent from another entity. The acquisition exposure act is used in conjunction with transmission exposure acts as part of an analysis technique for contact tracing. Although an exposure can be decomposed into transmission and acquisition exposures, there is no requirement that all exposures be treated in this fashion. Constraints: The Acquisition Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPSRC (exposure source) participation must never be associated with the Transmission Exposure either directly or via context conduction.

transmission exposure
sub class of: exposure
label: transmission exposure
comment: Description: A transmission exposure act describes the proximity (time and location) over which the participating source entity was capable of transmitting a physical (including energy), chemical or biological substance agent to another entity. The transmission exposure act is used in conjunction with acquisition exposure acts as part of an analysis technique for contact tracing. Although an exposure can be decomposed into transmission and acquisition exposures, there is no requirement that all exposures be treated in this fashion. Constraints: The Transmission Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPTRGT (exposure target) participation must never be associated with the Transmission Exposure either directly or via context conduction.
description: Description: A transmission exposure act describes the proximity (time and location) over which the participating source entity was capable of transmitting a physical (including energy), chemical or biological substance agent to another entity. The transmission exposure act is used in conjunction with acquisition exposure acts as part of an analysis technique for contact tracing. Although an exposure can be decomposed into transmission and acquisition exposures, there is no requirement that all exposures be treated in this fashion. Constraints: The Transmission Exposure inherits the participation constraints that apply to Exposure with the following exception. The EXPTRGT (exposure target) participation must never be associated with the Transmission Exposure either directly or via context conduction.

incident
sub class of: act
label: incident
comment: An event that occurred outside of the control of one or more of the parties involved. Includes the concept of an accident.
description: An event that occurred outside of the control of one or more of the parties involved. Includes the concept of an accident.

inform
sub class of: act
label: inform
comment: The act of transmitting information and understanding about a topic to a subject where the participation association must be SBJ. Discussion: This act may be used to request that a patient or provider be informed about an Act, or to indicate that a person was informed about a particular act.
description: The act of transmitting information and understanding about a topic to a subject where the participation association must be SBJ. Discussion: This act may be used to request that a patient or provider be informed about an Act, or to indicate that a person was informed about a particular act.

invoice element
sub class of: act
label: invoice element
comment: Represents concepts related to invoice processing in health care
description: Represents concepts related to invoice processing in health care

working list
sub class of: act
label: working list
comment: Working list collects a dynamic list of individual instances of Act via ActRelationship which reflects the need of an individual worker, team of workers, or an organization to manage lists of acts for many different clinical and administrative reasons. Examples of working lists include problem lists, goal lists, allergy lists, and to-do lists.
description: Working list collects a dynamic list of individual instances of Act via ActRelationship which reflects the need of an individual worker, team of workers, or an organization to manage lists of acts for many different clinical and administrative reasons. Examples of working lists include problem lists, goal lists, allergy lists, and to-do lists.

monitoring program
sub class of: act
label: monitoring program
comment: An officially or unofficially instituted program to track acts of a particular type or categorization.
description: An officially or unofficially instituted program to track acts of a particular type or categorization.

observation
sub class of: act
label: observation
comment: Description:An act that is intended to result in new information about a subject. The main difference between Observations and other Acts is that Observations have a value attribute. The code attribute of Observation and the value attribute of Observation must be considered in combination to determine the semantics of the observation. Discussion: Structurally, many observations are name-value-pairs, where the Observation.code (inherited from Act) is the name and the Observation.value is the value of the property. Such a construct is also known as a variable (a named feature that can assume a value) hence, the Observation class is always used to hold generic name-value-pairs or variables, even though the variable valuation may not be the result of an elaborate observation method. It may be a simple answer to a question or it may be an assertion or setting of a parameter. As with all Act statements, Observation statements describe what was done, and in the case of Observations, this includes a description of what was actually observed (results or answers); and those results or answers are part of the observation and not split off into other objects. The method of action is asserted by the Observation classCode or its subclasses at the least granular level, by the Observation.code attribute value at the medium level of granularity, and by the attribute value of observation.methodCode when a finer level of granularity is required. The method in whole or in part may also appear in the attribute value of Observation.value when using coded data types to express the value of the attribute. Relevant aspects of methodology may also be restated in value when the results themselves imply or state a methodology. An observation may consist of component observations each having their own Observation.code and Observation.value. In this case, the composite observation may not have an Observation.value for itself. For instance, a white blood cell count consists of the sub-observation…
description: Description:An act that is intended to result in new information about a subject. The main difference between Observations and other Acts is that Observations have a value attribute. The code attribute of Observation and the value attribute of Observation must be considered in combination to determine the semantics of the observation. Discussion: Structurally, many observations are name-value-pairs, where the Observation.code (inherited from Act) is the name and the Observation.value is the value of the property. Such a construct is also known as a variable (a named feature that can assume a value) hence, the Observation class is always used to hold generic name-value-pairs or variables, even though the variable valuation may not be the result of an elaborate observation method. It may be a simple answer to a question or it may be an assertion or setting of a parameter. As with all Act statements, Observation statements describe what was done, and in the case of Observations, this includes a description of what was actually observed (results or answers); and those results or answers are part of the observation and not split off into other objects. The method of action is asserted by the Observation classCode or its subclasses at the least granular level, by the Observation.code attribute value at the medium level of granularity, and by the attribute value of observation.methodCode when a finer level of granularity is required. The method in whole or in part may also appear in the attribute value of Observation.value when using coded data types to express the value of the attribute. Relevant aspects of methodology may also be restated in value when the results themselves imply or state a methodology. An observation may consist of component observations each having their own Observation.code and Observation.value. In this case, the composite observation may not have an Observation.value for itself. For instance, a white blood cell count consists of the sub-observation…

ActClassROI
sub class of: observation
label: ActClassROI
comment: Regions of Interest (ROI) within a subject Act. Primarily used for making secondary observations on a subset of a subject observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.
description: Regions of Interest (ROI) within a subject Act. Primarily used for making secondary observations on a subset of a subject observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.

bounded ROI
sub class of: ActClassROI
label: bounded ROI
comment: A Region of Interest (ROI) specified for a multidimensional observation, such as an Observation Series (OBSSER). The ROI is specified using a set of observation criteria, each delineating the boundary of the region in one of the dimensions in the multidimensional observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type subject (SUBJ), which must always be present. Each of the boundary criteria observations is connected with the ROI using ActRelationships of type "has component" (COMP). In each boundary criterion, the Act.code names the dimension and the Observation.value specifies the range of values inside the region. Typically the bounded dimension is continuous, and so the Observation.value will be an interval (IVL) data type. The Observation.value need not be specified if the respective dimension is only named but not constrained. For example, an ROI for the QT interval of a certain beat in ECG Lead II would contain 2 boundary criteria, one naming the interval in time (constrained), and the other naming the interval in ECG Lead II (only named, but not constrained).
description: A Region of Interest (ROI) specified for a multidimensional observation, such as an Observation Series (OBSSER). The ROI is specified using a set of observation criteria, each delineating the boundary of the region in one of the dimensions in the multidimensional observation. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type subject (SUBJ), which must always be present. Each of the boundary criteria observations is connected with the ROI using ActRelationships of type "has component" (COMP). In each boundary criterion, the Act.code names the dimension and the Observation.value specifies the range of values inside the region. Typically the bounded dimension is continuous, and so the Observation.value will be an interval (IVL) data type. The Observation.value need not be specified if the respective dimension is only named but not constrained. For example, an ROI for the QT interval of a certain beat in ECG Lead II would contain 2 boundary criteria, one naming the interval in time (constrained), and the other naming the interval in ECG Lead II (only named, but not constrained).

overlay ROI
sub class of: ActClassROI
label: overlay ROI
comment: A Region of Interest (ROI) specified for an image using an overlay shape. Typically used to make reference to specific regions in images, e.g., to specify the location of a radiologic finding in an image or to specify the site of a physical finding by "circling" a region in a schematic picture of a human body. The units of the coordinate values are in pixels. The origin is in the upper left hand corner, with positive X values going to the right and positive Y values going down. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.
description: A Region of Interest (ROI) specified for an image using an overlay shape. Typically used to make reference to specific regions in images, e.g., to specify the location of a radiologic finding in an image or to specify the site of a physical finding by "circling" a region in a schematic picture of a human body. The units of the coordinate values are in pixels. The origin is in the upper left hand corner, with positive X values going to the right and positive Y values going down. The relationship between a ROI and its referenced Act is specified through an ActRelationship of type "subject" (SUBJ), which must always be present.

subject physical position
sub class of: observation
label: subject physical position
comment: The spatial relationship of a subject whether human, other animal, or plant, to a frame of reference such as gravity or a collection device.
description: The spatial relationship of a subject whether human, other animal, or plant, to a frame of reference such as gravity or a collection device.

subject body position
sub class of: subject physical position
label: subject body position
comment: Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
description: Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.

left lateral decubitus
sub class of: subject body position
label: left lateral decubitus
comment: Lying on the left side. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
description: Lying on the left side. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.

prone
sub class of: subject body position
label: prone
comment: Lying with the front or ventral surface downward; lying face down. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
description: Lying with the front or ventral surface downward; lying face down. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.

right lateral decubitus
sub class of: subject body position
label: right lateral decubitus
comment: Lying on the right side. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
description: Lying on the right side. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.

Semi-Fowler's
sub class of: subject body position
label: Semi-Fowler's
comment: A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
description: A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.

sitting
sub class of: subject body position
label: sitting
comment: Resting the body on the buttocks, typically with upper torso erect or semi erect. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
description: Resting the body on the buttocks, typically with upper torso erect or semi erect. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.

standing
sub class of: subject body position
label: standing
comment: To be stationary, upright, vertical, on one's legs. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
description: To be stationary, upright, vertical, on one's legs. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.

supine
sub class of: subject body position
label: supine
comment: Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
description: Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.

reverse trendelenburg
sub class of: supine
label: reverse trendelenburg
comment: Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
description: Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.

trendelenburg
sub class of: supine
label: trendelenburg
comment: Lying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.
description: Lying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised. Deprecation Comment: This concept has been deprecated because it does not describe a type of Act (as it should in the ActClass code system), but rather encodes the result or value of an observation. The same code has been added to the ObservationValue code system.

detected issue
sub class of: observation
label: detected issue
comment: An observation identifying a potential adverse outcome as a result of an Act or combination of Acts. Examples: Detection of a drug-drug interaction; Identification of a late-submission for an invoice; Requesting discharge for a patient who does not meet hospital-defined discharge criteria. Discussion: This class is commonly used for identifying 'business rule' or 'process' problems that may result in a refusal to carry out a particular request. In some circumstances it may be possible to 'bypass' a problem by modifying the request to acknowledge the issue and/or by providing some form of mitigation. Constraints: the Act or Acts that may cause the the adverse outcome are the target of a subject ActRelationship. The subbtypes of this concept indicate the type of problem being detected (e.g. drug-drug interaction) while the Observation.value is used to repesent a specific problem code (e.g. specific drug-drug interaction id).
description: An observation identifying a potential adverse outcome as a result of an Act or combination of Acts. Examples: Detection of a drug-drug interaction; Identification of a late-submission for an invoice; Requesting discharge for a patient who does not meet hospital-defined discharge criteria. Discussion: This class is commonly used for identifying 'business rule' or 'process' problems that may result in a refusal to carry out a particular request. In some circumstances it may be possible to 'bypass' a problem by modifying the request to acknowledge the issue and/or by providing some form of mitigation. Constraints: the Act or Acts that may cause the the adverse outcome are the target of a subject ActRelationship. The subbtypes of this concept indicate the type of problem being detected (e.g. drug-drug interaction) while the Observation.value is used to repesent a specific problem code (e.g. specific drug-drug interaction id).

battery
sub class of: observation
label: battery
comment: Definition: An observation that is composed of a set of observations. These observations typically have a logical or practical grouping for generally accepted clinical or functional purposes, such as observations that are run together because of automation. A battery can define required and optional component observations and, in some cases, will define complex rules that determine whether or not a particular observation is made. BATTERY is a constraint on the Observation class in that it is understood to always be composed of component observations. UsageNotes: The focus in a BATTERY is that it is composed of individual observations. In request (RQO) mood, a battery is a request to perform the component observations. In event (EVN) mood a battery is a reporting of associated set of observation events. In definition mood a battery is the definition of the associated set of observations. Examples: Vital signs, Full blood count, Chemistry panel.
description: Definition: An observation that is composed of a set of observations. These observations typically have a logical or practical grouping for generally accepted clinical or functional purposes, such as observations that are run together because of automation. A battery can define required and optional component observations and, in some cases, will define complex rules that determine whether or not a particular observation is made. BATTERY is a constraint on the Observation class in that it is understood to always be composed of component observations. UsageNotes: The focus in a BATTERY is that it is composed of individual observations. In request (RQO) mood, a battery is a request to perform the component observations. In event (EVN) mood a battery is a reporting of associated set of observation events. In definition mood a battery is the definition of the associated set of observations. Examples: Vital signs, Full blood count, Chemistry panel.

clinical trial
sub class of: observation
label: clinical trial
comment: The set of actions that define an experiment to assess the effectiveness and/or safety of a biopharmaceutical product (food, drug, device, etc.). In definition mood, this set of actions is often embodied in a clinical trial protocol; in event mood, this designates the aggregate act of applying the actions to one or more subjects.
description: The set of actions that define an experiment to assess the effectiveness and/or safety of a biopharmaceutical product (food, drug, device, etc.). In definition mood, this set of actions is often embodied in a clinical trial protocol; in event mood, this designates the aggregate act of applying the actions to one or more subjects.

Condition Node
sub class of: observation
label: Condition Node
comment: An instance of Observation of a Condition at a point in time that includes any Observations or Procedures associated with that Condition as well as links to previous instances of Condition Node for the same Condition Deprecation Comment: This concept has been deprecated because an alternative structure for tracking the evolution of a problem has been presented and adopted by the Care Provision Work Group.
description: An instance of Observation of a Condition at a point in time that includes any Observations or Procedures associated with that Condition as well as links to previous instances of Condition Node for the same Condition Deprecation Comment: This concept has been deprecated because an alternative structure for tracking the evolution of a problem has been presented and adopted by the Care Provision Work Group.

Condition
sub class of: observation
label: Condition
comment: An observable finding or state that persists over time and tends to require intervention or management, and, therefore, distinguished from an Observation made at a point in time; may exist before an Observation of the Condition is made or after interventions to manage the Condition are undertaken. Examples: equipment repair status, device recall status, a health risk, a financial risk, public health risk, pregnancy, health maintenance, chronic illness
description: An observable finding or state that persists over time and tends to require intervention or management, and, therefore, distinguished from an Observation made at a point in time; may exist before an Observation of the Condition is made or after interventions to manage the Condition are undertaken. Examples: equipment repair status, device recall status, a health risk, a financial risk, public health risk, pregnancy, health maintenance, chronic illness

public health case
sub class of: Condition
label: public health case
comment: A public health case is an Observation representing a condition or event that has a specific significance for public health. Typically it involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. An outbreak involving multiple individuals may be considered as a type of public health case. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. There are also case definitions for outbreaks. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.
description: A public health case is an Observation representing a condition or event that has a specific significance for public health. Typically it involves an instance or instances of a reportable infectious disease or other condition. The public health case can include a health-related event concerning a single individual or it may refer to multiple health-related events that are occurrences of the same disease or condition of interest to public health. An outbreak involving multiple individuals may be considered as a type of public health case. A public health case definition (Act.moodCode = "definition") includes the description of the clinical, laboratory, and epidemiologic indicators associated with a disease or condition of interest to public health. There are case definitions for conditions that are reportable, as well as for those that are not. There are also case definitions for outbreaks. A public health case definition is a construct used by public health for the purpose of counting cases, and should not be used as clinical indications for treatment. Examples include AIDS, toxic-shock syndrome, and salmonellosis and their associated indicators that are used to define a case.

outbreak
sub class of: public health case
label: outbreak
comment: An outbreak represents a series of public health cases. The date on which an outbreak starts is the earliest date of onset among the cases assigned to the outbreak, and its ending date is the last date of onset among the cases assigned to the outbreak.
description: An outbreak represents a series of public health cases. The date on which an outbreak starts is the earliest date of onset among the cases assigned to the outbreak, and its ending date is the last date of onset among the cases assigned to the outbreak.

diagnostic image
sub class of: observation
label: diagnostic image
comment: Class for holding attributes unique to diagnostic images.
description: Class for holding attributes unique to diagnostic images.

genomic observation
sub class of: observation
label: genomic observation
comment: Description:An observation of genomic phenomena.
description: Description:An observation of genomic phenomena.

determinant peptide
sub class of: genomic observation
label: determinant peptide
comment: Description:A determinant peptide in a polypeptide as described by polypeptide.
description: Description:A determinant peptide in a polypeptide as described by polypeptide.

expression level
sub class of: genomic observation
label: expression level
comment: Description:An expression level of genes/proteins or other expressed genomic entities.
description: Description:An expression level of genes/proteins or other expressed genomic entities.

locus
sub class of: genomic observation
label: locus
comment: Description:The position of a gene (or other significant sequence) on the genome.
description: Description:The position of a gene (or other significant sequence) on the genome.

phenotype
sub class of: genomic observation
label: phenotype
comment: Description:A genomic phenomenon that is expressed externally in the organism.
description: Description:A genomic phenomenon that is expressed externally in the organism.

polypeptide
sub class of: genomic observation
label: polypeptide
comment: Description:A polypeptide resulting from the translation of a gene.
description: Description:A polypeptide resulting from the translation of a gene.

bio sequence
sub class of: genomic observation
label: bio sequence
comment: Description:A sequence of biomolecule like the DNA, RNA, protein and the like.
description: Description:A sequence of biomolecule like the DNA, RNA, protein and the like.

bio sequence variation
sub class of: genomic observation
label: bio sequence variation
comment: Description:A variation in a sequence as described by BioSequence.
description: Description:A variation in a sequence as described by BioSequence.

investigation
sub class of: observation
label: investigation
comment: An formalized inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event. This investigation could be conducted at a local institutional level or at the level of a local or national government.
description: An formalized inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event. This investigation could be conducted at a local institutional level or at the level of a local or national government.

observation series
sub class of: observation
label: observation series
comment: Container for Correlated Observation Sequences sharing a common frame of reference. All Observations of the same cd must be comparable and relative to the common frame of reference. For example, a 3-channel ECG device records a 12-lead ECG in 4 steps (3 leads at a time). Each of the separate 3-channel recordings would be in their own "OBSCOR". And, all 4 OBSCOR would be contained in one OBSSER because all the times are relative to the same origin (beginning of the recording) and all the ECG signals were from a fixed set of electrodes.
description: Container for Correlated Observation Sequences sharing a common frame of reference. All Observations of the same cd must be comparable and relative to the common frame of reference. For example, a 3-channel ECG device records a 12-lead ECG in 4 steps (3 leads at a time). Each of the separate 3-channel recordings would be in their own "OBSCOR". And, all 4 OBSCOR would be contained in one OBSSER because all the times are relative to the same origin (beginning of the recording) and all the ECG signals were from a fixed set of electrodes.

correlated observation sequences
sub class of: observation series
label: correlated observation sequences
comment: Container for Observation Sequences (Observations whose values are contained in LIST<>'s) having values correlated with each other. Each contained Observation Sequence LIST<> must be the same length. Values in the LIST<>'s are correlated based on index. E.g. the values in position 2 in all the LIST<>'s are correlated. This is analogous to a table where each column is an Observation Sequence with a LIST<> of values, and each row in the table is a correlation between the columns. For example, a 12-lead ECG would contain 13 sequences: one sequence for time, and a sequence for each of the 12 leads.
description: Container for Observation Sequences (Observations whose values are contained in LIST<>'s) having values correlated with each other. Each contained Observation Sequence LIST<> must be the same length. Values in the LIST<>'s are correlated based on index. E.g. the values in position 2 in all the LIST<>'s are correlated. This is analogous to a table where each column is an Observation Sequence with a LIST<> of values, and each row in the table is a correlation between the columns. For example, a 12-lead ECG would contain 13 sequences: one sequence for time, and a sequence for each of the 12 leads.

position
sub class of: observation
label: position
comment: An observation denoting the physical location of a person or thing based on a reference coordinate system.
description: An observation denoting the physical location of a person or thing based on a reference coordinate system.

position accuracy
sub class of: position
label: position accuracy
comment: Description:An observation representing the degree to which the assignment of the spatial coordinates, based on a matching algorithm by a geocoding engine against a reference spatial database, matches true or accepted values.
description: Description:An observation representing the degree to which the assignment of the spatial coordinates, based on a matching algorithm by a geocoding engine against a reference spatial database, matches true or accepted values.

position coordinate
sub class of: position
label: position coordinate
comment: Description:An observation representing one of a set of numerical values used to determine the position of a place. The name of the coordinate value is determined by the reference coordinate system.
description: Description:An observation representing one of a set of numerical values used to determine the position of a place. The name of the coordinate value is determined by the reference coordinate system.

specimen observation
sub class of: observation
label: specimen observation
comment: An observation on a specimen in a laboratory environment that may affect processing, analysis or result interpretation
description: An observation on a specimen in a laboratory environment that may affect processing, analysis or result interpretation

Verification
sub class of: observation
label: Verification
comment: An act which describes the process whereby a 'verifying party' validates either the existence of the Role attested to by some Credential or the actual Vetting act and its details.
description: An act which describes the process whereby a 'verifying party' validates either the existence of the Role attested to by some Credential or the actual Vetting act and its details.

care provision
sub class of: act
label: care provision
comment: An Act that of taking on whole or partial responsibility for, or attention to, safety and well-being of a subject of care. Discussion: A care provision event may exist without any other care actions taking place. For example, when a patient is assigned to the care of a particular health professional. In request (RQO) mood care provision communicates a referral, which is a request: from one party (linked as a participant of type author (AUT)), to another party (linked as a participant of type performer (PRF), to take responsibility for a scope specified by the code attribute, for an entity (linked as a participant of type subject (SBJ)). The scope of the care for which responsibility is taken is identified by code attribute. In event (EVN) mood care provision indicates the effective time interval of a specified scope of responsibility by a performer (PRF) or set of performers (PRF) for a subject (SBJ). Examples: Referral from GP to a specialist. Assignment of a patient or group of patients to the case list of a health professional. Assignment of inpatients to the care of particular nurses for a working shift.
description: An Act that of taking on whole or partial responsibility for, or attention to, safety and well-being of a subject of care. Discussion: A care provision event may exist without any other care actions taking place. For example, when a patient is assigned to the care of a particular health professional. In request (RQO) mood care provision communicates a referral, which is a request: from one party (linked as a participant of type author (AUT)), to another party (linked as a participant of type performer (PRF), to take responsibility for a scope specified by the code attribute, for an entity (linked as a participant of type subject (SBJ)). The scope of the care for which responsibility is taken is identified by code attribute. In event (EVN) mood care provision indicates the effective time interval of a specified scope of responsibility by a performer (PRF) or set of performers (PRF) for a subject (SBJ). Examples: Referral from GP to a specialist. Assignment of a patient or group of patients to the case list of a health professional. Assignment of inpatients to the care of particular nurses for a working shift.

encounter
sub class of: care provision
label: encounter
comment: An interaction between a patient and healthcare participant(s) for the purpose of providing patient service(s) or assessing the health status of a patient. For example, outpatient visit to multiple departments, home health support (including physical therapy), inpatient hospital stay, emergency room visit, field visit (e.g., traffic accident), office visit, occupational therapy, telephone call.
description: An interaction between a patient and healthcare participant(s) for the purpose of providing patient service(s) or assessing the health status of a patient. For example, outpatient visit to multiple departments, home health support (including physical therapy), inpatient hospital stay, emergency room visit, field visit (e.g., traffic accident), office visit, occupational therapy, telephone call.

policy
sub class of: act
label: policy
comment: Description:A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by one party on: The activity of another party The behavior of another party The manner in which an act is executed
description: Description:A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by one party on: The activity of another party The behavior of another party The manner in which an act is executed

jurisdictional policy
sub class of: policy
label: jurisdictional policy
comment: Description:A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by a jurisdiction on: The activity of another party The behavior of another party The manner in which an act is executed Examples:A jurisdictional mandate regarding the prescribing and dispensing of a particular medication. A jurisdictional privacy or security regulation dictating the manner in which personal health information is disclosed. A jurisdictional requirement that certain services or health conditions are reported to a monitoring program, e.g., immunizations, methadone treatment, or cancer registries.
description: Description:A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by a jurisdiction on: The activity of another party The behavior of another party The manner in which an act is executed Examples:A jurisdictional mandate regarding the prescribing and dispensing of a particular medication. A jurisdictional privacy or security regulation dictating the manner in which personal health information is disclosed. A jurisdictional requirement that certain services or health conditions are reported to a monitoring program, e.g., immunizations, methadone treatment, or cancer registries.

organizational policy
sub class of: policy
label: organizational policy
comment: Description:A mandate, obligation, requirement, rule, or expectation unilaterally imposed by an organization on: The activity of another party The behavior of another party The manner in which an act is executed Examples:A clinical or research protocols imposed by a payer, a malpractice insurer, or an institution to which a provider must adhere. A mandate imposed by a denominational institution for a provider to provide or withhold certain information from the patient about treatment options.
description: Description:A mandate, obligation, requirement, rule, or expectation unilaterally imposed by an organization on: The activity of another party The behavior of another party The manner in which an act is executed Examples:A clinical or research protocols imposed by a payer, a malpractice insurer, or an institution to which a provider must adhere. A mandate imposed by a denominational institution for a provider to provide or withhold certain information from the patient about treatment options.

scope of practice policy
sub class of: policy
label: scope of practice policy
comment: Description:An ethical or clinical obligation, requirement, rule, or expectation imposed or strongly encouraged by organizations that oversee particular clinical domains or provider certification which define the boundaries within which a provider may practice and which may have legal basis or ramifications on: The activity of another party The behavior of another party The manner in which an act is executed Examples:An ethical obligation for a provider to fully inform a patient about all treatment options. An ethical obligation for a provider not to disclose personal health information that meets certain criteria, e.g., where disclosure might result in harm to the patient or another person. The set of health care services which a provider is credentialed or privileged to provide.
description: Description:An ethical or clinical obligation, requirement, rule, or expectation imposed or strongly encouraged by organizations that oversee particular clinical domains or provider certification which define the boundaries within which a provider may practice and which may have legal basis or ramifications on: The activity of another party The behavior of another party The manner in which an act is executed Examples:An ethical obligation for a provider to fully inform a patient about all treatment options. An ethical obligation for a provider not to disclose personal health information that meets certain criteria, e.g., where disclosure might result in harm to the patient or another person. The set of health care services which a provider is credentialed or privileged to provide.

standard of practice policy
sub class of: policy
label: standard of practice policy
comment: Description:A requirement, rule, or expectation typically documented as guidelines, protocols, or formularies imposed or strongly encouraged by an organization that oversees or has authority over the practices within a domain, and which may have legal basis or ramifications on: The activity of another party The behavior of another party The manner in which an act is executed Examples:A payer may require a prescribing provider to adhere to formulary guidelines. An institution may adopt clinical guidelines and protocols and implement these within its electronic health record and decision support systems.
description: Description:A requirement, rule, or expectation typically documented as guidelines, protocols, or formularies imposed or strongly encouraged by an organization that oversees or has authority over the practices within a domain, and which may have legal basis or ramifications on: The activity of another party The behavior of another party The manner in which an act is executed Examples:A payer may require a prescribing provider to adhere to formulary guidelines. An institution may adopt clinical guidelines and protocols and implement these within its electronic health record and decision support systems.

procedure
sub class of: act
label: procedure
comment: An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject. Examples: : Procedures may involve the disruption of some body surface (e.g. an incision in a surgical procedure), but they also include conservative procedures such as reduction of a luxated join, chiropractic treatment, massage, balneotherapy, acupuncture, shiatsu, etc. Outside of clinical medicine, procedures may be such things as alteration of environments (e.g. straightening rivers, draining swamps, building dams) or the repair or change of machinery etc.
description: An Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject. Examples: : Procedures may involve the disruption of some body surface (e.g. an incision in a surgical procedure), but they also include conservative procedures such as reduction of a luxated join, chiropractic treatment, massage, balneotherapy, acupuncture, shiatsu, etc. Outside of clinical medicine, procedures may be such things as alteration of environments (e.g. straightening rivers, draining swamps, building dams) or the repair or change of machinery etc.

substance administration
sub class of: procedure
label: substance administration
comment: The act of introducing or otherwise applying a substance to the subject. Discussion: The effect of the substance is typically established on a biochemical basis, however, that is not a requirement. For example, radiotherapy can largely be described in the same way, especially if it is a systemic therapy such as radio-iodine. This class also includes the application of chemical treatments to an area. Examples: Chemotherapy protocol; Drug prescription; Vaccination record
description: The act of introducing or otherwise applying a substance to the subject. Discussion: The effect of the substance is typically established on a biochemical basis, however, that is not a requirement. For example, radiotherapy can largely be described in the same way, especially if it is a systemic therapy such as radio-iodine. This class also includes the application of chemical treatments to an area. Examples: Chemotherapy protocol; Drug prescription; Vaccination record

Substance Extraction
sub class of: procedure
label: Substance Extraction
comment: Description: The act of removing a substance from the subject.
description: Description: The act of removing a substance from the subject.

Specimen Collection
sub class of: Substance Extraction
label: Specimen Collection
comment: A procedure for obtaining a specimen from a source entity.
description: A procedure for obtaining a specimen from a source entity.

registration
sub class of: act
label: registration
comment: Represents the act of maintaining information about the registration of its associated registered subject. The subject can be either an Act or a Role, and includes subjects such as lab exam definitions, drug protocol definitions, prescriptions, persons, patients, practitioners, and equipment. The registration may have a unique identifier - separate from the unique identification of the subject - as well as a core set of related participations and act relationships that characterize the registration event and aid in the disposition of the subject information by a receiving system.
description: Represents the act of maintaining information about the registration of its associated registered subject. The subject can be either an Act or a Role, and includes subjects such as lab exam definitions, drug protocol definitions, prescriptions, persons, patients, practitioners, and equipment. The registration may have a unique identifier - separate from the unique identification of the subject - as well as a core set of related participations and act relationships that characterize the registration event and aid in the disposition of the subject information by a receiving system.

review
sub class of: act
label: review
comment: The act of examining and evaluating the subject, usually another act. For example, "This prescription needs to be reviewed in 2 months."
description: The act of examining and evaluating the subject, usually another act. For example, "This prescription needs to be reviewed in 2 months."

specimen treatment
sub class of: act
label: specimen treatment
comment: A procedure or treatment performed on a specimen to prepare it for analysis
description: A procedure or treatment performed on a specimen to prepare it for analysis

supply
sub class of: act
label: supply
comment: Supply orders and deliveries are simple Acts that focus on the delivered product. The product is associated with the Supply Act via Participation.typeCode="product". With general Supply Acts, the precise identification of the Material (manufacturer, serial numbers, etc.) is important. Most of the detailed information about the Supply should be represented using the Material class. If delivery needs to be scheduled, tracked, and billed separately, one can associate a Transportation Act with the Supply Act. Pharmacy dispense services are represented as Supply Acts, associated with a SubstanceAdministration Act. The SubstanceAdministration class represents the administration of medication, while dispensing is supply.
description: Supply orders and deliveries are simple Acts that focus on the delivered product. The product is associated with the Supply Act via Participation.typeCode="product". With general Supply Acts, the precise identification of the Material (manufacturer, serial numbers, etc.) is important. Most of the detailed information about the Supply should be represented using the Material class. If delivery needs to be scheduled, tracked, and billed separately, one can associate a Transportation Act with the Supply Act. Pharmacy dispense services are represented as Supply Acts, associated with a SubstanceAdministration Act. The SubstanceAdministration class represents the administration of medication, while dispensing is supply.

diet
sub class of: supply
label: diet
comment: Diet services are supply services, with some aspects resembling Medication services: the detail of the diet is given as a description of the Material associated via Participation.typeCode="product". Medically relevant diet types may be communicated in the Diet.code attribute using domain ActDietCode, however, the detail of the food supplied and the various combinations of dishes should be communicated as Material instances. Deprecation Note Class: Use either the Supply class (if dealing with what should be given to the patient) or SubstanceAdministration class (if dealing with what the patient should consume) energyQuantity: This quantity can be conveyed by using a Content relationship with a quantity attribute expressing the calories carbohydrateQuantity:This quantity can be conveyed using a Content relationship to an Entity with a code of carbohydrate and a quantity attribute on the content relationship.
description: Diet services are supply services, with some aspects resembling Medication services: the detail of the diet is given as a description of the Material associated via Participation.typeCode="product". Medically relevant diet types may be communicated in the Diet.code attribute using domain ActDietCode, however, the detail of the food supplied and the various combinations of dishes should be communicated as Material instances. Deprecation Note Class: Use either the Supply class (if dealing with what should be given to the patient) or SubstanceAdministration class (if dealing with what the patient should consume) energyQuantity: This quantity can be conveyed by using a Content relationship with a quantity attribute expressing the calories carbohydrateQuantity:This quantity can be conveyed using a Content relationship to an Entity with a code of carbohydrate and a quantity attribute on the content relationship.

storage
sub class of: act
label: storage
comment: The act of putting something away for safe keeping. The "something" may be physical object such as a specimen, or information, such as observations regarding a specimen.
description: The act of putting something away for safe keeping. The "something" may be physical object such as a specimen, or information, such as observations regarding a specimen.

Substitution
sub class of: act
label: Substitution
comment: Definition: Indicates that the subject Act has undergone or should undergo substitution of a type indicated by Act.code. Rationale: Used to specify "allowed" substitution when creating orders, "actual" susbstitution when sending events, as well as the reason for the substitution and who was responsible for it.
description: Definition: Indicates that the subject Act has undergone or should undergo substitution of a type indicated by Act.code. Rationale: Used to specify "allowed" substitution when creating orders, "actual" susbstitution when sending events, as well as the reason for the substitution and who was responsible for it.

transfer
sub class of: act
label: transfer
comment: Definition: The act of transferring information without the intent of imparting understanding about a topic to the subject that is the recipient or holder of the transferred information where the participation association must be RCV or HLD.
description: Definition: The act of transferring information without the intent of imparting understanding about a topic to the subject that is the recipient or holder of the transferred information where the participation association must be RCV or HLD.

transportation
sub class of: act
label: transportation
comment: Transportation is the moving of a payload (people or material) from a location of origin to a destination location. Thus, any transport service has the three target instances of type payload, origin, and destination, besides the targets that are generally used for any service (i.e., performer, device, etc.)
description: Transportation is the moving of a payload (people or material) from a location of origin to a destination location. Thus, any transport service has the three target instances of type payload, origin, and destination, besides the targets that are generally used for any service (i.e., performer, device, etc.)

financial transaction
sub class of: act
label: financial transaction
comment: A sub-class of Act representing any transaction between two accounts whose value is measured in monetary terms. In the "intent" mood, communicates a request for a transaction to be initiated, or communicates a transfer of value between two accounts. In the "event" mood, communicates the posting of a transaction to an account.
description: A sub-class of Act representing any transaction between two accounts whose value is measured in monetary terms. In the "intent" mood, communicates a request for a transaction to be initiated, or communicates a transfer of value between two accounts. In the "event" mood, communicates the posting of a transaction to an account.

ActClassContainer
sub class of: act
label: ActClassContainer
comment: ActClassContainer
description: ActClassContainer

entry
sub class of: ActClassContainer
label: entry
comment: This context represents the information acquired and recorded for an observation, a clinical statement such as a portion of the patient's history or an inference or assertion, or an action that might be intended or has actually been performed. This class may represent both the actual data describing the observation, inference, or action, and optionally the details supporting the clinical reasoning process such as a reference to an electronic guideline, decision support system, or other knowledge reference.
description: This context represents the information acquired and recorded for an observation, a clinical statement such as a portion of the patient's history or an inference or assertion, or an action that might be intended or has actually been performed. This class may represent both the actual data describing the observation, inference, or action, and optionally the details supporting the clinical reasoning process such as a reference to an electronic guideline, decision support system, or other knowledge reference.

organizer
sub class of: ActClassContainer
label: organizer
comment: Organizer of entries. Navigational. No semantic content. Knowledge of the section code is not required to interpret contained observations. Represents a heading in a heading structure, or "organizer tree". The record entries relating to a single clinical session are usually grouped under headings that represent phases of the encounter, or assist with layout and navigation. Clinical headings usually reflect the clinical workflow during a care session, and might also reflect the main author's reasoning processes. Much research has demonstrated that headings are used differently by different professional groups and specialties, and that headings are not used consistently enough to support safe automatic processing of the E H R.
description: Organizer of entries. Navigational. No semantic content. Knowledge of the section code is not required to interpret contained observations. Represents a heading in a heading structure, or "organizer tree". The record entries relating to a single clinical session are usually grouped under headings that represent phases of the encounter, or assist with layout and navigation. Clinical headings usually reflect the clinical workflow during a care session, and might also reflect the main author's reasoning processes. Much research has demonstrated that headings are used differently by different professional groups and specialties, and that headings are not used consistently enough to support safe automatic processing of the E H R.

ActClassInvestigation
type: ValueSet
version: 2014-03-26
label: ActClassInvestigation
comment: An formalized inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event. This investigation could be conducted at a local institutional level or at the level of a local or national government.
description: An formalized inquiry into the circumstances surrounding a particular unplanned event or potential event for the purposes of identifying possible causes and contributing factors for the event. This investigation could be conducted at a local institutional level or at the level of a local or national government.
status: active
canonical status: active

v3 Code System ActCode
type: ValueSet
version: 2015-11-30
label: v3 Code System ActCode
comment: A code specifying the particular kind of Act that the Act-instance represents within its class. Constraints: The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. The coding system will depend on the class of Act, such as LOINC for observations, etc. Conceptually, the Act.code must be a specialization of the Act.classCode. This is why the structure of ActClass domain should be reflected in the superstructure of the ActCode domain and then individual codes or externally referenced vocabularies subordinated under these domains that reflect the ActClass structure. Act.classCode and Act.code are not modifiers of each other but the Act.code concept should really imply the Act.classCode concept. For a negative example, it is not appropriate to use an Act.code "potassium" together with and Act.classCode for "laboratory observation" to somehow mean "potassium laboratory observation" and then use the same Act.code for "potassium" together with Act.classCode for "medication" to mean "substitution of potassium". This mutually modifying use of Act.code and Act.classCode is not permitted.
description: A code specifying the particular kind of Act that the Act-instance represents within its class. Constraints: The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. The coding system will depend on the class of Act, such as LOINC for observations, etc. Conceptually, the Act.code must be a specialization of the Act.classCode. This is why the structure of ActClass domain should be reflected in the superstructure of the ActCode domain and then individual codes or externally referenced vocabularies subordinated under these domains that reflect the ActClass structure. Act.classCode and Act.code are not modifiers of each other but the Act.code concept should really imply the Act.classCode concept. For a negative example, it is not appropriate to use an Act.code "potassium" together with and Act.classCode for "laboratory observation" to somehow mean "potassium laboratory observation" and then use the same Act.code for "potassium" together with Act.classCode for "medication" to mean "substitution of potassium". This mutually modifying use of Act.code and Act.classCode is not permitted.
date: 2015-11-30
status: active
canonical status: active
include: ActCode

v3 Code System ActCode
type: CodeSystem
label: v3 Code System ActCode
comment: A code specifying the particular kind of Act that the Act-instance represents within its class. Constraints: The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. The coding system will depend on the class of Act, such as LOINC for observations, etc. Conceptually, the Act.code must be a specialization of the Act.classCode. This is why the structure of ActClass domain should be reflected in the superstructure of the ActCode domain and then individual codes or externally referenced vocabularies subordinated under these domains that reflect the ActClass structure. Act.classCode and Act.code are not modifiers of each other but the Act.code concept should really imply the Act.classCode concept. For a negative example, it is not appropriate to use an Act.code "potassium" together with and Act.classCode for "laboratory observation" to somehow mean "potassium laboratory observation" and then use the same Act.code for "potassium" together with Act.classCode for "medication" to mean "substitution of potassium". This mutually modifying use of Act.code and Act.classCode is not permitted.
description: A code specifying the particular kind of Act that the Act-instance represents within its class. Constraints: The kind of Act (e.g. physical examination, serum potassium, inpatient encounter, charge financial transaction, etc.) is specified with a code from one of several, typically external, coding systems. The coding system will depend on the class of Act, such as LOINC for observations, etc. Conceptually, the Act.code must be a specialization of the Act.classCode. This is why the structure of ActClass domain should be reflected in the superstructure of the ActCode domain and then individual codes or externally referenced vocabularies subordinated under these domains that reflect the ActClass structure. Act.classCode and Act.code are not modifiers of each other but the Act.code concept should really imply the Act.classCode concept. For a negative example, it is not appropriate to use an Act.code "potassium" together with and Act.classCode for "laboratory observation" to somehow mean "potassium laboratory observation" and then use the same Act.code for "potassium" together with Act.classCode for "medication" to mean "substitution of potassium". This mutually modifying use of Act.code and Act.classCode is not permitted.
date: Mon Nov 30 00:00:00 AEDT 2015

ActAccountCode
sub class of: ActCode
label: ActAccountCode
comment: An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.
description: An account represents a grouping of financial transactions that are tracked and reported together with a single balance. Examples of account codes (types) are Patient billing accounts (collection of charges), Cost centers; Cash.

account receivable
sub class of: ActAccountCode
label: account receivable
comment: An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter.
description: An account for collecting charges, reversals, adjustments and payments, including deductibles, copayments, coinsurance (financial transactions) credited or debited to the account receivable account for a patient's encounter.

Cash
sub class of: ActAccountCode
label: Cash
comment: Cash
description: Cash

credit card
sub class of: ActAccountCode
label: credit card
comment: Description: Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.
description: Description: Types of advance payment to be made on a plastic card usually issued by a financial institution used of purchasing services and/or products.

American Express
sub class of: credit card
label: American Express
comment: American Express
description: American Express

Diner's Club
sub class of: credit card
label: Diner's Club
comment: Diner's Club
description: Diner's Club

Discover Card
sub class of: credit card
label: Discover Card
comment: Discover Card
description: Discover Card

Master Card
sub class of: credit card
label: Master Card
comment: Master Card
description: Master Card

Visa
sub class of: credit card
label: Visa
comment: Visa
description: Visa

patient billing account
sub class of: ActAccountCode
label: patient billing account
comment: An account representing charges and credits (financial transactions) for a patient's encounter.
description: An account representing charges and credits (financial transactions) for a patient's encounter.

ActAdjudicationCode
sub class of: ActCode
label: ActAdjudicationCode
comment: Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
description: Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.

ActAdjudicationGroupCode
sub class of: ActAdjudicationCode
label: ActAdjudicationGroupCode
comment: Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).
description: Catagorization of grouping criteria for the associated transactions and/or summary (totals, subtotals).

contract
sub class of: ActAdjudicationGroupCode
label: contract
comment: Transaction counts and value totals by Contract Identifier.
description: Transaction counts and value totals by Contract Identifier.

day
sub class of: ActAdjudicationGroupCode
label: day
comment: Transaction counts and value totals for each calendar day within the date range specified.
description: Transaction counts and value totals for each calendar day within the date range specified.

location
sub class of: ActAdjudicationGroupCode
label: location
comment: Transaction counts and value totals by service location (e.g clinic).
description: Transaction counts and value totals by service location (e.g clinic).

month
sub class of: ActAdjudicationGroupCode
label: month
comment: Transaction counts and value totals for each calendar month within the date range specified.
description: Transaction counts and value totals for each calendar month within the date range specified.

period
sub class of: ActAdjudicationGroupCode
label: period
comment: Transaction counts and value totals for the date range specified.
description: Transaction counts and value totals for the date range specified.

provider
sub class of: ActAdjudicationGroupCode
label: provider
comment: Transaction counts and value totals by Provider Identifier.
description: Transaction counts and value totals by Provider Identifier.

week
sub class of: ActAdjudicationGroupCode
label: week
comment: Transaction counts and value totals for each calendar week within the date range specified.
description: Transaction counts and value totals for each calendar week within the date range specified.

year
sub class of: ActAdjudicationGroupCode
label: year
comment: Transaction counts and value totals for each calendar year within the date range specified.
description: Transaction counts and value totals for each calendar year within the date range specified.

adjudicated with adjustments
sub class of: ActAdjudicationCode
label: adjudicated with adjustments
comment: The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges). Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
description: The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges). Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).

adjudicated with adjustments and no financial impact
sub class of: adjudicated with adjustments
label: adjudicated with adjustments and no financial impact
comment: The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
description: The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).

adjudicated as refused
sub class of: ActAdjudicationCode
label: adjudicated as refused
comment: The invoice element has passed through the adjudication process but payment is refused due to one or more reasons. Includes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late'). If one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected. A refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer. Invoice element cannot be reversed (nullified) as there is nothing to reverse. Recommend that the invoice element is not saved for DUR (Drug Utilization Reporting).
description: The invoice element has passed through the adjudication process but payment is refused due to one or more reasons. Includes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late'). If one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected. A refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer. Invoice element cannot be reversed (nullified) as there is nothing to reverse. Recommend that the invoice element is not saved for DUR (Drug Utilization Reporting).

adjudicated as submitted
sub class of: ActAdjudicationCode
label: adjudicated as submitted
comment: The invoice element was/will be paid exactly as submitted, without financial adjustment(s). If the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as "Adjudicated with Adjustment". If information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim'). Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).
description: The invoice element was/will be paid exactly as submitted, without financial adjustment(s). If the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as "Adjudicated with Adjustment". If information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim'). Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting).

ActAdjudicationResultActionCode
sub class of: ActCode
label: ActAdjudicationResultActionCode
comment: Actions to be carried out by the recipient of the Adjudication Result information.
description: Actions to be carried out by the recipient of the Adjudication Result information.

Display
sub class of: ActAdjudicationResultActionCode
label: Display
comment: The adjudication result associated is to be displayed to the receiver of the adjudication result.
description: The adjudication result associated is to be displayed to the receiver of the adjudication result.

Print on Form
sub class of: ActAdjudicationResultActionCode
label: Print on Form
comment: The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.
description: The adjudication result associated is to be printed on the specified form, which is then provided to the covered party.

ActBillableModifierCode
sub class of: ActCode
label: ActBillableModifierCode
comment: Definition:An identifying modifier code for healthcare interventions or procedures.
description: Definition:An identifying modifier code for healthcare interventions or procedures.

CPT modifier codes
sub class of: ActBillableModifierCode
label: CPT modifier codes
comment: Description:CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.
description: Description:CPT modifier codes are found in Appendix A of CPT 2000 Standard Edition.

HCPCS Level II and Carrier-assigned
sub class of: ActBillableModifierCode
label: HCPCS Level II and Carrier-assigned
comment: Description:HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are reported in Appendix A of CPT 2000 Standard Edition and in the Medicare Bulletin.
description: Description:HCPCS Level II (HCFA-assigned) and Carrier-assigned (Level III) modifiers are reported in Appendix A of CPT 2000 Standard Edition and in the Medicare Bulletin.

ActBillingArrangementCode
sub class of: ActCode
label: ActBillingArrangementCode
comment: The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.
description: The type of provision(s) made for reimbursing for the deliver of healthcare services and/or goods provided by a Provider, over a specified period.

block funding
sub class of: ActBillingArrangementCode
label: block funding
comment: A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary. This billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors.
description: A billing arrangement where a Provider charges a lump sum to provide a prescribed group (volume) of services to a single patient which occur over a period of time. Services included in the block may vary. This billing arrangement is also known as Program of Care for some specific Payors and Program Fees for other Payors.

capitation funding
sub class of: ActBillingArrangementCode
label: capitation funding
comment: A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).
description: A billing arrangement where the payment made to a Provider is determined by analyzing one or more demographic attributes about the persons/patients who are enrolled with the Provider (in their practice).

contract funding
sub class of: ActBillingArrangementCode
label: contract funding
comment: A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.
description: A billing arrangement where a Provider charges a lump sum to provide a particular volume of one or more interventions/procedures or groups of interventions/procedures.

financial
sub class of: ActBillingArrangementCode
label: financial
comment: A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement.
description: A billing arrangement where a Provider charges for non-clinical items. This includes interest in arrears, mileage, etc. Clinical content is not included in Invoices submitted with this type of billing arrangement.

roster funding
sub class of: ActBillingArrangementCode
label: roster funding
comment: A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.
description: A billing arrangement where funding is based on a list of individuals registered as patients of the Provider.

sessional funding
sub class of: ActBillingArrangementCode
label: sessional funding
comment: A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary.
description: A billing arrangement where a Provider charges a sum to provide a group (volume) of interventions/procedures to one or more patients within a defined period of time, typically on the same date. Interventions/procedures included in the session may vary.

fee for service
sub class of: ActBillingArrangementCode
label: fee for service
comment: A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product. Fee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes.
description: A billing arrangement where a Provider charges a separate fee for each intervention/procedure/event or product. Fee for Service is used when an individual intervention/procedure/event is used for billing purposes. In other words, fees are associated with the intervention/procedure/event. For example, a specific CCI (Canadian Classification of Interventions) code has an associated fee and is used for billing purposes.

first fill, part fill, partial strength
sub class of: fee for service
label: first fill, part fill, partial strength
comment: A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets)
description: A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets)

first fill complete, partial strength
sub class of: fee for service
label: first fill complete, partial strength
comment: A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
description: A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets) and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).

trial fill partial strength
sub class of: fee for service
label: trial fill partial strength
comment: A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
description: A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance and also where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).

ActBoundedROICode
sub class of: ActCode
label: ActBoundedROICode
comment: Type of bounded ROI.
description: Type of bounded ROI.

fully specified ROI
sub class of: ActBoundedROICode
label: fully specified ROI
comment: A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded. For example a ROI to mark an episode of "ST elevation" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4.
description: A fully specified bounded Region of Interest (ROI) delineates a ROI in which only those dimensions participate that are specified by boundary criteria, whereas all other dimensions are excluded. For example a ROI to mark an episode of "ST elevation" in a subset of the EKG leads V2, V3, and V4 would include 4 boundaries, one each for time, V2, V3, and V4.

partially specified ROI
sub class of: ActBoundedROICode
label: partially specified ROI
comment: A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed.
description: A partially specified bounded Region of Interest (ROI) specifies a ROI in which at least all values in the dimensions specified by the boundary criteria participate. For example, if an episode of ventricular fibrillations (VFib) is observed, it usually doesn't make sense to exclude any EKG leads from the observation and the partially specified ROI would contain only one boundary for time indicating the time interval where VFib was observed.

act care provision
sub class of: ActCode
label: act care provision
comment: Description:The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.
description: Description:The type and scope of responsibility taken-on by the performer of the Act for a specific subject of care.

act credentialed care
sub class of: act care provision
label: act credentialed care
comment: Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements. Example:Hospital license; physician license; clinic accreditation.
description: Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by a credentialing agency, i.e. government or non-government agency. Failure in executing this Act may result in loss of credential to the person or organization who participates as performer of the Act. Excludes employment agreements. Example:Hospital license; physician license; clinic accreditation.

act credentialed care provision peron
sub class of: act credentialed care
label: act credentialed care provision peron
comment: Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.
description: Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing individuals.

certified anatomic pathology and clinical pathology care
sub class of: act credentialed care provision peron
label: certified anatomic pathology and clinical pathology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified allergy and immunology care
sub class of: act credentialed care provision peron
label: certified allergy and immunology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified aerospace medicine care
sub class of: act credentialed care provision peron
label: certified aerospace medicine care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified anesthesiology care
sub class of: act credentialed care provision peron
label: certified anesthesiology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified anatomic pathology care
sub class of: act credentialed care provision peron
label: certified anatomic pathology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified clinical biochemical genetics care
sub class of: act credentialed care provision peron
label: certified clinical biochemical genetics care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified clinical cytogenetics care
sub class of: act credentialed care provision peron
label: certified clinical cytogenetics care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified clinical genetics (M.D.) care
sub class of: act credentialed care provision peron
label: certified clinical genetics (M.D.) care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified clinical pathology care
sub class of: act credentialed care provision peron
label: certified clinical pathology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified colon and rectal surgery care
sub class of: act credentialed care provision peron
label: certified colon and rectal surgery care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified dermatology care
sub class of: act credentialed care provision peron
label: certified dermatology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified diagnostic radiology care
sub class of: act credentialed care provision peron
label: certified diagnostic radiology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified emergency medicine care
sub class of: act credentialed care provision peron
label: certified emergency medicine care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified family practice care
sub class of: act credentialed care provision peron
label: certified family practice care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified internal medicine care
sub class of: act credentialed care provision peron
label: certified internal medicine care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified clinical molecular genetics care
sub class of: act credentialed care provision peron
label: certified clinical molecular genetics care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified neurology care
sub class of: act credentialed care provision peron
label: certified neurology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board

certified nuclear medicine care
sub class of: act credentialed care provision peron
label: certified nuclear medicine care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified neurology with special qualifications in child neurology care
sub class of: act credentialed care provision peron
label: certified neurology with special qualifications in child neurology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified neurological surgery care
sub class of: act credentialed care provision peron
label: certified neurological surgery care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified obstetrics and gynecology care
sub class of: act credentialed care provision peron
label: certified obstetrics and gynecology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified occupational medicine care
sub class of: act credentialed care provision peron
label: certified occupational medicine care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified ophthalmology care
sub class of: act credentialed care provision peron
label: certified ophthalmology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified orthopaedic surgery care
sub class of: act credentialed care provision peron
label: certified orthopaedic surgery care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified otolaryngology care
sub class of: act credentialed care provision peron
label: certified otolaryngology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified pediatrics care
sub class of: act credentialed care provision peron
label: certified pediatrics care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified Ph.D. medical genetics care
sub class of: act credentialed care provision peron
label: certified Ph.D. medical genetics care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified public health and general preventive medicine care
sub class of: act credentialed care provision peron
label: certified public health and general preventive medicine care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified physical medicine and rehabilitation care
sub class of: act credentialed care provision peron
label: certified physical medicine and rehabilitation care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified plastic surgery care
sub class of: act credentialed care provision peron
label: certified plastic surgery care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified psychiatry care
sub class of: act credentialed care provision peron
label: certified psychiatry care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified radiation oncology care
sub class of: act credentialed care provision peron
label: certified radiation oncology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified radiological physics care
sub class of: act credentialed care provision peron
label: certified radiological physics care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified surgery care
sub class of: act credentialed care provision peron
label: certified surgery care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified thoracic surgery care
sub class of: act credentialed care provision peron
label: certified thoracic surgery care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified urology care
sub class of: act credentialed care provision peron
label: certified urology care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

certified vascular surgery care
sub class of: act credentialed care provision peron
label: certified vascular surgery care
comment: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.
description: Description:Scope of responsibility taken on for specialty care as defined by the respective Specialty Board.

licensed general physician care
sub class of: act credentialed care provision peron
label: licensed general physician care
comment: Description:Scope of responsibility taken-on for physician care of a patient as defined by a governmental licensing agency.
description: Description:Scope of responsibility taken-on for physician care of a patient as defined by a governmental licensing agency.

act credentialed care provision program
sub class of: act credentialed care
label: act credentialed care provision program
comment: Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing programs within organizations.
description: Description:The type and scope of legal and/or professional responsibility taken-on by the performer of the Act for a specific subject of care as described by an agency for credentialing programs within organizations.

accredited assisted living care
sub class of: act credentialed care provision program
label: accredited assisted living care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.

accredited ambulatory care
sub class of: act credentialed care provision program
label: accredited ambulatory care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.

accredited behavioral health care
sub class of: act credentialed care provision program
label: accredited behavioral health care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.

accredited critical access hospital care
sub class of: act credentialed care provision program
label: accredited critical access hospital care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.

accredited hospital care
sub class of: act credentialed care provision program
label: accredited hospital care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.

accredited home care
sub class of: act credentialed care provision program
label: accredited home care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.

accredited long term care
sub class of: act credentialed care provision program
label: accredited long term care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.

accredited office-based surgery care
sub class of: act credentialed care provision program
label: accredited office-based surgery care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the respective accreditation agency.

certified acute coronary syndrome care
sub class of: act credentialed care provision program
label: certified acute coronary syndrome care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified acute myocardial infarction care
sub class of: act credentialed care provision program
label: certified acute myocardial infarction care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified asthma care
sub class of: act credentialed care provision program
label: certified asthma care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified bariatric surgery care
sub class of: act credentialed care provision program
label: certified bariatric surgery care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified coronary artery disease care
sub class of: act credentialed care provision program
label: certified coronary artery disease care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified cardiac care
sub class of: act credentialed care provision program
label: certified cardiac care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified depression care
sub class of: act credentialed care provision program
label: certified depression care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified digestive/gastrointestinal disorders care
sub class of: act credentialed care provision program
label: certified digestive/gastrointestinal disorders care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified diabetes care
sub class of: act credentialed care provision program
label: certified diabetes care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified epilepsy care
sub class of: act credentialed care provision program
label: certified epilepsy care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified frail elderly care
sub class of: act credentialed care provision program
label: certified frail elderly care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified heart failure care
sub class of: act credentialed care provision program
label: certified heart failure care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified high risk obstetrics care
sub class of: act credentialed care provision program
label: certified high risk obstetrics care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified hyperlipidemia care
sub class of: act credentialed care provision program
label: certified hyperlipidemia care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified migraine headache care
sub class of: act credentialed care provision program
label: certified migraine headache care
comment: Description:.
description: Description:.

certified multiple sclerosis care
sub class of: act credentialed care provision program
label: certified multiple sclerosis care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified orthopedic joint replacement care
sub class of: act credentialed care provision program
label: certified orthopedic joint replacement care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified oncology care
sub class of: act credentialed care provision program
label: certified oncology care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified chronic obstructive pulmonary disease care
sub class of: act credentialed care provision program
label: certified chronic obstructive pulmonary disease care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified organ transplant care
sub class of: act credentialed care provision program
label: certified organ transplant care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified parkinsons disease care
sub class of: act credentialed care provision program
label: certified parkinsons disease care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified pneumonia disease care
sub class of: act credentialed care provision program
label: certified pneumonia disease care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified primary stroke center care
sub class of: act credentialed care provision program
label: certified primary stroke center care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified stroke disease management care
sub class of: act credentialed care provision program
label: certified stroke disease management care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified sickle cell care
sub class of: act credentialed care provision program
label: certified sickle cell care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified sleep disorders care
sub class of: act credentialed care provision program
label: certified sleep disorders care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified spine treatment care
sub class of: act credentialed care provision program
label: certified spine treatment care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified trauma/burn center care
sub class of: act credentialed care provision program
label: certified trauma/burn center care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified vascular diseases care
sub class of: act credentialed care provision program
label: certified vascular diseases care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified wound management care
sub class of: act credentialed care provision program
label: certified wound management care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

certified women's health care
sub class of: act credentialed care provision program
label: certified women's health care
comment: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.
description: Description:Scope of responsibility taken on by an organization for care of a patient as defined by the disease management certification agency.

ActEncounterCode
sub class of: act care provision
label: ActEncounterCode
comment: Domain provides codes that qualify the ActEncounterClass (ENC)
description: Domain provides codes that qualify the ActEncounterClass (ENC)

ambulatory
sub class of: ActEncounterCode
label: ambulatory
comment: A comprehensive term for health care provided in a healthcare facility (e.g. a practitioneraTMs office, clinic setting, or hospital) on a nonresident basis. The term ambulatory usually implies that the patient has come to the location and is not assigned to a bed. Sometimes referred to as an outpatient encounter.
description: A comprehensive term for health care provided in a healthcare facility (e.g. a practitioneraTMs office, clinic setting, or hospital) on a nonresident basis. The term ambulatory usually implies that the patient has come to the location and is not assigned to a bed. Sometimes referred to as an outpatient encounter.

emergency
sub class of: ActEncounterCode
label: emergency
comment: A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)
description: A patient encounter that takes place at a dedicated healthcare service delivery location where the patient receives immediate evaluation and treatment, provided until the patient can be discharged or responsibility for the patient's care is transferred elsewhere (for example, the patient could be admitted as an inpatient or transferred to another facility.)

field
sub class of: ActEncounterCode
label: field
comment: A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket.
description: A patient encounter that takes place both outside a dedicated service delivery location and outside a patient's residence. Example locations might include an accident site and at a supermarket.

home health
sub class of: ActEncounterCode
label: home health
comment: Healthcare encounter that takes place in the residence of the patient or a designee
description: Healthcare encounter that takes place in the residence of the patient or a designee

inpatient encounter
sub class of: ActEncounterCode
label: inpatient encounter
comment: A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.
description: A patient encounter where a patient is admitted by a hospital or equivalent facility, assigned to a location where patients generally stay at least overnight and provided with room, board, and continuous nursing service.

inpatient acute
sub class of: inpatient encounter
label: inpatient acute
comment: An acute inpatient encounter.
description: An acute inpatient encounter.

inpatient non-acute
sub class of: inpatient encounter
label: inpatient non-acute
comment: Any category of inpatient encounter except 'acute'
description: Any category of inpatient encounter except 'acute'

pre-admission
sub class of: ActEncounterCode
label: pre-admission
comment: A patient encounter where patient is scheduled or planned to receive service delivery in the future, and the patient is given a pre-admission account number. When the patient comes back for subsequent service, the pre-admission encounter is selected and is encapsulated into the service registration, and a new account number is generated. Usage Note: This is intended to be used in advance of encounter types such as ambulatory, inpatient encounter, virtual, etc.
description: A patient encounter where patient is scheduled or planned to receive service delivery in the future, and the patient is given a pre-admission account number. When the patient comes back for subsequent service, the pre-admission encounter is selected and is encapsulated into the service registration, and a new account number is generated. Usage Note: This is intended to be used in advance of encounter types such as ambulatory, inpatient encounter, virtual, etc.

short stay
sub class of: ActEncounterCode
label: short stay
comment: An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.
description: An encounter where the patient is admitted to a health care facility for a predetermined length of time, usually less than 24 hours.

virtual
sub class of: ActEncounterCode
label: virtual
comment: A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference.
description: A patient encounter where the patient and the practitioner(s) are not in the same physical location. Examples include telephone conference, email exchange, robotic surgery, and televideo conference.

ActMedicalServiceCode
sub class of: act care provision
label: ActMedicalServiceCode
comment: General category of medical service provided to the patient during their encounter.
description: General category of medical service provided to the patient during their encounter.

Alternative Level of Care
sub class of: ActMedicalServiceCode
label: Alternative Level of Care
comment: Provision of Alternate Level of Care to a patient in an acute bed. Patient is waiting for placement in a long-term care facility and is unable to return home.
description: Provision of Alternate Level of Care to a patient in an acute bed. Patient is waiting for placement in a long-term care facility and is unable to return home.

Cardiology
sub class of: ActMedicalServiceCode
label: Cardiology
comment: Provision of diagnosis and treatment of diseases and disorders affecting the heart
description: Provision of diagnosis and treatment of diseases and disorders affecting the heart

Chronic
sub class of: ActMedicalServiceCode
label: Chronic
comment: Provision of recurring care for chronic illness.
description: Provision of recurring care for chronic illness.

Dental
sub class of: ActMedicalServiceCode
label: Dental
comment: Provision of treatment for oral health and/or dental surgery.
description: Provision of treatment for oral health and/or dental surgery.

Drug Rehab
sub class of: ActMedicalServiceCode
label: Drug Rehab
comment: Provision of treatment for drug abuse.
description: Provision of treatment for drug abuse.

General
sub class of: ActMedicalServiceCode
label: General
comment: General care performed by a general practitioner or family doctor as a responsible provider for a patient.
description: General care performed by a general practitioner or family doctor as a responsible provider for a patient.

Medical
sub class of: ActMedicalServiceCode
label: Medical
comment: Provision of diagnostic and/or therapeutic treatment.
description: Provision of diagnostic and/or therapeutic treatment.

Obstetrics
sub class of: ActMedicalServiceCode
label: Obstetrics
comment: Provision of care of women during pregnancy, childbirth and immediate postpartum period. Also known as Maternity.
description: Provision of care of women during pregnancy, childbirth and immediate postpartum period. Also known as Maternity.

Oncology
sub class of: ActMedicalServiceCode
label: Oncology
comment: Provision of treatment and/or diagnosis related to tumors and/or cancer.
description: Provision of treatment and/or diagnosis related to tumors and/or cancer.

Palliative
sub class of: ActMedicalServiceCode
label: Palliative
comment: Provision of care for patients who are living or dying from an advanced illness.
description: Provision of care for patients who are living or dying from an advanced illness.

Pediatrics
sub class of: ActMedicalServiceCode
label: Pediatrics
comment: Provision of diagnosis and treatment of diseases and disorders affecting children.
description: Provision of diagnosis and treatment of diseases and disorders affecting children.

Pharmaceutical
sub class of: ActMedicalServiceCode
label: Pharmaceutical
comment: Pharmaceutical care performed by a pharmacist.
description: Pharmaceutical care performed by a pharmacist.

Physical Rehab
sub class of: ActMedicalServiceCode
label: Physical Rehab
comment: Provision of treatment for physical injury.
description: Provision of treatment for physical injury.

Psychiatric
sub class of: ActMedicalServiceCode
label: Psychiatric
comment: Provision of treatment of psychiatric disorder relating to mental illness.
description: Provision of treatment of psychiatric disorder relating to mental illness.

Surgical
sub class of: ActMedicalServiceCode
label: Surgical
comment: Provision of surgical treatment.
description: Provision of surgical treatment.

ActClaimAttachmentCategoryCode
sub class of: ActCode
label: ActClaimAttachmentCategoryCode
comment: Description: Coded types of attachments included to support a healthcare claim.
description: Description: Coded types of attachments included to support a healthcare claim.

auto attachment
sub class of: ActClaimAttachmentCategoryCode
label: auto attachment
comment: Description: Automobile Information Attachment
description: Description: Automobile Information Attachment

document
sub class of: ActClaimAttachmentCategoryCode
label: document
comment: Description: Document Attachment
description: Description: Document Attachment

health record
sub class of: ActClaimAttachmentCategoryCode
label: health record
comment: Description: Health Record Attachment
description: Description: Health Record Attachment

image attachment
sub class of: ActClaimAttachmentCategoryCode
label: image attachment
comment: Description: Image Attachment
description: Description: Image Attachment

lab results
sub class of: ActClaimAttachmentCategoryCode
label: lab results
comment: Description: Lab Results Attachment
description: Description: Lab Results Attachment

model
sub class of: ActClaimAttachmentCategoryCode
label: model
comment: Description: Digital Model Attachment
description: Description: Digital Model Attachment

work injury report attachment
sub class of: ActClaimAttachmentCategoryCode
label: work injury report attachment
comment: Description: Work Injury related additional Information Attachment
description: Description: Work Injury related additional Information Attachment

x-ray
sub class of: ActClaimAttachmentCategoryCode
label: x-ray
comment: Description: Digital X-Ray Attachment
description: Description: Digital X-Ray Attachment

ActConsentType
sub class of: ActCode
label: ActConsentType
comment: Definition: The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.
description: Definition: The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.

information collection
sub class of: ActConsentType
label: information collection
comment: Definition: Consent to have healthcare information collected in an electronic health record. This entails that the information may be used in analysis, modified, updated.
description: Definition: Consent to have healthcare information collected in an electronic health record. This entails that the information may be used in analysis, modified, updated.

information disclosure
sub class of: ActConsentType
label: information disclosure
comment: Definition: Consent to have collected healthcare information disclosed.
description: Definition: Consent to have collected healthcare information disclosed.

information access
sub class of: ActConsentType
label: information access
comment: Definition: Consent to access healthcare information.
description: Definition: Consent to access healthcare information.

access only
sub class of: information access
label: access only
comment: Definition: Consent to access or "read" only, which entails that the information is not to be copied, screen printed, saved, emailed, stored, re-disclosed or altered in any way. This level ensures that data which is masked or to which access is restricted will not be. Example: Opened and then emailed or screen printed for use outside of the consent directive purpose.
description: Definition: Consent to access or "read" only, which entails that the information is not to be copied, screen printed, saved, emailed, stored, re-disclosed or altered in any way. This level ensures that data which is masked or to which access is restricted will not be. Example: Opened and then emailed or screen printed for use outside of the consent directive purpose.

access and save only
sub class of: information access
label: access and save only
comment: Definition: Consent to access and save only, which entails that access to the saved copy will remain locked.
description: Definition: Consent to access and save only, which entails that access to the saved copy will remain locked.

information redisclosure
sub class of: ActConsentType
label: information redisclosure
comment: Definition: Information re-disclosed without the patient's consent.
description: Definition: Information re-disclosed without the patient's consent.

research information access
sub class of: ActConsentType
label: research information access
comment: Definition: Consent to have healthcare information in an electronic health record accessed for research purposes.
description: Definition: Consent to have healthcare information in an electronic health record accessed for research purposes.

de-identified information access
sub class of: research information access
label: de-identified information access
comment: Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes, but without consent to re-identify the information under any circumstance.
description: Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes, but without consent to re-identify the information under any circumstance.

re-identifiable information access
sub class of: research information access
label: re-identifiable information access
comment: Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes re-identified under specific circumstances outlined in the consent. Example:: Where there is a need to inform the subject of potential health issues.
description: Definition: Consent to have de-identified healthcare information in an electronic health record that is accessed for research purposes re-identified under specific circumstances outlined in the consent. Example:: Where there is a need to inform the subject of potential health issues.

ActContainerRegistrationCode
sub class of: ActCode
label: ActContainerRegistrationCode
comment: Constrains the ActCode to the domain of Container Registration
description: Constrains the ActCode to the domain of Container Registration

Identified
sub class of: ActContainerRegistrationCode
label: Identified
comment: Used by one system to inform another that it has received a container.
description: Used by one system to inform another that it has received a container.

In Position
sub class of: ActContainerRegistrationCode
label: In Position
comment: Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).
description: Used by one system to inform another that the container is in position for specimen transfer (e.g., container removal from track, pipetting, etc.).

Left Equipment
sub class of: ActContainerRegistrationCode
label: Left Equipment
comment: Used by one system to inform another that the container has been released from that system.
description: Used by one system to inform another that the container has been released from that system.

Missing
sub class of: ActContainerRegistrationCode
label: Missing
comment: Used by one system to inform another that the container did not arrive at its next expected location.
description: Used by one system to inform another that the container did not arrive at its next expected location.

In Process
sub class of: ActContainerRegistrationCode
label: In Process
comment: Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant.
description: Used by one system to inform another that the specific container is being processed by the equipment. It is useful as a response to a query about Container Status, when the specific step of the process is not relevant.

Process Completed
sub class of: ActContainerRegistrationCode
label: Process Completed
comment: Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system.
description: Status is used by one system to inform another that the processing has been completed, but the container has not been released from that system.

Container Unavailable
sub class of: ActContainerRegistrationCode
label: Container Unavailable
comment: Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).
description: Used by one system to inform another that the container is no longer available within the scope of the system (e.g., tube broken or discarded).

ActControlVariable
sub class of: ActCode
label: ActControlVariable
comment: An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure. Control variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. While control variables sometimes can be observed (by noting the control settings or an actually measured feedback loop) they are not primary observations, in the sense that a control variable without a primary act is of no use (e.g., it makes no sense to record a blood pressure position without recording a blood pressure, whereas it does make sense to record a systolic blood pressure without a diastolic blood pressure).
description: An observation form that determines parameters or attributes of an Act. Examples are the settings of a ventilator machine as parameters of a ventilator treatment act; the controls on dillution factors of a chemical analyzer as a parameter of a laboratory observation act; the settings of a physiologic measurement assembly (e.g., time skew) or the position of the body while measuring blood pressure. Control variables are forms of observations because just as with clinical observations, the Observation.code determines the parameter and the Observation.value assigns the value. While control variables sometimes can be observed (by noting the control settings or an actually measured feedback loop) they are not primary observations, in the sense that a control variable without a primary act is of no use (e.g., it makes no sense to record a blood pressure position without recording a blood pressure, whereas it does make sense to record a systolic blood pressure without a diastolic blood pressure).

auto-repeat permission
sub class of: ActControlVariable
label: auto-repeat permission
comment: Specifies whether or not automatic repeat testing is to be initiated on specimens.
description: Specifies whether or not automatic repeat testing is to be initiated on specimens.

endogenous content
sub class of: ActControlVariable
label: endogenous content
comment: A baseline value for the measured test that is inherently contained in the diluent. In the calculation of the actual result for the measured test, this baseline value is normally considered.
description: A baseline value for the measured test that is inherently contained in the diluent. In the calculation of the actual result for the measured test, this baseline value is normally considered.

reflex permission
sub class of: ActControlVariable
label: reflex permission
comment: Specifies whether or not further testing may be automatically or manually initiated on specimens.
description: Specifies whether or not further testing may be automatically or manually initiated on specimens.

ActCoverageConfirmationCode
sub class of: ActCode
label: ActCoverageConfirmationCode
comment: Response to an insurance coverage eligibility query or authorization request.
description: Response to an insurance coverage eligibility query or authorization request.

ActCoverageAuthorizationConfirmationCode
sub class of: ActCoverageConfirmationCode
label: ActCoverageAuthorizationConfirmationCode
comment: Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.
description: Indication of authorization for healthcare service(s) and/or product(s). If authorization is approved, funds are set aside.

Authorized
sub class of: ActCoverageAuthorizationConfirmationCode
label: Authorized
comment: Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.
description: Authorization approved and funds have been set aside to pay for specified healthcare service(s) and/or product(s) within defined criteria for the authorization.

Not Authorized
sub class of: ActCoverageAuthorizationConfirmationCode
label: Not Authorized
comment: Authorization for specified healthcare service(s) and/or product(s) denied.
description: Authorization for specified healthcare service(s) and/or product(s) denied.

ActCoverageEligibilityConfirmationCode
sub class of: ActCoverageConfirmationCode
label: ActCoverageEligibilityConfirmationCode
comment: Indication of eligibility coverage for healthcare service(s) and/or product(s).
description: Indication of eligibility coverage for healthcare service(s) and/or product(s).

Eligible
sub class of: ActCoverageEligibilityConfirmationCode
label: Eligible
comment: Insurance coverage is in effect for healthcare service(s) and/or product(s).
description: Insurance coverage is in effect for healthcare service(s) and/or product(s).

Not Eligible
sub class of: ActCoverageEligibilityConfirmationCode
label: Not Eligible
comment: Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.
description: Insurance coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.

ActCoverageLimitCode
sub class of: ActCode
label: ActCoverageLimitCode
comment: Criteria that are applicable to the authorized coverage.
description: Criteria that are applicable to the authorized coverage.

ActCoverageQuantityLimitCode
sub class of: ActCoverageLimitCode
label: ActCoverageQuantityLimitCode
comment: Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.
description: Maximum amount paid or maximum number of services/products covered; or maximum amount or number covered during a specified time period under the policy or program.

coverage period
sub class of: ActCoverageQuantityLimitCode
label: coverage period
comment: Codes representing the time period during which coverage is available; or financial participation requirements are in effect.
description: Codes representing the time period during which coverage is available; or financial participation requirements are in effect.

life time maximum
sub class of: ActCoverageQuantityLimitCode
label: life time maximum
comment: Definition: Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.
description: Definition: Maximum amount paid by payer or covered party; or maximum number of services or products covered under the policy or program during a covered party's lifetime.

Net Amount
sub class of: ActCoverageQuantityLimitCode
label: Net Amount
comment: Maximum net amount that will be covered for the product or service specified.
description: Maximum net amount that will be covered for the product or service specified.

period maximum
sub class of: ActCoverageQuantityLimitCode
label: period maximum
comment: Definition: Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.
description: Definition: Maximum amount paid by payer or covered party; or maximum number of services/products covered under the policy or program by time period specified by the effective time on the act.

Unit Price
sub class of: ActCoverageQuantityLimitCode
label: Unit Price
comment: Maximum unit price that will be covered for the authorized product or service.
description: Maximum unit price that will be covered for the authorized product or service.

Unit Quantity
sub class of: ActCoverageQuantityLimitCode
label: Unit Quantity
comment: Maximum number of items that will be covered of the product or service specified.
description: Maximum number of items that will be covered of the product or service specified.

coverage maximum
sub class of: ActCoverageLimitCode
label: coverage maximum
comment: Definition: Codes representing the maximum coverate or financial participation requirements.
description: Definition: Codes representing the maximum coverate or financial participation requirements.

ActCoveredPartyLimitCode
sub class of: ActCoverageLimitCode
label: ActCoveredPartyLimitCode
comment: Codes representing the types of covered parties that may receive covered benefits under a policy or program.
description: Codes representing the types of covered parties that may receive covered benefits under a policy or program.

ActCoverageTypeCode
sub class of: ActCode
label: ActCoverageTypeCode
comment: Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.
description: Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.

ActInsurancePolicyCode
sub class of: ActCoverageTypeCode
label: ActInsurancePolicyCode
comment: Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.
description: Set of codes indicating the type of insurance policy or other source of funds to cover healthcare costs.

extended healthcare
sub class of: ActInsurancePolicyCode
label: extended healthcare
comment: Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a Public Healthcare insurance policy).
description: Private insurance policy that provides coverage in addition to other policies (e.g. in addition to a Public Healthcare insurance policy).

health spending account
sub class of: ActInsurancePolicyCode
label: health spending account
comment: Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) basis. The use of the funds under this policy is at the discretion of the covered party.
description: Insurance policy that provides for an allotment of funds replenished on a periodic (e.g. annual) basis. The use of the funds under this policy is at the discretion of the covered party.

automobile
sub class of: ActInsurancePolicyCode
label: automobile
comment: Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-named parties to the policy, such as pedestrians and passengers.
description: Insurance policy for injuries sustained in an automobile accident. Will also typically covered non-named parties to the policy, such as pedestrians and passengers.

collision coverage policy
sub class of: automobile
label: collision coverage policy
comment: Definition: An automobile insurance policy under which the insurance company will cover the cost of damages to an automobile owned by the named insured that are caused by accident or intentionally by another party.
description: Definition: An automobile insurance policy under which the insurance company will cover the cost of damages to an automobile owned by the named insured that are caused by accident or intentionally by another party.

uninsured motorist policy
sub class of: automobile
label: uninsured motorist policy
comment: Definition: An automobile insurance policy under which the insurance company will indemnify a loss for which another motorist is liable if that motorist is unable to pay because he or she is uninsured. Coverage under the policy applies to bodily injury damages only. Injuries to the covered party caused by a hit-and-run driver are also covered.
description: Definition: An automobile insurance policy under which the insurance company will indemnify a loss for which another motorist is liable if that motorist is unable to pay because he or she is uninsured. Coverage under the policy applies to bodily injury damages only. Injuries to the covered party caused by a hit-and-run driver are also covered.

public healthcare
sub class of: ActInsurancePolicyCode
label: public healthcare
comment: Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service).
description: Insurance policy funded by a public health system such as a provincial or national health plan. Examples include BC MSP (British Columbia Medical Services Plan) OHIP (Ontario Health Insurance Plan), NHS (National Health Service).

dental program
sub class of: public healthcare
label: dental program
comment: Definition: A public or government health program that administers and funds coverage for dental care to assist program eligible who meet financial and health status criteria.
description: Definition: A public or government health program that administers and funds coverage for dental care to assist program eligible who meet financial and health status criteria.

public health program
sub class of: public healthcare
label: public health program
comment: Definition: A public or government health program that administers and funds coverage for health and social services to assist program eligible who meet financial and health status criteria related to a particular disease. Example: Reproductive health, sexually transmitted disease, and end renal disease programs.
description: Definition: A public or government health program that administers and funds coverage for health and social services to assist program eligible who meet financial and health status criteria related to a particular disease. Example: Reproductive health, sexually transmitted disease, and end renal disease programs.

women's cancer detection program
sub class of: public health program
label: women's cancer detection program
comment: Definition: A program that provides low-income, uninsured, and underserved women access to timely, high-quality screening and diagnostic services, to detect breast and cervical cancer at the earliest stages. Example: To improve women's access to screening for breast and cervical cancers, Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990, which guided CDC in creating the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which provides access to critical breast and cervical cancer screening services for underserved women in the United States. An estimated 7 to 10% of U.S. women of screening age are eligible to receive NBCCEDP services. Federal guidelines establish an eligibility baseline to direct services to uninsured and underinsured women at or below 250% of federal poverty level; ages 18 to 64 for cervical screening; ages 40 to 64 for breast screening.
description: Definition: A program that provides low-income, uninsured, and underserved women access to timely, high-quality screening and diagnostic services, to detect breast and cervical cancer at the earliest stages. Example: To improve women's access to screening for breast and cervical cancers, Congress passed the Breast and Cervical Cancer Mortality Prevention Act of 1990, which guided CDC in creating the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), which provides access to critical breast and cervical cancer screening services for underserved women in the United States. An estimated 7 to 10% of U.S. women of screening age are eligible to receive NBCCEDP services. Federal guidelines establish an eligibility baseline to direct services to uninsured and underinsured women at or below 250% of federal poverty level; ages 18 to 64 for cervical screening; ages 40 to 64 for breast screening.

end renal program
sub class of: public health program
label: end renal program
comment: Definition: A public or government program that administers publicly funded coverage of kidney dialysis and kidney transplant services. Example: In the U.S., the Medicare End-stage Renal Disease program (ESRD), the National Kidney Foundation (NKF) American Kidney Fund (AKF) The Organ Transplant Fund.
description: Definition: A public or government program that administers publicly funded coverage of kidney dialysis and kidney transplant services. Example: In the U.S., the Medicare End-stage Renal Disease program (ESRD), the National Kidney Foundation (NKF) American Kidney Fund (AKF) The Organ Transplant Fund.

HIV-AIDS program
sub class of: public health program
label: HIV-AIDS program
comment: Definition: Government administered and funded HIV-AIDS program for beneficiaries meeting financial and health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., the Ryan White program, which is administered by the Health Resources and Services Administration.
description: Definition: Government administered and funded HIV-AIDS program for beneficiaries meeting financial and health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., the Ryan White program, which is administered by the Health Resources and Services Administration.

mandatory health program
sub class of: public healthcare
label: mandatory health program
comment: mandatory health program
description: mandatory health program

mental health program
sub class of: public healthcare
label: mental health program
comment: Definition: Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).
description: Definition: Government administered and funded mental health program for beneficiaries meeting financial and mental health status criteria. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).

safety net clinic program
sub class of: public healthcare
label: safety net clinic program
comment: Definition: Government administered and funded program to support provision of care to underserved populations through safety net clinics. Example: In the U.S., safety net providers such as federally qualified health centers (FQHC) receive funding under PHSA Section 330 grants administered by the Health Resources and Services Administration.
description: Definition: Government administered and funded program to support provision of care to underserved populations through safety net clinics. Example: In the U.S., safety net providers such as federally qualified health centers (FQHC) receive funding under PHSA Section 330 grants administered by the Health Resources and Services Administration.

substance use program
sub class of: public healthcare
label: substance use program
comment: Definition: Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria. Beneficiaries may be required to enroll as a result of legal proceedings. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).
description: Definition: Government administered and funded substance use program for beneficiaries meeting financial, substance use behavior, and health status criteria. Beneficiaries may be required to enroll as a result of legal proceedings. Administration, funding levels, eligibility criteria, covered benefits, provider types, and financial participation are typically set by a regulatory process. Payer responsibilities for administering the program may be delegated to contractors. Example: In the U.S., states receive funding for substance use programs from the Substance Abuse Mental Health Administration (SAMHSA).

subsidized health program
sub class of: public healthcare
label: subsidized health program
comment: Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.
description: Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds.

subsidized managed care program
sub class of: subsidized health program
label: subsidized managed care program
comment: Definition: A government health program that provides coverage through managed care contracts for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. Discussion: The structure and business processes for underwriting and administering a subsidized managed care program is further specified by the Underwriter and Payer Role.class and Role.code.
description: Definition: A government health program that provides coverage through managed care contracts for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. Discussion: The structure and business processes for underwriting and administering a subsidized managed care program is further specified by the Underwriter and Payer Role.class and Role.code.

subsidized supplemental health program
sub class of: subsidized health program
label: subsidized supplemental health program
comment: Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria for a supplemental health policy or program such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. Example: Supplemental health coverage program may cover the cost of a health program or policy financial participations, such as the copays and the premiums, and may provide coverage for services in addition to those covered under the supplemented health program or policy. In the U.S., Medicaid programs may pay the premium for a covered party who is also covered under the Medicare program or a private health policy. Discussion: The structure and business processes for underwriting and administering a subsidized supplemental retiree health program is further specified by the Underwriter and Payer Role.class and Role.code.
description: Definition: A government health program that provides coverage for health services to persons meeting eligibility criteria for a supplemental health policy or program such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. Example: Supplemental health coverage program may cover the cost of a health program or policy financial participations, such as the copays and the premiums, and may provide coverage for services in addition to those covered under the supplemented health program or policy. In the U.S., Medicaid programs may pay the premium for a covered party who is also covered under the Medicare program or a private health policy. Discussion: The structure and business processes for underwriting and administering a subsidized supplemental retiree health program is further specified by the Underwriter and Payer Role.class and Role.code.

worker's compensation
sub class of: ActInsurancePolicyCode
label: worker's compensation
comment: Insurance policy for injuries sustained in the work place or in the course of employment.
description: Insurance policy for injuries sustained in the work place or in the course of employment.

ActInsuranceTypeCode
sub class of: ActCoverageTypeCode
label: ActInsuranceTypeCode
comment: Definition: Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured. Discussion: In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType.
description: Definition: Set of codes indicating the type of insurance policy. Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of potential financial loss. Insurance is defined as the equitable transfer of the risk of a potential loss, from one entity to another, in exchange for a premium and duty of care. A policy holder is an individual or an organization enters into a contract with an underwriter which stipulates that, in exchange for payment of a sum of money (a premium), one or more covered parties (insureds) is guaranteed compensation for losses resulting from certain perils under specified conditions. The underwriter analyzes the risk of loss, makes a decision as to whether the risk is insurable, and prices the premium accordingly. A policy provides benefits that indemnify or cover the cost of a loss incurred by a covered party, and may include coverage for services required to remediate a loss. An insurance policy contains pertinent facts about the policy holder, the insurance coverage, the covered parties, and the insurer. A policy may include exemptions and provisions specifying the extent to which the indemnification clause cannot be enforced for intentional tortious conduct of a covered party, e.g., whether the covered parties are jointly or severably insured. Discussion: In contrast to programs, an insurance policy has one or more policy holders, who own the policy. The policy holder may be the covered party, a relative of the covered party, a partnership, or a corporation, e.g., an employer. A subscriber of a self-insured health insurance policy is a policy holder. A subscriber of an employer sponsored health insurance policy is holds a certificate of coverage, but is not a policy holder; the policy holder is the employer. See CoveredRoleType.

ActHealthInsuranceTypeCode
sub class of: ActInsuranceTypeCode
label: ActHealthInsuranceTypeCode
comment: Definition: Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement).
description: Definition: Set of codes indicating the type of health insurance policy that covers health services provided to covered parties. A health insurance policy is a written contract for insurance between the insurance company and the policyholder, and contains pertinent facts about the policy owner (the policy holder), the health insurance coverage, the insured subscribers and dependents, and the insurer. Health insurance is typically administered in accordance with a plan, which specifies (1) the type of health services and health conditions that will be covered under what circumstances (e.g., exclusion of a pre-existing condition, service must be deemed medically necessary; service must not be experimental; service must provided in accordance with a protocol; drug must be on a formulary; service must be prior authorized; or be a referral from a primary care provider); (2) the type and affiliation of providers (e.g., only allopathic physicians, only in network, only providers employed by an HMO); (3) financial participations required of covered parties (e.g., co-pays, coinsurance, deductibles, out-of-pocket); and (4) the manner in which services will be paid (e.g., under indemnity or fee-for-service health plans, the covered party typically pays out-of-pocket and then file a claim for reimbursement, while health plans that have contractual relationships with providers, i.e., network providers, typically do not allow the providers to bill the covered party for the cost of the service until after filing a claim with the payer and receiving reimbursement).

dental care policy
sub class of: ActHealthInsuranceTypeCode
label: dental care policy
comment: Definition: A health insurance policy that that covers benefits for dental services.
description: Definition: A health insurance policy that that covers benefits for dental services.

disease specific policy
sub class of: ActHealthInsuranceTypeCode
label: disease specific policy
comment: Definition: A health insurance policy that covers benefits for healthcare services provided for named conditions under the policy, e.g., cancer, diabetes, or HIV-AIDS.
description: Definition: A health insurance policy that covers benefits for healthcare services provided for named conditions under the policy, e.g., cancer, diabetes, or HIV-AIDS.

drug policy
sub class of: ActHealthInsuranceTypeCode
label: drug policy
comment: Definition: A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies.
description: Definition: A health insurance policy that covers benefits for prescription drugs, pharmaceuticals, and supplies.

health insurance plan policy
sub class of: ActHealthInsuranceTypeCode
label: health insurance plan policy
comment: Definition: A health insurance policy that covers healthcare benefits by protecting covered parties from medical expenses arising from health conditions, sickness, or accidental injury as well as preventive care. Health insurance policies explicitly exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy. Discussion: Health insurance policies are offered by health insurance plans that typically reimburse providers for covered services on a fee-for-service basis, that is, a fee that is the allowable amount that a provider may charge. This is in contrast to managed care plans, which typically prepay providers a per-member/per-month amount or capitation as reimbursement for all covered services rendered. Health insurance plans include indemnity and healthcare services plans.
description: Definition: A health insurance policy that covers healthcare benefits by protecting covered parties from medical expenses arising from health conditions, sickness, or accidental injury as well as preventive care. Health insurance policies explicitly exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy. Discussion: Health insurance policies are offered by health insurance plans that typically reimburse providers for covered services on a fee-for-service basis, that is, a fee that is the allowable amount that a provider may charge. This is in contrast to managed care plans, which typically prepay providers a per-member/per-month amount or capitation as reimbursement for all covered services rendered. Health insurance plans include indemnity and healthcare services plans.

long term care policy
sub class of: ActHealthInsuranceTypeCode
label: long term care policy
comment: Definition: An insurance policy that covers benefits for long-term care services people need when they no longer can care for themselves. This may be due to an accident, disability, prolonged illness or the simple process of aging. Long-term care services assist with activities of daily living including: Help at home with day-to-day activities, such as cooking, cleaning, bathing and dressing Care in the community, such as in an adult day care facility Supervised care provided in an assisted living facility Skilled care provided in a nursing home
description: Definition: An insurance policy that covers benefits for long-term care services people need when they no longer can care for themselves. This may be due to an accident, disability, prolonged illness or the simple process of aging. Long-term care services assist with activities of daily living including: Help at home with day-to-day activities, such as cooking, cleaning, bathing and dressing Care in the community, such as in an adult day care facility Supervised care provided in an assisted living facility Skilled care provided in a nursing home

managed care policy
sub class of: ActHealthInsuranceTypeCode
label: managed care policy
comment: Definition: Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well. Managed care policies specifically exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy. Discussion: Managed care policies are offered by managed care plans that contract with selected providers or health care organizations to provide comprehensive health care at a discount to covered parties and coordinate the financing and delivery of health care. Managed care uses medical protocols and procedures agreed on by the medical profession to be cost effective, also known as medical practice guidelines. Providers are typically reimbursed for covered services by a capitated amount on a per member per month basis that may reflect difference in the health status and level of services anticipated to be needed by the member.
description: Definition: Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well. Managed care policies specifically exclude coverage for losses insured under a disability policy, workers' compensation program, liability insurance (including automobile insurance); or for medical expenses, coverage for on-site medical clinics or for limited dental or vision benefits when these are provided under a separate policy. Discussion: Managed care policies are offered by managed care plans that contract with selected providers or health care organizations to provide comprehensive health care at a discount to covered parties and coordinate the financing and delivery of health care. Managed care uses medical protocols and procedures agreed on by the medical profession to be cost effective, also known as medical practice guidelines. Providers are typically reimbursed for covered services by a capitated amount on a per member per month basis that may reflect difference in the health status and level of services anticipated to be needed by the member.

point of service policy
sub class of: managed care policy
label: point of service policy
comment: Definition: A policy for a health plan that has features of both an HMO and a FFS plan. Like an HMO, a POS plan encourages the use its HMO network to maintain discounted fees with participating providers, but recognizes that sometimes covered parties want to choose their own provider. The POS plan allows a covered party to use providers who are not part of the HMO network (non-participating providers). However, there is a greater cost associated with choosing these non-network providers. A covered party will usually pay deductibles and coinsurances that are substantially higher than the payments when he or she uses a plan provider. Use of non-participating providers often requires the covered party to pay the provider directly and then to file a claim for reimbursement, like in an FFS plan.
description: Definition: A policy for a health plan that has features of both an HMO and a FFS plan. Like an HMO, a POS plan encourages the use its HMO network to maintain discounted fees with participating providers, but recognizes that sometimes covered parties want to choose their own provider. The POS plan allows a covered party to use providers who are not part of the HMO network (non-participating providers). However, there is a greater cost associated with choosing these non-network providers. A covered party will usually pay deductibles and coinsurances that are substantially higher than the payments when he or she uses a plan provider. Use of non-participating providers often requires the covered party to pay the provider directly and then to file a claim for reimbursement, like in an FFS plan.

health maintenance organization policy
sub class of: managed care policy
label: health maintenance organization policy
comment: Definition: A policy for a health plan that provides coverage for health care only through contracted or employed physicians and hospitals located in particular geographic or service areas. HMOs emphasize prevention and early detection of illness. Eligibility to enroll in an HMO is determined by where a covered party lives or works.
description: Definition: A policy for a health plan that provides coverage for health care only through contracted or employed physicians and hospitals located in particular geographic or service areas. HMOs emphasize prevention and early detection of illness. Eligibility to enroll in an HMO is determined by where a covered party lives or works.

preferred provider organization policy
sub class of: managed care policy
label: preferred provider organization policy
comment: Definition: A network-based, managed care plan that allows a covered party to choose any health care provider. However, if care is received from a "preferred" (participating in-network) provider, there are generally higher benefit coverage and lower deductibles.
description: Definition: A network-based, managed care plan that allows a covered party to choose any health care provider. However, if care is received from a "preferred" (participating in-network) provider, there are generally higher benefit coverage and lower deductibles.

mental health policy
sub class of: ActHealthInsuranceTypeCode
label: mental health policy
comment: Definition: A health insurance policy that covers benefits for mental health services and prescriptions.
description: Definition: A health insurance policy that covers benefits for mental health services and prescriptions.

substance use policy
sub class of: ActHealthInsuranceTypeCode
label: substance use policy
comment: Definition: A health insurance policy that covers benefits for substance use services.
description: Definition: A health insurance policy that covers benefits for substance use services.

vision care policy
sub class of: ActHealthInsuranceTypeCode
label: vision care policy
comment: Definition: Set of codes for a policy that provides coverage for health care expenses arising from vision services. A health insurance policy that covers benefits for vision care services, prescriptions, and products.
description: Definition: Set of codes for a policy that provides coverage for health care expenses arising from vision services. A health insurance policy that covers benefits for vision care services, prescriptions, and products.

disability insurance policy
sub class of: ActInsuranceTypeCode
label: disability insurance policy
comment: Definition: An insurance policy that provides a regular payment to compensate for income lost due to the covered party's inability to work because of illness or injury.
description: Definition: An insurance policy that provides a regular payment to compensate for income lost due to the covered party's inability to work because of illness or injury.

employee welfare benefit plan policy
sub class of: ActInsuranceTypeCode
label: employee welfare benefit plan policy
comment: Definition: An insurance policy under a benefit plan run by an employer or employee organization for the purpose of providing benefits other than pension-related to employees and their families. Typically provides health-related benefits, benefits for disability, disease or unemployment, or day care and scholarship benefits, among others. An employer sponsored health policy includes coverage of health care expenses arising from sickness or accidental injury, coverage for on-site medical clinics or for dental or vision benefits, which are typically provided under a separate policy. Coverage excludes health care expenses covered by accident or disability, workers' compensation, liability or automobile insurance.
description: Definition: An insurance policy under a benefit plan run by an employer or employee organization for the purpose of providing benefits other than pension-related to employees and their families. Typically provides health-related benefits, benefits for disability, disease or unemployment, or day care and scholarship benefits, among others. An employer sponsored health policy includes coverage of health care expenses arising from sickness or accidental injury, coverage for on-site medical clinics or for dental or vision benefits, which are typically provided under a separate policy. Coverage excludes health care expenses covered by accident or disability, workers' compensation, liability or automobile insurance.

flexible benefit plan policy
sub class of: ActInsuranceTypeCode
label: flexible benefit plan policy
comment: Definition: An insurance policy that covers qualified benefits under a Flexible Benefit plan such as group medical insurance, long and short term disability income insurance, group term life insurance for employees only up to $50,000 face amount, specified disease coverage such as a cancer policy, dental and/or vision insurance, hospital indemnity insurance, accidental death and dismemberment insurance, a medical expense reimbursement plan and a dependent care reimbursement plan. Discussion: See UnderwriterRoleTypeCode flexible benefit plan which is defined as a benefit plan that allows employees to choose from several life, health, disability, dental, and other insurance plans according to their individual needs. Also known as cafeteria plans. Authorized under Section 125 of the Revenue Act of 1978.
description: Definition: An insurance policy that covers qualified benefits under a Flexible Benefit plan such as group medical insurance, long and short term disability income insurance, group term life insurance for employees only up to $50,000 face amount, specified disease coverage such as a cancer policy, dental and/or vision insurance, hospital indemnity insurance, accidental death and dismemberment insurance, a medical expense reimbursement plan and a dependent care reimbursement plan. Discussion: See UnderwriterRoleTypeCode flexible benefit plan which is defined as a benefit plan that allows employees to choose from several life, health, disability, dental, and other insurance plans according to their individual needs. Also known as cafeteria plans. Authorized under Section 125 of the Revenue Act of 1978.

life insurance policy
sub class of: ActInsuranceTypeCode
label: life insurance policy
comment: Definition: A policy under which the insurer agrees to pay a sum of money upon the occurrence of the covered partys death. In return, the policyholder agrees to pay a stipulated amount called a premium at regular intervals. Life insurance indemnifies the beneficiary for the loss of the insurable interest that a beneficiary has in the life of a covered party. For persons related by blood, a substantial interest established through love and affection, and for all other persons, a lawful and substantial economic interest in having the life of the insured continue. An insurable interest is required when purchasing life insurance on another person. Specific exclusions are often written into the contract to limit the liability of the insurer; for example claims resulting from suicide or relating to war, riot and civil commotion. Discussion:A life insurance policy may be used by the covered party as a source of health care coverage in the case of a viatical settlement, which is the sale of a life insurance policy by the policy owner, before the policy matures. Such a sale, at a price discounted from the face amount of the policy but usually in excess of the premiums paid or current cash surrender value, provides the seller an immediate cash settlement. Generally, viatical settlements involve insured individuals with a life expectancy of less than two years. In countries without state-subsidized healthcare and high healthcare costs (e.g. United States), this is a practical way to pay extremely high health insurance premiums that severely ill people face. Some people are also familiar with life settlements, which are similar transactions but involve insureds with longer life expectancies (two to fifteen years).
description: Definition: A policy under which the insurer agrees to pay a sum of money upon the occurrence of the covered partys death. In return, the policyholder agrees to pay a stipulated amount called a premium at regular intervals. Life insurance indemnifies the beneficiary for the loss of the insurable interest that a beneficiary has in the life of a covered party. For persons related by blood, a substantial interest established through love and affection, and for all other persons, a lawful and substantial economic interest in having the life of the insured continue. An insurable interest is required when purchasing life insurance on another person. Specific exclusions are often written into the contract to limit the liability of the insurer; for example claims resulting from suicide or relating to war, riot and civil commotion. Discussion:A life insurance policy may be used by the covered party as a source of health care coverage in the case of a viatical settlement, which is the sale of a life insurance policy by the policy owner, before the policy matures. Such a sale, at a price discounted from the face amount of the policy but usually in excess of the premiums paid or current cash surrender value, provides the seller an immediate cash settlement. Generally, viatical settlements involve insured individuals with a life expectancy of less than two years. In countries without state-subsidized healthcare and high healthcare costs (e.g. United States), this is a practical way to pay extremely high health insurance premiums that severely ill people face. Some people are also familiar with life settlements, which are similar transactions but involve insureds with longer life expectancies (two to fifteen years).

annuity policy
sub class of: life insurance policy
label: annuity policy
comment: Definition: A policy that, after an initial premium or premiums, pays out a sum at pre-determined intervals. For example, a policy holder may pay $10,000, and in return receive $150 each month until he dies; or $1,000 for each of 14 years or death benefits if he dies before the full term of the annuity has elapsed.
description: Definition: A policy that, after an initial premium or premiums, pays out a sum at pre-determined intervals. For example, a policy holder may pay $10,000, and in return receive $150 each month until he dies; or $1,000 for each of 14 years or death benefits if he dies before the full term of the annuity has elapsed.

term life insurance policy
sub class of: life insurance policy
label: term life insurance policy
comment: Definition: Life insurance under which the benefit is payable only if the insured dies during a specified period. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing.
description: Definition: Life insurance under which the benefit is payable only if the insured dies during a specified period. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing.

universal life insurance policy
sub class of: life insurance policy
label: universal life insurance policy
comment: Definition: Life insurance under which the benefit is payable upon the insuredaTMs death or diagnosis of a terminal illness. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing
description: Definition: Life insurance under which the benefit is payable upon the insuredaTMs death or diagnosis of a terminal illness. If an insured dies during that period, the beneficiary receives the death payments. If the insured survives, the policy ends and the beneficiary receives nothing

property and casualty insurance policy
sub class of: ActInsuranceTypeCode
label: property and casualty insurance policy
comment: Definition: A type of insurance that covers damage to or loss of the policyholderaTMs property by providing payments for damages to property damage or the injury or death of living subjects. The terms "casualty" and "liability" insurance are often used interchangeably. Both cover the policyholder's legal liability for damages caused to other persons and/or their property.
description: Definition: A type of insurance that covers damage to or loss of the policyholderaTMs property by providing payments for damages to property damage or the injury or death of living subjects. The terms "casualty" and "liability" insurance are often used interchangeably. Both cover the policyholder's legal liability for damages caused to other persons and/or their property.

reinsurance policy
sub class of: ActInsuranceTypeCode
label: reinsurance policy
comment: Definition: An agreement between two or more insurance companies by which the risk of loss is proportioned. Thus the risk of loss is spread and a disproportionately large loss under a single policy does not fall on one insurance company. Acceptance by an insurer, called a reinsurer, of all or part of the risk of loss of another insurance company. Discussion: Reinsurance is a means by which an insurance company can protect itself against the risk of losses with other insurance companies. Individuals and corporations obtain insurance policies to provide protection for various risks (hurricanes, earthquakes, lawsuits, collisions, sickness and death, etc.). Reinsurers, in turn, provide insurance to insurance companies. For example, an HMO may purchase a reinsurance policy to protect itself from losing too much money from one insured's particularly expensive health care costs. An insurance company issuing an automobile liability policy, with a limit of $100,000 per accident may reinsure its liability in excess of $10,000. A fire insurance company which issues a large policy generally reinsures a portion of the risk with one or several other companies. Also called risk control insurance or stop-loss insurance.
description: Definition: An agreement between two or more insurance companies by which the risk of loss is proportioned. Thus the risk of loss is spread and a disproportionately large loss under a single policy does not fall on one insurance company. Acceptance by an insurer, called a reinsurer, of all or part of the risk of loss of another insurance company. Discussion: Reinsurance is a means by which an insurance company can protect itself against the risk of losses with other insurance companies. Individuals and corporations obtain insurance policies to provide protection for various risks (hurricanes, earthquakes, lawsuits, collisions, sickness and death, etc.). Reinsurers, in turn, provide insurance to insurance companies. For example, an HMO may purchase a reinsurance policy to protect itself from losing too much money from one insured's particularly expensive health care costs. An insurance company issuing an automobile liability policy, with a limit of $100,000 per accident may reinsure its liability in excess of $10,000. A fire insurance company which issues a large policy generally reinsures a portion of the risk with one or several other companies. Also called risk control insurance or stop-loss insurance.

surplus line insurance policy
sub class of: ActInsuranceTypeCode
label: surplus line insurance policy
comment: Definition: A risk or part of a risk for which there is no normal insurance market available. Insurance written by unauthorized insurance companies. Surplus lines insurance is insurance placed with unauthorized insurance companies through licensed surplus lines agents or brokers.
description: Definition: A risk or part of a risk for which there is no normal insurance market available. Insurance written by unauthorized insurance companies. Surplus lines insurance is insurance placed with unauthorized insurance companies through licensed surplus lines agents or brokers.

umbrella liability insurance policy
sub class of: ActInsuranceTypeCode
label: umbrella liability insurance policy
comment: Definition: A form of insurance protection that provides additional liability coverage after the limits of your underlying policy are reached. An umbrella liability policy also protects you (the insured) in many situations not covered by the usual liability policies.
description: Definition: A form of insurance protection that provides additional liability coverage after the limits of your underlying policy are reached. An umbrella liability policy also protects you (the insured) in many situations not covered by the usual liability policies.

ActProgramTypeCode
sub class of: ActCoverageTypeCode
label: ActProgramTypeCode
comment: Definition: A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds. Discussion: Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType.
description: Definition: A set of codes used to indicate coverage under a program. A program is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health, financial, and demographic status. Programs are typically established or permitted by legislation with provisions for ongoing government oversight. Regulations may mandate the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency may be charged with implementing the program in accordance to the regulation. Risk of loss under a program in most cases would not meet what an underwriter would consider an insurable risk, i.e., the risk is not random in nature, not financially measurable, and likely requires subsidization with government funds. Discussion: Programs do not have policy holders or subscribers. Program eligibles are enrolled based on health status, statutory eligibility, financial status, or age. Program eligibles who are covered parties under the program may be referred to as members, beneficiaries, eligibles, or recipients. Programs risk are underwritten by not for profit organizations such as governmental entities, and the beneficiaries typically do not pay for any or some portion of the cost of coverage. See CoveredPartyRoleType.

charity program
sub class of: ActProgramTypeCode
label: charity program
comment: Definition: A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge.
description: Definition: A program that covers the cost of services provided directly to a beneficiary who typically has no other source of coverage without charge.

crime victim program
sub class of: ActProgramTypeCode
label: crime victim program
comment: Definition: A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime.
description: Definition: A program that covers the cost of services provided to crime victims for injuries or losses related to the occurrence of a crime.

employee assistance program
sub class of: ActProgramTypeCode
label: employee assistance program
comment: Definition: An employee assistance program is run by an employer or employee organization for the purpose of providing benefits and covering all or part of the cost for employees to receive counseling, referrals, and advice in dealing with stressful issues in their lives. These may include substance abuse, bereavement, marital problems, weight issues, or general wellness issues. The services are usually provided by a third-party, rather than the company itself, and the company receives only summary statistical data from the service provider. Employee's names and services received are kept confidential.
description: Definition: An employee assistance program is run by an employer or employee organization for the purpose of providing benefits and covering all or part of the cost for employees to receive counseling, referrals, and advice in dealing with stressful issues in their lives. These may include substance abuse, bereavement, marital problems, weight issues, or general wellness issues. The services are usually provided by a third-party, rather than the company itself, and the company receives only summary statistical data from the service provider. Employee's names and services received are kept confidential.

government employee health program
sub class of: ActProgramTypeCode
label: government employee health program
comment: Definition: A set of codes used to indicate a government program that is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health and financial status. Government programs are established or permitted by legislation with provisions for ongoing government oversight. Regulation mandates the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency is charged with implementing the program in accordance to the regulation Example: Federal employee health benefit program in the U.S.
description: Definition: A set of codes used to indicate a government program that is an organized structure for administering and funding coverage of a benefit package for covered parties meeting eligibility criteria, typically related to employment, health and financial status. Government programs are established or permitted by legislation with provisions for ongoing government oversight. Regulation mandates the structure of the program, the manner in which it is funded and administered, covered benefits, provider types, eligibility criteria and financial participation. A government agency is charged with implementing the program in accordance to the regulation Example: Federal employee health benefit program in the U.S.

high risk pool program
sub class of: ActProgramTypeCode
label: high risk pool program
comment: Definition: A government program that provides health coverage to individuals who are considered medically uninsurable or high risk, and who have been denied health insurance due to a serious health condition. In certain cases, it also applies to those who have been quoted very high premiums a" again, due to a serious health condition. The pool charges premiums for coverage. Because the pool covers high-risk people, it incurs a higher level of claims than premiums can cover. The insurance industry pays into the pool to make up the difference and help it remain viable.
description: Definition: A government program that provides health coverage to individuals who are considered medically uninsurable or high risk, and who have been denied health insurance due to a serious health condition. In certain cases, it also applies to those who have been quoted very high premiums a" again, due to a serious health condition. The pool charges premiums for coverage. Because the pool covers high-risk people, it incurs a higher level of claims than premiums can cover. The insurance industry pays into the pool to make up the difference and help it remain viable.

indigenous peoples health program
sub class of: ActProgramTypeCode
label: indigenous peoples health program
comment: Definition: Services provided directly and through contracted and operated indigenous peoples health programs. Example: Indian Health Service in the U.S.
description: Definition: Services provided directly and through contracted and operated indigenous peoples health programs. Example: Indian Health Service in the U.S.

military health program
sub class of: ActProgramTypeCode
label: military health program
comment: Definition: A government program that provides coverage for health services to military personnel, retirees, and dependents. A covered party who is a subscriber can choose from among Fee-for-Service (FFS) plans, and their Preferred Provider Organizations (PPO), or Plans offering a Point of Service (POS) Product, or Health Maintenance Organizations. Example: In the U.S., TRICARE, CHAMPUS.
description: Definition: A government program that provides coverage for health services to military personnel, retirees, and dependents. A covered party who is a subscriber can choose from among Fee-for-Service (FFS) plans, and their Preferred Provider Organizations (PPO), or Plans offering a Point of Service (POS) Product, or Health Maintenance Organizations. Example: In the U.S., TRICARE, CHAMPUS.

retiree health program
sub class of: ActProgramTypeCode
label: retiree health program
comment: Definition: A government mandated program with specific eligibility requirements based on premium contributions made during employment, length of employment, age, and employment status, e.g., being retired, disabled, or a dependent of a covered party under this program. Benefits typically include ambulatory, inpatient, and long-term care, such as hospice care, home health care and respite care.
description: Definition: A government mandated program with specific eligibility requirements based on premium contributions made during employment, length of employment, age, and employment status, e.g., being retired, disabled, or a dependent of a covered party under this program. Benefits typically include ambulatory, inpatient, and long-term care, such as hospice care, home health care and respite care.

social service program
sub class of: ActProgramTypeCode
label: social service program
comment: Definition: A social service program funded by a public or governmental entity. Example: Programs providing habilitation, food, lodging, medicine, transportation, equipment, devices, products, education, training, counseling, alteration of living or work space, and other resources to persons meeting eligibility criteria.
description: Definition: A social service program funded by a public or governmental entity. Example: Programs providing habilitation, food, lodging, medicine, transportation, equipment, devices, products, education, training, counseling, alteration of living or work space, and other resources to persons meeting eligibility criteria.

veteran health program
sub class of: ActProgramTypeCode
label: veteran health program
comment: Definition: Services provided directly and through contracted and operated veteran health programs.
description: Definition: Services provided directly and through contracted and operated veteran health programs.

ActDetectedIssueManagementCode
sub class of: ActCode
label: ActDetectedIssueManagementCode
comment: Codes dealing with the management of Detected Issue observations
description: Codes dealing with the management of Detected Issue observations

ActAdministrativeDetectedIssueManagementCode
sub class of: ActDetectedIssueManagementCode
label: ActAdministrativeDetectedIssueManagementCode
comment: Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.
description: Codes dealing with the management of Detected Issue observations for the administrative and patient administrative acts domains.

Authorization Issue Management Code
sub class of: ActAdministrativeDetectedIssueManagementCode
label: Authorization Issue Management Code
comment: Authorization Issue Management Code
description: Authorization Issue Management Code

emergency authorization override
sub class of: Authorization Issue Management Code
label: emergency authorization override
comment: Used to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used.
description: Used to temporarily override normal authorization rules to gain access to data in a case of emergency. Use of this override code will typically be monitored, and a procedure to verify its proper use may be triggered when used.

authorization confirmed
sub class of: emergency authorization override
label: authorization confirmed
comment: Description: Indicates that the permissions have been externally verified and the request should be processed.
description: Description: Indicates that the permissions have been externally verified and the request should be processed.

Therapy Appropriate
sub class of: ActDetectedIssueManagementCode
label: Therapy Appropriate
comment: Confirmed drug therapy appropriate
description: Confirmed drug therapy appropriate

Consulted Supplier
sub class of: Therapy Appropriate
label: Consulted Supplier
comment: Consulted other supplier/pharmacy, therapy confirmed
description: Consulted other supplier/pharmacy, therapy confirmed

Assessed Patient
sub class of: Therapy Appropriate
label: Assessed Patient
comment: Assessed patient, therapy is appropriate
description: Assessed patient, therapy is appropriate

appropriate indication or diagnosis
sub class of: Therapy Appropriate
label: appropriate indication or diagnosis
comment: Description: The patient has the appropriate indication or diagnosis for the action to be taken.
description: Description: The patient has the appropriate indication or diagnosis for the action to be taken.

prior therapy documented
sub class of: Therapy Appropriate
label: prior therapy documented
comment: Description: It has been confirmed that the appropriate pre-requisite therapy has been tried.
description: Description: It has been confirmed that the appropriate pre-requisite therapy has been tried.

Patient Explanation
sub class of: Therapy Appropriate
label: Patient Explanation
comment: Patient gave adequate explanation
description: Patient gave adequate explanation

Consulted Other Source
sub class of: Therapy Appropriate
label: Consulted Other Source
comment: Consulted other supply source, therapy still appropriate
description: Consulted other supply source, therapy still appropriate

Consulted Prescriber
sub class of: Therapy Appropriate
label: Consulted Prescriber
comment: Consulted prescriber, therapy confirmed
description: Consulted prescriber, therapy confirmed

Prescriber Declined Change
sub class of: Consulted Prescriber
label: Prescriber Declined Change
comment: Consulted prescriber and recommended change, prescriber declined
description: Consulted prescriber and recommended change, prescriber declined

Interacting Therapy No Longer Active/Planned
sub class of: Therapy Appropriate
label: Interacting Therapy No Longer Active/Planned
comment: Concurrent therapy triggering alert is no longer on-going or planned
description: Concurrent therapy triggering alert is no longer on-going or planned

Supply Appropriate
sub class of: ActDetectedIssueManagementCode
label: Supply Appropriate
comment: Confirmed supply action appropriate
description: Confirmed supply action appropriate

Replacement
sub class of: Supply Appropriate
label: Replacement
comment: Patient's existing supply was lost/wasted
description: Patient's existing supply was lost/wasted

Vacation Supply
sub class of: Supply Appropriate
label: Vacation Supply
comment: Supply date is due to patient vacation
description: Supply date is due to patient vacation

Weekend Supply
sub class of: Supply Appropriate
label: Weekend Supply
comment: Supply date is intended to carry patient over weekend
description: Supply date is intended to carry patient over weekend

Leave of Absence
sub class of: Supply Appropriate
label: Leave of Absence
comment: Supply is intended for use during a leave of absence from an institution.
description: Supply is intended for use during a leave of absence from an institution.

additional quantity on separate dispense
sub class of: Supply Appropriate
label: additional quantity on separate dispense
comment: Description: Supply is different than expected as an additional quantity has been supplied in a separate dispense.
description: Description: Supply is different than expected as an additional quantity has been supplied in a separate dispense.

Other Action Taken
sub class of: ActDetectedIssueManagementCode
label: Other Action Taken
comment: Order is performed as issued, but other action taken to mitigate potential adverse effects
description: Order is performed as issued, but other action taken to mitigate potential adverse effects

Provided Patient Education
sub class of: Other Action Taken
label: Provided Patient Education
comment: Provided education or training to the patient on appropriate therapy use
description: Provided education or training to the patient on appropriate therapy use

Added Concurrent Therapy
sub class of: Other Action Taken
label: Added Concurrent Therapy
comment: Instituted an additional therapy to mitigate potential negative effects
description: Instituted an additional therapy to mitigate potential negative effects

Temporarily Suspended Concurrent Therapy
sub class of: Other Action Taken
label: Temporarily Suspended Concurrent Therapy
comment: Suspended existing therapy that triggered interaction for the duration of this therapy
description: Suspended existing therapy that triggered interaction for the duration of this therapy

Stopped Concurrent Therapy
sub class of: Other Action Taken
label: Stopped Concurrent Therapy
comment: Aborted existing therapy that triggered interaction.
description: Aborted existing therapy that triggered interaction.

Instituted Ongoing Monitoring Program
sub class of: Other Action Taken
label: Instituted Ongoing Monitoring Program
comment: Arranged to monitor patient for adverse effects
description: Arranged to monitor patient for adverse effects

ActExposureCode
sub class of: ActCode
label: ActExposureCode
comment: Concepts that identify the type or nature of exposure interaction. Examples include "household", "care giver", "intimate partner", "common space", "common substance", etc. to further describe the nature of interaction.
description: Concepts that identify the type or nature of exposure interaction. Examples include "household", "care giver", "intimate partner", "common space", "common substance", etc. to further describe the nature of interaction.

Day care - Child care Interaction
sub class of: ActExposureCode
label: Day care - Child care Interaction
comment: Description: Exposure participants' interaction occurred in a child care setting
description: Description: Exposure participants' interaction occurred in a child care setting

Common Conveyance Interaction
sub class of: ActExposureCode
label: Common Conveyance Interaction
comment: Description: An interaction where the exposure participants traveled in/on the same vehicle (not necessarily concurrently, e.g. both are passengers of the same plane, but on different flights of that plane).
description: Description: An interaction where the exposure participants traveled in/on the same vehicle (not necessarily concurrently, e.g. both are passengers of the same plane, but on different flights of that plane).

Health Care Interaction - Not Patient Care
sub class of: ActExposureCode
label: Health Care Interaction - Not Patient Care
comment: Description: Exposure participants' interaction occurred during the course of health care delivery or in a health care delivery setting, but did not involve the direct provision of care (e.g. a janitor cleaning a patient's hospital room).
description: Description: Exposure participants' interaction occurred during the course of health care delivery or in a health care delivery setting, but did not involve the direct provision of care (e.g. a janitor cleaning a patient's hospital room).

Care Giver Interaction
sub class of: ActExposureCode
label: Care Giver Interaction
comment: Description: Exposure interaction occurred in context of one providing care for the other, i.e. a babysitter providing care for a child, a home-care aide providing assistance to a paraplegic.
description: Description: Exposure interaction occurred in context of one providing care for the other, i.e. a babysitter providing care for a child, a home-care aide providing assistance to a paraplegic.

Hospital Patient Interaction
sub class of: ActExposureCode
label: Hospital Patient Interaction
comment: Description: Exposure participants' interaction occurred when both were patients being treated in the same (acute) health care delivery facility.
description: Description: Exposure participants' interaction occurred when both were patients being treated in the same (acute) health care delivery facility.

Hospital Visitor Interaction
sub class of: ActExposureCode
label: Hospital Visitor Interaction
comment: Description: Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility.
description: Description: Exposure participants' interaction occurred when one visited the other who was a patient being treated in a health care delivery facility.

Household Interaction
sub class of: ActExposureCode
label: Household Interaction
comment: Description: Exposure interaction occurred in context of domestic interaction, i.e. both participants reside in the same household.
description: Description: Exposure interaction occurred in context of domestic interaction, i.e. both participants reside in the same household.

Inmate Interaction
sub class of: ActExposureCode
label: Inmate Interaction
comment: Description: Exposure participants' interaction occurred in the course of one or both participants being incarcerated at a correctional facility
description: Description: Exposure participants' interaction occurred in the course of one or both participants being incarcerated at a correctional facility

Intimate Interaction
sub class of: ActExposureCode
label: Intimate Interaction
comment: Description: Exposure interaction was intimate, i.e. participants are intimate companions (e.g. spouses, domestic partners).
description: Description: Exposure interaction was intimate, i.e. participants are intimate companions (e.g. spouses, domestic partners).

Long Term Care Facility Interaction
sub class of: ActExposureCode
label: Long Term Care Facility Interaction
comment: Description: Exposure participants' interaction occurred in the course of one or both participants being resident at a long term care facility (second participant may be a visitor, worker, resident or a physical place or object within the facility).
description: Description: Exposure participants' interaction occurred in the course of one or both participants being resident at a long term care facility (second participant may be a visitor, worker, resident or a physical place or object within the facility).

Common Space Interaction
sub class of: ActExposureCode
label: Common Space Interaction
comment: Description: An interaction where the exposure participants were both present in the same location/place/space.
description: Description: An interaction where the exposure participants were both present in the same location/place/space.

Health Care Interaction - Patient Care
sub class of: ActExposureCode
label: Health Care Interaction - Patient Care
comment: Description: Exposure participants' interaction occurred during the course of health care delivery by a provider (e.g. a physician treating a patient in her office).
description: Description: Exposure participants' interaction occurred during the course of health care delivery by a provider (e.g. a physician treating a patient in her office).

School Interaction
sub class of: ActExposureCode
label: School Interaction
comment: Description: Exposure participants' interaction occurred in an academic setting (e.g., participants are fellow students, or student and teacher).
description: Description: Exposure participants' interaction occurred in an academic setting (e.g., participants are fellow students, or student and teacher).

Social/Extended Family Interaction
sub class of: ActExposureCode
label: Social/Extended Family Interaction
comment: Description: An interaction where the exposure participants are social associates or members of the same extended family
description: Description: An interaction where the exposure participants are social associates or members of the same extended family

Common Substance Interaction
sub class of: ActExposureCode
label: Common Substance Interaction
comment: Description: An interaction where the exposure participants shared or co-used a common substance (e.g. drugs, needles, or common food item).
description: Description: An interaction where the exposure participants shared or co-used a common substance (e.g. drugs, needles, or common food item).

Common Travel Interaction
sub class of: ActExposureCode
label: Common Travel Interaction
comment: Description: An interaction where the exposure participants traveled together in/on the same vehicle/trip (e.g. concurrent co-passengers).
description: Description: An interaction where the exposure participants traveled together in/on the same vehicle/trip (e.g. concurrent co-passengers).

Work Interaction
sub class of: ActExposureCode
label: Work Interaction
comment: Description: Exposure interaction occurred in a work setting, i.e. participants are co-workers.
description: Description: Exposure interaction occurred in a work setting, i.e. participants are co-workers.

ActFinancialTransactionCode
sub class of: ActCode
label: ActFinancialTransactionCode
comment: ActFinancialTransactionCode
description: ActFinancialTransactionCode

Standard Charge
sub class of: ActFinancialTransactionCode
label: Standard Charge
comment: A type of transaction that represents a charge for a service or product. Expressed in monetary terms.
description: A type of transaction that represents a charge for a service or product. Expressed in monetary terms.

Standard Charge Reversal
sub class of: ActFinancialTransactionCode
label: Standard Charge Reversal
comment: A type of transaction that represents a reversal of a previous charge for a service or product. Expressed in monetary terms. It has the opposite effect of a standard charge.
description: A type of transaction that represents a reversal of a previous charge for a service or product. Expressed in monetary terms. It has the opposite effect of a standard charge.

ActIncidentCode
sub class of: ActCode
label: ActIncidentCode
comment: Set of codes indicating the type of incident or accident.
description: Set of codes indicating the type of incident or accident.

Motor vehicle accident
sub class of: ActIncidentCode
label: Motor vehicle accident
comment: Incident or accident as the result of a motor vehicle accident
description: Incident or accident as the result of a motor vehicle accident

School Accident
sub class of: ActIncidentCode
label: School Accident
comment: Incident or accident is the result of a school place accident.
description: Incident or accident is the result of a school place accident.

Sporting Accident
sub class of: ActIncidentCode
label: Sporting Accident
comment: Incident or accident is the result of a sporting accident.
description: Incident or accident is the result of a sporting accident.

Workplace accident
sub class of: ActIncidentCode
label: Workplace accident
comment: Incident or accident is the result of a work place accident
description: Incident or accident is the result of a work place accident

ActInformationAccessCode
sub class of: ActCode
label: ActInformationAccessCode
comment: Description: The type of health information to which the subject of the information or the subject's delegate consents or dissents.
description: Description: The type of health information to which the subject of the information or the subject's delegate consents or dissents.

adverse drug reaction access
sub class of: ActInformationAccessCode
label: adverse drug reaction access
comment: Description: Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient.
description: Description: Provide consent to collect, use, disclose, or access adverse drug reaction information for a patient.

all access
sub class of: ActInformationAccessCode
label: all access
comment: Description: Provide consent to collect, use, disclose, or access all information for a patient.
description: Description: Provide consent to collect, use, disclose, or access all information for a patient.

allergy access
sub class of: ActInformationAccessCode
label: allergy access
comment: Description: Provide consent to collect, use, disclose, or access allergy information for a patient.
description: Description: Provide consent to collect, use, disclose, or access allergy information for a patient.

informational consent access
sub class of: ActInformationAccessCode
label: informational consent access
comment: Description: Provide consent to collect, use, disclose, or access informational consent information for a patient.
description: Description: Provide consent to collect, use, disclose, or access informational consent information for a patient.

demographics access
sub class of: ActInformationAccessCode
label: demographics access
comment: Description: Provide consent to collect, use, disclose, or access demographics information for a patient.
description: Description: Provide consent to collect, use, disclose, or access demographics information for a patient.

diagnostic imaging access
sub class of: ActInformationAccessCode
label: diagnostic imaging access
comment: Description: Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient.
description: Description: Provide consent to collect, use, disclose, or access diagnostic imaging information for a patient.

immunization access
sub class of: ActInformationAccessCode
label: immunization access
comment: Description: Provide consent to collect, use, disclose, or access immunization information for a patient.
description: Description: Provide consent to collect, use, disclose, or access immunization information for a patient.

lab test result access
sub class of: ActInformationAccessCode
label: lab test result access
comment: Description: Provide consent to collect, use, disclose, or access lab test result information for a patient.
description: Description: Provide consent to collect, use, disclose, or access lab test result information for a patient.

medication access
sub class of: ActInformationAccessCode
label: medication access
comment: Description: Provide consent to collect, use, disclose, or access medical condition information for a patient.
description: Description: Provide consent to collect, use, disclose, or access medical condition information for a patient.

medical condition access
sub class of: ActInformationAccessCode
label: medical condition access
comment: Definition: Provide consent to view or access medical condition information for a patient.
description: Definition: Provide consent to view or access medical condition information for a patient.

mental health access
sub class of: ActInformationAccessCode
label: mental health access
comment: Description:Provide consent to collect, use, disclose, or access mental health information for a patient.
description: Description:Provide consent to collect, use, disclose, or access mental health information for a patient.

common observations access
sub class of: ActInformationAccessCode
label: common observations access
comment: Description: Provide consent to collect, use, disclose, or access common observation information for a patient.
description: Description: Provide consent to collect, use, disclose, or access common observation information for a patient.

policy or program information access
sub class of: ActInformationAccessCode
label: policy or program information access
comment: Description: Provide consent to collect, use, disclose, or access coverage policy or program for a patient.
description: Description: Provide consent to collect, use, disclose, or access coverage policy or program for a patient.

provider information access
sub class of: ActInformationAccessCode
label: provider information access
comment: Description: Provide consent to collect, use, disclose, or access provider information for a patient.
description: Description: Provide consent to collect, use, disclose, or access provider information for a patient.

professional service access
sub class of: ActInformationAccessCode
label: professional service access
comment: Description: Provide consent to collect, use, disclose, or access professional service information for a patient.
description: Description: Provide consent to collect, use, disclose, or access professional service information for a patient.

substance abuse access
sub class of: ActInformationAccessCode
label: substance abuse access
comment: Description:Provide consent to collect, use, disclose, or access substance abuse information for a patient.
description: Description:Provide consent to collect, use, disclose, or access substance abuse information for a patient.

ActInformationAccessContextCode
sub class of: ActCode
label: ActInformationAccessContextCode
comment: Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information.
description: Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information.

authorized information transfer
sub class of: ActInformationAccessContextCode
label: authorized information transfer
comment: Authorization to collect, access, use, or disclose specified patient health information in accordance with jurisdictional law, organizational policy, or a patient's consent directive, which may be implied, deemed, opt-in, opt-out, or explicit.
description: Authorization to collect, access, use, or disclose specified patient health information in accordance with jurisdictional law, organizational policy, or a patient's consent directive, which may be implied, deemed, opt-in, opt-out, or explicit.

after explicit consent
sub class of: authorized information transfer
label: after explicit consent
comment: Authorization to collect, access, use, or disclose specified patient health information as explicitly consented to by the subject of the information or the subject's representative.
description: Authorization to collect, access, use, or disclose specified patient health information as explicitly consented to by the subject of the information or the subject's representative.

only on court order
sub class of: ActInformationAccessContextCode
label: only on court order
comment: Authorization to collect, access, use, or disclose specified patient health information in accordance with judicial system protocol, such as in the case of a subpoena or court order.
description: Authorization to collect, access, use, or disclose specified patient health information in accordance with judicial system protocol, such as in the case of a subpoena or court order.

only if danger to others
sub class of: ActInformationAccessContextCode
label: only if danger to others
comment: Authorization to collect, access, use, or disclose specified patient health information where deemed necessary to avert potential danger to other persons in accordance with jurisdictional law, organizational policy, or standards of practice. For example, disclosure about a person threatening violence.
description: Authorization to collect, access, use, or disclose specified patient health information where deemed necessary to avert potential danger to other persons in accordance with jurisdictional law, organizational policy, or standards of practice. For example, disclosure about a person threatening violence.

only in an emergency
sub class of: ActInformationAccessContextCode
label: only in an emergency
comment: Authorization to collect, access, use, or disclose specified patient health information in accordance with emergency information transfer protocol dictated by jurisdictional law, organization policy, or standards of practice. For example, sharing of health information during disaster response.
description: Authorization to collect, access, use, or disclose specified patient health information in accordance with emergency information transfer protocol dictated by jurisdictional law, organization policy, or standards of practice. For example, sharing of health information during disaster response.

only if public welfare risk
sub class of: ActInformationAccessContextCode
label: only if public welfare risk
comment: Authorization to collect, access, use, or disclose specified patient health information necessary to avert potential public welfare risk in accordance with jurisdictional law, organizational policy, or standards of practice. For example, reporting that a person is a victim of abuse or demonstrating suicidal tendencies.
description: Authorization to collect, access, use, or disclose specified patient health information necessary to avert potential public welfare risk in accordance with jurisdictional law, organizational policy, or standards of practice. For example, reporting that a person is a victim of abuse or demonstrating suicidal tendencies.

regulatory information transfer
sub class of: ActInformationAccessContextCode
label: regulatory information transfer
comment: Authorization to collect, access, use, or disclose specified patient health information for public health, welfare, and safety purposes in accordance with jurisdictional law, organizational policy, or standards of practice. For example, public health reporting of notifiable conditions.
description: Authorization to collect, access, use, or disclose specified patient health information for public health, welfare, and safety purposes in accordance with jurisdictional law, organizational policy, or standards of practice. For example, public health reporting of notifiable conditions.

ActInformationCategoryCode
sub class of: ActCode
label: ActInformationCategoryCode
comment: Definition:Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.
description: Definition:Indicates the set of information types which may be manipulated or referenced, such as for recommending access restrictions.

all categories
sub class of: ActInformationCategoryCode
label: all categories
comment: Description: All patient information.
description: Description: All patient information.

allergy category
sub class of: ActInformationCategoryCode
label: allergy category
comment: Definition:All information pertaining to a patient's allergy and intolerance records.
description: Definition:All information pertaining to a patient's allergy and intolerance records.

adverse drug reaction category
sub class of: ActInformationCategoryCode
label: adverse drug reaction category
comment: Description: All information pertaining to a patient's adverse drug reactions.
description: Description: All information pertaining to a patient's adverse drug reactions.

common observation category
sub class of: ActInformationCategoryCode
label: common observation category
comment: Definition:All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).
description: Definition:All information pertaining to a patient's common observation records (height, weight, blood pressure, temperature, etc.).

demographics category
sub class of: ActInformationCategoryCode
label: demographics category
comment: Definition:All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).
description: Definition:All information pertaining to a patient's demographics (such as name, date of birth, gender, address, etc).

diagnostic image category
sub class of: ActInformationCategoryCode
label: diagnostic image category
comment: Definition:All information pertaining to a patient's diagnostic image records (orders & results).
description: Definition:All information pertaining to a patient's diagnostic image records (orders & results).

immunization category
sub class of: ActInformationCategoryCode
label: immunization category
comment: Definition:All information pertaining to a patient's vaccination records.
description: Definition:All information pertaining to a patient's vaccination records.

lab test category
sub class of: ActInformationCategoryCode
label: lab test category
comment: Description: All information pertaining to a patient's lab test records (orders & results)
description: Description: All information pertaining to a patient's lab test records (orders & results)

medical condition category
sub class of: ActInformationCategoryCode
label: medical condition category
comment: Definition:All information pertaining to a patient's medical condition records.
description: Definition:All information pertaining to a patient's medical condition records.

mental health category
sub class of: ActInformationCategoryCode
label: mental health category
comment: Description: All information pertaining to a patient's mental health records.
description: Description: All information pertaining to a patient's mental health records.

professional service category
sub class of: ActInformationCategoryCode
label: professional service category
comment: Definition:All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).
description: Definition:All information pertaining to a patient's professional service records (such as smoking cessation, counseling, medication review, mental health).

medication category
sub class of: ActInformationCategoryCode
label: medication category
comment: Definition:All information pertaining to a patient's medication records (orders, dispenses and other active medications).
description: Definition:All information pertaining to a patient's medication records (orders, dispenses and other active medications).

ActInvoiceElementCode
sub class of: ActCode
label: ActInvoiceElementCode
comment: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.
description: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results.

ActInvoiceAdjudicationPaymentCode
sub class of: ActInvoiceElementCode
label: ActInvoiceAdjudicationPaymentCode
comment: Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee and other cost elements such as bonus, retroactive adjustment and transaction fees.
description: Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee and other cost elements such as bonus, retroactive adjustment and transaction fees.

ActInvoiceAdjudicationPaymentGroupCode
sub class of: ActInvoiceAdjudicationPaymentCode
label: ActInvoiceAdjudicationPaymentGroupCode
comment: Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.
description: Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc.

alternate electronic
sub class of: ActInvoiceAdjudicationPaymentGroupCode
label: alternate electronic
comment: Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission).
description: Payment initiated by the payor as the result of adjudicating a submitted invoice that arrived to the payor from an electronic source that did not provide a conformant set of HL7 messages (e.g. web claim submission).

bonus
sub class of: ActInvoiceAdjudicationPaymentGroupCode
label: bonus
comment: Bonus payments based on performance, volume, etc. as agreed to by the payor.
description: Bonus payments based on performance, volume, etc. as agreed to by the payor.

carry forward adjusment
sub class of: ActInvoiceAdjudicationPaymentGroupCode
label: carry forward adjusment
comment: An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.
description: An amount still owing to the payor but the payment is 0$ and this cannot be settled until a future payment is made.

education fees
sub class of: ActInvoiceAdjudicationPaymentGroupCode
label: education fees
comment: Fees deducted on behalf of a payee for tuition and continuing education.
description: Fees deducted on behalf of a payee for tuition and continuing education.

early payment fee
sub class of: ActInvoiceAdjudicationPaymentGroupCode
label: early payment fee
comment: Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.
description: Fees deducted on behalf of a payee for charges based on a shorter payment frequency (i.e. next day versus biweekly payments.

garnishee
sub class of: ActInvoiceAdjudicationPaymentGroupCode
label: garnishee
comment: Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
description: Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.

submitted invoice
sub class of: ActInvoiceAdjudicationPaymentGroupCode
label: submitted invoice
comment: Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..
description: Payment is based on a payment intent for a previously submitted Invoice, based on formal adjudication results..

paper invoice
sub class of: ActInvoiceAdjudicationPaymentGroupCode
label: paper invoice
comment: Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.
description: Payment initiated by the payor as the result of adjudicating a paper (original, may have been faxed) invoice.

prior period adjustment
sub class of: ActInvoiceAdjudicationPaymentGroupCode
label: prior period adjustment
comment: An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice
description: An amount that was owed to the payor as indicated, by a carry forward adjusment, in a previous payment advice

professional association deduction
sub class of: ActInvoiceAdjudicationPaymentGroupCode
label: professional association deduction
comment: Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association
description: Professional association fee that is collected by the payor from the practitioner/provider on behalf of the association

recovery
sub class of: ActInvoiceAdjudicationPaymentGroupCode
label: recovery
comment: Retroactive adjustment such as fee rate adjustment due to contract negotiations.
description: Retroactive adjustment such as fee rate adjustment due to contract negotiations.

retro adjustment
sub class of: ActInvoiceAdjudicationPaymentGroupCode
label: retro adjustment
comment: Bonus payments based on performance, volume, etc. as agreed to by the payor.
description: Bonus payments based on performance, volume, etc. as agreed to by the payor.

transaction fee
sub class of: ActInvoiceAdjudicationPaymentGroupCode
label: transaction fee
comment: Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.
description: Fees deducted on behalf of a payee for charges based on a per-transaction or time-period (e.g. monthly) fee.

ActInvoiceAdjudicationPaymentSummaryCode
sub class of: ActInvoiceAdjudicationPaymentCode
label: ActInvoiceAdjudicationPaymentSummaryCode
comment: Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc.
description: Codes representing a grouping of invoice elements (totals, sub-totals), reported through a Payment Advice or a Statement of Financial Activity (SOFA). The code can represent summaries by day, location, payee, etc.

invoice type
sub class of: ActInvoiceAdjudicationPaymentSummaryCode
label: invoice type
comment: Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense)
description: Transaction counts and value totals by invoice type (e.g. RXDINV - Pharmacy Dispense)

payee
sub class of: ActInvoiceAdjudicationPaymentSummaryCode
label: payee
comment: Transaction counts and value totals by each instance of an invoice payee.
description: Transaction counts and value totals by each instance of an invoice payee.

payor
sub class of: ActInvoiceAdjudicationPaymentSummaryCode
label: payor
comment: Transaction counts and value totals by each instance of an invoice payor.
description: Transaction counts and value totals by each instance of an invoice payor.

sending application
sub class of: ActInvoiceAdjudicationPaymentSummaryCode
label: sending application
comment: Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers.
description: Transaction counts and value totals by each instance of a messaging application on a single processor. It is a registered identifier known to the receivers.

ActInvoiceDetailCode
sub class of: ActInvoiceElementCode
label: ActInvoiceDetailCode
comment: Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as "office visit", "drug X", "wheelchair" and other billable items such as taxes, service charges and discounts.
description: Codes representing a service or product that is being invoiced (billed). The code can represent such concepts as "office visit", "drug X", "wheelchair" and other billable items such as taxes, service charges and discounts.

ActInvoiceDetailClinicalProductCode
sub class of: ActInvoiceDetailCode
label: ActInvoiceDetailClinicalProductCode
comment: An identifying data string for healthcare products.
description: An identifying data string for healthcare products.

United Nations Standard Products and Services Classification
sub class of: ActInvoiceDetailClinicalProductCode
label: United Nations Standard Products and Services Classification
comment: Description:United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org
description: Description:United Nations Standard Products and Services Classification, managed by Uniform Code Council (UCC): www.unspsc.org

ActInvoiceDetailDrugProductCode
sub class of: ActInvoiceDetailCode
label: ActInvoiceDetailDrugProductCode
comment: An identifying data string for A substance used as a medication or in the preparation of medication.
description: An identifying data string for A substance used as a medication or in the preparation of medication.

Global Trade Item Number
sub class of: ActInvoiceDetailDrugProductCode
label: Global Trade Item Number
comment: Description:Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council).
description: Description:Global Trade Item Number is an identifier for trade items developed by GS1 (comprising the former EAN International and Uniform Code Council).

Universal Product Code
sub class of: ActInvoiceDetailDrugProductCode
label: Universal Product Code
comment: Description:Universal Product Code is one of a wide variety of bar code languages widely used in the United States and Canada for items in stores.
description: Description:Universal Product Code is one of a wide variety of bar code languages widely used in the United States and Canada for items in stores.

ActInvoiceDetailGenericCode
sub class of: ActInvoiceDetailCode
label: ActInvoiceDetailGenericCode
comment: The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.
description: The detail item codes to identify charges or changes to the total billing of a claim due to insurance rules and payments.

ActInvoiceDetailGenericAdjudicatorCode
sub class of: ActInvoiceDetailGenericCode
label: ActInvoiceDetailGenericAdjudicatorCode
comment: The billable item codes to identify adjudicator specified components to the total billing of a claim.
description: The billable item codes to identify adjudicator specified components to the total billing of a claim.

coinsurance
sub class of: ActInvoiceDetailGenericAdjudicatorCode
label: coinsurance
comment: That portion of the eligible charges which a covered party must pay for each service and/or product. It is a percentage of the eligible amount for the service/product that is typically charged after the covered party has met the policy deductible. This amount represents the covered party's coinsurance that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
description: That portion of the eligible charges which a covered party must pay for each service and/or product. It is a percentage of the eligible amount for the service/product that is typically charged after the covered party has met the policy deductible. This amount represents the covered party's coinsurance that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.

patient co-pay
sub class of: ActInvoiceDetailGenericAdjudicatorCode
label: patient co-pay
comment: That portion of the eligible charges which a covered party must pay for each service and/or product. It is a defined amount per service/product of the eligible amount for the service/product. This amount represents the covered party's copayment that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
description: That portion of the eligible charges which a covered party must pay for each service and/or product. It is a defined amount per service/product of the eligible amount for the service/product. This amount represents the covered party's copayment that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.

deductible
sub class of: ActInvoiceDetailGenericAdjudicatorCode
label: deductible
comment: That portion of the eligible charges which a covered party must pay in a particular period (e.g. annual) before the benefits are payable by the adjudicator. This amount represents the covered party's deductible that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.
description: That portion of the eligible charges which a covered party must pay in a particular period (e.g. annual) before the benefits are payable by the adjudicator. This amount represents the covered party's deductible that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results.

payment
sub class of: ActInvoiceDetailGenericAdjudicatorCode
label: payment
comment: The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization.
description: The guarantor, who may be the patient, pays the entire charge for a service. Reasons for such action may include: there is no insurance coverage for the service (e.g. cosmetic surgery); the patient wishes to self-pay for the service; or the insurer denies payment for the service due to contractual provisions such as the need for prior authorization.

spend down
sub class of: ActInvoiceDetailGenericAdjudicatorCode
label: spend down
comment: That total amount of the eligible charges which a covered party must periodically pay for services and/or products prior to the Medicaid program providing any coverage. This amount represents the covered party's spend down that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results
description: That total amount of the eligible charges which a covered party must periodically pay for services and/or products prior to the Medicaid program providing any coverage. This amount represents the covered party's spend down that is applied to a particular adjudication result. It is expressed as a negative dollar amount in adjudication results

co-insurance
sub class of: ActInvoiceDetailGenericAdjudicatorCode
label: co-insurance
comment: The covered party pays a percentage of the cost of covered services.
description: The covered party pays a percentage of the cost of covered services.

ActInvoiceDetailGenericModifierCode
sub class of: ActInvoiceDetailGenericCode
label: ActInvoiceDetailGenericModifierCode
comment: The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.
description: The billable item codes to identify modifications to a billable item charge. As for example after hours increase in the office visit fee.

non-normal hours
sub class of: ActInvoiceDetailGenericModifierCode
label: non-normal hours
comment: Premium paid on service fees in compensation for practicing outside of normal working hours.
description: Premium paid on service fees in compensation for practicing outside of normal working hours.

isolation allowance
sub class of: ActInvoiceDetailGenericModifierCode
label: isolation allowance
comment: Premium paid on service fees in compensation for practicing in a remote location.
description: Premium paid on service fees in compensation for practicing in a remote location.

out of office
sub class of: ActInvoiceDetailGenericModifierCode
label: out of office
comment: Premium paid on service fees in compensation for practicing at a location other than normal working location.
description: Premium paid on service fees in compensation for practicing at a location other than normal working location.

ActInvoiceDetailGenericProviderCode
sub class of: ActInvoiceDetailGenericCode
label: ActInvoiceDetailGenericProviderCode
comment: The billable item codes to identify provider supplied charges or changes to the total billing of a claim.
description: The billable item codes to identify provider supplied charges or changes to the total billing of a claim.

cancelled appointment
sub class of: ActInvoiceDetailGenericProviderCode
label: cancelled appointment
comment: A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.
description: A charge to compensate the provider when a patient cancels an appointment with insufficient time for the provider to make another appointment with another patient.

discount
sub class of: ActInvoiceDetailGenericProviderCode
label: discount
comment: A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.
description: A reduction in the amount charged as a percentage of the amount. For example a 5% discount for volume purchase.

extraordinary service assessment
sub class of: ActInvoiceDetailGenericProviderCode
label: extraordinary service assessment
comment: A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.
description: A premium on a service fee is requested because, due to extenuating circumstances, the service took an extraordinary amount of time or supplies.

fee for service top off
sub class of: ActInvoiceDetailGenericProviderCode
label: fee for service top off
comment: Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount.
description: Under agreement between the parties (payor and provider), a guaranteed level of income is established for the provider over a specific, pre-determined period of time. The normal course of business for the provider is submission of fee-for-service claims. Should the fee-for-service income during the specified period of time be less than the agreed to amount, a top-up amount is paid to the provider equal to the difference between the fee-for-service total and the guaranteed income amount for that period of time. The details of the agreement may specify (or not) a requirement for repayment to the payor in the event that the fee-for-service income exceeds the guaranteed amount.

final fee
sub class of: ActInvoiceDetailGenericProviderCode
label: final fee
comment: Anticipated or actual final fee associated with treating a patient.
description: Anticipated or actual final fee associated with treating a patient.

first fee
sub class of: ActInvoiceDetailGenericProviderCode
label: first fee
comment: Anticipated or actual initial fee associated with treating a patient.
description: Anticipated or actual initial fee associated with treating a patient.

markup or up-charge
sub class of: ActInvoiceDetailGenericProviderCode
label: markup or up-charge
comment: An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.
description: An increase in the amount charged as a percentage of the amount. For example, 12% markup on product cost.

missed appointment
sub class of: ActInvoiceDetailGenericProviderCode
label: missed appointment
comment: A charge to compensate the provider when a patient does not show for an appointment.
description: A charge to compensate the provider when a patient does not show for an appointment.

periodic fee
sub class of: ActInvoiceDetailGenericProviderCode
label: periodic fee
comment: Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element.
description: Anticipated or actual periodic fee associated with treating a patient. For example, expected billing cycle such as monthly, quarterly. The actual period (e.g. monthly, quarterly) is specified in the unit quantity of the Invoice Element.

performance bonus
sub class of: ActInvoiceDetailGenericProviderCode
label: performance bonus
comment: The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed.
description: The amount for a performance bonus that is being requested from a payor for the performance of certain services (childhood immunizations, influenza immunizations, mammograms, pap smears) on a sliding scale. That is, for 90% of childhood immunizations to a maximum of $2200/yr. An invoice is created at the end of the service period (one year) and a code is submitted indicating the percentage achieved and the dollar amount claimed.

restocking fee
sub class of: ActInvoiceDetailGenericProviderCode
label: restocking fee
comment: A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.
description: A charge is requested because the patient failed to pick up the item and it took an amount of time to return it to stock for future use.

travel
sub class of: ActInvoiceDetailGenericProviderCode
label: travel
comment: A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement.
description: A charge to cover the cost of travel time and/or cost in conjuction with providing a service or product. It may be charged per kilometer or per hour based on the effective agreement.

urgent
sub class of: ActInvoiceDetailGenericProviderCode
label: urgent
comment: Premium paid on service fees in compensation for providing an expedited response to an urgent situation.
description: Premium paid on service fees in compensation for providing an expedited response to an urgent situation.

ActInvoiceDetailTaxCode
sub class of: ActInvoiceDetailGenericCode
label: ActInvoiceDetailTaxCode
comment: The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.
description: The billable item codes to identify modifications to a billable item charge by a tax factor applied to the amount. As for example 7% provincial sales tax.

federal sales tax
sub class of: ActInvoiceDetailTaxCode
label: federal sales tax
comment: Federal tax on transactions such as the Goods and Services Tax (GST)
description: Federal tax on transactions such as the Goods and Services Tax (GST)

harmonized sales Tax
sub class of: ActInvoiceDetailTaxCode
label: harmonized sales Tax
comment: Joint Federal/Provincial Sales Tax
description: Joint Federal/Provincial Sales Tax

provincial/state sales tax
sub class of: ActInvoiceDetailTaxCode
label: provincial/state sales tax
comment: Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax
description: Tax levied by the provincial or state jurisdiction such as Provincial Sales Tax

ActInvoiceDetailPreferredAccommodationCode
sub class of: ActInvoiceDetailCode
label: ActInvoiceDetailPreferredAccommodationCode
comment: An identifying data string for medical facility accommodations.
description: An identifying data string for medical facility accommodations.

ActEncounterAccommodationCode
sub class of: ActInvoiceDetailPreferredAccommodationCode
label: ActEncounterAccommodationCode
comment: Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
description: Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.

HL7AccommodationCode
sub class of: ActEncounterAccommodationCode
label: HL7AccommodationCode
comment: Description:Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.
description: Description:Accommodation type. In Intent mood, represents the accommodation type requested. In Event mood, represents accommodation assigned/used. In Definition mood, represents the available accommodation type.

Isolation
sub class of: HL7AccommodationCode
label: Isolation
comment: Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.
description: Accommodations used in the care of diseases that are transmitted through casual contact or respiratory transmission.

Private
sub class of: HL7AccommodationCode
label: Private
comment: Accommodations in which there is only 1 bed.
description: Accommodations in which there is only 1 bed.

Suite
sub class of: HL7AccommodationCode
label: Suite
comment: Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.
description: Uniquely designed and elegantly decorated accommodations with many amenities available for an additional charge.

Semi-private
sub class of: HL7AccommodationCode
label: Semi-private
comment: Accommodations in which there are 2 beds.
description: Accommodations in which there are 2 beds.

Ward
sub class of: HL7AccommodationCode
label: Ward
comment: Accommodations in which there are 3 or more beds.
description: Accommodations in which there are 3 or more beds.

ActInvoiceDetailClinicalServiceCode
sub class of: ActInvoiceDetailCode
label: ActInvoiceDetailClinicalServiceCode
comment: An identifying data string for healthcare procedures.
description: An identifying data string for healthcare procedures.

ActInvoiceGroupCode
sub class of: ActInvoiceElementCode
label: ActInvoiceGroupCode
comment: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.
description: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.

ActInvoiceInterGroupCode
sub class of: ActInvoiceGroupCode
label: ActInvoiceInterGroupCode
comment: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. The domain is only specified for an intermediate invoice element group (non-root or non-top level) for an Invoice.
description: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. The domain is only specified for an intermediate invoice element group (non-root or non-top level) for an Invoice.

compound drug invoice group
sub class of: ActInvoiceInterGroupCode
label: compound drug invoice group
comment: A grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced. It may also contain generic detail items such as markup.
description: A grouping of invoice element groups and details including the ones specifying the compound ingredients being invoiced. It may also contain generic detail items such as markup.

compound ingredient invoice group
sub class of: ActInvoiceInterGroupCode
label: compound ingredient invoice group
comment: A grouping of invoice element details including the one specifying an ingredient drug being invoiced. It may also contain generic detail items such as tax or markup.
description: A grouping of invoice element details including the one specifying an ingredient drug being invoiced. It may also contain generic detail items such as tax or markup.

compound supply invoice group
sub class of: ActInvoiceInterGroupCode
label: compound supply invoice group
comment: A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced. It may also contain generic detail items such as markup.
description: A grouping of invoice element groups and details including the ones specifying the compound supplies being invoiced. It may also contain generic detail items such as markup.

drug invoice group
sub class of: ActInvoiceInterGroupCode
label: drug invoice group
comment: A grouping of invoice element details including the one specifying the drug being invoiced. It may also contain generic detail items such as markup.
description: A grouping of invoice element details including the one specifying the drug being invoiced. It may also contain generic detail items such as markup.

frame invoice group
sub class of: ActInvoiceInterGroupCode
label: frame invoice group
comment: A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.
description: A grouping of invoice element details including the ones specifying the frame fee and the frame dispensing cost that are being invoiced.

lens invoice group
sub class of: ActInvoiceInterGroupCode
label: lens invoice group
comment: A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.
description: A grouping of invoice element details including the ones specifying the lens fee and the lens dispensing cost that are being invoiced.

product invoice group
sub class of: ActInvoiceInterGroupCode
label: product invoice group
comment: A grouping of invoice element details including the one specifying the product (good or supply) being invoiced. It may also contain generic detail items such as tax or discount.
description: A grouping of invoice element details including the one specifying the product (good or supply) being invoiced. It may also contain generic detail items such as tax or discount.

ActInvoiceRootGroupCode
sub class of: ActInvoiceGroupCode
label: ActInvoiceRootGroupCode
comment: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. Codes from this domain reflect the type of Invoice such as Pharmacy Dispense, Clinical Service and Clinical Product. The domain is only specified for the root (top level) invoice element group for an Invoice.
description: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements. Codes from this domain reflect the type of Invoice such as Pharmacy Dispense, Clinical Service and Clinical Product. The domain is only specified for the root (top level) invoice element group for an Invoice.

clinical product invoice
sub class of: ActInvoiceRootGroupCode
label: clinical product invoice
comment: Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s). For example, a crutch or a wheelchair.
description: Clinical product invoice where the Invoice Grouping contains one or more billable item and is supported by clinical product(s). For example, a crutch or a wheelchair.

clinical service invoice
sub class of: ActInvoiceRootGroupCode
label: clinical service invoice
comment: Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services. [1] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service. For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization). [2] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together. For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together. [3] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time. For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).
description: Clinical Services Invoice which can be used to describe a single service, multiple services or repeated services. [1] Single Clinical services invoice where the Invoice Grouping contains one billable item and is supported by one clinical service. For example, a single service for an office visit or simple clinical procedure (e.g. knee mobilization). [2] Multiple Clinical services invoice where the Invoice Grouping contains more than one billable item, supported by one or more clinical services. The services can be distinct and over multiple dates, but for the same patient. This type of invoice includes a series of treatments which must be adjudicated together. For example, an adjustment and ultrasound for a chiropractic session where fees are associated for each of the services and adjudicated (invoiced) together. [3] Repeated Clinical services invoice where the Invoice Grouping contains one or more billable item, supported by the same clinical service repeated over a period of time. For example, the same Chiropractic adjustment (service or treatment) delivered on 3 separate occasions over a period of time at the discretion of the provider (e.g. month).

clinical service and product
sub class of: ActInvoiceRootGroupCode
label: clinical service and product
comment: A clinical Invoice Grouping consisting of one or more services and one or more product. Billing for these service(s) and product(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator. For example , a brace (product) invoiced together with the fitting (service).
description: A clinical Invoice Grouping consisting of one or more services and one or more product. Billing for these service(s) and product(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator. For example , a brace (product) invoiced together with the fitting (service).

financial invoice
sub class of: ActInvoiceRootGroupCode
label: financial invoice
comment: Invoice Grouping without clinical justification. These will not require identification of participants and associations from a clinical context such as patient and provider. Examples are interest charges and mileage.
description: Invoice Grouping without clinical justification. These will not require identification of participants and associations from a clinical context such as patient and provider. Examples are interest charges and mileage.

oral health service
sub class of: ActInvoiceRootGroupCode
label: oral health service
comment: A clinical Invoice Grouping consisting of one or more oral health services. Billing for these service(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.
description: A clinical Invoice Grouping consisting of one or more oral health services. Billing for these service(s) are supported by multiple clinical billable events (acts). All items in the Invoice Grouping must be adjudicated together to be acceptable to the Adjudicator.

preferred accommodation invoice
sub class of: ActInvoiceRootGroupCode
label: preferred accommodation invoice
comment: HealthCare facility preferred accommodation invoice.
description: HealthCare facility preferred accommodation invoice.

Rx compound invoice
sub class of: ActInvoiceRootGroupCode
label: Rx compound invoice
comment: Pharmacy dispense invoice for a compound.
description: Pharmacy dispense invoice for a compound.

Rx dispense invoice
sub class of: ActInvoiceRootGroupCode
label: Rx dispense invoice
comment: Pharmacy dispense invoice not involving a compound
description: Pharmacy dispense invoice not involving a compound

sessional or block fee invoice
sub class of: ActInvoiceRootGroupCode
label: sessional or block fee invoice
comment: Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.
description: Clinical services invoice where the Invoice Group contains one billable item for multiple clinical services in one or more sessions.

vision dispense invoice
sub class of: ActInvoiceRootGroupCode
label: vision dispense invoice
comment: Vision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams are invoiced as a clinical service invoice.
description: Vision dispense invoice for up to 2 lens (left and right), frame and optional discount. Eye exams are invoiced as a clinical service invoice.

ActInvoiceElementSummaryCode
sub class of: ActCode
label: ActInvoiceElementSummaryCode
comment: Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.
description: Identifies the different types of summary information that can be reported by queries dealing with Statement of Financial Activity (SOFA). The summary information is generally used to help resolve balance discrepancies between providers and payors.

InvoiceElementAdjudicated
sub class of: ActInvoiceElementSummaryCode
label: InvoiceElementAdjudicated
comment: Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.
description: Total counts and total net amounts adjudicated for all Invoice Groupings that were adjudicated within a time period based on the adjudication date of the Invoice Grouping.

adjud. nullified prior-period electronic amount
sub class of: InvoiceElementAdjudicated
label: adjud. nullified prior-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.

adjud. nullified prior-period electronic count
sub class of: InvoiceElementAdjudicated
label: adjud. nullified prior-period electronic count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically.

adjud. nullified prior-period manual amount
sub class of: InvoiceElementAdjudicated
label: adjud. nullified prior-period manual amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

adjud. nullified prior-period manual count
sub class of: InvoiceElementAdjudicated
label: adjud. nullified prior-period manual count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
description: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

adjud. nullified same-period electronic amount
sub class of: InvoiceElementAdjudicated
label: adjud. nullified same-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.

adjud. nullified same-period electronic count
sub class of: InvoiceElementAdjudicated
label: adjud. nullified same-period electronic count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically.

adjud. nullified same-period manual amount
sub class of: InvoiceElementAdjudicated
label: adjud. nullified same-period manual amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

adjud. nullified same-period manual count
sub class of: InvoiceElementAdjudicated
label: adjud. nullified same-period manual count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.
description: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually.

adjud. non-payee payable prior-period electronic amount
sub class of: InvoiceElementAdjudicated
label: adjud. non-payee payable prior-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

adjud. non-payee payable prior-period electronic count
sub class of: InvoiceElementAdjudicated
label: adjud. non-payee payable prior-period electronic count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

adjud. non-payee payable prior-period manual amount
sub class of: InvoiceElementAdjudicated
label: adjud. non-payee payable prior-period manual amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.

adjud. non-payee payable prior-period manual count
sub class of: InvoiceElementAdjudicated
label: adjud. non-payee payable prior-period manual count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
description: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.

adjud. non-payee payable same-period electronic amount
sub class of: InvoiceElementAdjudicated
label: adjud. non-payee payable same-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

adjud. non-payee payable same-period electronic count
sub class of: InvoiceElementAdjudicated
label: adjud. non-payee payable same-period electronic count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

adjud. non-payee payable same-period manual amount
sub class of: InvoiceElementAdjudicated
label: adjud. non-payee payable same-period manual amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.

adjud. non-payee payable same-period manual count
sub class of: InvoiceElementAdjudicated
label: adjud. non-payee payable same-period manual count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.
description: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually.

adjud. payee payable prior-period electronic amount
sub class of: InvoiceElementAdjudicated
label: adjud. payee payable prior-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.

adjud. payee payable prior-period electronic count
sub class of: InvoiceElementAdjudicated
label: adjud. payee payable prior-period electronic count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.

adjud. payee payable prior-period manual amout
sub class of: InvoiceElementAdjudicated
label: adjud. payee payable prior-period manual amout
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.

adjud. payee payable prior-period manual count
sub class of: InvoiceElementAdjudicated
label: adjud. payee payable prior-period manual count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
description: Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.

adjud. payee payable same-period electronic amount
sub class of: InvoiceElementAdjudicated
label: adjud. payee payable same-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.

adjud. payee payable same-period electronic count
sub class of: InvoiceElementAdjudicated
label: adjud. payee payable same-period electronic count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically.

adjud. payee payable same-period manual amount
sub class of: InvoiceElementAdjudicated
label: adjud. payee payable same-period manual amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.

adjud. payee payable same-period manual count
sub class of: InvoiceElementAdjudicated
label: adjud. payee payable same-period manual count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.
description: Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually.

adjud. refused prior-period electronic amount
sub class of: InvoiceElementAdjudicated
label: adjud. refused prior-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.

adjud. refused prior-period electronic count
sub class of: InvoiceElementAdjudicated
label: adjud. refused prior-period electronic count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically.

adjud. refused prior-period manual amount
sub class of: InvoiceElementAdjudicated
label: adjud. refused prior-period manual amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.

adjud. refused prior-period manual count
sub class of: InvoiceElementAdjudicated
label: adjud. refused prior-period manual count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.
description: Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually.

adjud. refused same-period electronic amount
sub class of: InvoiceElementAdjudicated
label: adjud. refused same-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.

adjud. refused same-period electronic count
sub class of: InvoiceElementAdjudicated
label: adjud. refused same-period electronic count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically.

adjud. refused same-period manual amount
sub class of: InvoiceElementAdjudicated
label: adjud. refused same-period manual amount
comment: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.

adjud. refused same-period manual count
sub class of: InvoiceElementAdjudicated
label: adjud. refused same-period manual count
comment: Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.
description: Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually.

InvoiceElementPaid
sub class of: ActInvoiceElementSummaryCode
label: InvoiceElementPaid
comment: Total counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.
description: Total counts and total net amounts paid for all Invoice Groupings that were paid within a time period based on the payment date.

paid nullified prior-period electronic amount
sub class of: InvoiceElementPaid
label: paid nullified prior-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.

paid nullified prior-period electronic count
sub class of: InvoiceElementPaid
label: paid nullified prior-period electronic count
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.

paid nullified prior-period manual amount
sub class of: InvoiceElementPaid
label: paid nullified prior-period manual amount
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.

paid nullified prior-period manual count
sub class of: InvoiceElementPaid
label: paid nullified prior-period manual count
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
description: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.

paid nullified same-period electronic amount
sub class of: InvoiceElementPaid
label: paid nullified same-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted electronically.

paid nullified same-period electronic count
sub class of: InvoiceElementPaid
label: paid nullified same-period electronic count
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently cancelled in the specified period and submitted electronically.

paid nullified same-period manual amount
sub class of: InvoiceElementPaid
label: paid nullified same-period manual amount
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.

paid nullified same-period manual count
sub class of: InvoiceElementPaid
label: paid nullified same-period manual count
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.
description: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date), subsequently nullified in the specified period and submitted manually.

paid non-payee payable prior-period electronic amount
sub class of: InvoiceElementPaid
label: paid non-payee payable prior-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

paid non-payee payable prior-period electronic count
sub class of: InvoiceElementPaid
label: paid non-payee payable prior-period electronic count
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

paid non-payee payable prior-period manual amount
sub class of: InvoiceElementPaid
label: paid non-payee payable prior-period manual amount
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.

paid non-payee payable prior-period manual count
sub class of: InvoiceElementPaid
label: paid non-payee payable prior-period manual count
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
description: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.

paid non-payee payable same-period electronic amount
sub class of: InvoiceElementPaid
label: paid non-payee payable same-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

paid non-payee payable same-period electronic count
sub class of: InvoiceElementPaid
label: paid non-payee payable same-period electronic count
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted electronically.

paid non-payee payable same-period manual amount
sub class of: InvoiceElementPaid
label: paid non-payee payable same-period manual amount
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.

paid non-payee payable same-period manual count
sub class of: InvoiceElementPaid
label: paid non-payee payable same-period manual count
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.
description: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that do not match a specified payee (e.g. pay patient) and submitted manually.

paid payee payable prior-period electronic amount
sub class of: InvoiceElementPaid
label: paid payee payable prior-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.

paid payee payable prior-period electronic count
sub class of: InvoiceElementPaid
label: paid payee payable prior-period electronic count
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.

paid payee payable prior-period manual amount
sub class of: InvoiceElementPaid
label: paid payee payable prior-period manual amount
comment: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.

paid payee payable prior-period manual count
sub class of: InvoiceElementPaid
label: paid payee payable prior-period manual count
comment: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
description: Identifies the total number of all Invoice Groupings that were paid prior to the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.

paid payee payable same-period electronic amount
sub class of: InvoiceElementPaid
label: paid payee payable same-period electronic amount
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
description: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.

paid payee payable same-period electronic count
sub class of: InvoiceElementPaid
label: paid payee payable same-period electronic count
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.
description: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted electronically.

paid payee payable same-period manual amount
sub class of: InvoiceElementPaid
label: paid payee payable same-period manual amount
comment: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
description: Identifies the total net amount of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.

paid payee payable same-period manual count
sub class of: InvoiceElementPaid
label: paid payee payable same-period manual count
comment: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.
description: Identifies the total number of all Invoice Groupings that were paid during the specified time period (based on payment date) that match a specified payee (e.g. pay provider) and submitted manually.

InvoiceElementSubmitted
sub class of: ActInvoiceElementSummaryCode
label: InvoiceElementSubmitted
comment: Total counts and total net amounts billed for all Invoice Groupings that were submitted within a time period. Adjudicated invoice elements are included.
description: Total counts and total net amounts billed for all Invoice Groupings that were submitted within a time period. Adjudicated invoice elements are included.

submitted billed electronic amount
sub class of: InvoiceElementSubmitted
label: submitted billed electronic amount
comment: Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
description: Identifies the total net amount billed for all submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.

submitted billed electronic count
sub class of: InvoiceElementSubmitted
label: submitted billed electronic count
comment: Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.
description: Identifies the total number of submitted Invoice Groupings within a time period and submitted electronically. Adjudicated invoice elements are included.

submitted nullified electronic amount
sub class of: InvoiceElementSubmitted
label: submitted nullified electronic amount
comment: Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
description: Identifies the total net amount billed for all submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.

submitted cancelled electronic count
sub class of: InvoiceElementSubmitted
label: submitted cancelled electronic count
comment: Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.
description: Identifies the total number of submitted Invoice Groupings that were nullified within a time period and submitted electronically. Adjudicated invoice elements are included.

submitted pending electronic amount
sub class of: InvoiceElementSubmitted
label: submitted pending electronic amount
comment: Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
description: Identifies the total net amount billed for all submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.

submitted pending electronic count
sub class of: InvoiceElementSubmitted
label: submitted pending electronic count
comment: Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.
description: Identifies the total number of submitted Invoice Groupings that are pended or held by the payor, within a time period and submitted electronically. Adjudicated invoice elements are not included.

ActInvoiceOverrideCode
sub class of: ActCode
label: ActInvoiceOverrideCode
comment: Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.
description: Includes coded responses that will occur as a result of the adjudication of an electronic invoice at a summary level and provides guidance on interpretation of the referenced adjudication results.

coverage problem
sub class of: ActInvoiceOverrideCode
label: coverage problem
comment: Insurance coverage problems have been encountered. Additional explanation information to be supplied.
description: Insurance coverage problems have been encountered. Additional explanation information to be supplied.

electronic form to follow
sub class of: ActInvoiceOverrideCode
label: electronic form to follow
comment: Electronic form with supporting or additional information to follow.
description: Electronic form with supporting or additional information to follow.

fax to follow
sub class of: ActInvoiceOverrideCode
label: fax to follow
comment: Fax with supporting or additional information to follow.
description: Fax with supporting or additional information to follow.

good faith indicator
sub class of: ActInvoiceOverrideCode
label: good faith indicator
comment: The medical service was provided to a patient in good faith that they had medical coverage, although no evidence of coverage was available before service was rendered.
description: The medical service was provided to a patient in good faith that they had medical coverage, although no evidence of coverage was available before service was rendered.

late invoice
sub class of: ActInvoiceOverrideCode
label: late invoice
comment: Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing. Additional reason information will be supplied.
description: Knowingly over the payor's published time limit for this invoice possibly due to a previous payor's delays in processing. Additional reason information will be supplied.

manual review
sub class of: ActInvoiceOverrideCode
label: manual review
comment: Manual review of the invoice is requested. Additional information to be supplied. This may be used in the case of an appeal.
description: Manual review of the invoice is requested. Additional information to be supplied. This may be used in the case of an appeal.

out of jurisdiction
sub class of: ActInvoiceOverrideCode
label: out of jurisdiction
comment: The medical service and/or product was provided to a patient that has coverage in another jurisdiction.
description: The medical service and/or product was provided to a patient that has coverage in another jurisdiction.

orthodontic service
sub class of: ActInvoiceOverrideCode
label: orthodontic service
comment: The service provided is required for orthodontic purposes. If the covered party has orthodontic coverage, then the service may be paid.
description: The service provided is required for orthodontic purposes. If the covered party has orthodontic coverage, then the service may be paid.

paper documentation to follow
sub class of: ActInvoiceOverrideCode
label: paper documentation to follow
comment: Paper documentation (or other physical format) with supporting or additional information to follow.
description: Paper documentation (or other physical format) with supporting or additional information to follow.

public insurance exhausted
sub class of: ActInvoiceOverrideCode
label: public insurance exhausted
comment: Public Insurance has been exhausted. Invoice has not been sent to Public Insuror and therefore no Explanation Of Benefits (EOB) is provided with this Invoice submission.
description: Public Insurance has been exhausted. Invoice has not been sent to Public Insuror and therefore no Explanation Of Benefits (EOB) is provided with this Invoice submission.

delayed by a previous payor
sub class of: ActInvoiceOverrideCode
label: delayed by a previous payor
comment: Allows provider to explain lateness of invoice to a subsequent payor.
description: Allows provider to explain lateness of invoice to a subsequent payor.

referral not required
sub class of: ActInvoiceOverrideCode
label: referral not required
comment: Rules of practice do not require a physician's referral for the provider to perform a billable service.
description: Rules of practice do not require a physician's referral for the provider to perform a billable service.

repeated service
sub class of: ActInvoiceOverrideCode
label: repeated service
comment: The same service was delivered within a time period that would usually indicate a duplicate billing. However, the repeated service is a medical necessity and therefore not a duplicate.
description: The same service was delivered within a time period that would usually indicate a duplicate billing. However, the repeated service is a medical necessity and therefore not a duplicate.

unrelated service
sub class of: ActInvoiceOverrideCode
label: unrelated service
comment: The service provided is not related to another billed service. For example, 2 unrelated services provided on the same day to the same patient which may normally result in a refused payment for one of the items.
description: The service provided is not related to another billed service. For example, 2 unrelated services provided on the same day to the same patient which may normally result in a refused payment for one of the items.

verbal authorization
sub class of: ActInvoiceOverrideCode
label: verbal authorization
comment: The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.
description: The provider has received a verbal permission from an authoritative source to perform the service or supply the item being invoiced.

ActListCode
sub class of: ActCode
label: ActListCode
comment: Provides codes associated with ActClass value of LIST (working list)
description: Provides codes associated with ActClass value of LIST (working list)

ActObservationList
sub class of: ActListCode
label: ActObservationList
comment: ActObservationList
description: ActObservationList

care plan
sub class of: ActObservationList
label: care plan
comment: List of acts representing a care plan. The acts can be in a varierty of moods including event (EVN) to record acts that have been carried out as part of the care plan.
description: List of acts representing a care plan. The acts can be in a varierty of moods including event (EVN) to record acts that have been carried out as part of the care plan.

condition list
sub class of: ActObservationList
label: condition list
comment: List of condition observations.
description: List of condition observations.

intolerance list
sub class of: condition list
label: intolerance list
comment: List of intolerance observations.
description: List of intolerance observations.

problem list
sub class of: condition list
label: problem list
comment: List of problem observations.
description: List of problem observations.

risk factors
sub class of: condition list
label: risk factors
comment: List of risk factor observations.
description: List of risk factor observations.

goal list
sub class of: ActObservationList
label: goal list
comment: List of observations in goal mood.
description: List of observations in goal mood.

ActTherapyDurationWorkingListCode
sub class of: ActListCode
label: ActTherapyDurationWorkingListCode
comment: Codes used to identify different types of 'duration-based' working lists. Examples include "Continuous/Chronic", "Short-Term" and "As-Needed".
description: Codes used to identify different types of 'duration-based' working lists. Examples include "Continuous/Chronic", "Short-Term" and "As-Needed".

act medication therapy duration working list
sub class of: ActTherapyDurationWorkingListCode
label: act medication therapy duration working list
comment: Definition:A collection of concepts that identifies different types of 'duration-based' mediation working lists. Examples:"Continuous/Chronic" "Short-Term" and "As Needed"
description: Definition:A collection of concepts that identifies different types of 'duration-based' mediation working lists. Examples:"Continuous/Chronic" "Short-Term" and "As Needed"

short term/acute
sub class of: act medication therapy duration working list
label: short term/acute
comment: Definition:A list of medications which the patient is only expected to consume for the duration of the current order or limited set of orders and which is not expected to be renewed.
description: Definition:A list of medications which the patient is only expected to consume for the duration of the current order or limited set of orders and which is not expected to be renewed.

continuous/chronic
sub class of: act medication therapy duration working list
label: continuous/chronic
comment: Definition:A list of medications which are expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped.
description: Definition:A list of medications which are expected to be continued beyond the present order and which the patient should be assumed to be taking unless explicitly stopped.

one time
sub class of: act medication therapy duration working list
label: one time
comment: Definition:A list of medications which the patient is intended to be administered only once.
description: Definition:A list of medications which the patient is intended to be administered only once.

as needed
sub class of: act medication therapy duration working list
label: as needed
comment: Definition:A list of medications which the patient will consume intermittently based on the behavior of the condition for which the medication is indicated.
description: Definition:A list of medications which the patient will consume intermittently based on the behavior of the condition for which the medication is indicated.

medication list
sub class of: ActListCode
label: medication list
comment: List of medications.
description: List of medications.

current medication list
sub class of: medication list
label: current medication list
comment: List of current medications.
description: List of current medications.

discharge medication list
sub class of: medication list
label: discharge medication list
comment: List of discharge medications.
description: List of discharge medications.

medication history
sub class of: medication list
label: medication history
comment: Historical list of medications.
description: Historical list of medications.

ActMonitoringProtocolCode
sub class of: ActCode
label: ActMonitoringProtocolCode
comment: Identifies types of monitoring programs
description: Identifies types of monitoring programs

Controlled Substance
sub class of: ActMonitoringProtocolCode
label: Controlled Substance
comment: A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.
description: A monitoring program that focuses on narcotics and/or commonly abused substances that are subject to legal restriction.

investigational
sub class of: ActMonitoringProtocolCode
label: investigational
comment: Definition:A monitoring program that focuses on a drug which is under investigation and has not received regulatory approval for the condition being investigated
description: Definition:A monitoring program that focuses on a drug which is under investigation and has not received regulatory approval for the condition being investigated

limited use
sub class of: ActMonitoringProtocolCode
label: limited use
comment: Description:A drug that can be prescribed (and reimbursed) only if it meets certain criteria.
description: Description:A drug that can be prescribed (and reimbursed) only if it meets certain criteria.

non prescription medicine
sub class of: ActMonitoringProtocolCode
label: non prescription medicine
comment: Medicines designated in this way may be supplied for patient use without a prescription. The exact form of categorisation will vary in different realms.
description: Medicines designated in this way may be supplied for patient use without a prescription. The exact form of categorisation will vary in different realms.

prescription only medicine
sub class of: ActMonitoringProtocolCode
label: prescription only medicine
comment: Some form of prescription is required before the related medicine can be supplied for a patient. The exact form of regulation will vary in different realms.
description: Some form of prescription is required before the related medicine can be supplied for a patient. The exact form of regulation will vary in different realms.

special authorization
sub class of: ActMonitoringProtocolCode
label: special authorization
comment: Definition:A drug that requires prior approval (to be reimbursed) before being dispensed
description: Definition:A drug that requires prior approval (to be reimbursed) before being dispensed

special access
sub class of: ActMonitoringProtocolCode
label: special access
comment: Description:A drug that requires special access permission to be prescribed and dispensed.
description: Description:A drug that requires special access permission to be prescribed and dispensed.

ActNonObservationIndicationCode
sub class of: ActCode
label: ActNonObservationIndicationCode
comment: Description:Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.
description: Description:Concepts representing indications (reasons for clinical action) other than diagnosis and symptoms.

imaging study requiring contrast
sub class of: ActNonObservationIndicationCode
label: imaging study requiring contrast
comment: Description:Contrast agent required for imaging study.
description: Description:Contrast agent required for imaging study.

colonoscopy prep
sub class of: ActNonObservationIndicationCode
label: colonoscopy prep
comment: Description:Provision of prescription or direction to consume a product for purposes of bowel clearance in preparation for a colonoscopy.
description: Description:Provision of prescription or direction to consume a product for purposes of bowel clearance in preparation for a colonoscopy.

prophylaxis
sub class of: ActNonObservationIndicationCode
label: prophylaxis
comment: Description:Provision of medication as a preventative measure during a treatment or other period of increased risk.
description: Description:Provision of medication as a preventative measure during a treatment or other period of increased risk.

surgical prophylaxis
sub class of: ActNonObservationIndicationCode
label: surgical prophylaxis
comment: Description:Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery.
description: Description:Provision of medication during pre-operative phase; e.g., antibiotics before dental surgery or bowel prep before colon surgery.

pregnancy prophylaxis
sub class of: ActNonObservationIndicationCode
label: pregnancy prophylaxis
comment: Description:Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.
description: Description:Provision of medication for pregnancy --e.g., vitamins, antibiotic treatments for vaginal tract colonization, etc.

act observation verification
sub class of: ActCode
label: act observation verification
comment: Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity. Examples: Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program Verification of record - e.g., person has record in an immunization registry Verification of enumeration - e.g. NPI Verification of Board Certification - provider specific Verification of Certification - e.g. JAHCO, NCQA, URAC Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria Verification of Provider Credentials Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)
description: Identifies the type of verification investigation being undertaken with respect to the subject of the verification activity. Examples: Verification of eligibility for coverage under a policy or program - aka enrolled/covered by a policy or program Verification of record - e.g., person has record in an immunization registry Verification of enumeration - e.g. NPI Verification of Board Certification - provider specific Verification of Certification - e.g. JAHCO, NCQA, URAC Verification of Conformance - e.g. entity use with HIPAA, conformant to the CCHIT EHR system criteria Verification of Provider Credentials Verification of no adverse findings - e.g. on National Provider Data Bank, Health Integrity Protection Data Base (HIPDB)

verify paper
sub class of: act observation verification
label: verify paper
comment: Definition:Indicates that the paper version of the record has, should be or is being verified against the electronic version.
description: Definition:Indicates that the paper version of the record has, should be or is being verified against the electronic version.

ActPaymentCode
sub class of: ActCode
label: ActPaymentCode
comment: Code identifying the method or the movement of payment instructions. Codes are drawn from X12 data element 591 (PaymentMethodCode)
description: Code identifying the method or the movement of payment instructions. Codes are drawn from X12 data element 591 (PaymentMethodCode)

Automated Clearing House
sub class of: ActPaymentCode
label: Automated Clearing House
comment: Automated Clearing House (ACH).
description: Automated Clearing House (ACH).

Cheque
sub class of: ActPaymentCode
label: Cheque
comment: A written order to a bank to pay the amount specified from funds on deposit.
description: A written order to a bank to pay the amount specified from funds on deposit.

Direct Deposit
sub class of: ActPaymentCode
label: Direct Deposit
comment: Electronic Funds Transfer (EFT) deposit into the payee's bank account
description: Electronic Funds Transfer (EFT) deposit into the payee's bank account

Non-Payment Data
sub class of: ActPaymentCode
label: Non-Payment Data
comment: Non-Payment Data.
description: Non-Payment Data.

ActPharmacySupplyType
sub class of: ActCode
label: ActPharmacySupplyType
comment: Identifies types of dispensing events
description: Identifies types of dispensing events

Daily Fill
sub class of: ActPharmacySupplyType
label: Daily Fill
comment: A fill providing sufficient supply for one day
description: A fill providing sufficient supply for one day

Emergency Supply
sub class of: ActPharmacySupplyType
label: Emergency Supply
comment: A supply action where there is no 'valid' order for the supplied medication. E.g. Emergency vacation supply, weekend supply (when prescriber is unavailable to provide a renewal prescription)
description: A supply action where there is no 'valid' order for the supplied medication. E.g. Emergency vacation supply, weekend supply (when prescriber is unavailable to provide a renewal prescription)

Script Owing
sub class of: Emergency Supply
label: Script Owing
comment: An emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date.
description: An emergency supply where the expectation is that a formal order authorizing the supply will be provided at a later date.

First Fill
sub class of: ActPharmacySupplyType
label: First Fill
comment: The initial fill against an order. (This includes initial fills against refill orders.)
description: The initial fill against an order. (This includes initial fills against refill orders.)

First Fill - Complete
sub class of: First Fill
label: First Fill - Complete
comment: A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets).
description: A first fill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets).

First Fill - Part Fill
sub class of: First Fill
label: First Fill - Part Fill
comment: A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)
description: A first fill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)

first fill, partial strength
sub class of: First Fill
label: first fill, partial strength
comment: A first fill where the strength supplied is less than the ordered strength. (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
description: A first fill where the strength supplied is less than the ordered strength. (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).

Trial Fill
sub class of: First Fill
label: Trial Fill
comment: A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance.
description: A fill where a small portion is provided to allow for determination of the therapy effectiveness and patient tolerance.

Floor stock
sub class of: ActPharmacySupplyType
label: Floor stock
comment: A supply action to restock a smaller more local dispensary.
description: A supply action to restock a smaller more local dispensary.

Manufacturer Sample
sub class of: ActPharmacySupplyType
label: Manufacturer Sample
comment: A supply of a manufacturer sample
description: A supply of a manufacturer sample

Refill
sub class of: ActPharmacySupplyType
label: Refill
comment: A fill against an order that has already been filled (or partially filled) at least once.
description: A fill against an order that has already been filled (or partially filled) at least once.

Unit Dose
sub class of: Refill
label: Unit Dose
comment: A supply action that provides sufficient material for a single dose.
description: A supply action that provides sufficient material for a single dose.

Refill - Complete
sub class of: Refill
label: Refill - Complete
comment: A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.)
description: A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.)

refill complete partial strength
sub class of: Refill - Complete
label: refill complete partial strength
comment: A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
description: A refill where the quantity supplied is equal to one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a complete fill would be for the full 90 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).

Refill (First fill this facility)
sub class of: Refill
label: Refill (First fill this facility)
comment: The first fill against an order that has already been filled at least once at another facility.
description: The first fill against an order that has already been filled at least once at another facility.

refill partial strength (first fill this facility)
sub class of: Refill (First fill this facility)
label: refill partial strength (first fill this facility)
comment: The first fill against an order that has already been filled at least once at another facility and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
description: The first fill against an order that has already been filled at least once at another facility and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).

Refill - Part Fill
sub class of: Refill
label: Refill - Part Fill
comment: A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)
description: A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.)

refill part fill partial strength
sub class of: Refill - Part Fill
label: refill part fill partial strength
comment: A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
description: A refill where the quantity supplied is less than one full repetition of the ordered amount. (e.g. If the order was 90 tablets, 3 refills, a partial fill might be for only 30 tablets.) and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).

refill partial strength
sub class of: Refill
label: refill partial strength
comment: A fill against an order that has already been filled (or partially filled) at least once and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
description: A fill against an order that has already been filled (or partially filled) at least once and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).

Trial Balance
sub class of: Refill
label: Trial Balance
comment: A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.
description: A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided.

trial balance partial strength
sub class of: Trial Balance
label: trial balance partial strength
comment: A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).
description: A fill where the remainder of a 'complete' fill is provided after a trial fill has been provided and where the strength supplied is less than the ordered strength (e.g. 10mg for an order of 50mg where a subsequent fill will dispense 40mg tablets).

unit dose equivalent
sub class of: ActPharmacySupplyType
label: unit dose equivalent
comment: A supply action that provides sufficient material for a single dose via multiple products. E.g. 2 50mg tablets for a 100mg unit dose.
description: A supply action that provides sufficient material for a single dose via multiple products. E.g. 2 50mg tablets for a 100mg unit dose.

ActPolicyType
sub class of: ActCode
label: ActPolicyType
comment: Description:Types of policies that further specify the ActClassPolicy value set.
description: Description:Types of policies that further specify the ActClassPolicy value set.

ActPrivacyPolicy
sub class of: ActPolicyType
label: ActPrivacyPolicy
comment: A policy deeming certain information to be private to an individual or organization. Definition: A mandate, obligation, requirement, rule, or expectation relating to privacy. Discussion: ActPrivacyPolicyType codes support the designation of the 1..* policies that are applicable to an Act such as a Consent Directive, a Role such as a VIP Patient, or an Entity such as a patient who is a minor. 1..* ActPrivacyPolicyType values may be associated with an Act or Role to indicate the policies that govern the assignment of an Act or Role confidentialityCode. Use of multiple ActPrivacyPolicyType values enables fine grain specification of applicable policies, but must be carefully assigned to ensure cogency and avoid creation of conflicting policy mandates. Usage Note: Statutory title may be named in the ActClassPolicy Act Act.title to specify which privacy policy is being referenced.
description: A policy deeming certain information to be private to an individual or organization. Definition: A mandate, obligation, requirement, rule, or expectation relating to privacy. Discussion: ActPrivacyPolicyType codes support the designation of the 1..* policies that are applicable to an Act such as a Consent Directive, a Role such as a VIP Patient, or an Entity such as a patient who is a minor. 1..* ActPrivacyPolicyType values may be associated with an Act or Role to indicate the policies that govern the assignment of an Act or Role confidentialityCode. Use of multiple ActPrivacyPolicyType values enables fine grain specification of applicable policies, but must be carefully assigned to ensure cogency and avoid creation of conflicting policy mandates. Usage Note: Statutory title may be named in the ActClassPolicy Act Act.title to specify which privacy policy is being referenced.

ActConsentDirective
sub class of: ActPrivacyPolicy
label: ActConsentDirective
comment: Definition: Specifies the type of consent directive indicated by an ActClassPolicy e.g., a 3rd party authorization to disclose or consent for a substitute decision maker (SDM) or a notice of privacy policy. Usage Note: ActConsentDirective codes are used to specify the type of Consent Directive to which a Consent Directive Act conforms.
description: Definition: Specifies the type of consent directive indicated by an ActClassPolicy e.g., a 3rd party authorization to disclose or consent for a substitute decision maker (SDM) or a notice of privacy policy. Usage Note: ActConsentDirective codes are used to specify the type of Consent Directive to which a Consent Directive Act conforms.

emergency only
sub class of: ActConsentDirective
label: emergency only
comment: This general consent directive specifically limits disclosure of health information for purpose of emergency treatment. Additional parameters may further limit the disclosure to specific users, roles, duration, types of information, and impose uses obligations. Definition: Opt-in to disclosure of health information for emergency only consent directive.
description: This general consent directive specifically limits disclosure of health information for purpose of emergency treatment. Additional parameters may further limit the disclosure to specific users, roles, duration, types of information, and impose uses obligations. Definition: Opt-in to disclosure of health information for emergency only consent directive.

notice of privacy practices
sub class of: ActConsentDirective
label: notice of privacy practices
comment: Acknowledgement of custodian notice of privacy practices. Usage Notes: This type of consent directive acknowledges a custodian's notice of privacy practices including its permitted collection, access, use and disclosure of health information to users and for purposes of use specified.
description: Acknowledgement of custodian notice of privacy practices. Usage Notes: This type of consent directive acknowledges a custodian's notice of privacy practices including its permitted collection, access, use and disclosure of health information to users and for purposes of use specified.

opt-in
sub class of: ActConsentDirective
label: opt-in
comment: This general consent directive permits disclosure of health information. Additional parameter may limit authorized users, purpose of use, user obligations, duration, or information types permitted to be disclosed, and impose uses obligations. Definition: Opt-in to disclosure of health information consent directive.
description: This general consent directive permits disclosure of health information. Additional parameter may limit authorized users, purpose of use, user obligations, duration, or information types permitted to be disclosed, and impose uses obligations. Definition: Opt-in to disclosure of health information consent directive.

op-out
sub class of: ActConsentDirective
label: op-out
comment: This general consent directive prohibits disclosure of health information. Additional parameters may permit access to some information types by certain users, roles, purposes of use, durations and impose user obligations. Definition: Opt-out of disclosure of health information consent directive.
description: This general consent directive prohibits disclosure of health information. Additional parameters may permit access to some information types by certain users, roles, purposes of use, durations and impose user obligations. Definition: Opt-out of disclosure of health information consent directive.

InformationSensitivityPolicy
sub class of: ActPrivacyPolicy
label: InformationSensitivityPolicy
comment: A mandate, obligation, requirement, rule, or expectation characterizing the value or importance of a resource and may include its vulnerability. (Based on ISO7498-2:1989. Note: The vulnerability of personally identifiable sensitive information may be based on concerns that the unauthorized disclosure may result in social stigmatization or discrimination.) Description: Types of Sensitivity policy that apply to Acts or Roles. A sensitivity policy is adopted by an enterprise or group of enterprises (a 'policy domain') through a formal data use agreement that stipulates the value, importance, and vulnerability of information. A sensitivity code representing a sensitivity policy may be associated with criteria such as categories of information or sets of information identifiers (e.g., a value set of clinical codes or branch in a code system hierarchy). These criteria may in turn be used for the Policy Decision Point in a Security Engine. A sensitivity code may be used to set the confidentiality code used on information about Acts and Roles to trigger the security mechanisms required to control how security principals (i.e., a person, a machine, a software application) may act on the information (e.g., collection, access, use, or disclosure). Sensitivity codes are never assigned to the transport or business envelope containing patient specific information being exchanged outside of a policy domain as this would disclose the information intended to be protected by the policy. When sensitive information is exchanged with others outside of a policy domain, the confidentiality code on the transport or business envelope conveys the receiver's responsibilities and indicates the how the information is to be safeguarded without unauthorized disclosure of the sensitive information. This ensures that sensitive information is treated by receivers as the sender intends, accomplishing interoperability without point to point negotiations. Usage Note: Sensitivity codes are not useful fo…
description: A mandate, obligation, requirement, rule, or expectation characterizing the value or importance of a resource and may include its vulnerability. (Based on ISO7498-2:1989. Note: The vulnerability of personally identifiable sensitive information may be based on concerns that the unauthorized disclosure may result in social stigmatization or discrimination.) Description: Types of Sensitivity policy that apply to Acts or Roles. A sensitivity policy is adopted by an enterprise or group of enterprises (a 'policy domain') through a formal data use agreement that stipulates the value, importance, and vulnerability of information. A sensitivity code representing a sensitivity policy may be associated with criteria such as categories of information or sets of information identifiers (e.g., a value set of clinical codes or branch in a code system hierarchy). These criteria may in turn be used for the Policy Decision Point in a Security Engine. A sensitivity code may be used to set the confidentiality code used on information about Acts and Roles to trigger the security mechanisms required to control how security principals (i.e., a person, a machine, a software application) may act on the information (e.g., collection, access, use, or disclosure). Sensitivity codes are never assigned to the transport or business envelope containing patient specific information being exchanged outside of a policy domain as this would disclose the information intended to be protected by the policy. When sensitive information is exchanged with others outside of a policy domain, the confidentiality code on the transport or business envelope conveys the receiver's responsibilities and indicates the how the information is to be safeguarded without unauthorized disclosure of the sensitive information. This ensures that sensitive information is treated by receivers as the sender intends, accomplishing interoperability without point to point negotiations. Usage Note: Sensitivity codes are not useful fo…

ActInformationSensitivityPolicy
sub class of: InformationSensitivityPolicy
label: ActInformationSensitivityPolicy
comment: Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood." Usage Note: ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.
description: Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood." Usage Note: ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.

substance abuse information sensitivity
sub class of: ActInformationSensitivityPolicy
label: substance abuse information sensitivity
comment: Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to alcohol or drug-abuse information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to alcohol or drug-abuse information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

genetic disease information sensitivity
sub class of: ActInformationSensitivityPolicy
label: genetic disease information sensitivity
comment: Policy for handling genetic disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to genetic disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling genetic disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to genetic disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

HIV/AIDS information sensitivity
sub class of: ActInformationSensitivityPolicy
label: HIV/AIDS information sensitivity
comment: Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to HIV or AIDS information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling HIV or AIDS information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to HIV or AIDS information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

psychiatry information sensitivity
sub class of: ActInformationSensitivityPolicy
label: psychiatry information sensitivity
comment: Policy for handling psychiatry information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to psychiatry information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling psychiatry information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to psychiatry information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

sickle cell anemia
sub class of: ActInformationSensitivityPolicy
label: sickle cell anemia
comment: Policy for handling sickle cell disease information, which is afforded heightened confidentiality. Information handling protocols are based on organizational policies related to sickle cell disease information, which is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then the Act valued with this ActCode should be associated with an Act valued with any applicable laws from the ActPrivacyLaw code system.
description: Policy for handling sickle cell disease information, which is afforded heightened confidentiality. Information handling protocols are based on organizational policies related to sickle cell disease information, which is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then the Act valued with this ActCode should be associated with an Act valued with any applicable laws from the ActPrivacyLaw code system.

sexual assault, abuse, or domestic violence information sensitivity
sub class of: ActInformationSensitivityPolicy
label: sexual assault, abuse, or domestic violence information sensitivity
comment: Policy for handling sexual assault, abuse, or domestic violence information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexual assault, abuse, or domestic violence information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling sexual assault, abuse, or domestic violence information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexual assault, abuse, or domestic violence information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

sexuality and reproductive health information sensitivity
sub class of: ActInformationSensitivityPolicy
label: sexuality and reproductive health information sensitivity
comment: Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexuality and reproductive health information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling sexuality and reproductive health information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexuality and reproductive health information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

sexually transmitted disease information sensitivity
sub class of: ActInformationSensitivityPolicy
label: sexually transmitted disease information sensitivity
comment: Policy for handling sexually transmitted disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexually transmitted disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling sexually transmitted disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexually transmitted disease information that is deemed sensitive. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

taboo
sub class of: ActInformationSensitivityPolicy
label: taboo
comment: Policy for handling information not to be initially disclosed or discussed with patient except by a physician assigned to patient in this case. Information handling protocols based on organizational policies related to sensitive patient information that must be initially discussed with the patient by an attending physician before being disclosed to the patient. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Open Issue: This definition conflates a rule and a characteristic, and there may be a similar issue with ts sibling codes.
description: Policy for handling information not to be initially disclosed or discussed with patient except by a physician assigned to patient in this case. Information handling protocols based on organizational policies related to sensitive patient information that must be initially discussed with the patient by an attending physician before being disclosed to the patient. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Open Issue: This definition conflates a rule and a characteristic, and there may be a similar issue with ts sibling codes.

sickle cell
sub class of: ActInformationSensitivityPolicy
label: sickle cell
comment: Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood." Usage Note: ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.
description: Types of sensitivity policies that apply to Acts. Act.confidentialityCode is defined in the RIM as "constraints around appropriate disclosure of information about this Act, regardless of mood." Usage Note: ActSensitivity codes are used to bind information to an Act.confidentialityCode according to local sensitivity policy so that those confidentiality codes can then govern its handling across enterprises. Internally to a policy domain, however, local policies guide the access control system on how end users in that policy domain are able to use information tagged with these sensitivity values.

EntityInformationSensitivityPolicy
sub class of: InformationSensitivityPolicy
label: EntityInformationSensitivityPolicy
comment: Types of sensitivity policies that may apply to a sensitive attribute on an Entity. Usage Note: EntitySensitivity codes are used to convey a policy that is applicable to sensitive information conveyed by an entity attribute. May be used to bind a Role.confidentialityCode associated with an Entity per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."
description: Types of sensitivity policies that may apply to a sensitive attribute on an Entity. Usage Note: EntitySensitivity codes are used to convey a policy that is applicable to sensitive information conveyed by an entity attribute. May be used to bind a Role.confidentialityCode associated with an Entity per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."

all demographic information sensitivity
sub class of: EntityInformationSensitivityPolicy
label: all demographic information sensitivity
comment: Policy for handling all demographic information about an information subject, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to all demographic about an information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling all demographic information about an information subject, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to all demographic about an information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

date of birth information sensitivity
sub class of: EntityInformationSensitivityPolicy
label: date of birth information sensitivity
comment: Policy for handling information related to an information subject's date of birth, which will be afforded heightened confidentiality.Policies may govern sensitivity of information related to an information subject's date of birth, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information related to an information subject's date of birth, which will be afforded heightened confidentiality.Policies may govern sensitivity of information related to an information subject's date of birth, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

gender and sexual orientation information sensitivity
sub class of: EntityInformationSensitivityPolicy
label: gender and sexual orientation information sensitivity
comment: Policy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's gender and sexual orientation, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information related to an information subject's gender and sexual orientation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's gender and sexual orientation, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

living arrangement information sensitivity
sub class of: EntityInformationSensitivityPolicy
label: living arrangement information sensitivity
comment: Policy for handling information related to an information subject's living arrangement, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's living arrangement, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information related to an information subject's living arrangement, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's living arrangement, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

marital status information sensitivity
sub class of: EntityInformationSensitivityPolicy
label: marital status information sensitivity
comment: Policy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's marital status, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information related to an information subject's marital status, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's marital status, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

race information sensitivity
sub class of: EntityInformationSensitivityPolicy
label: race information sensitivity
comment: Policy for handling information related to an information subject's race, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's race, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information related to an information subject's race, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's race, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

religion information sensitivity
sub class of: EntityInformationSensitivityPolicy
label: religion information sensitivity
comment: Policy for handling information related to an information subject's religious affiliation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's religion, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information related to an information subject's religious affiliation, which will be afforded heightened confidentiality. Policies may govern sensitivity of information related to an information subject's religion, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

RoleInformationSensitivityPolicy
sub class of: InformationSensitivityPolicy
label: RoleInformationSensitivityPolicy
comment: Types of sensitivity policies that apply to Roles. Usage Notes: RoleSensitivity codes are used to bind information to a Role.confidentialityCode per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."
description: Types of sensitivity policies that apply to Roles. Usage Notes: RoleSensitivity codes are used to bind information to a Role.confidentialityCode per organizational policy. Role.confidentialityCode is defined in the RIM as "an indication of the appropriate disclosure of information about this Role with respect to the playing Entity."

business information sensitivity
sub class of: RoleInformationSensitivityPolicy
label: business information sensitivity
comment: Policy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality. Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality. Usage Notes: No patient related information may ever be of this confidentiality level. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling trade secrets such as financial information or intellectual property, which will be afforded heightened confidentiality. Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality. Usage Notes: No patient related information may ever be of this confidentiality level. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

employer information sensitivity
sub class of: RoleInformationSensitivityPolicy
label: employer information sensitivity
comment: Policy for handling information related to an employer which is deemed classified to protect an employee who is the information subject, and which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to an employer, such as law enforcement or national security, the identity of which could impact the privacy, well-being, or safety of an information subject who is an employee. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information related to an employer which is deemed classified to protect an employee who is the information subject, and which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to an employer, such as law enforcement or national security, the identity of which could impact the privacy, well-being, or safety of an information subject who is an employee. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

location information sensitivity
sub class of: RoleInformationSensitivityPolicy
label: location information sensitivity
comment: Policy for handling information related to the location of the information subject, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to the location of the information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information related to the location of the information subject, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to the location of the information subject, the disclosure of which could impact the privacy, well-being, or safety of that subject. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

sensitive service provider information sensitivity
sub class of: RoleInformationSensitivityPolicy
label: sensitive service provider information sensitivity
comment: Policy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to providers who deliver sensitive healthcare services in order to protect the privacy, well-being, and safety of the provider and of patients receiving sensitive services. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information related to a provider of sensitive services, which will be afforded heightened confidentiality. Description: Policies may govern sensitivity of information related to providers who deliver sensitive healthcare services in order to protect the privacy, well-being, and safety of the provider and of patients receiving sensitive services. Usage Notes: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

adolescent information sensitivity
sub class of: InformationSensitivityPolicy
label: adolescent information sensitivity
comment: Policy for handling information related to an adolescent, which will be afforded heightened confidentiality per applicable organizational or jurisdictional policy. An enterprise may have a policy that requires that adolescent patient information be provided heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which an adolescent is the information subject. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information related to an adolescent, which will be afforded heightened confidentiality per applicable organizational or jurisdictional policy. An enterprise may have a policy that requires that adolescent patient information be provided heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which an adolescent is the information subject. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

celebrity information sensitivity
sub class of: InformationSensitivityPolicy
label: celebrity information sensitivity
comment: Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality. Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which the information subject is deemed a celebrity or very important person. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information related to a celebrity (people of public interest (VIP), which will be afforded heightened confidentiality. Celebrities are people of public interest (VIP) about whose information an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive may include health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: For use within an enterprise in which the information subject is deemed a celebrity or very important person. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

diagnosis information sensitivity
sub class of: InformationSensitivityPolicy
label: diagnosis information sensitivity
comment: Policy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality. Diagnostic, health condition or health problem related information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to diagnostic, health condition or health problem related information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information related to a diagnosis, health condition or health problem, which will be afforded heightened confidentiality. Diagnostic, health condition or health problem related information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to diagnostic, health condition or health problem related information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

drug information sensitivity
sub class of: InformationSensitivityPolicy
label: drug information sensitivity
comment: Policy for handling information related to a drug, which will be afforded heightened confidentiality. Drug information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to drug information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information related to a drug, which will be afforded heightened confidentiality. Drug information may be deemed sensitive by organizational policy, and require heightened confidentiality. Usage Note: For use within an enterprise that provides heightened confidentiality to drug information deemed sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

employee information sensitivity
sub class of: InformationSensitivityPolicy
label: employee information sensitivity
comment: Policy for handling information related to an employee, which will be afforded heightened confidentiality. When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: Policy for handling information related to an employee, which will be afforded heightened confidentiality. Description: When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.
description: Policy for handling information related to an employee, which will be afforded heightened confidentiality. When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location. Usage Note: Policy for handling information related to an employee, which will be afforded heightened confidentiality. Description: When a patient is an employee, an enterprise may have a policy that requires heightened confidentiality. Information deemed sensitive typically includes health information and patient role information including patient status, demographics, next of kin, and location.

patient default sensitivity
sub class of: InformationSensitivityPolicy
label: patient default sensitivity
comment: Policy for handling information reported by the patient about another person, e.g., a family member, which will be afforded heightened confidentiality. Sensitive information reported by the patient about another person, e.g., family members may be deemed sensitive by default. The flag may be set or cleared on patient's request. Usage Note: For sensitive information relayed by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive.) If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: Policy for handling information reported by the patient about another person, e.g., a family member, which will be afforded heightened confidentiality. Sensitive information reported by the patient about another person, e.g., family members may be deemed sensitive by default. The flag may be set or cleared on patient's request. Usage Note: For sensitive information relayed by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive.) If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

patient requested sensitivity
sub class of: InformationSensitivityPolicy
label: patient requested sensitivity
comment: For sensitive information relayed by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive.) If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Usage Note: For use within an enterprise that provides heightened confidentiality to certain types of information designated by a patient as sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.
description: For sensitive information relayed by or about a patient, which is deemed sensitive within the enterprise (i.e., by default regardless of whether the patient requested that the information be deemed sensitive.) If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code. Usage Note: For use within an enterprise that provides heightened confidentiality to certain types of information designated by a patient as sensitive. If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

compartment
sub class of: ActPrivacyPolicy
label: compartment
comment: This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field. Map: Aligns with ISO 2382-8 definition of Compartment - "A division of data into isolated blocks with separate security controls for the purpose of reducing risk."
description: This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field. Map: Aligns with ISO 2382-8 definition of Compartment - "A division of data into isolated blocks with separate security controls for the purpose of reducing risk."

human resource compartment
sub class of: compartment
label: human resource compartment
comment: A security category label field value, which indicates that access and use of an IT resource is restricted to members of human resources department or workflow.
description: A security category label field value, which indicates that access and use of an IT resource is restricted to members of human resources department or workflow.

research project compartment
sub class of: compartment
label: research project compartment
comment: A security category label field value, which indicates that access and use of an IT resource is restricted to members of a research project.
description: A security category label field value, which indicates that access and use of an IT resource is restricted to members of a research project.

records management compartment
sub class of: compartment
label: records management compartment
comment: A security category label field value, which indicates that access and use of an IT resource is restricted to members of records management department or workflow.
description: A security category label field value, which indicates that access and use of an IT resource is restricted to members of records management department or workflow.

trust policy
sub class of: ActPolicyType
label: trust policy
comment: A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between senders and receivers required to establish the reliability, authenticity, and trustworthiness of their transactions. Trust security metadata are observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability). Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. [Based on ISO IEC 10181-1 and NIST SP 800-63-2] For example, identity proofing , level of assurance, and Trust Framework.
description: A mandate, obligation, requirement, rule, or expectation conveyed as security metadata between senders and receivers required to establish the reliability, authenticity, and trustworthiness of their transactions. Trust security metadata are observation made about aspects of trust applicable to an IT resource (data, information object, service, or system capability). Trust applicable to IT resources is established and maintained in and among security domains, and may be comprised of observations about the domain's trust authority, trust framework, trust policy, trust interaction rules, means for assessing and monitoring adherence to trust policies, mechanisms that enforce trust, and quality and reliability measures of assurance in those mechanisms. [Based on ISO IEC 10181-1 and NIST SP 800-63-2] For example, identity proofing , level of assurance, and Trust Framework.

trust accreditation
sub class of: trust policy
label: trust accreditation
comment: Type of security metadata about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
description: Type of security metadata about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.

trust agreement
sub class of: trust policy
label: trust agreement
comment: Type of security metadata about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1]
description: Type of security metadata about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1]

trust assurance
sub class of: trust policy
label: trust assurance
comment: Type of security metadata about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
description: Type of security metadata about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.

trust certificate
sub class of: trust policy
label: trust certificate
comment: Type of security metadata about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1]
description: Type of security metadata about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1]

trust framework
sub class of: trust policy
label: trust framework
comment: Type of security metadata about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. [Kantara Initiative]
description: Type of security metadata about a complete set of contracts, regulations, or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. [Kantara Initiative]

trust mechanism
sub class of: trust policy
label: trust mechanism
comment: Type of security metadata about a security architecture system component that supports enforcement of security policies.
description: Type of security metadata about a security architecture system component that supports enforcement of security policies.

benefit policy
sub class of: ActPolicyType
label: benefit policy
comment: Description:A mandate, obligation, requirement, rule, or expectation unilaterally imposed on benefit coverage under a policy or program by a sponsor, underwriter or payor on: The activity of another party The behavior of another party The manner in which an act is executed Examples:A clinical protocol imposed by a payer to which a provider must adhere in order to be paid for providing the service. A formulary from which a provider must select prescribed drugs in order for the patient to incur a lower copay.
description: Description:A mandate, obligation, requirement, rule, or expectation unilaterally imposed on benefit coverage under a policy or program by a sponsor, underwriter or payor on: The activity of another party The behavior of another party The manner in which an act is executed Examples:A clinical protocol imposed by a payer to which a provider must adhere in order to be paid for providing the service. A formulary from which a provider must select prescribed drugs in order for the patient to incur a lower copay.

security policy
sub class of: ActPolicyType
label: security policy
comment: Types of security policies that further specify the ActClassPolicy value set. Examples: obligation to encrypt refrain from redisclosure without consent
description: Types of security policies that further specify the ActClassPolicy value set. Examples: obligation to encrypt refrain from redisclosure without consent

obligation policy
sub class of: security policy
label: obligation policy
comment: Conveys the mandated workflow action that an information custodian, receiver, or user must perform. Usage Notes: Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.
description: Conveys the mandated workflow action that an information custodian, receiver, or user must perform. Usage Notes: Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.

anonymize
sub class of: obligation policy
label: anonymize
comment: Custodian system must remove any information that could result in identifying the information subject.
description: Custodian system must remove any information that could result in identifying the information subject.

accounting of disclosure
sub class of: obligation policy
label: accounting of disclosure
comment: Custodian system must make available to an information subject upon request an accounting of certain disclosures of the individual’s protected health information over a period of time. Policy may dictate that the accounting include information about the information disclosed, the date of disclosure, the identification of the receiver, the purpose of the disclosure, the time in which the disclosing entity must provide a response and the time period for which accountings of disclosure can be requested.
description: Custodian system must make available to an information subject upon request an accounting of certain disclosures of the individual’s protected health information over a period of time. Policy may dictate that the accounting include information about the information disclosed, the date of disclosure, the identification of the receiver, the purpose of the disclosure, the time in which the disclosing entity must provide a response and the time period for which accountings of disclosure can be requested.

audit
sub class of: obligation policy
label: audit
comment: Custodian system must monitor systems to ensure that all users are authorized to operate on information objects.
description: Custodian system must monitor systems to ensure that all users are authorized to operate on information objects.

audit trail
sub class of: obligation policy
label: audit trail
comment: Custodian system must monitor and maintain retrievable log for each user and operation on information.
description: Custodian system must monitor and maintain retrievable log for each user and operation on information.

comply with confidentiality code
sub class of: obligation policy
label: comply with confidentiality code
comment: Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target.
description: Custodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target.

comply with consent directive
sub class of: obligation policy
label: comply with consent directive
comment: Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives.
description: Custodian security system must retrieve, evaluate, and comply with applicable information subject consent directives.

comply with jurisdictional privacy policy
sub class of: obligation policy
label: comply with jurisdictional privacy policy
comment: Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information.
description: Custodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information.

comply with organizational privacy policy
sub class of: obligation policy
label: comply with organizational privacy policy
comment: Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information.
description: Custodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information.

comply with organizational security policy
sub class of: obligation policy
label: comply with organizational security policy
comment: Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information.
description: Custodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information.

comply with policy
sub class of: obligation policy
label: comply with policy
comment: Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information.
description: Custodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information.

deidentify
sub class of: obligation policy
label: deidentify
comment: Custodian system must strip information of data that would allow the identification of the source of the information or the information subject.
description: Custodian system must strip information of data that would allow the identification of the source of the information or the information subject.

delete after use
sub class of: obligation policy
label: delete after use
comment: Custodian system must remove target information from access after use.
description: Custodian system must remove target information from access after use.

encrypt
sub class of: obligation policy
label: encrypt
comment: Custodian system must render information unreadable by algorithmically transforming plaintext into ciphertext. Usage Notes: A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all. (Per Infoway.)
description: Custodian system must render information unreadable by algorithmically transforming plaintext into ciphertext. Usage Notes: A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all. (Per Infoway.)

encrypt at rest
sub class of: encrypt
label: encrypt at rest
comment: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage.
description: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage.

encrypt in transit
sub class of: encrypt
label: encrypt in transit
comment: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means.
description: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means.

encrypt in use
sub class of: encrypt
label: encrypt in use
comment: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user.
description: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user.

human approval
sub class of: obligation policy
label: human approval
comment: Custodian system must require human review and approval for permission requested.
description: Custodian system must require human review and approval for permission requested.

mask
sub class of: obligation policy
label: mask
comment: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext. User may be provided a key to decrypt per license or "shared secret".
description: Custodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext. User may be provided a key to decrypt per license or "shared secret".

minimum necessary
sub class of: obligation policy
label: minimum necessary
comment: Custodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use. Usage Note: Limiting the information available for access and disclosure to that an authorized user or receiver "needs to know" in order to perform permitted workflow or purpose of use.
description: Custodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use. Usage Note: Limiting the information available for access and disclosure to that an authorized user or receiver "needs to know" in order to perform permitted workflow or purpose of use.

privacy mark
sub class of: obligation policy
label: privacy mark
comment: Custodian must create and/or maintain human readable security label tags as required by policy. Map: Aligns with ISO 22600-3 Section A.3.4.3 description of privacy mark: "If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label."
description: Custodian must create and/or maintain human readable security label tags as required by policy. Map: Aligns with ISO 22600-3 Section A.3.4.3 description of privacy mark: "If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label."

pseudonymize
sub class of: obligation policy
label: pseudonymize
comment: Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.
description: Custodian system must strip information of data that would allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.

redact
sub class of: obligation policy
label: redact
comment: Custodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users.
description: Custodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users.

refrain policy
sub class of: security policy
label: refrain policy
comment: Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances. Usage Notes: ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.
description: Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances. Usage Notes: ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.

no disclosure without subject authorization
sub class of: refrain policy
label: no disclosure without subject authorization
comment: Prohibition on disclosure without information subject's authorization.
description: Prohibition on disclosure without information subject's authorization.

no collection
sub class of: refrain policy
label: no collection
comment: Prohibition on collection or storage of the information.
description: Prohibition on collection or storage of the information.

no disclosure without consent directive
sub class of: refrain policy
label: no disclosure without consent directive
comment: Prohibition on disclosure without organizational approved patient restriction.
description: Prohibition on disclosure without organizational approved patient restriction.

no disclosure without information subject's consent directive
sub class of: refrain policy
label: no disclosure without information subject's consent directive
comment: Prohibition on disclosure without a consent directive from the information subject.
description: Prohibition on disclosure without a consent directive from the information subject.

no integration
sub class of: refrain policy
label: no integration
comment: Prohibition on Integration into other records.
description: Prohibition on Integration into other records.

no unlisted entity disclosure
sub class of: refrain policy
label: no unlisted entity disclosure
comment: Prohibition on disclosure except to entities on specific access list.
description: Prohibition on disclosure except to entities on specific access list.

no disclosure without MOU
sub class of: refrain policy
label: no disclosure without MOU
comment: Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).
description: Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).

no disclosure without organizational authorization
sub class of: refrain policy
label: no disclosure without organizational authorization
comment: Prohibition on disclosure without organizational authorization.
description: Prohibition on disclosure without organizational authorization.

no disclosure to patient, family or caregivers without attending provider's authorization
sub class of: refrain policy
label: no disclosure to patient, family or caregivers without attending provider's authorization
comment: Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization. Usage Note: The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access. Maps to FHIR NOPAT: Typically, this is used on an Alert resource, when the alert records information on patient abuse or non-compliance. FHIR print name is "keep information from patient". Maps to the French realm - code: INVISIBLE_PATIENT. displayName: Document non visible par le patient codingScheme: 1.2.250.1.213.1.1.4.13 French use case: A label for documents that the author chose to hide from the patient until the content can be disclose to the patient in a face to face meeting between a healthcare professional and the patient (in French law some results like cancer diagnosis or AIDS diagnosis must be announced to the patient by a healthcare professional and should not be find out by the patient alone).
description: Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization. Usage Note: The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access. Maps to FHIR NOPAT: Typically, this is used on an Alert resource, when the alert records information on patient abuse or non-compliance. FHIR print name is "keep information from patient". Maps to the French realm - code: INVISIBLE_PATIENT. displayName: Document non visible par le patient codingScheme: 1.2.250.1.213.1.1.4.13 French use case: A label for documents that the author chose to hide from the patient until the content can be disclose to the patient in a face to face meeting between a healthcare professional and the patient (in French law some results like cancer diagnosis or AIDS diagnosis must be announced to the patient by a healthcare professional and should not be find out by the patient alone).

no collection beyond purpose of use
sub class of: refrain policy
label: no collection beyond purpose of use
comment: Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.
description: Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.

no redisclosure without consent directive
sub class of: refrain policy
label: no redisclosure without consent directive
comment: Prohibition on redisclosure without patient consent directive.
description: Prohibition on redisclosure without patient consent directive.

no redisclosure without information subject's consent directive
sub class of: refrain policy
label: no redisclosure without information subject's consent directive
comment: Prohibition on redisclosure without a consent directive from the information subject.
description: Prohibition on redisclosure without a consent directive from the information subject.

no disclosure without jurisdictional authorization
sub class of: refrain policy
label: no disclosure without jurisdictional authorization
comment: Prohibition on disclosure without authorization under jurisdictional law.
description: Prohibition on disclosure without authorization under jurisdictional law.

no relinking
sub class of: refrain policy
label: no relinking
comment: Prohibition on associating de-identified or pseudonymized information with other information in a manner that could or does result in disclosing information intended to be masked.
description: Prohibition on associating de-identified or pseudonymized information with other information in a manner that could or does result in disclosing information intended to be masked.

no reuse beyond purpose of use
sub class of: refrain policy
label: no reuse beyond purpose of use
comment: Prohibition on use of the information beyond the purpose of use initially authorized.
description: Prohibition on use of the information beyond the purpose of use initially authorized.

no unauthorized VIP disclosure
sub class of: refrain policy
label: no unauthorized VIP disclosure
comment: Prohibition on disclosure except to principals with access permission to specific VIP information.
description: Prohibition on disclosure except to principals with access permission to specific VIP information.

no disclosure without originator authorization
sub class of: refrain policy
label: no disclosure without originator authorization
comment: Prohibition on disclosure except as permitted by the information originator.
description: Prohibition on disclosure except as permitted by the information originator.

ActProductAcquisitionCode
sub class of: ActCode
label: ActProductAcquisitionCode
comment: The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.
description: The method that a product is obtained for use by the subject of the supply act (e.g. patient). Product examples are consumable or durable goods.

Loan
sub class of: ActProductAcquisitionCode
label: Loan
comment: Temporary supply of a product without transfer of ownership for the product.
description: Temporary supply of a product without transfer of ownership for the product.

Rent
sub class of: Loan
label: Rent
comment: Temporary supply of a product with financial compensation, without transfer of ownership for the product.
description: Temporary supply of a product with financial compensation, without transfer of ownership for the product.

Transfer
sub class of: ActProductAcquisitionCode
label: Transfer
comment: Transfer of ownership for a product.
description: Transfer of ownership for a product.

Sale
sub class of: Transfer
label: Sale
comment: Transfer of ownership for a product for financial compensation.
description: Transfer of ownership for a product for financial compensation.

ActSpecimenTransportCode
sub class of: ActCode
label: ActSpecimenTransportCode
comment: Transportation of a specimen.
description: Transportation of a specimen.

specimen received
sub class of: ActSpecimenTransportCode
label: specimen received
comment: Description:Specimen has been received by the participating organization/department.
description: Description:Specimen has been received by the participating organization/department.

specimen in storage
sub class of: ActSpecimenTransportCode
label: specimen in storage
comment: Description:Specimen has been placed into storage at a participating location.
description: Description:Specimen has been placed into storage at a participating location.

specimen in transit
sub class of: ActSpecimenTransportCode
label: specimen in transit
comment: Description:Specimen has been put in transit to a participating receiver.
description: Description:Specimen has been put in transit to a participating receiver.

ActSpecimenTreatmentCode
sub class of: ActCode
label: ActSpecimenTreatmentCode
comment: Set of codes related to specimen treatments
description: Set of codes related to specimen treatments

Acidification
sub class of: ActSpecimenTreatmentCode
label: Acidification
comment: The lowering of specimen pH through the addition of an acid
description: The lowering of specimen pH through the addition of an acid

Alkalization
sub class of: ActSpecimenTreatmentCode
label: Alkalization
comment: The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.
description: The act rendering alkaline by impregnating with an alkali; a conferring of alkaline qualities.

Defibrination
sub class of: ActSpecimenTreatmentCode
label: Defibrination
comment: The removal of fibrin from whole blood or plasma through physical or chemical means
description: The removal of fibrin from whole blood or plasma through physical or chemical means

Filtration
sub class of: ActSpecimenTreatmentCode
label: Filtration
comment: The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).
description: The passage of a liquid through a filter, accomplished by gravity, pressure or vacuum (suction).

LDL Precipitation
sub class of: ActSpecimenTreatmentCode
label: LDL Precipitation
comment: LDL Precipitation
description: LDL Precipitation

Neutralization
sub class of: ActSpecimenTreatmentCode
label: Neutralization
comment: The act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral.
description: The act or process by which an acid and a base are combined in such proportions that the resulting compound is neutral.

Recalcification
sub class of: ActSpecimenTreatmentCode
label: Recalcification
comment: The addition of calcium back to a specimen after it was removed by chelating agents
description: The addition of calcium back to a specimen after it was removed by chelating agents

Ultrafiltration
sub class of: ActSpecimenTreatmentCode
label: Ultrafiltration
comment: The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.
description: The filtration of a colloidal substance through a semipermeable medium that allows only the passage of small molecules.

ActSubstanceAdministrationCode
sub class of: ActCode
label: ActSubstanceAdministrationCode
comment: Description: Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.
description: Description: Describes the type of substance administration being performed. This should not be used to carry codes for identification of products. Use an associated role or entity to carry such information.

Drug therapy
sub class of: ActSubstanceAdministrationCode
label: Drug therapy
comment: The introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status.
description: The introduction of a drug into a subject with the intention of altering its biologic state with the intent of improving its health status.

food
sub class of: ActSubstanceAdministrationCode
label: food
comment: Description: The introduction of material into a subject with the intent of providing nutrition or other dietary supplements (e.g. minerals or vitamins).
description: Description: The introduction of material into a subject with the intent of providing nutrition or other dietary supplements (e.g. minerals or vitamins).

Immunization
sub class of: ActSubstanceAdministrationCode
label: Immunization
comment: The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.
description: The introduction of an immunogen with the intent of stimulating an immune response, aimed at preventing subsequent infections by more viable agents.

Booster Immunization
sub class of: Immunization
label: Booster Immunization
comment: An additional immunization administration within a series intended to bolster or enhance immunity.
description: An additional immunization administration within a series intended to bolster or enhance immunity.

Initial Immunization
sub class of: Immunization
label: Initial Immunization
comment: The first immunization administration in a series intended to produce immunity
description: The first immunization administration in a series intended to produce immunity

ActTaskCode
sub class of: ActCode
label: ActTaskCode
comment: Description: A task or action that a user may perform in a clinical information system (e.g., medication order entry, laboratory test results review, problem list entry).
description: Description: A task or action that a user may perform in a clinical information system (e.g., medication order entry, laboratory test results review, problem list entry).

order entry task
sub class of: ActTaskCode
label: order entry task
comment: A clinician creates a request for a service to be performed for a given patient.
description: A clinician creates a request for a service to be performed for a given patient.

laboratory test order entry task
sub class of: order entry task
label: laboratory test order entry task
comment: A clinician creates a request for a laboratory test to be done for a given patient.
description: A clinician creates a request for a laboratory test to be done for a given patient.

medication order entry task
sub class of: order entry task
label: medication order entry task
comment: A clinician creates a request for the administration of one or more medications to a given patient.
description: A clinician creates a request for the administration of one or more medications to a given patient.

patient documentation task
sub class of: ActTaskCode
label: patient documentation task
comment: A person enters documentation about a given patient.
description: A person enters documentation about a given patient.

allergy list review
sub class of: patient documentation task
label: allergy list review
comment: Description: A person reviews a list of known allergies of a given patient.
description: Description: A person reviews a list of known allergies of a given patient.

clinical note entry task
sub class of: patient documentation task
label: clinical note entry task
comment: A clinician enters a clinical note about a given patient
description: A clinician enters a clinical note about a given patient

diagnosis list entry task
sub class of: clinical note entry task
label: diagnosis list entry task
comment: A clinician enters a diagnosis for a given patient.
description: A clinician enters a diagnosis for a given patient.

discharge instruction entry
sub class of: clinical note entry task
label: discharge instruction entry
comment: A person provides a discharge instruction to a patient.
description: A person provides a discharge instruction to a patient.

discharge summary entry task
sub class of: clinical note entry task
label: discharge summary entry task
comment: A clinician enters a discharge summary for a given patient.
description: A clinician enters a discharge summary for a given patient.

patient education entry
sub class of: clinical note entry task
label: patient education entry
comment: A person provides a patient-specific education handout to a patient.
description: A person provides a patient-specific education handout to a patient.

pathology report entry task
sub class of: clinical note entry task
label: pathology report entry task
comment: A pathologist enters a report for a given patient.
description: A pathologist enters a report for a given patient.

problem list entry task
sub class of: clinical note entry task
label: problem list entry task
comment: A clinician enters a problem for a given patient.
description: A clinician enters a problem for a given patient.

radiology report entry task
sub class of: clinical note entry task
label: radiology report entry task
comment: A radiologist enters a report for a given patient.
description: A radiologist enters a report for a given patient.

immunization list review
sub class of: patient documentation task
label: immunization list review
comment: Description: A person reviews a list of immunizations due or received for a given patient.
description: Description: A person reviews a list of immunizations due or received for a given patient.

reminder list review
sub class of: patient documentation task
label: reminder list review
comment: Description: A person reviews a list of health care reminders for a given patient.
description: Description: A person reviews a list of health care reminders for a given patient.

wellness reminder list review
sub class of: reminder list review
label: wellness reminder list review
comment: Description: A person reviews a list of wellness or preventive care reminders for a given patient.
description: Description: A person reviews a list of wellness or preventive care reminders for a given patient.

patient information review task
sub class of: ActTaskCode
label: patient information review task
comment: A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.
description: A person (e.g., clinician, the patient herself) reviews patient information in the electronic medical record.

allergy list entry
sub class of: patient information review task
label: allergy list entry
comment: Description: A person enters a known allergy for a given patient.
description: Description: A person enters a known allergy for a given patient.

clinical decision support intervention review
sub class of: patient information review task
label: clinical decision support intervention review
comment: A person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient.
description: A person reviews a recommendation/assessment provided automatically by a clinical decision support application for a given patient.

clinical note review task
sub class of: patient information review task
label: clinical note review task
comment: A person reviews a clinical note of a given patient.
description: A person reviews a clinical note of a given patient.

discharge summary review task
sub class of: clinical note review task
label: discharge summary review task
comment: A person reviews a discharge summary of a given patient.
description: A person reviews a discharge summary of a given patient.

diagnosis list review task
sub class of: patient information review task
label: diagnosis list review task
comment: A person reviews a list of diagnoses of a given patient.
description: A person reviews a list of diagnoses of a given patient.

immunization list entry
sub class of: patient information review task
label: immunization list entry
comment: Description: A person enters an immunization due or received for a given patient.
description: Description: A person enters an immunization due or received for a given patient.

laboratory results review task
sub class of: patient information review task
label: laboratory results review task
comment: A person reviews a list of laboratory results of a given patient.
description: A person reviews a list of laboratory results of a given patient.

microbiology results review task
sub class of: patient information review task
label: microbiology results review task
comment: A person reviews a list of microbiology results of a given patient.
description: A person reviews a list of microbiology results of a given patient.

microbiology organisms results review task
sub class of: microbiology results review task
label: microbiology organisms results review task
comment: A person reviews organisms of microbiology results of a given patient.
description: A person reviews organisms of microbiology results of a given patient.

microbiology sensitivity test results review task
sub class of: microbiology results review task
label: microbiology sensitivity test results review task
comment: A person reviews the sensitivity test of microbiology results of a given patient.
description: A person reviews the sensitivity test of microbiology results of a given patient.

medication list review task
sub class of: patient information review task
label: medication list review task
comment: A person reviews a list of medication orders submitted to a given patient
description: A person reviews a list of medication orders submitted to a given patient

medication administration record work list review task
sub class of: medication list review task
label: medication administration record work list review task
comment: A clinician reviews a work list of medications to be administered to a given patient.
description: A clinician reviews a work list of medications to be administered to a given patient.

orders review task
sub class of: patient information review task
label: orders review task
comment: A person reviews a list of orders submitted to a given patient.
description: A person reviews a list of orders submitted to a given patient.

pathology report review task
sub class of: patient information review task
label: pathology report review task
comment: A person reviews a pathology report of a given patient.
description: A person reviews a pathology report of a given patient.

problem list review task
sub class of: patient information review task
label: problem list review task
comment: A person reviews a list of problems of a given patient.
description: A person reviews a list of problems of a given patient.

radiology report review task
sub class of: patient information review task
label: radiology report review task
comment: A person reviews a radiology report of a given patient.
description: A person reviews a radiology report of a given patient.

reminder list entry
sub class of: patient information review task
label: reminder list entry
comment: Description: A person enters a health care reminder for a given patient.
description: Description: A person enters a health care reminder for a given patient.

wellness reminder list entry
sub class of: reminder list entry
label: wellness reminder list entry
comment: Description: A person enters a wellness or preventive care reminder for a given patient.
description: Description: A person enters a wellness or preventive care reminder for a given patient.

risk assessment instrument task
sub class of: patient information review task
label: risk assessment instrument task
comment: A person reviews a Risk Assessment Instrument report of a given patient.
description: A person reviews a Risk Assessment Instrument report of a given patient.

falls risk assessment instrument task
sub class of: risk assessment instrument task
label: falls risk assessment instrument task
comment: A person reviews a Falls Risk Assessment Instrument report of a given patient.
description: A person reviews a Falls Risk Assessment Instrument report of a given patient.

ActTransportationModeCode
sub class of: ActCode
label: ActTransportationModeCode
comment: Characterizes how a transportation act was or will be carried out. Examples: Via private transport, via public transit, via courier.
description: Characterizes how a transportation act was or will be carried out. Examples: Via private transport, via public transit, via courier.

ActPatientTransportationModeCode
sub class of: ActTransportationModeCode
label: ActPatientTransportationModeCode
comment: Definition: Characterizes how a patient was or will be transported to the site of a patient encounter. Examples: Via ambulance, via public transit, on foot.
description: Definition: Characterizes how a patient was or will be transported to the site of a patient encounter. Examples: Via ambulance, via public transit, on foot.

pedestrian transport
sub class of: ActPatientTransportationModeCode
label: pedestrian transport
comment: pedestrian transport
description: pedestrian transport

ambulance transport
sub class of: ActPatientTransportationModeCode
label: ambulance transport
comment: ambulance transport
description: ambulance transport

fixed-wing ambulance transport
sub class of: ambulance transport
label: fixed-wing ambulance transport
comment: fixed-wing ambulance transport
description: fixed-wing ambulance transport

ground ambulance transport
sub class of: ambulance transport
label: ground ambulance transport
comment: ground ambulance transport
description: ground ambulance transport

helicopter ambulance transport
sub class of: ambulance transport
label: helicopter ambulance transport
comment: helicopter ambulance transport
description: helicopter ambulance transport

law enforcement transport
sub class of: ActPatientTransportationModeCode
label: law enforcement transport
comment: law enforcement transport
description: law enforcement transport

private transport
sub class of: ActPatientTransportationModeCode
label: private transport
comment: private transport
description: private transport

public transport
sub class of: ActPatientTransportationModeCode
label: public transport
comment: public transport
description: public transport

ObservationType
sub class of: ActCode
label: ObservationType
comment: Identifies the kinds of observations that can be performed
description: Identifies the kinds of observations that can be performed

ActSpecObsCode
sub class of: ObservationType
label: ActSpecObsCode
comment: Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation
description: Identifies the type of observation that is made about a specimen that may affect its processing, analysis or further result interpretation

ActSpecObsArtBldCode
sub class of: ActSpecObsCode
label: ActSpecObsArtBldCode
comment: Describes the artificial blood identifier that is associated with the specimen.
description: Describes the artificial blood identifier that is associated with the specimen.

ActSpecObsDilutionCode
sub class of: ActSpecObsCode
label: ActSpecObsDilutionCode
comment: An observation that reports the dilution of a sample.
description: An observation that reports the dilution of a sample.

Auto-High Dilution
sub class of: ActSpecObsDilutionCode
label: Auto-High Dilution
comment: The dilution of a sample performed by automated equipment. The value is specified by the equipment
description: The dilution of a sample performed by automated equipment. The value is specified by the equipment

Auto-Low Dilution
sub class of: ActSpecObsDilutionCode
label: Auto-Low Dilution
comment: The dilution of a sample performed by automated equipment. The value is specified by the equipment
description: The dilution of a sample performed by automated equipment. The value is specified by the equipment

Pre-Dilution
sub class of: ActSpecObsDilutionCode
label: Pre-Dilution
comment: The dilution of the specimen made prior to being loaded onto analytical equipment
description: The dilution of the specimen made prior to being loaded onto analytical equipment

Rerun Dilution
sub class of: ActSpecObsDilutionCode
label: Rerun Dilution
comment: The value of the dilution of a sample after it had been analyzed at a prior dilution value
description: The value of the dilution of a sample after it had been analyzed at a prior dilution value

ActSpecObsEvntfctsCode
sub class of: ActSpecObsCode
label: ActSpecObsEvntfctsCode
comment: Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)
description: Domain provides codes that qualify the ActLabObsEnvfctsCode domain. (Environmental Factors)

ActSpecObsInterferenceCode
sub class of: ActSpecObsCode
label: ActSpecObsInterferenceCode
comment: An observation that relates to factors that may potentially cause interference with the observation
description: An observation that relates to factors that may potentially cause interference with the observation

Fibrin
sub class of: ActSpecObsInterferenceCode
label: Fibrin
comment: The Fibrin Index of the specimen. In the case of only differentiating between Absent and Present, recommend using 0 and 1
description: The Fibrin Index of the specimen. In the case of only differentiating between Absent and Present, recommend using 0 and 1

Hemolysis
sub class of: ActSpecObsInterferenceCode
label: Hemolysis
comment: An observation of the hemolysis index of the specimen in g/L
description: An observation of the hemolysis index of the specimen in g/L

Icterus
sub class of: ActSpecObsInterferenceCode
label: Icterus
comment: An observation that describes the icterus index of the specimen. It is recommended to use mMol/L of bilirubin
description: An observation that describes the icterus index of the specimen. It is recommended to use mMol/L of bilirubin

Lipemia
sub class of: ActSpecObsInterferenceCode
label: Lipemia
comment: An observation used to describe the Lipemia Index of the specimen. It is recommended to use the optical turbidity at 600 nm (in absorbance units).
description: An observation used to describe the Lipemia Index of the specimen. It is recommended to use the optical turbidity at 600 nm (in absorbance units).

ActSpecObsVolumeCode
sub class of: ActSpecObsCode
label: ActSpecObsVolumeCode
comment: An observation that reports the volume of a sample.
description: An observation that reports the volume of a sample.

Available Volume
sub class of: ActSpecObsVolumeCode
label: Available Volume
comment: The available quantity of specimen. This is the current quantity minus any planned consumption (e.g., tests that are planned)
description: The available quantity of specimen. This is the current quantity minus any planned consumption (e.g., tests that are planned)

Consumption Volume
sub class of: ActSpecObsVolumeCode
label: Consumption Volume
comment: The quantity of specimen that is used each time the equipment uses this substance
description: The quantity of specimen that is used each time the equipment uses this substance

Current Volume
sub class of: ActSpecObsVolumeCode
label: Current Volume
comment: The current quantity of the specimen, i.e., initial quantity minus what has been actually used.
description: The current quantity of the specimen, i.e., initial quantity minus what has been actually used.

Initial Volume
sub class of: ActSpecObsVolumeCode
label: Initial Volume
comment: The initial quantity of the specimen in inventory
description: The initial quantity of the specimen in inventory

AnnotationType
sub class of: ObservationType
label: AnnotationType
comment: AnnotationType
description: AnnotationType

ActPatientAnnotationType
sub class of: AnnotationType
label: ActPatientAnnotationType
comment: Description:Provides a categorization for annotations recorded directly against the patient .
description: Description:Provides a categorization for annotations recorded directly against the patient .

diagnostic image note
sub class of: ActPatientAnnotationType
label: diagnostic image note
comment: Description:A note that is specific to a patient's diagnostic images, either historical, current or planned.
description: Description:A note that is specific to a patient's diagnostic images, either historical, current or planned.

general note
sub class of: ActPatientAnnotationType
label: general note
comment: Description:A general or uncategorized note.
description: Description:A general or uncategorized note.

immunization note
sub class of: ActPatientAnnotationType
label: immunization note
comment: A note that is specific to a patient's immunizations, either historical, current or planned.
description: A note that is specific to a patient's immunizations, either historical, current or planned.

laboratory note
sub class of: ActPatientAnnotationType
label: laboratory note
comment: Description:A note that is specific to a patient's laboratory results, either historical, current or planned.
description: Description:A note that is specific to a patient's laboratory results, either historical, current or planned.

medication note
sub class of: ActPatientAnnotationType
label: medication note
comment: Description:A note that is specific to a patient's medications, either historical, current or planned.
description: Description:A note that is specific to a patient's medications, either historical, current or planned.

GeneticObservationType
sub class of: ObservationType
label: GeneticObservationType
comment: Description: None provided
description: Description: None provided

gene
sub class of: GeneticObservationType
label: gene
comment: Description: A DNA segment that contributes to phenotype/function. In the absence of demonstrated function a gene may be characterized by sequence, transcription or homology
description: Description: A DNA segment that contributes to phenotype/function. In the absence of demonstrated function a gene may be characterized by sequence, transcription or homology

ImmunizationObservationType
sub class of: ObservationType
label: ImmunizationObservationType
comment: Description: Observation codes which describe characteristics of the immunization material.
description: Description: Observation codes which describe characteristics of the immunization material.

antigen count
sub class of: ImmunizationObservationType
label: antigen count
comment: Description: Indicates the valid antigen count.
description: Description: Indicates the valid antigen count.

antigen validity
sub class of: ImmunizationObservationType
label: antigen validity
comment: Description: Indicates whether an antigen is valid or invalid.
description: Description: Indicates whether an antigen is valid or invalid.

Individual Case Safety Report Type
sub class of: ObservationType
label: Individual Case Safety Report Type
comment: A code that is used to indicate the type of case safety report received from sender. The current code example reference is from the International Conference on Harmonisation (ICH) Expert Workgroup guideline on Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports. The unknown/unavailable option allows the transmission of information from a secondary sender where the initial sender did not specify the type of report. Example concepts include: Spontaneous, Report from study, Other.
description: A code that is used to indicate the type of case safety report received from sender. The current code example reference is from the International Conference on Harmonisation (ICH) Expert Workgroup guideline on Clinical Safety Data Management: Data Elements for Transmission of Individual Case Safety Reports. The unknown/unavailable option allows the transmission of information from a secondary sender where the initial sender did not specify the type of report. Example concepts include: Spontaneous, Report from study, Other.

patient adverse event
sub class of: Individual Case Safety Report Type
label: patient adverse event
comment: Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.
description: Indicates that the ICSR is describing problems that a patient experienced after receiving a vaccine product.

vaccine product problem
sub class of: Individual Case Safety Report Type
label: vaccine product problem
comment: Indicates that the ICSR is describing a problem with the actual vaccine product such as physical defects (cloudy, particulate matter) or inability to confer immunity.
description: Indicates that the ICSR is describing a problem with the actual vaccine product such as physical defects (cloudy, particulate matter) or inability to confer immunity.

LOINCObservationActContextAgeType
sub class of: ObservationType
label: LOINCObservationActContextAgeType
comment: Definition:The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created.
description: Definition:The set of LOINC codes for the act of determining the period of time that has elapsed since an entity was born or created.

age patient qn est
sub class of: LOINCObservationActContextAgeType
label: age patient qn est
comment: Definition:Estimated age.
description: Definition:Estimated age.

age patient qn reported
sub class of: LOINCObservationActContextAgeType
label: age patient qn reported
comment: Definition:Reported age.
description: Definition:Reported age.

age patient qn calc
sub class of: LOINCObservationActContextAgeType
label: age patient qn calc
comment: Definition:Calculated age.
description: Definition:Calculated age.

age patient qn definition
sub class of: LOINCObservationActContextAgeType
label: age patient qn definition
comment: Definition:General specification of age with no implied method of determination.
description: Definition:General specification of age with no implied method of determination.

age at onset of adverse event
sub class of: LOINCObservationActContextAgeType
label: age at onset of adverse event
comment: Definition:Age at onset of associated adverse event; no implied method of determination.
description: Definition:Age at onset of associated adverse event; no implied method of determination.

MedicationObservationType
sub class of: ObservationType
label: MedicationObservationType
comment: MedicationObservationType
description: MedicationObservationType

representative half-life
sub class of: MedicationObservationType
label: representative half-life
comment: Description:This observation represents an 'average' or 'expected' half-life typical of the product.
description: Description:This observation represents an 'average' or 'expected' half-life typical of the product.

coating
sub class of: MedicationObservationType
label: coating
comment: Definition: A characteristic of an oral solid dosage form of a medicinal product, indicating whether it has one or more coatings such as sugar coating, film coating, or enteric coating. Only coatings to the external surface or the dosage form should be considered (for example, coatings to individual pellets or granules inside a capsule or tablet are excluded from consideration). Constraints: The Observation.value must be a Boolean (BL) with true for the presence or false for the absence of one or more coatings on a solid dosage form.
description: Definition: A characteristic of an oral solid dosage form of a medicinal product, indicating whether it has one or more coatings such as sugar coating, film coating, or enteric coating. Only coatings to the external surface or the dosage form should be considered (for example, coatings to individual pellets or granules inside a capsule or tablet are excluded from consideration). Constraints: The Observation.value must be a Boolean (BL) with true for the presence or false for the absence of one or more coatings on a solid dosage form.

color
sub class of: MedicationObservationType
label: color
comment: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the color or colors that most predominantly define the appearance of the dose form. SPLCOLOR is not an FDA specification for the actual color of solid dosage forms or the names of colors that can appear in labeling. Constraints: The Observation.value must be a single coded value or a list of multiple coded values, specifying one or more distinct colors that approximate of the color(s) of distinct areas of the solid dosage form, such as the different sides of a tablet or one-part capsule, or the different halves of a two-part capsule. Bands on banded capsules, regardless of the color, are not considered when assigning an SPLCOLOR. Imprints on the dosage form, regardless of their color are not considered when assigning an SPLCOLOR. If more than one color exists on a particular side or half, then the most predominant color on that side or half is recorded. If the gelatin capsule shell is colorless and transparent, use the predominant color of the contents that appears through the colorless and transparent capsule shell. Colors can include: Black;Gray;White;Red;Pink;Purple;Green;Yellow;Orange;Brown;Blue;Turquoise.
description: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the color or colors that most predominantly define the appearance of the dose form. SPLCOLOR is not an FDA specification for the actual color of solid dosage forms or the names of colors that can appear in labeling. Constraints: The Observation.value must be a single coded value or a list of multiple coded values, specifying one or more distinct colors that approximate of the color(s) of distinct areas of the solid dosage form, such as the different sides of a tablet or one-part capsule, or the different halves of a two-part capsule. Bands on banded capsules, regardless of the color, are not considered when assigning an SPLCOLOR. Imprints on the dosage form, regardless of their color are not considered when assigning an SPLCOLOR. If more than one color exists on a particular side or half, then the most predominant color on that side or half is recorded. If the gelatin capsule shell is colorless and transparent, use the predominant color of the contents that appears through the colorless and transparent capsule shell. Colors can include: Black;Gray;White;Red;Pink;Purple;Green;Yellow;Orange;Brown;Blue;Turquoise.

image
sub class of: MedicationObservationType
label: image
comment: Description: A characteristic representing a single file reference that contains two or more views of the same dosage form of the product; in most cases this should represent front and back views of the dosage form, but occasionally additional views might be needed in order to capture all of the important physical characteristics of the dosage form. Any imprint and/or symbol should be clearly identifiable, and the viewer should not normally need to rotate the image in order to read it. Images that are submitted with SPL should be included in the same directory as the SPL file.
description: Description: A characteristic representing a single file reference that contains two or more views of the same dosage form of the product; in most cases this should represent front and back views of the dosage form, but occasionally additional views might be needed in order to capture all of the important physical characteristics of the dosage form. Any imprint and/or symbol should be clearly identifiable, and the viewer should not normally need to rotate the image in order to read it. Images that are submitted with SPL should be included in the same directory as the SPL file.

imprint
sub class of: MedicationObservationType
label: imprint
comment: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the alphanumeric text that appears on the solid dosage form, including text that is embossed, debossed, engraved or printed with ink. The presence of other non-textual distinguishing marks or symbols is recorded by SPLSYMBOL. Examples: Included in SPLIMPRINT are alphanumeric text that appears on the bands of banded capsules and logos and other symbols that can be interpreted as letters or numbers. Constraints: The Observation.value must be of type Character String (ST). Excluded from SPLIMPRINT are internal and external cut-outs in the form of alphanumeric text and the letter 'R' with a circle around it (when referring to a registered trademark) and the letters 'TM' (when referring to a 'trade mark'). To record text, begin on either side or part of the dosage form. Start at the top left and progress as one would normally read a book. Enter a semicolon to show separation between words or line divisions.
description: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the alphanumeric text that appears on the solid dosage form, including text that is embossed, debossed, engraved or printed with ink. The presence of other non-textual distinguishing marks or symbols is recorded by SPLSYMBOL. Examples: Included in SPLIMPRINT are alphanumeric text that appears on the bands of banded capsules and logos and other symbols that can be interpreted as letters or numbers. Constraints: The Observation.value must be of type Character String (ST). Excluded from SPLIMPRINT are internal and external cut-outs in the form of alphanumeric text and the letter 'R' with a circle around it (when referring to a registered trademark) and the letters 'TM' (when referring to a 'trade mark'). To record text, begin on either side or part of the dosage form. Start at the top left and progress as one would normally read a book. Enter a semicolon to show separation between words or line divisions.

scoring
sub class of: MedicationObservationType
label: scoring
comment: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the number of equal pieces that the solid dosage form can be divided into using score line(s). Example: One score line creating two equal pieces is given a value of 2, two parallel score lines creating three equal pieces is given a value of 3. Constraints: Whether three parallel score lines create four equal pieces or two intersecting score lines create two equal pieces using one score line and four equal pieces using both score lines, both have the scoring value of 4. Solid dosage forms that are not scored are given a value of 1. Solid dosage forms that can only be divided into unequal pieces are given a null-value with nullFlavor other (OTH).
description: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the number of equal pieces that the solid dosage form can be divided into using score line(s). Example: One score line creating two equal pieces is given a value of 2, two parallel score lines creating three equal pieces is given a value of 3. Constraints: Whether three parallel score lines create four equal pieces or two intersecting score lines create two equal pieces using one score line and four equal pieces using both score lines, both have the scoring value of 4. Solid dosage forms that are not scored are given a value of 1. Solid dosage forms that can only be divided into unequal pieces are given a null-value with nullFlavor other (OTH).

shape
sub class of: MedicationObservationType
label: shape
comment: Description: A characteristic of an oral solid dosage form of a medicinal product, specifying the two dimensional representation of the solid dose form, in terms of the outside perimeter of a solid dosage form when the dosage form, resting on a flat surface, is viewed from directly above, including slight rounding of corners. SPLSHAPE does not include embossing, scoring, debossing, or internal cut-outs. SPLSHAPE is independent of the orientation of the imprint and logo. Shapes can include: Triangle (3 sided); Square; Round; Semicircle; Pentagon (5 sided); Diamond; Double circle; Bullet; Hexagon (6 sided); Rectangle; Gear; Capsule; Heptagon (7 sided); Trapezoid; Oval; Clover; Octagon (8 sided); Tear; Freeform.
description: Description: A characteristic of an oral solid dosage form of a medicinal product, specifying the two dimensional representation of the solid dose form, in terms of the outside perimeter of a solid dosage form when the dosage form, resting on a flat surface, is viewed from directly above, including slight rounding of corners. SPLSHAPE does not include embossing, scoring, debossing, or internal cut-outs. SPLSHAPE is independent of the orientation of the imprint and logo. Shapes can include: Triangle (3 sided); Square; Round; Semicircle; Pentagon (5 sided); Diamond; Double circle; Bullet; Hexagon (6 sided); Rectangle; Gear; Capsule; Heptagon (7 sided); Trapezoid; Oval; Clover; Octagon (8 sided); Tear; Freeform.

size
sub class of: MedicationObservationType
label: size
comment: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the longest single dimension of the solid dosage form as a physical quantity in the dimension of length (e.g., 3 mm). The length is should be specified in millimeters and should be rounded to the nearest whole millimeter. Example: SPLSIZE for a rectangular shaped tablet is the length and SPLSIZE for a round shaped tablet is the diameter.
description: Definition: A characteristic of an oral solid dosage form of a medicinal product, specifying the longest single dimension of the solid dosage form as a physical quantity in the dimension of length (e.g., 3 mm). The length is should be specified in millimeters and should be rounded to the nearest whole millimeter. Example: SPLSIZE for a rectangular shaped tablet is the length and SPLSIZE for a round shaped tablet is the diameter.

symbol
sub class of: MedicationObservationType
label: symbol
comment: Definition: A characteristic of an oral solid dosage form of a medicinal product, to describe whether or not the medicinal product has a mark or symbol appearing on it for easy and definite recognition. Score lines, letters, numbers, and internal and external cut-outs are not considered marks or symbols. See SPLSCORING and SPLIMPRINT for these characteristics. Constraints: The Observation.value must be a Boolean (BL) with true indicating the presence and false for the absence of marks or symbols. Example:
description: Definition: A characteristic of an oral solid dosage form of a medicinal product, to describe whether or not the medicinal product has a mark or symbol appearing on it for easy and definite recognition. Score lines, letters, numbers, and internal and external cut-outs are not considered marks or symbols. See SPLSCORING and SPLIMPRINT for these characteristics. Constraints: The Observation.value must be a Boolean (BL) with true indicating the presence and false for the absence of marks or symbols. Example:

ObservationIssueTriggerCodedObservationType
sub class of: ObservationType
label: ObservationIssueTriggerCodedObservationType
comment: Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection. These are observations that are not measurable, but instead can be defined with codes. Coded observation types include: Allergy, Intolerance, Medical Condition, Pregnancy status, etc.
description: Distinguishes the kinds of coded observations that could be the trigger for clinical issue detection. These are observations that are not measurable, but instead can be defined with codes. Coded observation types include: Allergy, Intolerance, Medical Condition, Pregnancy status, etc.

case transmission mode
sub class of: ObservationIssueTriggerCodedObservationType
label: case transmission mode
comment: Code for the mechanism by which disease was acquired by the living subject involved in the public health case. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.
description: Code for the mechanism by which disease was acquired by the living subject involved in the public health case. Includes sexually transmitted, airborne, bloodborne, vectorborne, foodborne, zoonotic, nosocomial, mechanical, dermal, congenital, environmental exposure, indeterminate.

airborne transmission
sub class of: case transmission mode
label: airborne transmission
comment: Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.
description: Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.

animal to animal transmission
sub class of: case transmission mode
label: animal to animal transmission
comment: Communication of an agent from one animal to another proximate animal.
description: Communication of an agent from one animal to another proximate animal.

animal to human transmission
sub class of: case transmission mode
label: animal to human transmission
comment: Communication of an agent from an animal to a proximate person.
description: Communication of an agent from an animal to a proximate person.

body fluid contact transmission
sub class of: case transmission mode
label: body fluid contact transmission
comment: Communication of an agent from one living subject to another living subject through direct contact with any body fluid.
description: Communication of an agent from one living subject to another living subject through direct contact with any body fluid.

blood borne transmission
sub class of: case transmission mode
label: blood borne transmission
comment: Communication of an agent to a living subject through direct contact with blood or blood products whether the contact with blood is part of a therapeutic procedure or not.
description: Communication of an agent to a living subject through direct contact with blood or blood products whether the contact with blood is part of a therapeutic procedure or not.

transdermal transmission
sub class of: case transmission mode
label: transdermal transmission
comment: Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.
description: Communication of an agent from a living subject or environmental source to a living subject via agent migration through intact skin.

environmental exposure transmission
sub class of: case transmission mode
label: environmental exposure transmission
comment: Communication of an agent from an environmental surface or source to a living subject by direct contact.
description: Communication of an agent from an environmental surface or source to a living subject by direct contact.

fecal-oral transmission
sub class of: case transmission mode
label: fecal-oral transmission
comment: Communication of an agent from a living subject or environmental source to a living subject through oral contact with material contaminated by person or animal fecal material.
description: Communication of an agent from a living subject or environmental source to a living subject through oral contact with material contaminated by person or animal fecal material.

fomite transmission
sub class of: case transmission mode
label: fomite transmission
comment: Communication of an agent from an non-living material to a living subject through direct contact.
description: Communication of an agent from an non-living material to a living subject through direct contact.

food-borne transmission
sub class of: case transmission mode
label: food-borne transmission
comment: Communication of an agent from a food source to a living subject via oral consumption.
description: Communication of an agent from a food source to a living subject via oral consumption.

human to human transmission
sub class of: case transmission mode
label: human to human transmission
comment: Communication of an agent from a person to a proximate person.
description: Communication of an agent from a person to a proximate person.

indeterminate disease transmission mode
sub class of: case transmission mode
label: indeterminate disease transmission mode
comment: Communication of an agent to a living subject via an undetermined route.
description: Communication of an agent to a living subject via an undetermined route.

lactation transmission
sub class of: case transmission mode
label: lactation transmission
comment: Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.
description: Communication of an agent from one living subject to another living subject through direct contact with mammalian milk or colostrum.

nosocomial transmission
sub class of: case transmission mode
label: nosocomial transmission
comment: Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.
description: Communication of an agent from any entity to a living subject while the living subject is in the patient role in a healthcare facility.

parenteral transmission
sub class of: case transmission mode
label: parenteral transmission
comment: Communication of an agent from a living subject or environmental source to a living subject where the acquisition of the agent is not via the alimentary canal.
description: Communication of an agent from a living subject or environmental source to a living subject where the acquisition of the agent is not via the alimentary canal.

transplacental transmission
sub class of: case transmission mode
label: transplacental transmission
comment: Communication of an agent from a living subject to the progeny of that living subject via agent migration across the maternal-fetal placental membranes while in utero.
description: Communication of an agent from a living subject to the progeny of that living subject via agent migration across the maternal-fetal placental membranes while in utero.

sexual transmission
sub class of: case transmission mode
label: sexual transmission
comment: Communication of an agent from one living subject to another living subject through direct contact with genital or oral tissues as part of a sexual act.
description: Communication of an agent from one living subject to another living subject through direct contact with genital or oral tissues as part of a sexual act.

transfusion transmission
sub class of: case transmission mode
label: transfusion transmission
comment: Communication of an agent from one living subject to another living subject through direct contact with blood or blood products where the contact with blood is part of a therapeutic procedure.
description: Communication of an agent from one living subject to another living subject through direct contact with blood or blood products where the contact with blood is part of a therapeutic procedure.

vector-borne transmission
sub class of: case transmission mode
label: vector-borne transmission
comment: Communication of an agent from a living subject acting as a required intermediary in the agent transmission process to a recipient living subject via direct contact.
description: Communication of an agent from a living subject acting as a required intermediary in the agent transmission process to a recipient living subject via direct contact.

water-borne transmission
sub class of: case transmission mode
label: water-borne transmission
comment: Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not. The route of entry of the water may be through any bodily orifice.
description: Communication of an agent from a contaminated water source to a living subject whether the water is ingested as a food or not. The route of entry of the water may be through any bodily orifice.

ObservationQualityMeasureAttribute
sub class of: ObservationType
label: ObservationQualityMeasureAttribute
comment: Codes used to define various metadata aspects of a health quality measure.
description: Codes used to define various metadata aspects of a health quality measure.

aggregate measure observation
sub class of: ObservationQualityMeasureAttribute
label: aggregate measure observation
comment: Indicates that the observation is carrying out an aggregation calculation, contained in the value element.
description: Indicates that the observation is carrying out an aggregation calculation, contained in the value element.

copyright
sub class of: ObservationQualityMeasureAttribute
label: copyright
comment: Identifies the organization(s) who own the intellectual property represented by the eMeasure.
description: Identifies the organization(s) who own the intellectual property represented by the eMeasure.

clinical recommendation statement
sub class of: ObservationQualityMeasureAttribute
label: clinical recommendation statement
comment: Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.
description: Summary of relevant clinical guidelines or other clinical recommendations supporting this eMeasure.

definition
sub class of: ObservationQualityMeasureAttribute
label: definition
comment: Description of individual terms, provided as needed.
description: Description of individual terms, provided as needed.

disclaimer
sub class of: ObservationQualityMeasureAttribute
label: disclaimer
comment: Disclaimer information for the eMeasure.
description: Disclaimer information for the eMeasure.

finalized date/time
sub class of: ObservationQualityMeasureAttribute
label: finalized date/time
comment: The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.
description: The timestamp when the eMeasure was last packaged in the Measure Authoring Tool.

guidance
sub class of: ObservationQualityMeasureAttribute
label: guidance
comment: Used to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria.
description: Used to allow measure developers to provide additional guidance for implementers to understand greater specificity than could be provided in the logic for data criteria.

improvement notation
sub class of: ObservationQualityMeasureAttribute
label: improvement notation
comment: Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).
description: Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).

items counted
sub class of: ObservationQualityMeasureAttribute
label: items counted
comment: Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)
description: Describes the items counted by the measure (e.g., patients, encounters, procedures, etc.)

keyword
sub class of: ObservationQualityMeasureAttribute
label: keyword
comment: A significant word that aids in discoverability.
description: A significant word that aids in discoverability.

measurement end date
sub class of: ObservationQualityMeasureAttribute
label: measurement end date
comment: The end date of the measurement period.
description: The end date of the measurement period.

measurement start date
sub class of: ObservationQualityMeasureAttribute
label: measurement start date
comment: The start date of the measurement period.
description: The start date of the measurement period.

risk adjustment
sub class of: ObservationQualityMeasureAttribute
label: risk adjustment
comment: The method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons.
description: The method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether an eMeasure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow more useful comparisons.

rate aggregation
sub class of: ObservationQualityMeasureAttribute
label: rate aggregation
comment: Describes how to combine information calculated based on logic in each of several populations into one summarized result. It can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure. (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). Open Issue: The description does NOT align well with the definition used in the HQMF specfication; correct the MSGAGG definition, and the possible distinction of MSRAGG as a child of AGGREGATE.
description: Describes how to combine information calculated based on logic in each of several populations into one summarized result. It can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure. (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). Open Issue: The description does NOT align well with the definition used in the HQMF specfication; correct the MSGAGG definition, and the possible distinction of MSRAGG as a child of AGGREGATE.

health quality measure improvement notation
sub class of: ObservationQualityMeasureAttribute
label: health quality measure improvement notation
comment: Information on whether an increase or decrease in score is the preferred result. This should reflect information on which way is better, an increase or decrease in score.
description: Information on whether an increase or decrease in score is the preferred result. This should reflect information on which way is better, an increase or decrease in score.

jurisdiction
sub class of: ObservationQualityMeasureAttribute
label: jurisdiction
comment: The list of jurisdiction(s) for which the measure applies.
description: The list of jurisdiction(s) for which the measure applies.

reporter type
sub class of: ObservationQualityMeasureAttribute
label: reporter type
comment: Type of person or organization that is expected to report the issue.
description: Type of person or organization that is expected to report the issue.

timeframe for reporting
sub class of: ObservationQualityMeasureAttribute
label: timeframe for reporting
comment: The maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver.
description: The maximum time that may elapse following completion of the measure until the measure report must be sent to the receiver.

measure scoring
sub class of: ObservationQualityMeasureAttribute
label: measure scoring
comment: Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)
description: Indicates how the calculation is performed for the eMeasure (e.g., proportion, continuous variable, ratio)

health quality measure care setting
sub class of: ObservationQualityMeasureAttribute
label: health quality measure care setting
comment: Location(s) in which care being measured is rendered Usage Note: MSRSET is used rather than RoleCode because the setting applies to what is being measured, as opposed to participating directly in the health quality measure documantion itself).
description: Location(s) in which care being measured is rendered Usage Note: MSRSET is used rather than RoleCode because the setting applies to what is being measured, as opposed to participating directly in the health quality measure documantion itself).

health quality measure topic type
sub class of: ObservationQualityMeasureAttribute
label: health quality measure topic type
comment: health quality measure topic type
description: health quality measure topic type

measurement period
sub class of: ObservationQualityMeasureAttribute
label: measurement period
comment: The time period for which the eMeasure applies.
description: The time period for which the eMeasure applies.

measure type
sub class of: ObservationQualityMeasureAttribute
label: measure type
comment: Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome).
description: Indicates whether the eMeasure is used to examine a process or an outcome over time (e.g., Structure, Process, Outcome).

rationale
sub class of: ObservationQualityMeasureAttribute
label: rationale
comment: Succinct statement of the need for the measure. Usually includes statements pertaining to Importance criterion: impact, gap in care and evidence.
description: Succinct statement of the need for the measure. Usually includes statements pertaining to Importance criterion: impact, gap in care and evidence.

reference
sub class of: ObservationQualityMeasureAttribute
label: reference
comment: Identifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure.
description: Identifies bibliographic citations or references to clinical practice guidelines, sources of evidence, or other relevant materials supporting the intent and rationale of the eMeasure.

supplemental data elements
sub class of: ObservationQualityMeasureAttribute
label: supplemental data elements
comment: Comparison of results across strata can be used to show where disparities exist or where there is a need to expose differences in results. For example, Centers for Medicare & Medicaid Services (CMS) in the U.S. defines four required Supplemental Data Elements (payer, ethnicity, race, and gender), which are variables used to aggregate data into various subgroups. Additional supplemental data elements required for risk adjustment or other purposes of data aggregation can be included in the Supplemental Data Element section.
description: Comparison of results across strata can be used to show where disparities exist or where there is a need to expose differences in results. For example, Centers for Medicare & Medicaid Services (CMS) in the U.S. defines four required Supplemental Data Elements (payer, ethnicity, race, and gender), which are variables used to aggregate data into various subgroups. Additional supplemental data elements required for risk adjustment or other purposes of data aggregation can be included in the Supplemental Data Element section.

stratification
sub class of: ObservationQualityMeasureAttribute
label: stratification
comment: Describes the strata for which the measure is to be evaluated. There are three examples of reasons for stratification based on existing work. These include: (1) evaluate the measure based on different age groupings within the population described in the measure (e.g., evaluate the whole [age 14-25] and each sub-stratum [14-19] and [20-25]); (2) evaluate the eMeasure based on either a specific condition, a specific discharge location, or both; (3) evaluate the eMeasure based on different locations within a facility (e.g., evaluate the overall rate for all intensive care units and also some strata include additional findings [specific birth weights for neonatal intensive care units]).
description: Describes the strata for which the measure is to be evaluated. There are three examples of reasons for stratification based on existing work. These include: (1) evaluate the measure based on different age groupings within the population described in the measure (e.g., evaluate the whole [age 14-25] and each sub-stratum [14-19] and [20-25]); (2) evaluate the eMeasure based on either a specific condition, a specific discharge location, or both; (3) evaluate the eMeasure based on different locations within a facility (e.g., evaluate the overall rate for all intensive care units and also some strata include additional findings [specific birth weights for neonatal intensive care units]).

transmission format
sub class of: ObservationQualityMeasureAttribute
label: transmission format
comment: Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program.
description: Can be a URL or hyperlinks that link to the transmission formats that are specified for a particular reporting program.

notice of use
sub class of: ObservationQualityMeasureAttribute
label: notice of use
comment: Usage notes.
description: Usage notes.

ObservationSequenceType
sub class of: ObservationType
label: ObservationSequenceType
comment: ObservationSequenceType
description: ObservationSequenceType

absolute time sequence
sub class of: ObservationSequenceType
label: absolute time sequence
comment: A sequence of values in the "absolute" time domain. This is the same time domain that all HL7 timestamps use. It is time as measured by the Gregorian calendar
description: A sequence of values in the "absolute" time domain. This is the same time domain that all HL7 timestamps use. It is time as measured by the Gregorian calendar

relative time sequence
sub class of: ObservationSequenceType
label: relative time sequence
comment: A sequence of values in a "relative" time domain. The time is measured relative to the earliest effective time in the Observation Series containing this sequence.
description: A sequence of values in a "relative" time domain. The time is measured relative to the earliest effective time in the Observation Series containing this sequence.

ObservationSeriesType
sub class of: ObservationType
label: ObservationSeriesType
comment: ObservationSeriesType
description: ObservationSeriesType

ECGObservationSeriesType
sub class of: ObservationSeriesType
label: ECGObservationSeriesType
comment: ECGObservationSeriesType
description: ECGObservationSeriesType

ECG representative beat waveforms
sub class of: ECGObservationSeriesType
label: ECG representative beat waveforms
comment: This Observation Series type contains waveforms of a "representative beat" (a.k.a. "median beat" or "average beat"). The waveform samples are measured in relative time, relative to the beginning of the beat as defined by the Observation Series effective time. The waveforms are not directly acquired from the subject, but rather algorithmically derived from the "rhythm" waveforms.
description: This Observation Series type contains waveforms of a "representative beat" (a.k.a. "median beat" or "average beat"). The waveform samples are measured in relative time, relative to the beginning of the beat as defined by the Observation Series effective time. The waveforms are not directly acquired from the subject, but rather algorithmically derived from the "rhythm" waveforms.

ECG rhythm waveforms
sub class of: ECGObservationSeriesType
label: ECG rhythm waveforms
comment: This Observation type contains ECG "rhythm" waveforms. The waveform samples are measured in absolute time (a.k.a. "subject time" or "effective time"). These waveforms are usually "raw" with some minimal amount of noise reduction and baseline filtering applied.
description: This Observation type contains ECG "rhythm" waveforms. The waveform samples are measured in absolute time (a.k.a. "subject time" or "effective time"). These waveforms are usually "raw" with some minimal amount of noise reduction and baseline filtering applied.

PatientImmunizationRelatedObservationType
sub class of: ObservationType
label: PatientImmunizationRelatedObservationType
comment: Description: Reporting codes that are related to an immunization event.
description: Description: Reporting codes that are related to an immunization event.

classroom
sub class of: PatientImmunizationRelatedObservationType
label: classroom
comment: Description: The class room associated with the patient during the immunization event.
description: Description: The class room associated with the patient during the immunization event.

grade
sub class of: PatientImmunizationRelatedObservationType
label: grade
comment: Description: The school grade or level the patient was in when immunized.
description: Description: The school grade or level the patient was in when immunized.

school
sub class of: PatientImmunizationRelatedObservationType
label: school
comment: Description: The school the patient attended when immunized.
description: Description: The school the patient attended when immunized.

school division
sub class of: PatientImmunizationRelatedObservationType
label: school division
comment: Description: The school division or district associated with the patient during the immunization event.
description: Description: The school division or district associated with the patient during the immunization event.

teacher
sub class of: PatientImmunizationRelatedObservationType
label: teacher
comment: Description: The patient's teacher when immunized.
description: Description: The patient's teacher when immunized.

PopulationInclusionObservationType
sub class of: ObservationType
label: PopulationInclusionObservationType
comment: Observation types for specifying criteria used to assert that a subject is included in a particular population.
description: Observation types for specifying criteria used to assert that a subject is included in a particular population.

denominator exclusions
sub class of: PopulationInclusionObservationType
label: denominator exclusions
comment: Criteria which specify subjects who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.
description: Criteria which specify subjects who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.

denominator exceptions
sub class of: PopulationInclusionObservationType
label: denominator exceptions
comment: Criteria which specify the removal of a subject, procedure or unit of measurement from the denominator, only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories: Medical reasons Patient (or subject) reasons System reasons
description: Criteria which specify the removal of a subject, procedure or unit of measurement from the denominator, only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories: Medical reasons Patient (or subject) reasons System reasons

denominator
sub class of: PopulationInclusionObservationType
label: denominator
comment: Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). The denominator can be the same as the initial population, or it may be a subset of the initial population to further constrain it for the purpose of the eMeasure. Different measures within an eMeasure set may have different denominators. Continuous Variable eMeasures do not have a denominator, but instead define a measure population.
description: Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). The denominator can be the same as the initial population, or it may be a subset of the initial population to further constrain it for the purpose of the eMeasure. Different measures within an eMeasure set may have different denominators. Continuous Variable eMeasures do not have a denominator, but instead define a measure population.

initial population
sub class of: PopulationInclusionObservationType
label: initial population
comment: Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).
description: Criteria for specifying the entities to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs).

initial patient population
sub class of: initial population
label: initial patient population
comment: Criteria for specifying the patients to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.
description: Criteria for specifying the patients to be evaluated by a specific quality measure, based on a shared common set of characteristics (within a specific measurement set to which a given measure belongs). Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.

measure population
sub class of: PopulationInclusionObservationType
label: measure population
comment: Criteria for specifying the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period). This is used only in continuous variable eMeasures.
description: Criteria for specifying the measure population as a narrative description (e.g., all patients seen in the Emergency Department during the measurement period). This is used only in continuous variable eMeasures.

measure population exclusions
sub class of: PopulationInclusionObservationType
label: measure population exclusions
comment: Criteria for specifying subjects who should be removed from the eMeasure's Initial Population and Measure Population. Measure Population Exclusions are used in Continuous Variable measures to help narrow the Measure Population before determining the value(s) of the continuous variable(s).
description: Criteria for specifying subjects who should be removed from the eMeasure's Initial Population and Measure Population. Measure Population Exclusions are used in Continuous Variable measures to help narrow the Measure Population before determining the value(s) of the continuous variable(s).

numerator
sub class of: PopulationInclusionObservationType
label: numerator
comment: Criteria for specifying the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator for proportion measures, or related to (but not directly derived from) the denominator for ratio measures (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).
description: Criteria for specifying the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator for proportion measures, or related to (but not directly derived from) the denominator for ratio measures (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).

numerator exclusions
sub class of: PopulationInclusionObservationType
label: numerator exclusions
comment: Criteria for specifying instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion). Numerator Exclusions are used only in ratio eMeasures.
description: Criteria for specifying instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion). Numerator Exclusions are used only in ratio eMeasures.

_PreferenceObservationType
sub class of: ObservationType
label: _PreferenceObservationType
comment: Types of observations that can be made about Preferences.
description: Types of observations that can be made about Preferences.

preference strength
sub class of: _PreferenceObservationType
label: preference strength
comment: An observation about how important a preference is to the target of the preference.
description: An observation about how important a preference is to the target of the preference.

Adverse Reaction
sub class of: ObservationType
label: Adverse Reaction
comment: Indicates that the observation is of an unexpected negative occurrence in the subject suspected to result from the subject's exposure to one or more agents. Observation values would be the symptom resulting from the reaction.
description: Indicates that the observation is of an unexpected negative occurrence in the subject suspected to result from the subject's exposure to one or more agents. Observation values would be the symptom resulting from the reaction.

Assertion
sub class of: ObservationType
label: Assertion
comment: Description:Refines classCode OBS to indicate an observation in which observation.value contains a finding or other nominalized statement, where the encoded information in Observation.value is not altered by Observation.code. For instance, observation.code="ASSERTION" and observation.value="fracture of femur present" is an assertion of a clinical finding of femur fracture.
description: Description:Refines classCode OBS to indicate an observation in which observation.value contains a finding or other nominalized statement, where the encoded information in Observation.value is not altered by Observation.code. For instance, observation.code="ASSERTION" and observation.value="fracture of femur present" is an assertion of a clinical finding of femur fracture.

case seriousness criteria
sub class of: ObservationType
label: case seriousness criteria
comment: Definition:An observation that provides a characterization of the level of harm to an investigation subject as a result of a reaction or event.
description: Definition:An observation that provides a characterization of the level of harm to an investigation subject as a result of a reaction or event.

case disease imported observation
sub class of: ObservationType
label: case disease imported observation
comment: An observation that states whether the disease was likely acquired outside the jurisdiction of observation, and if so, the nature of the inter-jurisdictional relationship. OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it.
description: An observation that states whether the disease was likely acquired outside the jurisdiction of observation, and if so, the nature of the inter-jurisdictional relationship. OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it.

criticality
sub class of: ObservationType
label: criticality
comment: A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
description: A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.

case transmission mode observation
sub class of: ObservationType
label: case transmission mode observation
comment: An observation that states the mechanism by which disease was acquired by the living subject involved in the public health case. OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it.
description: An observation that states the mechanism by which disease was acquired by the living subject involved in the public health case. OpenIssue: This code could be moved to LOINC if it can be done before there are significant implemenations using it.

ObservationDiagnosisTypes
sub class of: ObservationType
label: ObservationDiagnosisTypes
comment: Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.
description: Includes all codes defining types of indications such as diagnosis, symptom and other indications such as contrast agents for lab tests.

admitting diagnosis
sub class of: ObservationDiagnosisTypes
label: admitting diagnosis
comment: Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.
description: Admitting diagnosis are the diagnoses documented for administrative purposes as the basis for a hospital admission.

discharge diagnosis
sub class of: ObservationDiagnosisTypes
label: discharge diagnosis
comment: Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.
description: Discharge diagnosis are the diagnoses documented for administrative purposes as the time of hospital discharge.

intermediate diagnosis
sub class of: ObservationDiagnosisTypes
label: intermediate diagnosis
comment: Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.
description: Intermediate diagnoses are those diagnoses documented for administrative purposes during the course of a hospital stay.

nature of injury
sub class of: ObservationDiagnosisTypes
label: nature of injury
comment: The type of injury that the injury coding specifies.
description: The type of injury that the injury coding specifies.

GIS tier
sub class of: ObservationType
label: GIS tier
comment: Description: Accuracy determined as per the GIS tier code system.
description: Description: Accuracy determined as per the GIS tier code system.

household situation observation
sub class of: ObservationType
label: household situation observation
comment: Indicates that the observation is of a person’s living situation in a household including the household composition and circumstances.
description: Indicates that the observation is of a person’s living situation in a household including the household composition and circumstances.

detected issue
sub class of: ObservationType
label: detected issue
comment: There is a clinical issue for the therapy that makes continuation of the therapy inappropriate. Open Issue: The definition of this code does not correctly represent the concept space of its specializations (children)
description: There is a clinical issue for the therapy that makes continuation of the therapy inappropriate. Open Issue: The definition of this code does not correctly represent the concept space of its specializations (children)

ActAdministrativeDetectedIssueCode
sub class of: detected issue
label: ActAdministrativeDetectedIssueCode
comment: Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.
description: Identifies types of detectyed issues for Act class "ALRT" for the administrative and patient administrative acts domains.

ActAdministrativeAuthorizationDetectedIssueCode
sub class of: ActAdministrativeDetectedIssueCode
label: ActAdministrativeAuthorizationDetectedIssueCode
comment: ActAdministrativeAuthorizationDetectedIssueCode
description: ActAdministrativeAuthorizationDetectedIssueCode

Insufficient authorization
sub class of: ActAdministrativeAuthorizationDetectedIssueCode
label: Insufficient authorization
comment: The requesting party has insufficient authorization to invoke the interaction.
description: The requesting party has insufficient authorization to invoke the interaction.

record suppressed
sub class of: ActAdministrativeAuthorizationDetectedIssueCode
label: record suppressed
comment: Description: One or more records in the query response have been suppressed due to consent or privacy restrictions.
description: Description: One or more records in the query response have been suppressed due to consent or privacy restrictions.

validation issue
sub class of: ActAdministrativeAuthorizationDetectedIssueCode
label: validation issue
comment: Description:The specified element did not pass business-rule validation.
description: Description:The specified element did not pass business-rule validation.

Unknown key identifier
sub class of: validation issue
label: Unknown key identifier
comment: The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.
description: The ID of the patient, order, etc., was not found. Used for transactions other than additions, e.g. transfer of a non-existent patient.

Duplicate key identifier
sub class of: validation issue
label: Duplicate key identifier
comment: The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).
description: The ID of the patient, order, etc., already exists. Used in response to addition transactions (Admit, New Order, etc.).

Compliance Alert
sub class of: validation issue
label: Compliance Alert
comment: There may be an issue with the patient complying with the intentions of the proposed therapy
description: There may be an issue with the patient complying with the intentions of the proposed therapy

Duplicate Therapy Alert
sub class of: Compliance Alert
label: Duplicate Therapy Alert
comment: The proposed therapy appears to duplicate an existing therapy
description: The proposed therapy appears to duplicate an existing therapy

duplicate therapeutic alass alert
sub class of: Duplicate Therapy Alert
label: duplicate therapeutic alass alert
comment: Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.
description: Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy, though the specific mechanisms of action vary.

duplicate generic alert
sub class of: Duplicate Therapy Alert
label: duplicate generic alert
comment: Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy and uses the same mechanisms of action as the existing therapy.
description: Description:The proposed therapy appears to have the same intended therapeutic benefit as an existing therapy and uses the same mechanisms of action as the existing therapy.

commonly abused/misused alert
sub class of: Compliance Alert
label: commonly abused/misused alert
comment: Description:The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.
description: Description:The proposed therapy is frequently misused or abused and therefore should be used with caution and/or monitoring.

potential fraud
sub class of: Compliance Alert
label: potential fraud
comment: Description:The request is suspected to have a fraudulent basis.
description: Description:The request is suspected to have a fraudulent basis.

Poly-orderer Alert
sub class of: Compliance Alert
label: Poly-orderer Alert
comment: A similar or identical therapy was recently ordered by a different practitioner.
description: A similar or identical therapy was recently ordered by a different practitioner.

Poly-supplier Alert
sub class of: Compliance Alert
label: Poly-supplier Alert
comment: This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.
description: This patient was recently supplied a similar or identical therapy from a different pharmacy or supplier.

Dosage problem
sub class of: validation issue
label: Dosage problem
comment: Proposed dosage instructions for therapy differ from standard practice.
description: Proposed dosage instructions for therapy differ from standard practice.

dosage-condition alert
sub class of: Dosage problem
label: dosage-condition alert
comment: Description:Proposed dosage is inappropriate due to patient's medical condition.
description: Description:Proposed dosage is inappropriate due to patient's medical condition.

Dose-Duration Alert
sub class of: Dosage problem
label: Dose-Duration Alert
comment: Proposed length of therapy differs from standard practice.
description: Proposed length of therapy differs from standard practice.

Dose-Duration High Alert
sub class of: Dose-Duration Alert
label: Dose-Duration High Alert
comment: Proposed length of therapy is longer than standard practice
description: Proposed length of therapy is longer than standard practice

Dose-Duration High for Indication Alert
sub class of: Dose-Duration High Alert
label: Dose-Duration High for Indication Alert
comment: Proposed length of therapy is longer than standard practice for the identified indication or diagnosis
description: Proposed length of therapy is longer than standard practice for the identified indication or diagnosis

Dose-Duration Low Alert
sub class of: Dose-Duration Alert
label: Dose-Duration Low Alert
comment: Proposed length of therapy is shorter than that necessary for therapeutic effect
description: Proposed length of therapy is shorter than that necessary for therapeutic effect

Dose-Duration Low for Indication Alert
sub class of: Dose-Duration Low Alert
label: Dose-Duration Low for Indication Alert
comment: Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis
description: Proposed length of therapy is shorter than standard practice for the identified indication or diagnosis

High Dose Alert
sub class of: Dosage problem
label: High Dose Alert
comment: Proposed dosage exceeds standard practice
description: Proposed dosage exceeds standard practice

High Dose for Age Alert
sub class of: High Dose Alert
label: High Dose for Age Alert
comment: Proposed dosage exceeds standard practice for the patient's age
description: Proposed dosage exceeds standard practice for the patient's age

High Dose for Indication Alert
sub class of: High Dose Alert
label: High Dose for Indication Alert
comment: High Dose for Indication Alert
description: High Dose for Indication Alert

High Dose for Height/Surface Area Alert
sub class of: High Dose Alert
label: High Dose for Height/Surface Area Alert
comment: Proposed dosage exceeds standard practice for the patient's height or body surface area
description: Proposed dosage exceeds standard practice for the patient's height or body surface area

High Dose for Weight Alert
sub class of: High Dose Alert
label: High Dose for Weight Alert
comment: Proposed dosage exceeds standard practice for the patient's weight
description: Proposed dosage exceeds standard practice for the patient's weight

Dose-Interval Alert
sub class of: Dosage problem
label: Dose-Interval Alert
comment: Proposed dosage interval/timing differs from standard practice
description: Proposed dosage interval/timing differs from standard practice

Dose-Interval for Indication Alert
sub class of: Dose-Interval Alert
label: Dose-Interval for Indication Alert
comment: Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis
description: Proposed dosage interval/timing differs from standard practice for the identified indication or diagnosis

Low Dose Alert
sub class of: Dosage problem
label: Low Dose Alert
comment: Proposed dosage is below suggested therapeutic levels
description: Proposed dosage is below suggested therapeutic levels

Low Dose for Age Alert
sub class of: Low Dose Alert
label: Low Dose for Age Alert
comment: Proposed dosage is below suggested therapeutic levels for the patient's age
description: Proposed dosage is below suggested therapeutic levels for the patient's age

Low Dose for Indication Alert
sub class of: Low Dose Alert
label: Low Dose for Indication Alert
comment: Low Dose for Indication Alert
description: Low Dose for Indication Alert

Low Dose for Height/Surface Area Alert
sub class of: Low Dose Alert
label: Low Dose for Height/Surface Area Alert
comment: Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area
description: Proposed dosage is below suggested therapeutic levels for the patient's height or body surface area

Low Dose for Weight Alert
sub class of: Low Dose Alert
label: Low Dose for Weight Alert
comment: Proposed dosage is below suggested therapeutic levels for the patient's weight
description: Proposed dosage is below suggested therapeutic levels for the patient's weight

maximum dosage reached
sub class of: Dosage problem
label: maximum dosage reached
comment: Description:The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded.
description: Description:The maximum quantity of this drug allowed to be administered within a particular time-range (month, year, lifetime) has been reached or exceeded.

Observation Alert
sub class of: validation issue
label: Observation Alert
comment: Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient
description: Proposed therapy may be inappropriate or contraindicated due to conditions or characteristics of the patient

Age Alert
sub class of: Observation Alert
label: Age Alert
comment: Proposed therapy may be inappropriate or contraindicated due to patient age
description: Proposed therapy may be inappropriate or contraindicated due to patient age

adult alert
sub class of: Age Alert
label: adult alert
comment: Proposed therapy is outside of the standard practice for an adult patient.
description: Proposed therapy is outside of the standard practice for an adult patient.

geriatric alert
sub class of: Age Alert
label: geriatric alert
comment: Proposed therapy is outside of standard practice for a geriatric patient.
description: Proposed therapy is outside of standard practice for a geriatric patient.

pediatric alert
sub class of: Age Alert
label: pediatric alert
comment: Proposed therapy is outside of the standard practice for a pediatric patient.
description: Proposed therapy is outside of the standard practice for a pediatric patient.

Condition Alert
sub class of: Observation Alert
label: Condition Alert
comment: Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis
description: Proposed therapy may be inappropriate or contraindicated due to an existing/recent patient condition or diagnosis

Lactation Alert
sub class of: Condition Alert
label: Lactation Alert
comment: Proposed therapy may be inappropriate or contraindicated when breast-feeding
description: Proposed therapy may be inappropriate or contraindicated when breast-feeding

Pregnancy Alert
sub class of: Condition Alert
label: Pregnancy Alert
comment: Proposed therapy may be inappropriate or contraindicated during pregnancy
description: Proposed therapy may be inappropriate or contraindicated during pregnancy

common reaction alert
sub class of: Observation Alert
label: common reaction alert
comment: Description:Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product. Example:There is no record of a specific sensitivity for the patient, but the presence of the sensitivity is common and therefore caution is warranted.
description: Description:Proposed therapy may be inappropriate or contraindicated because of a common but non-patient specific reaction to the product. Example:There is no record of a specific sensitivity for the patient, but the presence of the sensitivity is common and therefore caution is warranted.

Genetic Alert
sub class of: Observation Alert
label: Genetic Alert
comment: Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.
description: Proposed therapy may be inappropriate or contraindicated due to patient genetic indicators.

Gender Alert
sub class of: Observation Alert
label: Gender Alert
comment: Proposed therapy may be inappropriate or contraindicated due to patient gender.
description: Proposed therapy may be inappropriate or contraindicated due to patient gender.

Lab Alert
sub class of: Observation Alert
label: Lab Alert
comment: Proposed therapy may be inappropriate or contraindicated due to recent lab test results
description: Proposed therapy may be inappropriate or contraindicated due to recent lab test results

Reaction Alert
sub class of: Observation Alert
label: Reaction Alert
comment: Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product
description: Proposed therapy may be inappropriate or contraindicated based on the potential for a patient reaction to the proposed product

Allergy Alert
sub class of: Reaction Alert
label: Allergy Alert
comment: Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)
description: Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to the proposed product. (Allergies are immune based reactions.)

Intolerance Alert
sub class of: Reaction Alert
label: Intolerance Alert
comment: Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)
description: Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to the proposed product. (Intolerances are non-immune based sensitivities.)

Related Reaction Alert
sub class of: Observation Alert
label: Related Reaction Alert
comment: Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.
description: Proposed therapy may be inappropriate or contraindicated because of a potential patient reaction to a cross-sensitivity related product.

Related Allergy Alert
sub class of: Related Reaction Alert
label: Related Allergy Alert
comment: Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)
description: Proposed therapy may be inappropriate or contraindicated because of a recorded patient allergy to a cross-sensitivity related product. (Allergies are immune based reactions.)

Related Prior Reaction Alert
sub class of: Related Reaction Alert
label: Related Prior Reaction Alert
comment: Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.
description: Proposed therapy may be inappropriate or contraindicated because of a recorded prior adverse reaction to a cross-sensitivity related product.

Related Intolerance Alert
sub class of: Related Reaction Alert
label: Related Intolerance Alert
comment: Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.)
description: Proposed therapy may be inappropriate or contraindicated because of a recorded patient intolerance to a cross-sensitivity related product. (Intolerances are non-immune based sensitivities.)

business constraint violation
sub class of: validation issue
label: business constraint violation
comment: Description:A local business rule relating multiple elements has been violated.
description: Description:A local business rule relating multiple elements has been violated.

code is not valid
sub class of: validation issue
label: code is not valid
comment: Description:The specified code is not valid against the list of codes allowed for the element.
description: Description:The specified code is not valid against the list of codes allowed for the element.

code has been deprecated
sub class of: code is not valid
label: code has been deprecated
comment: Description:The specified code has been deprecated and should no longer be used. Select another code from the code system.
description: Description:The specified code has been deprecated and should no longer be used. Select another code from the code system.

invalid format
sub class of: validation issue
label: invalid format
comment: Description:The element does not follow the formatting or type rules defined for the field.
description: Description:The element does not follow the formatting or type rules defined for the field.

illegal
sub class of: validation issue
label: illegal
comment: Description:The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.
description: Description:The request is missing elements or contains elements which cause it to not meet the legal standards for actioning.

length out of range
sub class of: validation issue
label: length out of range
comment: Description:The length of the data specified falls out of the range defined for the element.
description: Description:The length of the data specified falls out of the range defined for the element.

length is too long
sub class of: length out of range
label: length is too long
comment: Description:The length of the data specified is greater than the maximum length defined for the element.
description: Description:The length of the data specified is greater than the maximum length defined for the element.

length is too short
sub class of: length out of range
label: length is too short
comment: Description:The length of the data specified is less than the minimum length defined for the element.
description: Description:The length of the data specified is less than the minimum length defined for the element.

conditional element missing
sub class of: validation issue
label: conditional element missing
comment: Description:The specified element must be specified with a non-null value under certain conditions. In this case, the conditions are true but the element is still missing or null.
description: Description:The specified element must be specified with a non-null value under certain conditions. In this case, the conditions are true but the element is still missing or null.

mandatory element missing
sub class of: validation issue
label: mandatory element missing
comment: Description:The specified element is mandatory and was not included in the instance.
description: Description:The specified element is mandatory and was not included in the instance.

duplicate values are not permitted
sub class of: validation issue
label: duplicate values are not permitted
comment: Description:More than one element with the same value exists in the set. Duplicates not permission in this set in a set.
description: Description:More than one element with the same value exists in the set. Duplicates not permission in this set in a set.

element will not be persisted
sub class of: validation issue
label: element will not be persisted
comment: Description: Element in submitted message will not persist in data storage based on detected issue.
description: Description: Element in submitted message will not persist in data storage based on detected issue.

repetitions out of range
sub class of: validation issue
label: repetitions out of range
comment: Description:The number of repeating elements falls outside the range of the allowed number of repetitions.
description: Description:The number of repeating elements falls outside the range of the allowed number of repetitions.

repetitions above maximum
sub class of: repetitions out of range
label: repetitions above maximum
comment: Description:The number of repeating elements is above the maximum number of repetitions allowed.
description: Description:The number of repeating elements is above the maximum number of repetitions allowed.

repetitions below minimum
sub class of: repetitions out of range
label: repetitions below minimum
comment: Description:The number of repeating elements is below the minimum number of repetitions allowed.
description: Description:The number of repeating elements is below the minimum number of repetitions allowed.

ActAdministrativeRuleDetectedIssueCode
sub class of: ActAdministrativeDetectedIssueCode
label: ActAdministrativeRuleDetectedIssueCode
comment: ActAdministrativeRuleDetectedIssueCode
description: ActAdministrativeRuleDetectedIssueCode

non-matching identification
sub class of: ActAdministrativeRuleDetectedIssueCode
label: non-matching identification
comment: Description: Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.
description: Description: Metadata associated with the identification (e.g. name or gender) does not match the identification being verified.

obsolete record returned
sub class of: ActAdministrativeRuleDetectedIssueCode
label: obsolete record returned
comment: Description: One or more records in the query response have a status of 'obsolete'.
description: Description: One or more records in the query response have a status of 'obsolete'.

ActSuppliedItemDetectedIssueCode
sub class of: detected issue
label: ActSuppliedItemDetectedIssueCode
comment: Identifies types of detected issues regarding the administration or supply of an item to a patient.
description: Identifies types of detected issues regarding the administration or supply of an item to a patient.

AdministrationDetectedIssueCode
sub class of: ActSuppliedItemDetectedIssueCode
label: AdministrationDetectedIssueCode
comment: Administration of the proposed therapy may be inappropriate or contraindicated as proposed
description: Administration of the proposed therapy may be inappropriate or contraindicated as proposed

AppropriatenessDetectedIssueCode
sub class of: AdministrationDetectedIssueCode
label: AppropriatenessDetectedIssueCode
comment: AppropriatenessDetectedIssueCode
description: AppropriatenessDetectedIssueCode

InteractionDetectedIssueCode
sub class of: AppropriatenessDetectedIssueCode
label: InteractionDetectedIssueCode
comment: InteractionDetectedIssueCode
description: InteractionDetectedIssueCode

Food Interaction Alert
sub class of: InteractionDetectedIssueCode
label: Food Interaction Alert
comment: Proposed therapy may interact with certain foods
description: Proposed therapy may interact with certain foods

Therapeutic Product Alert
sub class of: InteractionDetectedIssueCode
label: Therapeutic Product Alert
comment: Proposed therapy may interact with an existing or recent therapeutic product
description: Proposed therapy may interact with an existing or recent therapeutic product

Drug Interaction Alert
sub class of: Therapeutic Product Alert
label: Drug Interaction Alert
comment: Proposed therapy may interact with an existing or recent drug therapy
description: Proposed therapy may interact with an existing or recent drug therapy

Natural Health Product Alert
sub class of: Therapeutic Product Alert
label: Natural Health Product Alert
comment: Proposed therapy may interact with existing or recent natural health product therapy
description: Proposed therapy may interact with existing or recent natural health product therapy

Non-Prescription Interaction Alert
sub class of: Therapeutic Product Alert
label: Non-Prescription Interaction Alert
comment: Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)
description: Proposed therapy may interact with a non-prescription drug (e.g. alcohol, tobacco, Aspirin)

previously ineffective
sub class of: AppropriatenessDetectedIssueCode
label: previously ineffective
comment: Definition:The same or similar treatment has previously been attempted with the patient without achieving a positive effect.
description: Definition:The same or similar treatment has previously been attempted with the patient without achieving a positive effect.

drug action detected issue
sub class of: AdministrationDetectedIssueCode
label: drug action detected issue
comment: Description:Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.
description: Description:Proposed therapy may be contraindicated or ineffective based on an existing or recent drug therapy.

timing detected issue
sub class of: AdministrationDetectedIssueCode
label: timing detected issue
comment: Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
description: Description:Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.

end too late alert
sub class of: timing detected issue
label: end too late alert
comment: Definition:Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.
description: Definition:Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy.

start too late alert
sub class of: timing detected issue
label: start too late alert
comment: Definition:Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.
description: Definition:Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition.

TimingDetectedIssueCode
sub class of: AdministrationDetectedIssueCode
label: TimingDetectedIssueCode
comment: Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.
description: Proposed therapy may be inappropriate or ineffective based on the proposed start or end time.

End Too Late Alert
sub class of: TimingDetectedIssueCode
label: End Too Late Alert
comment: Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy
description: Proposed therapy may be inappropriate or ineffective because the end of administration is too close to another planned therapy

Start Too Late Alert
sub class of: TimingDetectedIssueCode
label: Start Too Late Alert
comment: Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition
description: Proposed therapy may be inappropriate or ineffective because the start of administration is too late after the onset of the condition

SupplyDetectedIssueCode
sub class of: ActSuppliedItemDetectedIssueCode
label: SupplyDetectedIssueCode
comment: Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy
description: Supplying the product at this time may be inappropriate or indicate compliance issues with the associated therapy

already performed
sub class of: SupplyDetectedIssueCode
label: already performed
comment: Definition:The requested action has already been performed and so this request has no effect
description: Definition:The requested action has already been performed and so this request has no effect

fulfillment alert
sub class of: SupplyDetectedIssueCode
label: fulfillment alert
comment: Definition:The therapy being performed is in some way out of alignment with the requested therapy.
description: Definition:The therapy being performed is in some way out of alignment with the requested therapy.

no longer actionable
sub class of: fulfillment alert
label: no longer actionable
comment: Definition:The status of the request being fulfilled has changed such that it is no longer actionable. This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled. (Not used for 'suspended' orders.)
description: Definition:The status of the request being fulfilled has changed such that it is no longer actionable. This may be because the request has expired, has already been completely fulfilled or has been otherwise stopped or disabled. (Not used for 'suspended' orders.)

not equivalent alert
sub class of: fulfillment alert
label: not equivalent alert
comment: Definition:The therapy being performed is not sufficiently equivalent to the therapy which was requested.
description: Definition:The therapy being performed is not sufficiently equivalent to the therapy which was requested.

not generically equivalent alert
sub class of: not equivalent alert
label: not generically equivalent alert
comment: Definition:The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.
description: Definition:The therapy being performed is not generically equivalent (having the identical biological action) to the therapy which was requested.

not therapeutically equivalent alert
sub class of: not equivalent alert
label: not therapeutically equivalent alert
comment: Definition:The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.
description: Definition:The therapy being performed is not therapeutically equivalent (having the same overall patient effect) to the therapy which was requested.

event timing incorrect alert
sub class of: fulfillment alert
label: event timing incorrect alert
comment: Definition:The therapy is being performed at a time which diverges from the time the therapy was requested
description: Definition:The therapy is being performed at a time which diverges from the time the therapy was requested

outside requested time
sub class of: event timing incorrect alert
label: outside requested time
comment: Definition:The therapy action is being performed outside the bounds of the time period requested
description: Definition:The therapy action is being performed outside the bounds of the time period requested

too soon within frequency based on the usage
sub class of: event timing incorrect alert
label: too soon within frequency based on the usage
comment: Definition:The therapy action is being performed too soon after the previous occurrence based on the requested frequency
description: Definition:The therapy action is being performed too soon after the previous occurrence based on the requested frequency

held/suspended alert
sub class of: SupplyDetectedIssueCode
label: held/suspended alert
comment: Definition:There should be no actions taken in fulfillment of a request that has been held or suspended.
description: Definition:There should be no actions taken in fulfillment of a request that has been held or suspended.

Refill Too Late Alert
sub class of: SupplyDetectedIssueCode
label: Refill Too Late Alert
comment: The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions
description: The patient is receiving a subsequent fill significantly later than would be expected based on the amount previously supplied and the therapy dosage instructions

Refill Too Soon Alert
sub class of: SupplyDetectedIssueCode
label: Refill Too Soon Alert
comment: The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions
description: The patient is receiving a subsequent fill significantly earlier than would be expected based on the amount previously supplied and the therapy dosage instructions

record recorded as historical
sub class of: ActSuppliedItemDetectedIssueCode
label: record recorded as historical
comment: Description: While the record was accepted in the repository, there is a more recent version of a record of this type.
description: Description: While the record was accepted in the repository, there is a more recent version of a record of this type.

violates stated preferences
sub class of: ActSuppliedItemDetectedIssueCode
label: violates stated preferences
comment: Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.
description: Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record.

violates stated preferences, alternate available
sub class of: violates stated preferences
label: violates stated preferences, alternate available
comment: Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available.
description: Definition:The proposed therapy goes against preferences or consent constraints recorded in the patient's record. An alternate therapy meeting those constraints is available.

knowledge subject
sub class of: ObservationType
label: knowledge subject
comment: Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.
description: Categorization of types of observation that capture the main clinical knowledge subject which may be a medication, a laboratory test, a disease.

knowledge subtopic
sub class of: ObservationType
label: knowledge subtopic
comment: Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.
description: Categorization of types of observation that capture a knowledge subtopic which might be treatment, etiology, or prognosis.

intolerance
sub class of: ObservationType
label: intolerance
comment: Hypersensitivity resulting in an adverse reaction upon exposure to an agent.
description: Hypersensitivity resulting in an adverse reaction upon exposure to an agent.

Allergy
sub class of: intolerance
label: Allergy
comment: Hypersensitivity to an agent caused by an immunologic response to an initial exposure
description: Hypersensitivity to an agent caused by an immunologic response to an initial exposure

Drug Allergy
sub class of: Allergy
label: Drug Allergy
comment: An allergy to a pharmaceutical product.
description: An allergy to a pharmaceutical product.

Environmental Allergy
sub class of: Allergy
label: Environmental Allergy
comment: An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc.
description: An allergy to a substance other than a drug or a food. E.g. Latex, pollen, etc.

Food Allergy
sub class of: Allergy
label: Food Allergy
comment: An allergy to a substance generally consumed for nutritional purposes.
description: An allergy to a substance generally consumed for nutritional purposes.

Drug Intolerance
sub class of: intolerance
label: Drug Intolerance
comment: Hypersensitivity resulting in an adverse reaction upon exposure to a drug.
description: Hypersensitivity resulting in an adverse reaction upon exposure to a drug.

Drug Non-Allergy Intolerance
sub class of: Drug Intolerance
label: Drug Non-Allergy Intolerance
comment: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
description: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure

Environmental Intolerance
sub class of: intolerance
label: Environmental Intolerance
comment: Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.
description: Hypersensitivity resulting in an adverse reaction upon exposure to environmental conditions.

Environmental Non-Allergy Intolerance
sub class of: Environmental Intolerance
label: Environmental Non-Allergy Intolerance
comment: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
description: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure

Food Intolerance
sub class of: intolerance
label: Food Intolerance
comment: Hypersensitivity resulting in an adverse reaction upon exposure to food.
description: Hypersensitivity resulting in an adverse reaction upon exposure to food.

Food Non-Allergy Intolerance
sub class of: Food Intolerance
label: Food Non-Allergy Intolerance
comment: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
description: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure

Non-Allergy Intolerance
sub class of: intolerance
label: Non-Allergy Intolerance
comment: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure
description: Hypersensitivity to an agent caused by a mechanism other than an immunologic response to an initial exposure

Severity Observation
sub class of: ObservationType
label: Severity Observation
comment: A subjective evaluation of the seriousness or intensity associated with another observation.
description: A subjective evaluation of the seriousness or intensity associated with another observation.

FDALabelData
sub class of: ObservationType
label: FDALabelData
comment: FDA label data
description: FDA label data

coating
sub class of: FDALabelData
label: coating
comment: FDA label coating
description: FDA label coating

color
sub class of: FDALabelData
label: color
comment: FDA label color
description: FDA label color

imprint code
sub class of: FDALabelData
label: imprint code
comment: FDA label imprint code
description: FDA label imprint code

logo
sub class of: FDALabelData
label: logo
comment: FDA label logo
description: FDA label logo

scoring
sub class of: FDALabelData
label: scoring
comment: FDA label scoring
description: FDA label scoring

shape
sub class of: FDALabelData
label: shape
comment: FDA label shape
description: FDA label shape

size
sub class of: FDALabelData
label: size
comment: FDA label size
description: FDA label size

ROIOverlayShape
sub class of: ActCode
label: ROIOverlayShape
comment: Shape of the region on the object being referenced
description: Shape of the region on the object being referenced

circle
sub class of: ROIOverlayShape
label: circle
comment: A circle defined by two (column,row) pairs. The first point is the center of the circle and the second point is a point on the perimeter of the circle.
description: A circle defined by two (column,row) pairs. The first point is the center of the circle and the second point is a point on the perimeter of the circle.

ellipse
sub class of: ROIOverlayShape
label: ellipse
comment: An ellipse defined by four (column,row) pairs, the first two points specifying the endpoints of the major axis and the second two points specifying the endpoints of the minor axis.
description: An ellipse defined by four (column,row) pairs, the first two points specifying the endpoints of the major axis and the second two points specifying the endpoints of the minor axis.

point
sub class of: ROIOverlayShape
label: point
comment: A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.
description: A single point denoted by a single (column,row) pair, or multiple points each denoted by a (column,row) pair.

polyline
sub class of: ROIOverlayShape
label: polyline
comment: A series of connected line segments with ordered vertices denoted by (column,row) pairs; if the first and last vertices are the same, it is a closed polygon.
description: A series of connected line segments with ordered vertices denoted by (column,row) pairs; if the first and last vertices are the same, it is a closed polygon.

corrected
sub class of: ActCode
label: corrected
comment: Description:Indicates that result data has been corrected.
description: Description:Indicates that result data has been corrected.

Diet
sub class of: ActCode
label: Diet
comment: Code set to define specialized/allowed diets
description: Code set to define specialized/allowed diets

breikost (GE)
sub class of: Diet
label: breikost (GE)
comment: A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.
description: A diet exclusively composed of oatmeal, semolina, or rice, to be extremely easy to eat and digest.

diabetes mellitus diet
sub class of: Diet
label: diabetes mellitus diet
comment: A diet that uses carbohydrates sparingly. Typically with a restriction in daily energy content (e.g. 1600-2000 kcal).
description: A diet that uses carbohydrates sparingly. Typically with a restriction in daily energy content (e.g. 1600-2000 kcal).

fasting
sub class of: Diet
label: fasting
comment: No enteral intake of foot or liquids whatsoever, no smoking. Typically 6 to 8 hours before anesthesia.
description: No enteral intake of foot or liquids whatsoever, no smoking. Typically 6 to 8 hours before anesthesia.

formula diet
sub class of: Diet
label: formula diet
comment: A diet consisting of a formula feeding, either for an infant or an adult, to provide nutrition either orally or through the gastrointestinal tract via tube, catheter or stoma.
description: A diet consisting of a formula feeding, either for an infant or an adult, to provide nutrition either orally or through the gastrointestinal tract via tube, catheter or stoma.

gluten free
sub class of: Diet
label: gluten free
comment: Gluten free diet for celiac disease.
description: Gluten free diet for celiac disease.

low fat
sub class of: Diet
label: low fat
comment: A diet low in fat, particularly to patients with hepatic diseases.
description: A diet low in fat, particularly to patients with hepatic diseases.

low protein
sub class of: Diet
label: low protein
comment: A low protein diet for patients with renal failure.
description: A low protein diet for patients with renal failure.

liquid
sub class of: Diet
label: liquid
comment: A strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain fiber. Used before enteral surgeries.
description: A strictly liquid diet, that can be fully absorbed in the intestine, and therefore may not contain fiber. Used before enteral surgeries.

low sodium
sub class of: Diet
label: low sodium
comment: A diet low in sodium for patients with congestive heart failure and/or renal failure.
description: A diet low in sodium for patients with congestive heart failure and/or renal failure.

normal diet
sub class of: Diet
label: normal diet
comment: A normal diet, i.e. no special preparations or restrictions for medical reasons. This is notwithstanding any preferences the patient might have regarding special foods, such as vegetarian, kosher, etc.
description: A normal diet, i.e. no special preparations or restrictions for medical reasons. This is notwithstanding any preferences the patient might have regarding special foods, such as vegetarian, kosher, etc.

no fat
sub class of: Diet
label: no fat
comment: A no fat diet for acute hepatic diseases.
description: A no fat diet for acute hepatic diseases.

phenylalanine free
sub class of: Diet
label: phenylalanine free
comment: Phenylketonuria diet.
description: Phenylketonuria diet.

parenteral
sub class of: Diet
label: parenteral
comment: Patient is supplied with parenteral nutrition, typically described in terms of i.v. medications.
description: Patient is supplied with parenteral nutrition, typically described in terms of i.v. medications.

reduction diet
sub class of: Diet
label: reduction diet
comment: A diet that seeks to reduce body fat, typically low energy content (800-1600 kcal).
description: A diet that seeks to reduce body fat, typically low energy content (800-1600 kcal).

schonkost (GE)
sub class of: Diet
label: schonkost (GE)
comment: A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans).
description: A diet that avoids ingredients that might cause digestion problems, e.g., avoid excessive fat, avoid too much fiber (cabbage, peas, beans).

nutritional supplement
sub class of: Diet
label: nutritional supplement
comment: A diet that is not intended to be complete but is added to other diets.
description: A diet that is not intended to be complete but is added to other diets.

tea only
sub class of: Diet
label: tea only
comment: This is not really a diet, since it contains little nutritional value, but is essentially just water. Used before coloscopy examinations.
description: This is not really a diet, since it contains little nutritional value, but is essentially just water. Used before coloscopy examinations.

low valin, leucin, isoleucin
sub class of: Diet
label: low valin, leucin, isoleucin
comment: Diet with low content of the amino-acids valin, leucin, and isoleucin, for "maple syrup disease."
description: Diet with low content of the amino-acids valin, leucin, and isoleucin, for "maple syrup disease."

drug program
sub class of: ActCode
label: drug program
comment: Definition: A public or government health program that administers and funds coverage for prescription drugs to assist program eligible who meet financial and health status criteria.
description: Definition: A public or government health program that administers and funds coverage for prescription drugs to assist program eligible who meet financial and health status criteria.

final
sub class of: ActCode
label: final
comment: Description:Indicates that a result is complete. No further results are to come. This maps to the 'complete' state in the observation result status code.
description: Description:Indicates that a result is complete. No further results are to come. This maps to the 'complete' state in the observation result status code.

preliminary
sub class of: ActCode
label: preliminary
comment: Description:Indicates that a result is incomplete. There are further results to come. This maps to the 'active' state in the observation result status code.
description: Description:Indicates that a result is incomplete. There are further results to come. This maps to the 'active' state in the observation result status code.

SecurityObservationType
sub class of: ActCode
label: SecurityObservationType
comment: An observation identifying security metadata about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used to name security labels. Rationale: According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiator's clearance to the target's security label. All of the following must be true for authorization to be granted: The security policy identifiers shall be identical The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and For each security category in the target label, there shall be a security category of the same type in the initiator's clearance and the initiator's classification level shall dominate that of the target. Examples: SecurityObservationType security label fields include: Confidentiality classification Compartment category Sensitivity category Security mechanisms used to ensure data integrity or to perform authorized data transformation Indicators of an IT resource completeness, veracity, reliability, trustworthiness, or provenance. Usage Note: SecurityObservationType codes designate security label field types, which are valued with an applicable SecurityObservationValue code as the "security label tag".
description: An observation identifying security metadata about an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security metadata are used to name security labels. Rationale: According to ISO/TS 22600-3:2009(E) A.9.1.7 SECURITY LABEL MATCHING, Security label matching compares the initiator's clearance to the target's security label. All of the following must be true for authorization to be granted: The security policy identifiers shall be identical The classification level of the initiator shall be greater than or equal to that of the target (that is, there shall be at least one value in the classification list of the clearance greater than or equal to the classification of the target), and For each security category in the target label, there shall be a security category of the same type in the initiator's clearance and the initiator's classification level shall dominate that of the target. Examples: SecurityObservationType security label fields include: Confidentiality classification Compartment category Sensitivity category Security mechanisms used to ensure data integrity or to perform authorized data transformation Indicators of an IT resource completeness, veracity, reliability, trustworthiness, or provenance. Usage Note: SecurityObservationType codes designate security label field types, which are valued with an applicable SecurityObservationValue code as the "security label tag".

security category observation
sub class of: SecurityObservationType
label: security category observation
comment: Type of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security category metadata is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "A nonhierarchical grouping of sensitive information used to control access to data more finely than with hierarchical security classification alone." Rationale: A security category observation supports requirement to specify the type of IT resource to facilitate application of appropriate levels of information security according to a range of levels of impact or consequences that might result from the unauthorized disclosure, modification, or use of the information or information system. A resource is assigned to a specific category of information (e.g., privacy, medical, proprietary, financial, investigative, contractor sensitive, security management) defined by an organization or in some instances, by a specific law, Executive Order, directive, policy, or regulation. [FIPS 199] Examples: Types of security categories include: Compartment: A division of data into isolated blocks with separate security controls for the purpose of reducing risk. (ISO 2382-8). A security label tag that "segments" an IT resource by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Classification System) Sensitivity: The characteristic of an IT resource which implies its value or importance and may include its vulnerability. (ISO 7492-2) Privacy metadata for information perceived as undesirable to share. (HL7 Healthcare Classification System)
description: Type of security metadata observation made about the category of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security category metadata is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "A nonhierarchical grouping of sensitive information used to control access to data more finely than with hierarchical security classification alone." Rationale: A security category observation supports requirement to specify the type of IT resource to facilitate application of appropriate levels of information security according to a range of levels of impact or consequences that might result from the unauthorized disclosure, modification, or use of the information or information system. A resource is assigned to a specific category of information (e.g., privacy, medical, proprietary, financial, investigative, contractor sensitive, security management) defined by an organization or in some instances, by a specific law, Executive Order, directive, policy, or regulation. [FIPS 199] Examples: Types of security categories include: Compartment: A division of data into isolated blocks with separate security controls for the purpose of reducing risk. (ISO 2382-8). A security label tag that "segments" an IT resource by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Classification System) Sensitivity: The characteristic of an IT resource which implies its value or importance and may include its vulnerability. (ISO 7492-2) Privacy metadata for information perceived as undesirable to share. (HL7 Healthcare Classification System)

security classification observation
sub class of: SecurityObservationType
label: security classification observation
comment: Type of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security classification is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "The determination of which specific degree of protection against access the data or information requires, together with a designation of that degree of protection." Security classification metadata is based on an analysis of applicable policies and the risk of financial, reputational, or other harm that could result from unauthorized disclosure. Rationale: A security classification observation may indicate that the confidentiality level indicated by an Act or Role confidentiality attribute has been overridden by the entity responsible for ascribing the SecurityClassificationObservationValue. This supports the business requirement for increasing or decreasing the level of confidentiality (classification or declassification) based on parameters beyond the original assignment of an Act or Role confidentiality. Examples: Types of security classification include: HL7 Confidentiality Codes such as very restricted, unrestricted, and normal. Intelligence community examples include top secret, secret, and confidential. Usage Note: Security classification observation type codes designate security label field types, which are valued with an applicable SecurityClassificationObservationValue code as the "security label tag".
description: Type of security metadata observation made about the classification of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security classification is defined by ISO/IEC 2382-8:1998(E/F)/ T-REC-X.812-1995 as: "The determination of which specific degree of protection against access the data or information requires, together with a designation of that degree of protection." Security classification metadata is based on an analysis of applicable policies and the risk of financial, reputational, or other harm that could result from unauthorized disclosure. Rationale: A security classification observation may indicate that the confidentiality level indicated by an Act or Role confidentiality attribute has been overridden by the entity responsible for ascribing the SecurityClassificationObservationValue. This supports the business requirement for increasing or decreasing the level of confidentiality (classification or declassification) based on parameters beyond the original assignment of an Act or Role confidentiality. Examples: Types of security classification include: HL7 Confidentiality Codes such as very restricted, unrestricted, and normal. Intelligence community examples include top secret, secret, and confidential. Usage Note: Security classification observation type codes designate security label field types, which are valued with an applicable SecurityClassificationObservationValue code as the "security label tag".

security control observation
sub class of: SecurityObservationType
label: security control observation
comment: Type of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security control metadata convey instructions to users and receivers for secure distribution, transmission, and storage; dictate obligations or mandated actions; specify any action prohibited by refrain policy such as dissemination controls; and stipulate the permissible purpose of use of an IT resource. Rationale: A security control observation supports requirement to specify applicable management, operational, and technical controls (i.e., safeguards or countermeasures) prescribed for an information system to protect the confidentiality, integrity, and availability of the system and its information. [FIPS 199] Examples: Types of security control metadata include: handling caveats dissemination controls obligations refrain policies purpose of use constraints
description: Type of security metadata observation made about the control of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Security control metadata convey instructions to users and receivers for secure distribution, transmission, and storage; dictate obligations or mandated actions; specify any action prohibited by refrain policy such as dissemination controls; and stipulate the permissible purpose of use of an IT resource. Rationale: A security control observation supports requirement to specify applicable management, operational, and technical controls (i.e., safeguards or countermeasures) prescribed for an information system to protect the confidentiality, integrity, and availability of the system and its information. [FIPS 199] Examples: Types of security control metadata include: handling caveats dissemination controls obligations refrain policies purpose of use constraints

security integrity observation
sub class of: SecurityObservationType
label: security integrity observation
comment: Type of security metadata observation made about the integrity of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Rationale: A security integrity observation supports the requirement to guard against improper information modification or destruction, and includes ensuring information non-repudiation and authenticity. (44 U.S.C., SEC. 3542) Examples: Types of security integrity metadata include: Integrity status, which indicates the completeness or workflow status of an IT resource (data, information object, service, or system capability) Integrity confidence, which indicates the reliability and trustworthiness of an IT resource Integrity control, which indicates pertinent handling caveats, obligations, refrain policies, and purpose of use for the resource Data integrity, which indicate the security mechanisms used to ensure that the accuracy and consistency are preserved regardless of changes made (ISO/IEC DIS 2382-8) Alteration integrity, which indicate the security mechanisms used for authorized transformations of the resource Integrity provenance, which indicates the entity responsible for a report or assertion relayed "second-hand" about an IT resource
description: Type of security metadata observation made about the integrity of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Rationale: A security integrity observation supports the requirement to guard against improper information modification or destruction, and includes ensuring information non-repudiation and authenticity. (44 U.S.C., SEC. 3542) Examples: Types of security integrity metadata include: Integrity status, which indicates the completeness or workflow status of an IT resource (data, information object, service, or system capability) Integrity confidence, which indicates the reliability and trustworthiness of an IT resource Integrity control, which indicates pertinent handling caveats, obligations, refrain policies, and purpose of use for the resource Data integrity, which indicate the security mechanisms used to ensure that the accuracy and consistency are preserved regardless of changes made (ISO/IEC DIS 2382-8) Alteration integrity, which indicate the security mechanisms used for authorized transformations of the resource Integrity provenance, which indicates the entity responsible for a report or assertion relayed "second-hand" about an IT resource

security alteration integrity observation
sub class of: security integrity observation
label: security alteration integrity observation
comment: Type of security metadata observation made about the alteration integrity of an IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformations of the resource. Examples: Types of security alteration integrity observation metadata, which may value the observation with a code used to indicate the mechanism used for authorized transformation of an IT resource, including: translation syntactic transformation semantic mapping redaction masking pseudonymization anonymization
description: Type of security metadata observation made about the alteration integrity of an IT resource (data, information object, service, or system capability), which indicates the mechanism used for authorized transformations of the resource. Examples: Types of security alteration integrity observation metadata, which may value the observation with a code used to indicate the mechanism used for authorized transformation of an IT resource, including: translation syntactic transformation semantic mapping redaction masking pseudonymization anonymization

security data integrity observation
sub class of: security integrity observation
label: security data integrity observation
comment: Type of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency. Data integrity is defined by ISO 22600-23.3.21 as: "The property that data has not been altered or destroyed in an unauthorized manner", and by ISO/IEC 2382-8: The property of data whose accuracy and consistency are preserved regardless of changes made." Examples: Types of security data integrity observation metadata, which may value the observation, include cryptographic hash function and digital signature.
description: Type of security metadata observation made about the data integrity of an IT resource (data, information object, service, or system capability), which indicates the security mechanism used to preserve resource accuracy and consistency. Data integrity is defined by ISO 22600-23.3.21 as: "The property that data has not been altered or destroyed in an unauthorized manner", and by ISO/IEC 2382-8: The property of data whose accuracy and consistency are preserved regardless of changes made." Examples: Types of security data integrity observation metadata, which may value the observation, include cryptographic hash function and digital signature.

security integrity confidence observation
sub class of: security integrity observation
label: security integrity confidence observation
comment: Type of security metadata observation made about the integrity confidence of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Examples: Types of security integrity confidence observation metadata, which may value the observation, include highly reliable, uncertain reliability, and not reliable. Usage Note: A security integrity confidence observation on an Act may indicate that a valued Act.uncertaintycode attribute has been overridden by the entity responsible for ascribing the SecurityIntegrityConfidenceObservationValue. This supports the business requirements for increasing or decreasing the assessment of the reliability or trustworthiness of an IT resource based on parameters beyond the original assignment of an Act statement level of uncertainty.
description: Type of security metadata observation made about the integrity confidence of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Examples: Types of security integrity confidence observation metadata, which may value the observation, include highly reliable, uncertain reliability, and not reliable. Usage Note: A security integrity confidence observation on an Act may indicate that a valued Act.uncertaintycode attribute has been overridden by the entity responsible for ascribing the SecurityIntegrityConfidenceObservationValue. This supports the business requirements for increasing or decreasing the assessment of the reliability or trustworthiness of an IT resource based on parameters beyond the original assignment of an Act statement level of uncertainty.

security integrity provenance observation
sub class of: security integrity observation
label: security integrity provenance observation
comment: Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the lifecycle completeness of an IT resource in terms of workflow status such as its creation, modification, suspension, and deletion; locations in which the resource has been collected or archived, from which it may be retrieved, and the history of its distribution and disclosure. Integrity provenance metadata about an IT resource may be used to assess its veracity, reliability, and trustworthiness. Examples: Types of security integrity provenance observation metadata, which may value the observation about an IT resource, include: completeness or workflow status, such as authentication the entity responsible for original authoring or informing about an IT resource the entity responsible for a report or assertion about an IT resource relayed “second-handâ€? the entity responsible for excerpting, transforming, or compiling an IT resource
description: Type of security metadata observation made about the provenance integrity of an IT resource (data, information object, service, or system capability), which indicates the lifecycle completeness of an IT resource in terms of workflow status such as its creation, modification, suspension, and deletion; locations in which the resource has been collected or archived, from which it may be retrieved, and the history of its distribution and disclosure. Integrity provenance metadata about an IT resource may be used to assess its veracity, reliability, and trustworthiness. Examples: Types of security integrity provenance observation metadata, which may value the observation about an IT resource, include: completeness or workflow status, such as authentication the entity responsible for original authoring or informing about an IT resource the entity responsible for a report or assertion about an IT resource relayed “second-handâ€? the entity responsible for excerpting, transforming, or compiling an IT resource

security integrity provenance asserted by observation
sub class of: security integrity provenance observation
label: security integrity provenance asserted by observation
comment: Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that made assertions about the resource. The asserting entity may not be the original informant about the resource. Examples: Types of security integrity provenance asserted by observation metadata, which may value the observation, including: assertions about an IT resource by a patient assertions about an IT resource by a clinician assertions about an IT resource by a device
description: Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that made assertions about the resource. The asserting entity may not be the original informant about the resource. Examples: Types of security integrity provenance asserted by observation metadata, which may value the observation, including: assertions about an IT resource by a patient assertions about an IT resource by a clinician assertions about an IT resource by a device

security integrity provenance reported by observation
sub class of: security integrity provenance observation
label: security integrity provenance reported by observation
comment: Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that reported the existence of the resource. The reporting entity may not be the original author of the resource. Examples: Types of security integrity provenance reported by observation metadata, which may value the observation, include: reports about an IT resource by a patient reports about an IT resource by a clinician reports about an IT resource by a device
description: Type of security metadata observation made about the integrity provenance of an IT resource (data, information object, service, or system capability), which indicates the entity that reported the existence of the resource. The reporting entity may not be the original author of the resource. Examples: Types of security integrity provenance reported by observation metadata, which may value the observation, include: reports about an IT resource by a patient reports about an IT resource by a clinician reports about an IT resource by a device

security integrity status observation
sub class of: security integrity observation
label: security integrity status observation
comment: Type of security metadata observation made about the integrity status of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Indicates the completeness of an IT resource in terms of workflow status, which may impact users that are authorized to access and use the resource. Examples: Types of security integrity status observation metadata, which may value the observation, include codes from the HL7 DocumentCompletion code system such as legally authenticated, in progress, and incomplete.
description: Type of security metadata observation made about the integrity status of an IT resource (data, information object, service, or system capability), which may be used to make access control decisions. Indicates the completeness of an IT resource in terms of workflow status, which may impact users that are authorized to access and use the resource. Examples: Types of security integrity status observation metadata, which may value the observation, include codes from the HL7 DocumentCompletion code system such as legally authenticated, in progress, and incomplete.

SECTRSTOBS
sub class of: SecurityObservationType
label: SECTRSTOBS
comment: An observation identifying trust metadata about an IT resource (data, information object, service, or system capability), which may be used as a trust attribute to populate a computable trust policy, trust credential, trust assertion, or trust label field in a security label or trust policy, which are principally used for authentication, authorization, and access control decisions.
description: An observation identifying trust metadata about an IT resource (data, information object, service, or system capability), which may be used as a trust attribute to populate a computable trust policy, trust credential, trust assertion, or trust label field in a security label or trust policy, which are principally used for authentication, authorization, and access control decisions.

trust accreditation observation
sub class of: SECTRSTOBS
label: trust accreditation observation
comment: Type of security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
description: Type of security metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.

trust agreement observation
sub class of: SECTRSTOBS
label: trust agreement observation
comment: Type of security metadata observation made about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1]
description: Type of security metadata observation made about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1]

trust certificate observation
sub class of: SECTRSTOBS
label: trust certificate observation
comment: Type of security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1] For example, A Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. For example, a particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. [Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants. A Certificate Practice Statement (CSP), which is a statement of the practices which an Authority employs in issuing and managing certificates. [Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants.]
description: Type of security metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1] For example, A Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. For example, a particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. [Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants. A Certificate Practice Statement (CSP), which is a statement of the practices which an Authority employs in issuing and managing certificates. [Trust Service Principles and Criteria for Certification Authorities Version 2.0 March 2011 Copyright 2011 by Canadian Institute of Chartered Accountants.]

trust framework observation
sub class of: SECTRSTOBS
label: trust framework observation
comment: Type of security metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. [Kantara Initiative]
description: Type of security metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. [Kantara Initiative]

trust assurance observation
sub class of: SECTRSTOBS
label: trust assurance observation
comment: Type of security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
description: Type of security metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.

trust mechanism observation
sub class of: SECTRSTOBS
label: trust mechanism observation
comment: Type of security metadata observation made about a security architecture system component that supports enforcement of security policies.
description: Type of security metadata observation made about a security architecture system component that supports enforcement of security policies.

subsidized fee for service program
sub class of: ActCode
label: subsidized fee for service program
comment: Definition: A government health program that provides coverage on a fee for service basis for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. Discussion: The structure and business processes for underwriting and administering a subsidized fee for service program is further specified by the Underwriter and Payer Role.class and Role.code.
description: Definition: A government health program that provides coverage on a fee for service basis for health services to persons meeting eligibility criteria such as income, location of residence, access to other coverages, health condition, and age, the cost of which is to some extent subsidized by public funds. Discussion: The structure and business processes for underwriting and administering a subsidized fee for service program is further specified by the Underwriter and Payer Role.class and Role.code.

(workers compensation program
sub class of: ActCode
label: (workers compensation program
comment: Definition: Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well.
description: Definition: Government mandated program providing coverage, disability income, and vocational rehabilitation for injuries sustained in the work place or in the course of employment. Employers may either self-fund the program, purchase commercial coverage, or pay a premium to a government entity that administers the program. Employees may be required to pay premiums toward the cost of coverage as well.

ActProcedureCode
sub class of: ActCode
label: ActProcedureCode
comment: An identifying code for healthcare interventions/procedures.
description: An identifying code for healthcare interventions/procedures.

ActBillableServiceCode
sub class of: ActProcedureCode
label: ActBillableServiceCode
comment: Definition: An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes.
description: Definition: An identifying code for billable services, as opposed to codes for similar services used to identify them for functional purposes.

HL7DefinedActCodes
sub class of: ActCode
label: HL7DefinedActCodes
comment: Domain provides the root for HL7-defined detailed or rich codes for the Act classes.
description: Domain provides the root for HL7-defined detailed or rich codes for the Act classes.

Storage
sub class of: ActCode
label: Storage
comment: The act of putting something away for safe keeping. The "something" may be physical object such as a specimen, or information, such as observations regarding a specimen.
description: The act of putting something away for safe keeping. The "something" may be physical object such as a specimen, or information, such as observations regarding a specimen.

ActConsentType
type: ValueSet
version: 2014-03-26
label: ActConsentType
comment: Definition: The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.
description: Definition: The type of consent directive, e.g., to consent or dissent to collect, access, or use in specific ways within an EHRS or for health information exchange; or to disclose health information for purposes such as research.
status: active
canonical status: active

ActCoverageTypeCode
type: ValueSet
version: 2014-03-26
label: ActCoverageTypeCode
comment: Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.
description: Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties.
status: active
canonical status: active

v3 Code System ActExposureLevelCode
type: ValueSet
version: 2015-11-30
label: v3 Code System ActExposureLevelCode
comment: A qualitative measure of the degree of exposure to the causative agent. This includes concepts such as "low", "medium" and "high". This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance.
description: A qualitative measure of the degree of exposure to the causative agent. This includes concepts such as "low", "medium" and "high". This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance.
date: 2015-11-30
status: active
canonical status: active
include: ActExposureLevelCode

v3 Code System ActExposureLevelCode
type: CodeSystem
label: v3 Code System ActExposureLevelCode
comment: A qualitative measure of the degree of exposure to the causative agent. This includes concepts such as "low", "medium" and "high". This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance.
description: A qualitative measure of the degree of exposure to the causative agent. This includes concepts such as "low", "medium" and "high". This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance.
date: Mon Nov 30 00:00:00 AEDT 2015

ActExposureLevelCode
sub class of: ActExposureLevelCode
label: ActExposureLevelCode
comment: A qualitative measure of the degree of exposure to the causative agent. This includes concepts such as "low", "medium" and "high". This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance.
description: A qualitative measure of the degree of exposure to the causative agent. This includes concepts such as "low", "medium" and "high". This quantifies how the quantity that was available to be administered to the target differs from typical or background levels of the substance.

high
sub class of: ActExposureLevelCode
label: high
comment: Description: Exposure to an agent at a relatively high level above background.
description: Description: Exposure to an agent at a relatively high level above background.

low
sub class of: ActExposureLevelCode
label: low
comment: Description: Exposure to an agent at a relatively low level above background.
description: Description: Exposure to an agent at a relatively low level above background.

medium
sub class of: ActExposureLevelCode
label: medium
comment: Description: Exposure to an agent at a relatively moderate level above background.A
description: Description: Exposure to an agent at a relatively moderate level above background.A

ActIncidentCode
type: ValueSet
version: 2014-03-26
label: ActIncidentCode
comment: Set of codes indicating the type of incident or accident.
description: Set of codes indicating the type of incident or accident.
status: active
canonical status: active

v3 Code System ActInvoiceElementModifier
type: ValueSet
version: 2015-11-30
label: v3 Code System ActInvoiceElementModifier
comment: Processing consideration and clarification codes.
description: Processing consideration and clarification codes.
date: 2015-11-30
status: active
canonical status: active
include: ActInvoiceElementModifier

v3 Code System ActInvoiceElementModifier
type: CodeSystem
label: v3 Code System ActInvoiceElementModifier
comment: Processing consideration and clarification codes.
description: Processing consideration and clarification codes.
date: Mon Nov 30 00:00:00 AEDT 2015

Electronic Form To Follow
sub class of: ActInvoiceElementModifier
label: Electronic Form To Follow
comment: Electronic form with supporting information to follow.
description: Electronic form with supporting information to follow.

Fax To Follow
sub class of: ActInvoiceElementModifier
label: Fax To Follow
comment: Fax with supporting information to follow.
description: Fax with supporting information to follow.

Last Invoice
sub class of: ActInvoiceElementModifier
label: Last Invoice
comment: Represents the last invoice from the perspective of the provider.
description: Represents the last invoice from the perspective of the provider.

Paper Documentation To Follow
sub class of: ActInvoiceElementModifier
label: Paper Documentation To Follow
comment: Paper documentation (or other physical format) with supporting information to follow.
description: Paper documentation (or other physical format) with supporting information to follow.

ActInvoiceGroupCode
type: ValueSet
version: 2014-03-26
label: ActInvoiceGroupCode
comment: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.
description: Type of invoice element that is used to assist in describing an Invoice that is either submitted for adjudication or for which is returned on adjudication results. Invoice elements of this type signify a grouping of one or more children (detail) invoice elements. They do not have intrinsic costing associated with them, but merely reflect the sum of all costing for it's immediate children invoice elements.
status: active
canonical status: active

v3 Code System ActMood
type: ValueSet
version: 2015-11-30
label: v3 Code System ActMood
comment: OpenIssue: In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found "Persuasive With Mod", with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM.
description: OpenIssue: In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found "Persuasive With Mod", with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM.
date: 2015-11-30
status: active
canonical status: active
include: ActMood

v3 Code System ActMood
type: CodeSystem
label: v3 Code System ActMood
comment: OpenIssue: In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found "Persuasive With Mod", with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM.
description: OpenIssue: In Ballot 2009May, a strong Negative vote was lodged against several of the concept definitions in the vocabulary used for Act.moodCode. The vote was found "Persuasive With Mod", with the understanding that M and M would undertake a detailed review of these concept definitions for a future release of the RIM.
date: Mon Nov 30 00:00:00 AEDT 2015

ActMoodCompletionTrack
sub class of: ActMood
label: ActMoodCompletionTrack
comment: These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed.
description: These are moods describing activities as they progress in the business cycle, from defined, through planned and ordered to completed.

potential
sub class of: ActMoodCompletionTrack
label: potential
comment: Definition: A possible act.
description: Definition: A possible act.

definition
sub class of: potential
label: definition
comment: Definition: A definition of a kind of act that can occur . OpenIssue: The semantic constructs embodied in DEF and CRT moods seem indistinguishable, and their uses can readily be determined by the context in which these are used. Therefore, this OpenIssue has been created to declare that it is likely that ActMood.DEF will be "retired" in the future in favor of the more general ActMood.CRT.
description: Definition: A definition of a kind of act that can occur . OpenIssue: The semantic constructs embodied in DEF and CRT moods seem indistinguishable, and their uses can readily be determined by the context in which these are used. Therefore, this OpenIssue has been created to declare that it is likely that ActMood.DEF will be "retired" in the future in favor of the more general ActMood.CRT.

permission
sub class of: potential
label: permission
comment: Definition: A kind of act that defines a permission that has been granted.
description: Definition: A kind of act that defines a permission that has been granted.

resource slot
sub class of: potential
label: resource slot
comment: Definition: A kind of act that may occur during the specified time period.
description: Definition: A kind of act that may occur during the specified time period.

event (occurrence)
sub class of: ActMoodCompletionTrack
label: event (occurrence)
comment: Definition: An act that actually happens (may be an ongoing act or a documentation of a past act).
description: Definition: An act that actually happens (may be an ongoing act or a documentation of a past act).

intent
sub class of: ActMoodCompletionTrack
label: intent
comment: Definition: An intention or plan for an act. >UsageNotes: The final outcome of the intent, the act that is intended to occur, is always an event. However the final outcome may be reached indirectly via steps through other intents, such as promise, permission request, or an appointment that may lead to an actual event to occur. Alternatively, the intended act may never occur.
description: Definition: An intention or plan for an act. >UsageNotes: The final outcome of the intent, the act that is intended to occur, is always an event. However the final outcome may be reached indirectly via steps through other intents, such as promise, permission request, or an appointment that may lead to an actual event to occur. Alternatively, the intended act may never occur.

desire
sub class of: intent
label: desire
comment: Definition: A desire to have an act occur.
description: Definition: A desire to have an act occur.

act request
sub class of: desire
label: act request
comment: Definition: A request (or order) for an act that is part of a defined request/fulfillment cycle. UsageNotes: Use of an HL7 defined request/fulfillment framework is not required to use this mood code.
description: Definition: A request (or order) for an act that is part of a defined request/fulfillment cycle. UsageNotes: Use of an HL7 defined request/fulfillment framework is not required to use this mood code.

appointment request
sub class of: act request
label: appointment request
comment: Definition: A request act that is specialized for the appointment scheduling request/fulfillment cycle. An appointment request is fulfilled only and completely by an appointment (APT), i.e., all that the appointment request intends is to create an appointment (the actual act may well not happen if that is the professional decision during the appointment).
description: Definition: A request act that is specialized for the appointment scheduling request/fulfillment cycle. An appointment request is fulfilled only and completely by an appointment (APT), i.e., all that the appointment request intends is to create an appointment (the actual act may well not happen if that is the professional decision during the appointment).

permission request
sub class of: act request
label: permission request
comment: Definition: A request for a permission to perform the act. Typically a payer (or possibly a supervisor) is being requested to give permission to perform the act. As opposed to the RQO, the requestee is not asked to perform or cause to perform the act but only to give the permission.
description: Definition: A request for a permission to perform the act. Typically a payer (or possibly a supervisor) is being requested to give permission to perform the act. As opposed to the RQO, the requestee is not asked to perform or cause to perform the act but only to give the permission.

request
sub class of: act request
label: request
comment: Definition: A request act that is specialized for an event request/fulfillment cycle. UsageNotes: The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event. UsageNotes: The concepts of a "request" and an "order" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. "Orders" are commonly refused for a variety of clinical and business reasons, and the notion of a "request" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is "request." Thus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the "local" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an "intent", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.
description: Definition: A request act that is specialized for an event request/fulfillment cycle. UsageNotes: The fulfillment cycle may involve intermediary fulfilling acts in moods such as PRMS, APT, or even another RQO before being fulfilled by the final event. UsageNotes: The concepts of a "request" and an "order" are viewed as different, because there is an implication of a mandate associated with order. In practice, however, this distinction has no general functional value in the inter-operation of health care computing. "Orders" are commonly refused for a variety of clinical and business reasons, and the notion of a "request" obligates the recipient (the fulfiller) to respond to the sender (the author). Indeed, in many regions, including Australia and Europe, the common term used is "request." Thus, the concept embodies both notions, as there is no useful distinction to be made. If a mandate is to be associated with a request, this will be embodied in the "local" business rules applied to the transactions. Should HL7 desire to provide a distinction between these in the future, the individual concepts could be added as specializations of this concept. The critical distinction here, is the difference between this concept and an "intent", of which it is a specialization. An intent involves decisions by a single party, the author. A request, however, involves decisions by two parties, the author and the fulfiller, with an obligation on the part of the fulfiller to respond to the request indicating that the fulfiller will indeed fulfill the request.

proposal
sub class of: desire
label: proposal
comment: Definition: A suggestion that an act might be performed. Not an explicit request, and professional responsibility may or may not be present.
description: Definition: A suggestion that an act might be performed. Not an explicit request, and professional responsibility may or may not be present.

recommendation
sub class of: proposal
label: recommendation
comment: Definition: A suggestion that an act should be performed with an acceptance of some degree of professional responsibility for the resulting act. Not an explicit request. . UsageNotes: Where there is no clear definition or applicable concept of "professional responsibilityâ€?, RMD becomes indistinguishable from PRP. .
description: Definition: A suggestion that an act should be performed with an acceptance of some degree of professional responsibility for the resulting act. Not an explicit request. . UsageNotes: Where there is no clear definition or applicable concept of "professional responsibilityâ€?, RMD becomes indistinguishable from PRP. .

promise
sub class of: intent
label: promise
comment: Definition: A commitment to perform an act (may be either solicited or unsolicited). The committer becomes responsible to the other party for executing the act, and, as a consequence, the other party may rely on the first party to perform or cause to perform the act. UsageNotes: Commitments may be retracted or cancelled.
description: Definition: A commitment to perform an act (may be either solicited or unsolicited). The committer becomes responsible to the other party for executing the act, and, as a consequence, the other party may rely on the first party to perform or cause to perform the act. UsageNotes: Commitments may be retracted or cancelled.

appointment
sub class of: promise
label: appointment
comment: Definition: An act that has been scheduled to be performed at a specific place and time.
description: Definition: An act that has been scheduled to be performed at a specific place and time.

ActMoodPredicate
sub class of: ActMood
label: ActMoodPredicate
comment: Definition: An act that expresses condition statements for other acts.
description: Definition: An act that expresses condition statements for other acts.

criterion
sub class of: ActMoodPredicate
label: criterion
comment: Deprecation Comment: This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to "true" and use the desired mood for your criterion. Definition: A condition that must be true for the source act to be considered.
description: Deprecation Comment: This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to "true" and use the desired mood for your criterion. Definition: A condition that must be true for the source act to be considered.

event criterion
sub class of: criterion
label: event criterion
comment: Deprecation Comment: This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to "true" and use the desired mood for your criterion. Definition: A criterion (CRT) that has_match = an event (EVN).
description: Deprecation Comment: This concept This codes should no longer be used. Instead, set attribute Act.isCriterionInd to "true" and use the desired mood for your criterion. Definition: A criterion (CRT) that has_match = an event (EVN).

goal criterion
sub class of: criterion
label: goal criterion
comment: A criterion expressed over goals (ActMood.GOL).
description: A criterion expressed over goals (ActMood.GOL).

intent criterion
sub class of: criterion
label: intent criterion
comment: A criterion expressed over intents (ActMood.INT).
description: A criterion expressed over intents (ActMood.INT).

promise criterion
sub class of: intent criterion
label: promise criterion
comment: A criterion expressed over promises (ActMood.PRMS).
description: A criterion expressed over promises (ActMood.PRMS).

request criterion
sub class of: intent criterion
label: request criterion
comment: A criterion expressed over requests or orders (ActMood.RQO).
description: A criterion expressed over requests or orders (ActMood.RQO).

risk criterion
sub class of: criterion
label: risk criterion
comment: A criterion expressed over risks (ActMood.RSK).
description: A criterion expressed over risks (ActMood.RSK).

expectation
sub class of: ActMoodPredicate
label: expectation
comment: Definition: An act that is considered to have some noteworthy likelihood of occurring in the future (has_match = event). Examples:Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning. UsageNotes:INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen.
description: Definition: An act that is considered to have some noteworthy likelihood of occurring in the future (has_match = event). Examples:Prognosis of a condition, Expected date of discharge from hospital, patient will likely need an emergency decompression of the intracranial pressure by morning. UsageNotes:INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with expectation, which is a prediction that something will happen in the future. GOL (goal) reflects a hope rather than a prediction. RSK (risk) reflects a potential negative event that may or may not be expected to happen.

Goal
sub class of: expectation
label: Goal
comment: Definition: An expectation that is considered to be desirable to occur in the future Examples:Target weight below 80Kg, Stop smoking, Regain ability to walk, goal is to administer thrombolytics to candidate patients presenting with acute myocardial infarction. UsageNotes: INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result. A goal is distinct from the intended actions to reach that goal. "I will reduce the dose of drug x to 20mg" is an intent. "I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope.
description: Definition: An expectation that is considered to be desirable to occur in the future Examples:Target weight below 80Kg, Stop smoking, Regain ability to walk, goal is to administer thrombolytics to candidate patients presenting with acute myocardial infarction. UsageNotes: INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with goal which doesn't represent an intention to act, merely a hope for an eventual result. A goal is distinct from the intended actions to reach that goal. "I will reduce the dose of drug x to 20mg" is an intent. "I hope to be able to get the patient to the point where I can reduce the dose of drug x to 20mg" is a goal. EXPEC (expectation) reflects a prediction rather than a hope. RSK (risk) reflects a potential negative event rather than a hope.

risk
sub class of: expectation
label: risk
comment: Definition:An act that may occur in the future and which is regarded as undesirable Examples:Increased risk of DVT, at risk for sub-acute bacterial endocarditis. UsageNotes:Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen.
description: Definition:An act that may occur in the future and which is regarded as undesirable Examples:Increased risk of DVT, at risk for sub-acute bacterial endocarditis. UsageNotes:Note: An observation in RSK mood expresses the undesirable act, and not the underlying risk factor. A risk factor that is present (e.g. obesity, smoking, etc) should be expressed in event mood. INT (intent) reflects a plan for the future, which is a declaration to do something. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen. GOL (goal) reflects a hope to achieve something. EXPEC (expectation) is the prediction of a positive or negative event. This contrasts with RSK (risk), which is the potential that something negative will occur that may or may not ever happen, and may not be expected to happen.

option
sub class of: ActMoodPredicate
label: option
comment: Definition: One of a set of acts that specify an option for the property values that the parent act may have. Typically used in definitions or orders to describe alternatives. An option can only be used as a group, that is, all assigned values must be used together. The actual mood of the act is the same as the parent act, and they must be linked by an actrelationship with type = OPTN.
description: Definition: One of a set of acts that specify an option for the property values that the parent act may have. Typically used in definitions or orders to describe alternatives. An option can only be used as a group, that is, all assigned values must be used together. The actual mood of the act is the same as the parent act, and they must be linked by an actrelationship with type = OPTN.

ActPharmacySupplyType
type: ValueSet
version: 2014-03-26
label: ActPharmacySupplyType
comment: Identifies types of dispensing events
description: Identifies types of dispensing events
status: active
canonical status: active

v3 Code System ActPriority
type: ValueSet
version: 2015-11-30
label: v3 Code System ActPriority
comment: A set of codes (e.g., for routine, emergency), specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen.
description: A set of codes (e.g., for routine, emergency), specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen.
date: 2015-11-30
status: active
canonical status: active
include: ActPriority

v3 Code System ActPriority
type: CodeSystem
label: v3 Code System ActPriority
comment: A set of codes (e.g., for routine, emergency), specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen.
description: A set of codes (e.g., for routine, emergency), specifying the urgency under which the Act happened, can happen, is happening, is intended to happen, or is requested/demanded to happen.
date: Mon Nov 30 00:00:00 AEDT 2015

ASAP
sub class of: ActPriority
label: ASAP
comment: As soon as possible, next highest priority after stat.
description: As soon as possible, next highest priority after stat.

callback results
sub class of: ActPriority
label: callback results
comment: Filler should contact the placer as soon as results are available, even for preliminary results. (Was "C" in HL7 verion 2.3's reporting priority.)
description: Filler should contact the placer as soon as results are available, even for preliminary results. (Was "C" in HL7 verion 2.3's reporting priority.)

callback for scheduling
sub class of: ActPriority
label: callback for scheduling
comment: Filler should contact the placer (or target) to schedule the service. (Was "C" in HL7 version 2.3's TQ-priority component.)
description: Filler should contact the placer (or target) to schedule the service. (Was "C" in HL7 version 2.3's TQ-priority component.)

callback placer for scheduling
sub class of: callback for scheduling
label: callback placer for scheduling
comment: Filler should contact the placer to schedule the service. (Was "C" in HL7 version 2.3's TQ-priority component.)
description: Filler should contact the placer to schedule the service. (Was "C" in HL7 version 2.3's TQ-priority component.)

contact recipient for scheduling
sub class of: callback for scheduling
label: contact recipient for scheduling
comment: Filler should contact the service recipient (target) to schedule the service. (Was "C" in HL7 version 2.3's TQ-priority component.)
description: Filler should contact the service recipient (target) to schedule the service. (Was "C" in HL7 version 2.3's TQ-priority component.)

elective
sub class of: ActPriority
label: elective
comment: Beneficial to the patient but not essential for survival.
description: Beneficial to the patient but not essential for survival.

emergency
sub class of: ActPriority
label: emergency
comment: An unforeseen combination of circumstances or the resulting state that calls for immediate action.
description: An unforeseen combination of circumstances or the resulting state that calls for immediate action.

preop
sub class of: ActPriority
label: preop
comment: Used to indicate that a service is to be performed prior to a scheduled surgery. When ordering a service and using the pre-op priority, a check is done to see the amount of time that must be allowed for performance of the service. When the order is placed, a message can be generated indicating the time needed for the service so that it is not ordered in conflict with a scheduled operation.
description: Used to indicate that a service is to be performed prior to a scheduled surgery. When ordering a service and using the pre-op priority, a check is done to see the amount of time that must be allowed for performance of the service. When the order is placed, a message can be generated indicating the time needed for the service so that it is not ordered in conflict with a scheduled operation.

as needed
sub class of: ActPriority
label: as needed
comment: An "as needed" order should be accompanied by a description of what constitutes a need. This description is represented by an observation service predicate as a precondition.
description: An "as needed" order should be accompanied by a description of what constitutes a need. This description is represented by an observation service predicate as a precondition.

routine
sub class of: ActPriority
label: routine
comment: Routine service, do at usual work hours.
description: Routine service, do at usual work hours.

rush reporting
sub class of: ActPriority
label: rush reporting
comment: A report should be prepared and sent as quickly as possible.
description: A report should be prepared and sent as quickly as possible.

stat
sub class of: ActPriority
label: stat
comment: With highest priority (e.g., emergency).
description: With highest priority (e.g., emergency).

timing critical
sub class of: ActPriority
label: timing critical
comment: It is critical to come as close as possible to the requested time (e.g., for a through antimicrobial level).
description: It is critical to come as close as possible to the requested time (e.g., for a through antimicrobial level).

use as directed
sub class of: ActPriority
label: use as directed
comment: Drug is to be used as directed by the prescriber.
description: Drug is to be used as directed by the prescriber.

urgent
sub class of: ActPriority
label: urgent
comment: Calls for prompt action.
description: Calls for prompt action.

v3 Code System ActReason
type: ValueSet
version: 2015-11-30
label: v3 Code System ActReason
comment: A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type "has reason" linking to another Act. Examples: Example reasons that might qualify for being coded in this field might be: "routine requirement", "infectious disease reporting requirement", "on patient request", "required by law".
description: A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type "has reason" linking to another Act. Examples: Example reasons that might qualify for being coded in this field might be: "routine requirement", "infectious disease reporting requirement", "on patient request", "required by law".
date: 2015-11-30
status: active
canonical status: active
include: ActReason

v3 Code System ActReason
type: CodeSystem
label: v3 Code System ActReason
comment: A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type "has reason" linking to another Act. Examples: Example reasons that might qualify for being coded in this field might be: "routine requirement", "infectious disease reporting requirement", "on patient request", "required by law".
description: A set of codes specifying the motivation, cause, or rationale of an Act, when such rationale is not reasonably represented as an ActRelationship of type "has reason" linking to another Act. Examples: Example reasons that might qualify for being coded in this field might be: "routine requirement", "infectious disease reporting requirement", "on patient request", "required by law".
date: Mon Nov 30 00:00:00 AEDT 2015

ActAccommodationReason
sub class of: ActReason
label: ActAccommodationReason
comment: Identifies the reason the patient is assigned to this accommodation type
description: Identifies the reason the patient is assigned to this accommodation type

Accommodation Requested Not Available
sub class of: ActAccommodationReason
label: Accommodation Requested Not Available
comment: Accommodation requested is not available.
description: Accommodation requested is not available.

Floor Convenience
sub class of: ActAccommodationReason
label: Floor Convenience
comment: Accommodation is assigned for floor convenience.
description: Accommodation is assigned for floor convenience.

Medical Necessity
sub class of: ActAccommodationReason
label: Medical Necessity
comment: Required for medical reasons(s).
description: Required for medical reasons(s).

Patient request
sub class of: ActAccommodationReason
label: Patient request
comment: The Patient requested the action
description: The Patient requested the action

ActCoverageReason
sub class of: ActReason
label: ActCoverageReason
comment: Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties.
description: Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties.

EligibilityActReasonCode
sub class of: ActCoverageReason
label: EligibilityActReasonCode
comment: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. Examples: A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.
description: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. Examples: A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.

ActIneligibilityReason
sub class of: EligibilityActReasonCode
label: ActIneligibilityReason
comment: Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy. Examples are client deceased & adopted client has been given a new policy identifier.
description: Identifies the reason or rational for why a person is not eligibile for benefits under an insurance policy. Examples are client deceased & adopted client has been given a new policy identifier.

coverage suspended
sub class of: ActIneligibilityReason
label: coverage suspended
comment: When a client has no contact with the health system for an extended period, coverage is suspended. Client will be reinstated to original start date upon proof of identification, residency etc. Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect).
description: When a client has no contact with the health system for an extended period, coverage is suspended. Client will be reinstated to original start date upon proof of identification, residency etc. Example: Coverage may be suspended during a strike situation, when employer benefits for employees are not covered (i.e. not in effect).

deceased
sub class of: ActIneligibilityReason
label: deceased
comment: Client deceased.
description: Client deceased.

registered in error
sub class of: ActIneligibilityReason
label: registered in error
comment: Client was registered in error.
description: Client was registered in error.

CoverageEligibilityReason
sub class of: EligibilityActReasonCode
label: CoverageEligibilityReason
comment: Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. Examples: A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.
description: Definition: Identifies the reason or rational for why a person is eligibile for benefits under an insurance policy or progam. Examples: A person is a claimant under an automobile insurance policy are client deceased & adopted client has been given a new policy identifier. A new employee is eligible for health insurance as an employment benefit. A person meets a government program eligibility criteria for financial, age or health status.

age eligibility
sub class of: CoverageEligibilityReason
label: age eligibility
comment: A person becomes eligible for a program based on age. Example: In the U.S., a person who is 65 years of age or older is eligible for Medicare.
description: A person becomes eligible for a program based on age. Example: In the U.S., a person who is 65 years of age or older is eligible for Medicare.

crime victim
sub class of: CoverageEligibilityReason
label: crime victim
comment: A person becomes eligible for insurance or a program because of crime related health condition or injury. Example: A person is a claimant under the U.S. Crime Victims Compensation program.
description: A person becomes eligible for insurance or a program because of crime related health condition or injury. Example: A person is a claimant under the U.S. Crime Victims Compensation program.

disability
sub class of: CoverageEligibilityReason
label: disability
comment: A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization.
description: A person becomes a claimant under a disability income insurance policy or a disability rehabilitation program because of a health condition or injury which limits the person's ability to earn an income or function without institutionalization.

employment benefit
sub class of: CoverageEligibilityReason
label: employment benefit
comment: A person becomes eligible for insurance provided as an employment benefit based on employment status.
description: A person becomes eligible for insurance provided as an employment benefit based on employment status.

financial eligibility
sub class of: CoverageEligibilityReason
label: financial eligibility
comment: A person becomes eligible for a program based on financial criteria. Example: A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP.
description: A person becomes eligible for a program based on financial criteria. Example: A person whose family income is below a financial threshold for eligibility for Medicaid or SCHIP.

health status
sub class of: CoverageEligibilityReason
label: health status
comment: A person becomes eligible for a program because of a qualifying health condition or injury. Examples: A person is determined to have a qualifying health conditions include pregnancy, HIV/AIDs, tuberculosis, end stage renal disease, breast or cervical cancer, or other condition requiring specialized health services, hospice, institutional or community based care provided under a program
description: A person becomes eligible for a program because of a qualifying health condition or injury. Examples: A person is determined to have a qualifying health conditions include pregnancy, HIV/AIDs, tuberculosis, end stage renal disease, breast or cervical cancer, or other condition requiring specialized health services, hospice, institutional or community based care provided under a program

multiple criteria eligibility
sub class of: CoverageEligibilityReason
label: multiple criteria eligibility
comment: A person becomes eligible for a program based on more than one criterion. Examples: In the U.S., a child whose familiy income meets Medicaid financial thresholds and whose age is less than 18 is eligible for the Early and Periodic Screening, Diagnostic, and Treatment program (EPSDT). A person whose family income meets Medicaid financial thresholds and whose age is 65 years or older is eligible for Medicaid and Medicare, and are referred to as dual eligibles.
description: A person becomes eligible for a program based on more than one criterion. Examples: In the U.S., a child whose familiy income meets Medicaid financial thresholds and whose age is less than 18 is eligible for the Early and Periodic Screening, Diagnostic, and Treatment program (EPSDT). A person whose family income meets Medicaid financial thresholds and whose age is 65 years or older is eligible for Medicaid and Medicare, and are referred to as dual eligibles.

property and casualty condition
sub class of: CoverageEligibilityReason
label: property and casualty condition
comment: A person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy. Example: A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises.
description: A person becomes a claimant under a property and casualty insurance policy because of a related health condition or injury resulting from a circumstance covered under the terms of the policy. Example: A person is a claimant under a homeowners insurance policy because of an injury sustained on the policyholderaTMs premises.

statutory eligibility
sub class of: CoverageEligibilityReason
label: statutory eligibility
comment: A person becomes eligible for a program based on statutory criteria. Examples: A person is a member of an indigenous group, a veteran of military service, or in the U.S., a recipient of adoption assistance and foster care under Title IV-E of the Social Security.
description: A person becomes eligible for a program based on statutory criteria. Examples: A person is a member of an indigenous group, a veteran of military service, or in the U.S., a recipient of adoption assistance and foster care under Title IV-E of the Social Security.

motor vehicle accident victim
sub class of: CoverageEligibilityReason
label: motor vehicle accident victim
comment: A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury.
description: A person becomes a claimant under a motor vehicle accident insurance because of a motor vehicle accident related health condition or injury.

work related
sub class of: CoverageEligibilityReason
label: work related
comment: A person becomes eligible for insurance or a program because of a work related health condition or injury. Example: A person is a claimant under the U.S. Black Lung Program.
description: A person becomes eligible for insurance or a program because of a work related health condition or injury. Example: A person is a claimant under the U.S. Black Lung Program.

ActInformationManagementReason
sub class of: ActReason
label: ActInformationManagementReason
comment: Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy.
description: Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy.

ActHealthInformationManagementReason
sub class of: ActInformationManagementReason
label: ActHealthInformationManagementReason
comment: Description:The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to data retention.
description: Description:The rationale or purpose for an act relating to health information management, such as archiving information for the purpose of complying with an organization policy or jurisdictional law relating to data retention.

ActConsentInformationAccessOverrideReason
sub class of: ActHealthInformationManagementReason
label: ActConsentInformationAccessOverrideReason
comment: To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition; or for protecting public or third party safety. Usage Notes: Used to convey the reason that a provider or other entity may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.
description: To perform one or more operations on information to which the patient has not consented as deemed necessary by authorized entities for providing care in the best interest of the patient; providing immediately needed health care for an emergent condition; or for protecting public or third party safety. Usage Notes: Used to convey the reason that a provider or other entity may or has accessed personal healthcare information. Typically, this involves overriding the subject's consent directives.

emergency treatment override
sub class of: ActConsentInformationAccessOverrideReason
label: emergency treatment override
comment: To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention. Usage Notes: The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record.
description: To perform one or more operations on information to which the patient has not consented by authorized entities for treating a condition which poses an immediate threat to the patient's health and which requires immediate medical intervention. Usage Notes: The patient is unable to provide consent, but the provider determines they have an urgent healthcare related reason to access the record.

professional judgment override
sub class of: ActConsentInformationAccessOverrideReason
label: professional judgment override
comment: To perform one or more operations on information to which the patient declined to consent for providing health care. Usage Notes: The patient, while able to give consent, has not. However the provider believes it is in the patient's interest to access the record without patient consent.
description: To perform one or more operations on information to which the patient declined to consent for providing health care. Usage Notes: The patient, while able to give consent, has not. However the provider believes it is in the patient's interest to access the record without patient consent.

public safety override
sub class of: ActConsentInformationAccessOverrideReason
label: public safety override
comment: To perform one or more operations on information to which the patient has not consented for public safety reasons. Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to public safety.
description: To perform one or more operations on information to which the patient has not consented for public safety reasons. Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to public safety.

third party safety override
sub class of: ActConsentInformationAccessOverrideReason
label: third party safety override
comment: To perform one or more operations on information to which the patient has not consented for third party safety. Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to the health and safety of one or more third parties.
description: To perform one or more operations on information to which the patient has not consented for third party safety. Usage Notes: The patient, while able to give consent, has not. However, the provider believes that access to masked patient information is justified because of concerns related to the health and safety of one or more third parties.

purpose of use
sub class of: ActHealthInformationManagementReason
label: purpose of use
comment: Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives. Usage Notes: The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.
description: Reason for performing one or more operations on information, which may be permitted by source system's security policy in accordance with one or more privacy policies and consent directives. Usage Notes: The rationale or purpose for an act relating to the management of personal health information, such as collecting personal health information for research or public health purposes.

healthcare marketing
sub class of: purpose of use
label: healthcare marketing
comment: To perform one or more operations on information for marketing services and products related to health care.
description: To perform one or more operations on information for marketing services and products related to health care.

healthcare operations
sub class of: purpose of use
label: healthcare operations
comment: To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care.
description: To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care.

donation
sub class of: healthcare operations
label: donation
comment: To perform one or more operations on information used for cadaveric organ, eye or tissue donation.
description: To perform one or more operations on information used for cadaveric organ, eye or tissue donation.

fraud
sub class of: healthcare operations
label: fraud
comment: To perform one or more operations on information used for fraud detection and prevention processes.
description: To perform one or more operations on information used for fraud detection and prevention processes.

government
sub class of: healthcare operations
label: government
comment: To perform one or more operations on information used within government processes.
description: To perform one or more operations on information used within government processes.

health accreditation
sub class of: healthcare operations
label: health accreditation
comment: To perform one or more operations on information for conducting activities related to meeting accreditation criteria.
description: To perform one or more operations on information for conducting activities related to meeting accreditation criteria.

health compliance
sub class of: healthcare operations
label: health compliance
comment: To perform one or more operations on information used for conducting activities required to meet a mandate.
description: To perform one or more operations on information used for conducting activities required to meet a mandate.

decedent
sub class of: healthcare operations
label: decedent
comment: To perform one or more operations on information used for handling deceased patient matters.
description: To perform one or more operations on information used for handling deceased patient matters.

directory
sub class of: healthcare operations
label: directory
comment: To perform one or more operation operations on information used to manage a patient directory. Examples: facility enterprise payer health information exchange patient directory
description: To perform one or more operation operations on information used to manage a patient directory. Examples: facility enterprise payer health information exchange patient directory

legal
sub class of: healthcare operations
label: legal
comment: To perform one or more operations on information for conducting activities required by legal proceeding.
description: To perform one or more operations on information for conducting activities required by legal proceeding.

health outcome measure
sub class of: healthcare operations
label: health outcome measure
comment: To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions.
description: To perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions.

health program reporting
sub class of: healthcare operations
label: health program reporting
comment: To perform one or more operations on information used for conducting activities to meet program accounting requirements.
description: To perform one or more operations on information used for conducting activities to meet program accounting requirements.

health quality improvement
sub class of: healthcare operations
label: health quality improvement
comment: To perform one or more operations on information used for conducting administrative activities to improve health care quality.
description: To perform one or more operations on information used for conducting administrative activities to improve health care quality.

health system administration
sub class of: healthcare operations
label: health system administration
comment: To perform one or more operations on information to administer the electronic systems used for the delivery of health care.
description: To perform one or more operations on information to administer the electronic systems used for the delivery of health care.

member administration
sub class of: healthcare operations
label: member administration
comment: To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program.
description: To perform one or more operations on information to administer health care coverage to an enrollee under a policy or program.

patient administration
sub class of: healthcare operations
label: patient administration
comment: To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient.
description: To perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient.

patient safety
sub class of: healthcare operations
label: patient safety
comment: To perform one or more operations on information in processes related to ensuring the safety of health care.
description: To perform one or more operations on information in processes related to ensuring the safety of health care.

performance measure
sub class of: healthcare operations
label: performance measure
comment: To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions.
description: To perform one or more operations on information used for monitoring performance of recommended health care practices and interventions.

records management
sub class of: healthcare operations
label: records management
comment: To perform one or more operations on information used within the health records management process.
description: To perform one or more operations on information used within the health records management process.

training
sub class of: healthcare operations
label: training
comment: To perform one or more operations on information used in training and education.
description: To perform one or more operations on information used in training and education.

healthcare payment
sub class of: purpose of use
label: healthcare payment
comment: To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care.
description: To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care.

claim attachment
sub class of: healthcare payment
label: claim attachment
comment: To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services.
description: To perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services.

coverage authorization
sub class of: healthcare payment
label: coverage authorization
comment: To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services.
description: To perform one or more operations on information for conducting prior authorization or predetermination of coverage for services.

coverage under policy or program
sub class of: healthcare payment
label: coverage under policy or program
comment: To perform one or more operations on information for conducting activities related to coverage under a program or policy.
description: To perform one or more operations on information for conducting activities related to coverage under a program or policy.

eligibility determination
sub class of: coverage under policy or program
label: eligibility determination
comment: To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy. May entail review of financial status or disability assessment.
description: To perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy. May entail review of financial status or disability assessment.

eligibility verification
sub class of: coverage under policy or program
label: eligibility verification
comment: To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy. May entail provider contacting coverage source (e.g., government health program such as workers compensation or health plan) for confirmation of enrollment, eligibility for specific services, and any applicable copays.
description: To perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy. May entail provider contacting coverage source (e.g., government health program such as workers compensation or health plan) for confirmation of enrollment, eligibility for specific services, and any applicable copays.

enrollment
sub class of: coverage under policy or program
label: enrollment
comment: To perform one or more operations on information used for enrolling a covered party in a program or policy. May entail recording of covered party's and any dependent's demographic information and benefit choices.
description: To perform one or more operations on information used for enrolling a covered party in a program or policy. May entail recording of covered party's and any dependent's demographic information and benefit choices.

remittance advice
sub class of: healthcare payment
label: remittance advice
comment: To perform one or more operations on information about the amount remitted for a health care claim.
description: To perform one or more operations on information about the amount remitted for a health care claim.

healthcare research
sub class of: purpose of use
label: healthcare research
comment: To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge.
description: To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge.

clinical trial research
sub class of: healthcare research
label: clinical trial research
comment: To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge.
description: To perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge.

patient requested
sub class of: purpose of use
label: patient requested
comment: To perform one or more operations on information in response to a patient's request.
description: To perform one or more operations on information in response to a patient's request.

family requested
sub class of: patient requested
label: family requested
comment: To perform one or more operations on information in response to a request by a family member authorized by the patient.
description: To perform one or more operations on information in response to a request by a family member authorized by the patient.

power of attorney
sub class of: patient requested
label: power of attorney
comment: To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative.
description: To perform one or more operations on information in response to a request by a person appointed as the patient's legal representative.

support network
sub class of: patient requested
label: support network
comment: To perform one or more operations on information in response to a request by a person authorized by the patient.
description: To perform one or more operations on information in response to a request by a person authorized by the patient.

public health
sub class of: purpose of use
label: public health
comment: To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions.
description: To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions.

disaster
sub class of: public health
label: disaster
comment: To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.
description: To perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.

threat
sub class of: public health
label: threat
comment: To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.
description: To perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.

treatment
sub class of: purpose of use
label: treatment
comment: To perform one or more operations on information for provision of health care.
description: To perform one or more operations on information for provision of health care.

Care Management
sub class of: treatment
label: Care Management
comment: To perform one or more operations on information for provision of health care coordination.
description: To perform one or more operations on information for provision of health care coordination.

clinical trial
sub class of: treatment
label: clinical trial
comment: To perform health care as part of the clinical trial protocol.
description: To perform health care as part of the clinical trial protocol.

Emergency Treatment
sub class of: treatment
label: Emergency Treatment
comment: To perform one or more operations on information for provision of immediately needed health care for an emergent condition.
description: To perform one or more operations on information for provision of immediately needed health care for an emergent condition.

population health
sub class of: treatment
label: population health
comment: To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program.
description: To perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program.

ActInformationPrivacyReason
sub class of: ActInformationManagementReason
label: ActInformationPrivacyReason
comment: Description:The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order.
description: Description:The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order.

marketing
sub class of: ActInformationPrivacyReason
label: marketing
comment: Description:
description: Description:

operations
sub class of: ActInformationPrivacyReason
label: operations
comment: Description:Administrative and contractual processes required to support an activity, product, or service
description: Description:Administrative and contractual processes required to support an activity, product, or service

subpoena
sub class of: operations
label: subpoena
comment: Definition:To provide information as a result of a subpoena.
description: Definition:To provide information as a result of a subpoena.

accreditation
sub class of: operations
label: accreditation
comment: Description:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or service
description: Description:Operational activities conducted for the purposes of meeting of criteria defined by an accrediting entity for an activity, product, or service

compliance
sub class of: operations
label: compliance
comment: Description:Operational activities required to meet a mandate related to an activity, product, or service
description: Description:Operational activities required to meet a mandate related to an activity, product, or service

entity administration
sub class of: operations
label: entity administration
comment: Description:Operational activities conducted to administer information relating to entities involves with an activity, product, or service
description: Description:Operational activities conducted to administer information relating to entities involves with an activity, product, or service

outcome measure
sub class of: operations
label: outcome measure
comment: Description:Operational activities conducted for the purposes of assessing the results of an activity, product, or service
description: Description:Operational activities conducted for the purposes of assessing the results of an activity, product, or service

program reporting
sub class of: operations
label: program reporting
comment: Description:Operational activities conducted to meet program accounting requirements related to an activity, product, or service
description: Description:Operational activities conducted to meet program accounting requirements related to an activity, product, or service

quality improvement
sub class of: operations
label: quality improvement
comment: Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service
description: Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service

system administration
sub class of: operations
label: system administration
comment: Description:Operational activities conducted to administer the electronic systems used for an activity, product, or service
description: Description:Operational activities conducted to administer the electronic systems used for an activity, product, or service

payment
sub class of: ActInformationPrivacyReason
label: payment
comment: Description:Administrative, financial, and contractual processes related to payment for an activity, product, or service
description: Description:Administrative, financial, and contractual processes related to payment for an activity, product, or service

research
sub class of: ActInformationPrivacyReason
label: research
comment: Description:Investigative activities conducted for the purposes of obtaining knowledge
description: Description:Investigative activities conducted for the purposes of obtaining knowledge

service
sub class of: ActInformationPrivacyReason
label: service
comment: Description:Provision of a service, product, or capability to an individual or organization
description: Description:Provision of a service, product, or capability to an individual or organization

ActInvalidReason
sub class of: ActReason
label: ActInvalidReason
comment: Description: Types of reasons why a substance is invalid for use.
description: Description: Types of reasons why a substance is invalid for use.

adverse storage condition
sub class of: ActInvalidReason
label: adverse storage condition
comment: Description: Storage conditions caused the substance to be ineffective.
description: Description: Storage conditions caused the substance to be ineffective.

cold chain break
sub class of: adverse storage condition
label: cold chain break
comment: Description: Cold chain was not maintained for the substance.
description: Description: Cold chain was not maintained for the substance.

expired lot
sub class of: ActInvalidReason
label: expired lot
comment: Description: The lot from which the substance was drawn was expired.
description: Description: The lot from which the substance was drawn was expired.

administered outside recommended schedule or practice
sub class of: ActInvalidReason
label: administered outside recommended schedule or practice
comment: The substance was administered outside of the recommended schedule or practice.
description: The substance was administered outside of the recommended schedule or practice.

product recall
sub class of: ActInvalidReason
label: product recall
comment: Description: The substance was recalled by the manufacturer.
description: Description: The substance was recalled by the manufacturer.

ActInvoiceCancelReason
sub class of: ActReason
label: ActInvoiceCancelReason
comment: Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoice Grouping.
description: Domain specifies the codes used to describe reasons why a Provider is cancelling an Invoice or Invoice Grouping.

incorrect covered party as patient
sub class of: ActInvoiceCancelReason
label: incorrect covered party as patient
comment: The covered party (patient) specified with the Invoice is not correct.
description: The covered party (patient) specified with the Invoice is not correct.

incorrect billing
sub class of: ActInvoiceCancelReason
label: incorrect billing
comment: The billing information, specified in the Invoice Elements, is not correct. This could include incorrect costing for items included in the Invoice.
description: The billing information, specified in the Invoice Elements, is not correct. This could include incorrect costing for items included in the Invoice.

incorrect policy
sub class of: ActInvoiceCancelReason
label: incorrect policy
comment: The policy specified with the Invoice is not correct. For example, it may belong to another Adjudicator or Covered Party.
description: The policy specified with the Invoice is not correct. For example, it may belong to another Adjudicator or Covered Party.

incorrect provider
sub class of: ActInvoiceCancelReason
label: incorrect provider
comment: The provider specified with the Invoice is not correct.
description: The provider specified with the Invoice is not correct.

ActNoImmunizationReason
sub class of: ActReason
label: ActNoImmunizationReason
comment: A coded description of the reason for why a patient did not receive a scheduled immunization. (important for public health strategy
description: A coded description of the reason for why a patient did not receive a scheduled immunization. (important for public health strategy

immunity
sub class of: ActNoImmunizationReason
label: immunity
comment: Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization.
description: Definition:Testing has shown that the patient already has immunity to the agent targeted by the immunization.

medical precaution
sub class of: ActNoImmunizationReason
label: medical precaution
comment: Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.
description: Definition:The patient currently has a medical condition for which the vaccine is contraindicated or for which precaution is warranted.

product out of stock
sub class of: ActNoImmunizationReason
label: product out of stock
comment: Definition:There was no supply of the product on hand to perform the service.
description: Definition:There was no supply of the product on hand to perform the service.

patient objection
sub class of: ActNoImmunizationReason
label: patient objection
comment: Definition:The patient or their guardian objects to receiving the vaccine.
description: Definition:The patient or their guardian objects to receiving the vaccine.

philosophical objection
sub class of: ActNoImmunizationReason
label: philosophical objection
comment: Definition:The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.
description: Definition:The patient or their guardian objects to receiving the vaccine because of philosophical beliefs.

religious objection
sub class of: ActNoImmunizationReason
label: religious objection
comment: Definition:The patient or their guardian objects to receiving the vaccine on religious grounds.
description: Definition:The patient or their guardian objects to receiving the vaccine on religious grounds.

vaccine efficacy concerns
sub class of: ActNoImmunizationReason
label: vaccine efficacy concerns
comment: Definition:The intended vaccine has expired or is otherwise believed to no longer be effective. Example:Due to temperature exposure.
description: Definition:The intended vaccine has expired or is otherwise believed to no longer be effective. Example:Due to temperature exposure.

vaccine safety concerns
sub class of: ActNoImmunizationReason
label: vaccine safety concerns
comment: Definition:The patient or their guardian objects to receiving the vaccine because of concerns over its safety.
description: Definition:The patient or their guardian objects to receiving the vaccine because of concerns over its safety.

ActSupplyFulfillmentRefusalReason
sub class of: ActReason
label: ActSupplyFulfillmentRefusalReason
comment: Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision. E.g. "Suspect fraud", "Possible abuse", "Contraindicated". (used when capturing 'refusal to fill' annotations)
description: Indicates why a fulfiller refused to fulfill a supply order, and considered it important to notify other providers of their decision. E.g. "Suspect fraud", "Possible abuse", "Contraindicated". (used when capturing 'refusal to fill' annotations)

order stopped
sub class of: ActSupplyFulfillmentRefusalReason
label: order stopped
comment: Definition:The order has been stopped by the prescriber but this fact has not necessarily captured electronically. Example:A verbal stop, a fax, etc.
description: Definition:The order has been stopped by the prescriber but this fact has not necessarily captured electronically. Example:A verbal stop, a fax, etc.

stale-dated order
sub class of: ActSupplyFulfillmentRefusalReason
label: stale-dated order
comment: Definition:Order has not been fulfilled within a reasonable amount of time, and may not be current.
description: Definition:Order has not been fulfilled within a reasonable amount of time, and may not be current.

incomplete data
sub class of: ActSupplyFulfillmentRefusalReason
label: incomplete data
comment: Definition:Data needed to safely act on the order which was expected to become available independent of the order is not yet available Example:Lab results, diagnostic imaging, etc.
description: Definition:Data needed to safely act on the order which was expected to become available independent of the order is not yet available Example:Lab results, diagnostic imaging, etc.

product unavailable
sub class of: ActSupplyFulfillmentRefusalReason
label: product unavailable
comment: Definition:Product not available or manufactured. Cannot supply.
description: Definition:Product not available or manufactured. Cannot supply.

ethical/religious
sub class of: ActSupplyFulfillmentRefusalReason
label: ethical/religious
comment: Definition:The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product.
description: Definition:The dispenser has ethical, religious or moral objections to fulfilling the order/dispensing the product.

unable to provide care
sub class of: ActSupplyFulfillmentRefusalReason
label: unable to provide care
comment: Definition:Fulfiller not able to provide appropriate care associated with fulfilling the order. Example:Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc.
description: Definition:Fulfiller not able to provide appropriate care associated with fulfilling the order. Example:Therapy requires ongoing monitoring by fulfiller and fulfiller will be ending practice, leaving town, unable to schedule necessary time, etc.

ClinicalResearchEventReason
sub class of: ActReason
label: ClinicalResearchEventReason
comment: Definition:Specifies the reason that an event occurred in a clinical research study.
description: Definition:Specifies the reason that an event occurred in a clinical research study.

retest
sub class of: ClinicalResearchEventReason
label: retest
comment: Definition:The event occurred so that a test or observation performed at a prior event could be performed again due to conditions set forth in the protocol.
description: Definition:The event occurred so that a test or observation performed at a prior event could be performed again due to conditions set forth in the protocol.

scheduled
sub class of: ClinicalResearchEventReason
label: scheduled
comment: Definition:The event occurred due to it being scheduled in the research protocol.
description: Definition:The event occurred due to it being scheduled in the research protocol.

termination
sub class of: ClinicalResearchEventReason
label: termination
comment: Definition:The event occurred in order to terminate the subject's participation in the study.
description: Definition:The event occurred in order to terminate the subject's participation in the study.

unscheduled
sub class of: ClinicalResearchEventReason
label: unscheduled
comment: Definition:The event that occurred was initiated by a study participant (e.g. the subject or the investigator), and did not occur for protocol reasons.
description: Definition:The event that occurred was initiated by a study participant (e.g. the subject or the investigator), and did not occur for protocol reasons.

ClinicalResearchObservationReason
sub class of: ActReason
label: ClinicalResearchObservationReason
comment: Definition:SSpecifies the reason that a test was performed or observation collected in a clinical research study. Note:This set of codes are not strictly reasons, but are used in the currently Normative standard. Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired. Thus, these codes should not be used for new specifications.
description: Definition:SSpecifies the reason that a test was performed or observation collected in a clinical research study. Note:This set of codes are not strictly reasons, but are used in the currently Normative standard. Future revisions of the specification will model these as ActRelationships and thes codes may subsequently be retired. Thus, these codes should not be used for new specifications.

non-protocol
sub class of: ClinicalResearchObservationReason
label: non-protocol
comment: Definition:The observation or test was neither defined or scheduled in the study protocol.
description: Definition:The observation or test was neither defined or scheduled in the study protocol.

per protocol
sub class of: ClinicalResearchObservationReason
label: per protocol
comment: Definition:The observation or test occurred due to it being defined in the research protocol, and during an activity or event that was scheduled in the protocol.
description: Definition:The observation or test occurred due to it being defined in the research protocol, and during an activity or event that was scheduled in the protocol.

per definition
sub class of: ClinicalResearchObservationReason
label: per definition
comment: :The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol.
description: :The observation or test occurred as defined in the research protocol, but at a point in time not specified in the study protocol.

CombinedPharmacyOrderSuspendReasonCode
sub class of: ActReason
label: CombinedPharmacyOrderSuspendReasonCode
comment: Description:Indicates why the prescription should be suspended.
description: Description:Indicates why the prescription should be suspended.

try another treatment first
sub class of: CombinedPharmacyOrderSuspendReasonCode
label: try another treatment first
comment: Description:This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.
description: Description:This therapy has been ordered as a backup to a preferred therapy. This order will be released when and if the preferred therapy is unsuccessful.

prescription requires clarification
sub class of: CombinedPharmacyOrderSuspendReasonCode
label: prescription requires clarification
comment: Description:Clarification is required before the order can be acted upon.
description: Description:Clarification is required before the order can be acted upon.

drug level too high
sub class of: CombinedPharmacyOrderSuspendReasonCode
label: drug level too high
comment: Description:The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level.
description: Description:The current level of the medication in the patient's system is too high. The medication is suspended to allow the level to subside to a safer level.

admission to hospital
sub class of: CombinedPharmacyOrderSuspendReasonCode
label: admission to hospital
comment: Description:The patient has been admitted to a care facility and their community medications are suspended until hospital discharge.
description: Description:The patient has been admitted to a care facility and their community medications are suspended until hospital discharge.

lab interference issues
sub class of: CombinedPharmacyOrderSuspendReasonCode
label: lab interference issues
comment: Description:The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.
description: Description:The therapy would interfere with a planned lab test and the therapy is being withdrawn until the test is completed.

patient not-available
sub class of: CombinedPharmacyOrderSuspendReasonCode
label: patient not-available
comment: Description:Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason.
description: Description:Patient not available for a period of time due to a scheduled therapy, leave of absence or other reason.

parent is pregnant/breast feeding
sub class of: CombinedPharmacyOrderSuspendReasonCode
label: parent is pregnant/breast feeding
comment: Description:The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.
description: Description:The patient is pregnant or breast feeding. The therapy will be resumed when the pregnancy is complete and the patient is no longer breastfeeding.

allergy
sub class of: CombinedPharmacyOrderSuspendReasonCode
label: allergy
comment: Description:The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
description: Description:The patient is believed to be allergic to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.

drug interacts with another drug
sub class of: CombinedPharmacyOrderSuspendReasonCode
label: drug interacts with another drug
comment: Description:The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.
description: Description:The drug interacts with a short-term treatment that is more urgently required. This order will be resumed when the short-term treatment is complete.

duplicate therapy
sub class of: CombinedPharmacyOrderSuspendReasonCode
label: duplicate therapy
comment: Description:Another short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete.
description: Description:Another short-term co-occurring therapy fulfills the same purpose as this therapy. This therapy will be resumed when the co-occuring therapy is complete.

suspected intolerance
sub class of: CombinedPharmacyOrderSuspendReasonCode
label: suspected intolerance
comment: Description:The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.
description: Description:The patient is believed to have an intolerance to a substance that is part of the therapy and the therapy is being temporarily withdrawn to confirm.

patient scheduled for surgery
sub class of: CombinedPharmacyOrderSuspendReasonCode
label: patient scheduled for surgery
comment: Description:The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery.
description: Description:The drug is contraindicated for patients receiving surgery and the patient is scheduled to be admitted for surgery in the near future. The drug will be resumed when the patient has sufficiently recovered from the surgery.

waiting for old drug to wash out
sub class of: CombinedPharmacyOrderSuspendReasonCode
label: waiting for old drug to wash out
comment: Description:The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system.
description: Description:The patient was previously receiving a medication contraindicated with the current medication. The current medication will remain on hold until the prior medication has been cleansed from their system.

ControlActNullificationReasonCode
sub class of: ActReason
label: ControlActNullificationReasonCode
comment: Description:Identifies reasons for nullifying (retracting) a particular control act.
description: Description:Identifies reasons for nullifying (retracting) a particular control act.

altered decision
sub class of: ControlActNullificationReasonCode
label: altered decision
comment: Description:The decision on which the recorded information was based was changed before the decision had an effect. Example:Aborted prescription before patient left office, released prescription before suspend took effect.
description: Description:The decision on which the recorded information was based was changed before the decision had an effect. Example:Aborted prescription before patient left office, released prescription before suspend took effect.

entered in error
sub class of: ControlActNullificationReasonCode
label: entered in error
comment: Description:The information was recorded incorrectly or was recorded in the wrong record.
description: Description:The information was recorded incorrectly or was recorded in the wrong record.

no record match
sub class of: ControlActNullificationReasonCode
label: no record match
comment: Description: There is no match for the record in the database.
description: Description: There is no match for the record in the database.

ControlActNullificationRefusalReasonType
sub class of: ActReason
label: ControlActNullificationRefusalReasonType
comment: Description: Reasons to refuse a transaction to be undone.
description: Description: Reasons to refuse a transaction to be undone.

in requested state
sub class of: ControlActNullificationRefusalReasonType
label: in requested state
comment: The record is already in the requested state.
description: The record is already in the requested state.

no match
sub class of: ControlActNullificationRefusalReasonType
label: no match
comment: Description: There is no match.
description: Description: There is no match.

no product match
sub class of: no match
label: no product match
comment: Description: There is no match for the product in the master file repository.
description: Description: There is no match for the product in the master file repository.

no service match
sub class of: no match
label: no service match
comment: Description: There is no match for the service in the master file repository.
description: Description: There is no match for the service in the master file repository.

no version match
sub class of: no match
label: no version match
comment: Description: There is no match for the record and version.
description: Description: There is no match for the record and version.

no permission
sub class of: ControlActNullificationRefusalReasonType
label: no permission
comment: Description: There is no permission.
description: Description: There is no permission.

no user permission
sub class of: no permission
label: no user permission
comment: Definition:The user does not have permission
description: Definition:The user does not have permission

no agent permission
sub class of: no permission
label: no agent permission
comment: Description: The agent does not have permission.
description: Description: The agent does not have permission.

no user permission
sub class of: no permission
label: no user permission
comment: Description: The user does not have permission.
description: Description: The user does not have permission.

wrong version
sub class of: ControlActNullificationRefusalReasonType
label: wrong version
comment: Description: The record and version requested to update is not the current version.
description: Description: The record and version requested to update is not the current version.

ControlActReason
sub class of: ActReason
label: ControlActReason
comment: Identifies why a specific query, request, or other trigger event occurred.
description: Identifies why a specific query, request, or other trigger event occurred.

medication order abort reason
sub class of: ControlActReason
label: medication order abort reason
comment: Description:Indicates the reason the medication order should be aborted.
description: Description:Indicates the reason the medication order should be aborted.

product discontinued
sub class of: medication order abort reason
label: product discontinued
comment: Description:The medication is no longer being manufactured or is otherwise no longer available.
description: Description:The medication is no longer being manufactured or is otherwise no longer available.

ineffective
sub class of: medication order abort reason
label: ineffective
comment: Description:The therapy has been found to not have the desired therapeutic benefit on the patient.
description: Description:The therapy has been found to not have the desired therapeutic benefit on the patient.

response to monitoring
sub class of: medication order abort reason
label: response to monitoring
comment: Description:Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate.
description: Description:Monitoring the patient while taking the medication, the decision has been made that the therapy is no longer appropriate.

no longer required for treatment
sub class of: medication order abort reason
label: no longer required for treatment
comment: Description:The underlying condition has been resolved or has evolved such that a different treatment is no longer needed.
description: Description:The underlying condition has been resolved or has evolved such that a different treatment is no longer needed.

not covered
sub class of: medication order abort reason
label: not covered
comment: Description:The product does not have (or no longer has) coverage under the patientaTMs insurance policy.
description: Description:The product does not have (or no longer has) coverage under the patientaTMs insurance policy.

patient refuse
sub class of: medication order abort reason
label: patient refuse
comment: Description:The patient refused to take the product.
description: Description:The patient refused to take the product.

product recalled
sub class of: medication order abort reason
label: product recalled
comment: Description:The manufacturer or other agency has requested that stocks of a medication be removed from circulation.
description: Description:The manufacturer or other agency has requested that stocks of a medication be removed from circulation.

change in order
sub class of: medication order abort reason
label: change in order
comment: Description:Item in current order is no longer in use as requested and a new one has/will be created to replace it.
description: Description:Item in current order is no longer in use as requested and a new one has/will be created to replace it.

change in medication/dose
sub class of: change in order
label: change in medication/dose
comment: Description:The medication is being re-prescribed at a different dosage.
description: Description:The medication is being re-prescribed at a different dosage.

error in order
sub class of: medication order abort reason
label: error in order
comment: Description:Current order was issued with incorrect data and a new order has/will be created to replace it.
description: Description:Current order was issued with incorrect data and a new order has/will be created to replace it.

unable to use
sub class of: medication order abort reason
label: unable to use
comment: Description:<The patient is not (or is no longer) able to use the medication in a manner prescribed. Example:CanaTMt swallow.
description: Description:<The patient is not (or is no longer) able to use the medication in a manner prescribed. Example:CanaTMt swallow.

medication order release reason
sub class of: ControlActReason
label: medication order release reason
comment: Definition:A collection of concepts that indicate why the prescription should be released from suspended state.
description: Definition:A collection of concepts that indicate why the prescription should be released from suspended state.

suspend reason no longer applies
sub class of: medication order release reason
label: suspend reason no longer applies
comment: Definition:The original reason for suspending the medication has ended.
description: Definition:The original reason for suspending the medication has ended.

suspend reason inappropriate
sub class of: medication order release reason
label: suspend reason inappropriate
comment: Definition:
description: Definition:

ModifyPrescriptionReasonType
sub class of: ControlActReason
label: ModifyPrescriptionReasonType
comment: Types of reason why a prescription is being changed.
description: Types of reason why a prescription is being changed.

administrative error in order
sub class of: ModifyPrescriptionReasonType
label: administrative error in order
comment: Order was created with incorrect data and is changed to reflect the intended accuracy of the order.
description: Order was created with incorrect data and is changed to reflect the intended accuracy of the order.

clinical modification
sub class of: ModifyPrescriptionReasonType
label: clinical modification
comment: Order is changed based on a clinical reason.
description: Order is changed based on a clinical reason.

PharmacySupplyEventAbortReason
sub class of: ControlActReason
label: PharmacySupplyEventAbortReason
comment: Definition:Identifies why the dispense event was not completed.
description: Definition:Identifies why the dispense event was not completed.

contraindication
sub class of: PharmacySupplyEventAbortReason
label: contraindication
comment: Definition:Contraindication identified
description: Definition:Contraindication identified

order aborted
sub class of: PharmacySupplyEventAbortReason
label: order aborted
comment: Definition:Order to be fulfilled was aborted
description: Definition:Order to be fulfilled was aborted

order suspended
sub class of: PharmacySupplyEventAbortReason
label: order suspended
comment: Definition:Order to be fulfilled was suspended
description: Definition:Order to be fulfilled was suspended

not picked up
sub class of: PharmacySupplyEventAbortReason
label: not picked up
comment: Definition:Patient did not come to get medication
description: Definition:Patient did not come to get medication

patient changed mind
sub class of: PharmacySupplyEventAbortReason
label: patient changed mind
comment: Definition:Patient changed their mind regarding obtaining medication
description: Definition:Patient changed their mind regarding obtaining medication

change supply quantity
sub class of: PharmacySupplyEventAbortReason
label: change supply quantity
comment: Definition:Patient requested a revised quantity of medication
description: Definition:Patient requested a revised quantity of medication

pharmacy supply event stock reason
sub class of: ControlActReason
label: pharmacy supply event stock reason
comment: Definition:A collection of concepts that indicates the reason for a "bulk supply" of medication.
description: Definition:A collection of concepts that indicates the reason for a "bulk supply" of medication.

floor stock
sub class of: pharmacy supply event stock reason
label: floor stock
comment: Definition:The bulk supply is issued to replenish a ward for local dispensing. (Includes both mobile and fixed-location ward stocks.)
description: Definition:The bulk supply is issued to replenish a ward for local dispensing. (Includes both mobile and fixed-location ward stocks.)

long term care use
sub class of: pharmacy supply event stock reason
label: long term care use
comment: Definition:The bulk supply will be administered within a long term care facility.
description: Definition:The bulk supply will be administered within a long term care facility.

office use
sub class of: pharmacy supply event stock reason
label: office use
comment: Definition:The bulk supply is intended for general clinician office use.
description: Definition:The bulk supply is intended for general clinician office use.

pharmacy transfer
sub class of: pharmacy supply event stock reason
label: pharmacy transfer
comment: Definition:The bulk supply is being transferred to another dispensing facility to. Example:Alleviate a temporary shortage.
description: Definition:The bulk supply is being transferred to another dispensing facility to. Example:Alleviate a temporary shortage.

program use
sub class of: pharmacy supply event stock reason
label: program use
comment: Definition:The bulk supply is intended for dispensing according to a specific program. Example:Mass immunization.
description: Definition:The bulk supply is intended for dispensing according to a specific program. Example:Mass immunization.

pharmacy supply request renewal refusal reason
sub class of: ControlActReason
label: pharmacy supply request renewal refusal reason
comment: Definition:A collection of concepts that identifies why a renewal prescription has been refused.
description: Definition:A collection of concepts that identifies why a renewal prescription has been refused.

new prescription exists
sub class of: pharmacy supply request renewal refusal reason
label: new prescription exists
comment: Definition:Patient has already been given a new (renewal) prescription.
description: Definition:Patient has already been given a new (renewal) prescription.

family physician must authorize further fills
sub class of: pharmacy supply request renewal refusal reason
label: family physician must authorize further fills
comment: Definition:Request for further authorization must be done through patient's family physician.
description: Definition:Request for further authorization must be done through patient's family physician.

modified prescription exists
sub class of: pharmacy supply request renewal refusal reason
label: modified prescription exists
comment: Definition:Therapy has been changed and new prescription issued
description: Definition:Therapy has been changed and new prescription issued

patient must make appointment
sub class of: pharmacy supply request renewal refusal reason
label: patient must make appointment
comment: Definition:Patient must see prescriber prior to further fills.
description: Definition:Patient must see prescriber prior to further fills.

prescriber not available
sub class of: pharmacy supply request renewal refusal reason
label: prescriber not available
comment: Definition:Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient.
description: Definition:Original prescriber is no longer available to prescribe and no other prescriber has taken responsibility for the patient.

patient no longer in this practice
sub class of: pharmacy supply request renewal refusal reason
label: patient no longer in this practice
comment: Definition:Patient no longer or has never been under this prescribers care.
description: Definition:Patient no longer or has never been under this prescribers care.

medication on hold
sub class of: pharmacy supply request renewal refusal reason
label: medication on hold
comment: Definition:This medication is on hold.
description: Definition:This medication is on hold.

product not available
sub class of: pharmacy supply request renewal refusal reason
label: product not available
comment: Description:This product is not available or manufactured.
description: Description:This product is not available or manufactured.

prescriber stopped medication for patient
sub class of: pharmacy supply request renewal refusal reason
label: prescriber stopped medication for patient
comment: Renewing or original prescriber informed patient to stop using the medication.
description: Renewing or original prescriber informed patient to stop using the medication.

too early
sub class of: pharmacy supply request renewal refusal reason
label: too early
comment: Definition:The patient should have medication remaining.
description: Definition:The patient should have medication remaining.

supply order abort reason
sub class of: ControlActReason
label: supply order abort reason
comment: Definition:A collection of concepts that indicates why the prescription should no longer be allowed to be dispensed (but can still administer what is already being dispensed).
description: Definition:A collection of concepts that indicates why the prescription should no longer be allowed to be dispensed (but can still administer what is already being dispensed).

condition improved
sub class of: supply order abort reason
label: condition improved
comment: Definition:The patient's medical condition has nearly abated.
description: Definition:The patient's medical condition has nearly abated.

intolerance
sub class of: supply order abort reason
label: intolerance
comment: Description:The patient has an intolerance to the medication.
description: Description:The patient has an intolerance to the medication.

new strength
sub class of: supply order abort reason
label: new strength
comment: Definition:The current medication will be replaced by a new strength of the same medication.
description: Definition:The current medication will be replaced by a new strength of the same medication.

new therapy
sub class of: supply order abort reason
label: new therapy
comment: Definition:A new therapy will be commenced when current supply exhausted.
description: Definition:A new therapy will be commenced when current supply exhausted.

GenericUpdateReasonCode
sub class of: ActReason
label: GenericUpdateReasonCode
comment: Description:Identifies why a change is being made to a record.
description: Description:Identifies why a change is being made to a record.

information change
sub class of: GenericUpdateReasonCode
label: information change
comment: Description:Information has changed since the record was created.
description: Description:Information has changed since the record was created.

error correction
sub class of: GenericUpdateReasonCode
label: error correction
comment: Description:Previously recorded information was erroneous and is being corrected.
description: Description:Previously recorded information was erroneous and is being corrected.

merge data
sub class of: GenericUpdateReasonCode
label: merge data
comment: Information is combined into the record.
description: Information is combined into the record.

new information
sub class of: GenericUpdateReasonCode
label: new information
comment: Description:New information has become available to supplement the record.
description: Description:New information has become available to supplement the record.

unmerge data
sub class of: GenericUpdateReasonCode
label: unmerge data
comment: Information is separated from the record.
description: Information is separated from the record.

patient profile query reason
sub class of: ActReason
label: patient profile query reason
comment: Definition:A collection of concepts identifying why the patient's profile is being queried.
description: Definition:A collection of concepts identifying why the patient's profile is being queried.

administrative review
sub class of: patient profile query reason
label: administrative review
comment: Definition: To evaluate for service authorization, payment, reporting, or performance/outcome measures.
description: Definition: To evaluate for service authorization, payment, reporting, or performance/outcome measures.

patient care
sub class of: patient profile query reason
label: patient care
comment: Definition:To obtain records as part of patient care.
description: Definition:To obtain records as part of patient care.

patient request query
sub class of: patient profile query reason
label: patient request query
comment: Definition:Patient requests information from their profile.
description: Definition:Patient requests information from their profile.

practice review
sub class of: patient profile query reason
label: practice review
comment: Definition:To evaluate the provider's current practice for professional-improvement reasons.
description: Definition:To evaluate the provider's current practice for professional-improvement reasons.

regulatory review
sub class of: patient profile query reason
label: regulatory review
comment: Description:Review for the purpose of regulatory compliance.
description: Description:Review for the purpose of regulatory compliance.

research
sub class of: patient profile query reason
label: research
comment: Definition:To provide research data, as authorized by the patient.
description: Definition:To provide research data, as authorized by the patient.

validation review
sub class of: patient profile query reason
label: validation review
comment: Description:To validate the patient's record. Example:Merging or unmerging records.
description: Description:To validate the patient's record. Example:Merging or unmerging records.

PharmacySupplyRequestFulfillerRevisionRefusalReasonCode
sub class of: ActReason
label: PharmacySupplyRequestFulfillerRevisionRefusalReasonCode
comment: Definition:Indicates why the request to transfer a prescription from one dispensing facility to another has been refused.
description: Definition:Indicates why the request to transfer a prescription from one dispensing facility to another has been refused.

locked
sub class of: PharmacySupplyRequestFulfillerRevisionRefusalReasonCode
label: locked
comment: Definition:The prescription may not be reassigned from the original pharmacy.
description: Definition:The prescription may not be reassigned from the original pharmacy.

unknown target
sub class of: PharmacySupplyRequestFulfillerRevisionRefusalReasonCode
label: unknown target
comment: Definition:The target facility does not recognize the dispensing facility.
description: Definition:The target facility does not recognize the dispensing facility.

RefusalReasonCode
sub class of: ActReason
label: RefusalReasonCode
comment: Description: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.
description: Description: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.

SchedulingActReason
sub class of: ActReason
label: SchedulingActReason
comment: Reasons for cancelling or rescheduling an Appointment
description: Reasons for cancelling or rescheduling an Appointment

Unexpected Block (of Schedule)
sub class of: SchedulingActReason
label: Unexpected Block (of Schedule)
comment: The time slots previously allocated are now blocked and no longer available for booking Appointments
description: The time slots previously allocated are now blocked and no longer available for booking Appointments

Patient Deceased
sub class of: SchedulingActReason
label: Patient Deceased
comment: The Patient is deceased
description: The Patient is deceased

No Financial Backing
sub class of: SchedulingActReason
label: No Financial Backing
comment: Patient unable to pay and not covered by insurance
description: Patient unable to pay and not covered by insurance

Medical Status Altered
sub class of: SchedulingActReason
label: Medical Status Altered
comment: The medical condition of the Patient has changed
description: The medical condition of the Patient has changed

In an outside meeting
sub class of: SchedulingActReason
label: In an outside meeting
comment: The Physician is in a meeting. For example, he/she may request administrative time to talk to family after appointment
description: The Physician is in a meeting. For example, he/she may request administrative time to talk to family after appointment

Physician request
sub class of: SchedulingActReason
label: Physician request
comment: The Physician requested the action
description: The Physician requested the action

StatusRevisionRefusalReasonCode
sub class of: ActReason
label: StatusRevisionRefusalReasonCode
comment: Indicates why the act revision (status update) is being refused.
description: Indicates why the act revision (status update) is being refused.

fully filled
sub class of: StatusRevisionRefusalReasonCode
label: fully filled
comment: Ordered quantity has already been completely fulfilled.
description: Ordered quantity has already been completely fulfilled.

SubstanceAdministrationPermissionRefusalReasonCode
sub class of: ActReason
label: SubstanceAdministrationPermissionRefusalReasonCode
comment: Definition:Indicates why the requested authorization to prescribe or dispense a medication has been refused.
description: Definition:Indicates why the requested authorization to prescribe or dispense a medication has been refused.

patient not eligible
sub class of: SubstanceAdministrationPermissionRefusalReasonCode
label: patient not eligible
comment: Definition:Patient not eligible for drug
description: Definition:Patient not eligible for drug

protocol not met
sub class of: SubstanceAdministrationPermissionRefusalReasonCode
label: protocol not met
comment: Definition:Patient does not meet required protocol
description: Definition:Patient does not meet required protocol

provider not authorized
sub class of: SubstanceAdministrationPermissionRefusalReasonCode
label: provider not authorized
comment: Definition:Provider is not authorized to prescribe or dispense
description: Definition:Provider is not authorized to prescribe or dispense

SubstanceAdminSubstitutionNotAllowedReason
sub class of: ActReason
label: SubstanceAdminSubstitutionNotAllowedReason
comment: Reasons why substitution of a substance administration request is not permitted.
description: Reasons why substitution of a substance administration request is not permitted.

allergy intolerance
sub class of: SubstanceAdminSubstitutionNotAllowedReason
label: allergy intolerance
comment: Definition: Patient has had a prior allergic intolerance response to alternate product or one of its components.
description: Definition: Patient has had a prior allergic intolerance response to alternate product or one of its components.

compliance concern
sub class of: SubstanceAdminSubstitutionNotAllowedReason
label: compliance concern
comment: Definition: Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency.
description: Definition: Patient has compliance issues with medication such as differing appearance, flavor, size, shape or consistency.

therapeutic characteristics
sub class of: SubstanceAdminSubstitutionNotAllowedReason
label: therapeutic characteristics
comment: The prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications.
description: The prescribed product has specific clinical release or other therapeutic characteristics not shared by other substitutable medications.

clinical trial drug
sub class of: SubstanceAdminSubstitutionNotAllowedReason
label: clinical trial drug
comment: Definition: The specific manufactured drug is part of a clinical trial.
description: Definition: The specific manufactured drug is part of a clinical trial.

SubstanceAdminSubstitutionReason
sub class of: ActReason
label: SubstanceAdminSubstitutionReason
comment: SubstanceAdminSubstitutionReason
description: SubstanceAdminSubstitutionReason

continuing therapy
sub class of: SubstanceAdminSubstitutionReason
label: continuing therapy
comment: Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy. I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent.
description: Indicates that the decision to substitute or to not substitute was driven by a desire to maintain consistency with a pre-existing therapy. I.e. The performer provided the same item/service as had been previously provided rather than providing exactly what was ordered, or rather than substituting with a lower-cost equivalent.

formulary policy
sub class of: SubstanceAdminSubstitutionReason
label: formulary policy
comment: Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary.
description: Indicates that the decision to substitute or to not substitute was driven by a policy expressed within the formulary.

out of stock
sub class of: SubstanceAdminSubstitutionReason
label: out of stock
comment: In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock. In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock.
description: In the case of 'substitution', indicates that the substitution occurred because the ordered item was not in stock. In the case of 'no substitution', indicates that a cheaper equivalent was not substituted because it was not in stock.

regulatory requirement
sub class of: SubstanceAdminSubstitutionReason
label: regulatory requirement
comment: Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution.
description: Indicates that the decision to substitute or to not substitute was driven by a jurisdictional regulatory requirement mandating or prohibiting substitution.

TransferActReason
sub class of: ActReason
label: TransferActReason
comment: The explanation for why a patient is moved from one location to another within the organization
description: The explanation for why a patient is moved from one location to another within the organization

Error
sub class of: TransferActReason
label: Error
comment: Moved to an error in placing the patient in the original location.
description: Moved to an error in placing the patient in the original location.

Request
sub class of: TransferActReason
label: Request
comment: Moved at the request of the patient.
description: Moved at the request of the patient.

ActBillableServiceReason
sub class of: ActReason
label: ActBillableServiceReason
comment: Definition: This domain is used to document reasons for providing a billable service; the billable services may include both clinical services and social services.
description: Definition: This domain is used to document reasons for providing a billable service; the billable services may include both clinical services and social services.

ActBillableClinicalServiceReason
sub class of: ActBillableServiceReason
label: ActBillableClinicalServiceReason
comment: Reason for Clinical Service being performed. This domain excludes reasons specified by diagnosed conditions. Examples of values from this domain include duplicate therapy and fraudulent prescription.
description: Reason for Clinical Service being performed. This domain excludes reasons specified by diagnosed conditions. Examples of values from this domain include duplicate therapy and fraudulent prescription.

Children only
sub class of: ActReason
label: Children only
comment: Description:The level of coverage under the policy or program is available only to children
description: Description:The level of coverage under the policy or program is available only to children

Dependents only
sub class of: ActReason
label: Dependents only
comment: Description:The level of coverage under the policy or program is available only to a subscriber's dependents.
description: Description:The level of coverage under the policy or program is available only to a subscriber's dependents.

Employee and children
sub class of: ActReason
label: Employee and children
comment: Description:The level of coverage under the policy or program is available to an employee and his or her children.
description: Description:The level of coverage under the policy or program is available to an employee and his or her children.

Employee only
sub class of: ActReason
label: Employee only
comment: Description:The level of coverage under the policy or program is available only to an employee.
description: Description:The level of coverage under the policy or program is available only to an employee.

Employee and spouse
sub class of: ActReason
label: Employee and spouse
comment: Description:The level of coverage under the policy or program is available to an employee and his or her spouse.
description: Description:The level of coverage under the policy or program is available to an employee and his or her spouse.

Family
sub class of: ActReason
label: Family
comment: Description:The level of coverage under the policy or program is available to a subscriber's family.
description: Description:The level of coverage under the policy or program is available to a subscriber's family.

Individual
sub class of: ActReason
label: Individual
comment: Description:The level of coverage under the policy or program is available to an individual.
description: Description:The level of coverage under the policy or program is available to an individual.

Spouse and children
sub class of: ActReason
label: Spouse and children
comment: Description:The level of coverage under the policy or program is available to a subscriber's spouse and children
description: Description:The level of coverage under the policy or program is available to a subscriber's spouse and children

Spouse only
sub class of: ActReason
label: Spouse only
comment: Description:The level of coverage under the policy or program is available only to a subscribers spouse
description: Description:The level of coverage under the policy or program is available only to a subscribers spouse

v3 Code System ActRelationshipCheckpoint
type: ValueSet
version: 2015-11-30
label: v3 Code System ActRelationshipCheckpoint
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: ActRelationshipCheckpoint

v3 Code System ActRelationshipCheckpoint
type: CodeSystem
label: v3 Code System ActRelationshipCheckpoint
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

beginning
sub class of: ActRelationshipCheckpoint
label: beginning
comment: Condition is tested every time before execution of the service (WHILE condition DO service).
description: Condition is tested every time before execution of the service (WHILE condition DO service).

end
sub class of: ActRelationshipCheckpoint
label: end
comment: Condition is tested at the end of a repeated service execution. The service is repeated only if the condition is true (DO service WHILE condition).
description: Condition is tested at the end of a repeated service execution. The service is repeated only if the condition is true (DO service WHILE condition).

entry
sub class of: ActRelationshipCheckpoint
label: entry
comment: Condition is tested once before the service is executed (IF condition THEN service).
description: Condition is tested once before the service is executed (IF condition THEN service).

through
sub class of: ActRelationshipCheckpoint
label: through
comment: Condition must be true throughout the execution and the service is interrupted (asynchronously) as soon as the condition turns false (asynchronous WHILE loop). The service must be interruptible.
description: Condition must be true throughout the execution and the service is interrupted (asynchronously) as soon as the condition turns false (asynchronous WHILE loop). The service must be interruptible.

exit
sub class of: ActRelationshipCheckpoint
label: exit
comment: Condition is a loop checkpoint, i.e. it is a step of an activity plan and, if negative causes the containing loop to exit.
description: Condition is a loop checkpoint, i.e. it is a step of an activity plan and, if negative causes the containing loop to exit.

v3 Code System ActRelationshipJoin
type: ValueSet
version: 2015-11-30
label: v3 Code System ActRelationshipJoin
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: ActRelationshipJoin

v3 Code System ActRelationshipJoin
type: CodeSystem
label: v3 Code System ActRelationshipJoin
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

detached
sub class of: ActRelationshipJoin
label: detached
comment: Detach this branch from the other branches so it will not be resynchronized with the other branches.
description: Detach this branch from the other branches so it will not be resynchronized with the other branches.

kill
sub class of: ActRelationshipJoin
label: kill
comment: When all other concurrent branches are terminated, interrupt and discontinue this branch.
description: When all other concurrent branches are terminated, interrupt and discontinue this branch.

wait
sub class of: ActRelationshipJoin
label: wait
comment: Wait for this branch to terminate.
description: Wait for this branch to terminate.

exclusive wait
sub class of: ActRelationshipJoin
label: exclusive wait
comment: Wait for any one of the branches in the set of exclusive wait branches to terminate, then discontinue all the other exclusive wait branches.
description: Wait for any one of the branches in the set of exclusive wait branches to terminate, then discontinue all the other exclusive wait branches.

v3 Code System ActRelationshipSplit
type: ValueSet
version: 2015-11-30
label: v3 Code System ActRelationshipSplit
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: ActRelationshipSplit

v3 Code System ActRelationshipSplit
type: CodeSystem
label: v3 Code System ActRelationshipSplit
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

exclusive try once
sub class of: ActRelationshipSplit
label: exclusive try once
comment: The pre-condition associated with the branch is evaluated once and if true the branch may be entered. All other exclusive branches compete with each other and only one will be selected. This implements a COND, IF and CASE conditionals, or "XOR-split." The order in which the branches are considered may be specified in the priorityNumber attribute.
description: The pre-condition associated with the branch is evaluated once and if true the branch may be entered. All other exclusive branches compete with each other and only one will be selected. This implements a COND, IF and CASE conditionals, or "XOR-split." The order in which the branches are considered may be specified in the priorityNumber attribute.

exclusive wait
sub class of: ActRelationshipSplit
label: exclusive wait
comment: A branch is selected as soon as the pre-condition associated with the branch evaluates to true. If the condition is false, the branch may be entered later, when the condition turns true. All other exclusive branches compete with each other and only one will be selected. Each waiting branch executes in parallel with the default join code wait (see below). The order in which the branches are considered may be specified in the Service_relationship.priority_nmb.
description: A branch is selected as soon as the pre-condition associated with the branch evaluates to true. If the condition is false, the branch may be entered later, when the condition turns true. All other exclusive branches compete with each other and only one will be selected. Each waiting branch executes in parallel with the default join code wait (see below). The order in which the branches are considered may be specified in the Service_relationship.priority_nmb.

inclusive try once
sub class of: ActRelationshipSplit
label: inclusive try once
comment: A branch is executed if its associated preconditions permit. If associated preconditions do not permit, the branch is dropped. Inclusive branches are not suppressed and do not suppress other branches.
description: A branch is executed if its associated preconditions permit. If associated preconditions do not permit, the branch is dropped. Inclusive branches are not suppressed and do not suppress other branches.

inclusive wait
sub class of: ActRelationshipSplit
label: inclusive wait
comment: A branch is executed as soon as its associated conditions permit. If the condition is false, the branch may be entered later, when the condition turns true. Inclusive branches are not suppressed and do not suppress other branches. Each waiting branch executes in parallel with the default join code wait (see below).
description: A branch is executed as soon as its associated conditions permit. If the condition is false, the branch may be entered later, when the condition turns true. Inclusive branches are not suppressed and do not suppress other branches. Each waiting branch executes in parallel with the default join code wait (see below).

v3 Code System ActRelationshipSubset
type: ValueSet
version: 2015-11-30
label: v3 Code System ActRelationshipSubset
comment: <ns1:p>Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets.</ns1:p><ns1:p>Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.</ns1:p>
description: <ns1:p>Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets.</ns1:p><ns1:p>Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.</ns1:p>
date: 2015-11-30
status: active
canonical status: active
include: ActRelationshipSubset

v3 Code System ActRelationshipSubset
type: CodeSystem
label: v3 Code System ActRelationshipSubset
comment: <ns1:p>Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets.</ns1:p><ns1:p>Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.</ns1:p>
description: <ns1:p>Used to indicate that the target of the relationship will be a filtered subset of the total related set of targets.</ns1:p><ns1:p>Used when there is a need to limit the number of components to the first, the last, the next, the total, the average or some other filtered or calculated subset.</ns1:p>
date: Mon Nov 30 00:00:00 AEDT 2015

ParticipationSubset
sub class of: ActRelationshipSubset
label: ParticipationSubset
comment: Used to indicate that the participation is a filtered subset of the total participations of the same type owned by the Act. Used when there is a need to limit the participations to the first, the last, the next or some other filtered subset.
description: Used to indicate that the participation is a filtered subset of the total participations of the same type owned by the Act. Used when there is a need to limit the participations to the first, the last, the next or some other filtered subset.

expected future
sub class of: ParticipationSubset
label: expected future
comment: An occurrence that is scheduled to occur in the future. An Act whose effective time is greater than 'now', where 'now' is the time the instance is authored.
description: An occurrence that is scheduled to occur in the future. An Act whose effective time is greater than 'now', where 'now' is the time the instance is authored.

future summary
sub class of: expected future
label: future summary
comment: Represents a 'summary' of all acts that are scheduled to occur in the future (whose effective time is greater than 'now' where is the time the instance is authored.). The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc.
description: Represents a 'summary' of all acts that are scheduled to occur in the future (whose effective time is greater than 'now' where is the time the instance is authored.). The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc.

expected last
sub class of: expected future
label: expected last
comment: Restricted to the latest known occurrence that is scheduled to occur. The Act with the highest known effective time.
description: Restricted to the latest known occurrence that is scheduled to occur. The Act with the highest known effective time.

expected next
sub class of: expected future
label: expected next
comment: Restricted to the nearest recent known occurrence scheduled to occur in the future. The Act with the lowest effective time, still greater than 'now'. ('now' is the time the instance is authored.)
description: Restricted to the nearest recent known occurrence scheduled to occur in the future. The Act with the lowest effective time, still greater than 'now'. ('now' is the time the instance is authored.)

previous
sub class of: ParticipationSubset
label: previous
comment: An occurrence that occurred or was scheduled to occur in the past. An Act whose effective time is less than 'now'. ('now' is the time the instance is authored.)
description: An occurrence that occurred or was scheduled to occur in the past. An Act whose effective time is less than 'now'. ('now' is the time the instance is authored.)

first known
sub class of: previous
label: first known
comment: Restricted to the earliest known occurrence that occurred or was scheduled to occur in the past. The Act with the lowest effective time. ('now' is the time the instance is authored.)
description: Restricted to the earliest known occurrence that occurred or was scheduled to occur in the past. The Act with the lowest effective time. ('now' is the time the instance is authored.)

previous summary
sub class of: previous
label: previous summary
comment: Represents a 'summary' of all acts that previously occurred or were scheduled to occur. The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc. ('now' is the time the instance is authored.)
description: Represents a 'summary' of all acts that previously occurred or were scheduled to occur. The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc. ('now' is the time the instance is authored.)

most recent
sub class of: previous
label: most recent
comment: Restricted to the most recent known occurrence that occurred or was scheduled to occur in the past. The Act with the most recent effective time, still less than 'now'. ('now' is the time the instance is authored.)
description: Restricted to the most recent known occurrence that occurred or was scheduled to occur in the past. The Act with the most recent effective time, still less than 'now'. ('now' is the time the instance is authored.)

summary
sub class of: ParticipationSubset
label: summary
comment: Represents a 'summary' of all acts that have occurred or were scheduled to occur and which are scheduled to occur in the future. The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc.
description: Represents a 'summary' of all acts that have occurred or were scheduled to occur and which are scheduled to occur in the future. The effectiveTime represents the outer boundary of all occurrences, repeatNumber represents the total number of repetitions, etc.

ActRelationshipExpectedSubset
sub class of: ActRelationshipSubset
label: ActRelationshipExpectedSubset
comment: ActRelationshipExpectedSubset
description: ActRelationshipExpectedSubset

ActRelationshipPastSubset
sub class of: ActRelationshipSubset
label: ActRelationshipPastSubset
comment: ActRelationshipPastSubset
description: ActRelationshipPastSubset

maximum
sub class of: ActRelationshipSubset
label: maximum
comment: The occurrence whose value attribute is greater than all other occurrences at the time the instance is created.
description: The occurrence whose value attribute is greater than all other occurrences at the time the instance is created.

minimum
sub class of: ActRelationshipSubset
label: minimum
comment: The occurrence whose value attribute is less than all other occurrences at the time the instance is created.
description: The occurrence whose value attribute is less than all other occurrences at the time the instance is created.

v3 Code System ActRelationshipType
type: ValueSet
version: 2015-11-30
label: v3 Code System ActRelationshipType
comment: The source is an excerpt from the target.
description: The source is an excerpt from the target.
date: 2015-11-30
status: active
canonical status: active
include: ActRelationshipType

v3 Code System ActRelationshipType
type: CodeSystem
label: v3 Code System ActRelationshipType
comment: The source is an excerpt from the target.
description: The source is an excerpt from the target.
date: Mon Nov 30 00:00:00 AEDT 2015

act relationship type
sub class of: ActRelationshipType
label: act relationship type
comment: Description: A directed association between a source Act and a target Act. Usage Note: This code should never be transmitted in an instance as the value of ActRelationship.typeCode (attribute)
description: Description: A directed association between a source Act and a target Act. Usage Note: This code should never be transmitted in an instance as the value of ActRelationship.typeCode (attribute)

ActClassTemporallyPertains
sub class of: act relationship type
label: ActClassTemporallyPertains
comment: ActClassTemporallyPertains
description: ActClassTemporallyPertains

ActRelationshipAccounting
sub class of: act relationship type
label: ActRelationshipAccounting
comment: Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element.
description: Codes that describe the relationship between an Act and a financial instrument such as a financial transaction, account or invoice element.

ActRelationshipCostTracking
sub class of: ActRelationshipAccounting
label: ActRelationshipCostTracking
comment: Expresses values for describing the relationship relationship between an InvoiceElement or InvoiceElementGroup and a billable act.
description: Expresses values for describing the relationship relationship between an InvoiceElement or InvoiceElementGroup and a billable act.

has charge
sub class of: ActRelationshipCostTracking
label: has charge
comment: A relationship that provides an ability to associate a financial transaction (target) as a charge to a clinical act (source). A clinical act may have a charge associated with the execution or delivery of the service. The financial transaction will define the charge (bill) for delivery or performance of the service. Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product.
description: A relationship that provides an ability to associate a financial transaction (target) as a charge to a clinical act (source). A clinical act may have a charge associated with the execution or delivery of the service. The financial transaction will define the charge (bill) for delivery or performance of the service. Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product.

has cost
sub class of: ActRelationshipCostTracking
label: has cost
comment: A relationship that provides an ability to associate a financial transaction (target) as a cost to a clinical act (source). A clinical act may have an inherit cost associated with the execution or delivery of the service. The financial transaction will define the cost of delivery or performance of the service. Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product.
description: A relationship that provides an ability to associate a financial transaction (target) as a cost to a clinical act (source). A clinical act may have an inherit cost associated with the execution or delivery of the service. The financial transaction will define the cost of delivery or performance of the service. Charges and costs are distinct terms. A charge defines what is charged or billed to another organization or entity within an organization. The cost defines what it costs an organization to perform or deliver a service or product.

ActRelationshipPosting
sub class of: ActRelationshipAccounting
label: ActRelationshipPosting
comment: Expresses values for describing the relationship between a FinancialTransaction and an Account.
description: Expresses values for describing the relationship between a FinancialTransaction and an Account.

has credit
sub class of: ActRelationshipPosting
label: has credit
comment: A credit relationship ties a financial transaction (target) to an account (source). A credit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account credit will decrease the account balance. A non-asset account credit will decrease the account balance.
description: A credit relationship ties a financial transaction (target) to an account (source). A credit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account credit will decrease the account balance. A non-asset account credit will decrease the account balance.

has debit
sub class of: ActRelationshipPosting
label: has debit
comment: A debit relationship ties a financial transaction (target) to an account (source). A debit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account debit will increase the account balance. A non-asset account debit will decrease the account balance.
description: A debit relationship ties a financial transaction (target) to an account (source). A debit, once applied (posted), may have either a positive or negative effect on the account balance, depending on the type of account. An asset account debit will increase the account balance. A non-asset account debit will decrease the account balance.

ActRelationshipConditional
sub class of: act relationship type
label: ActRelationshipConditional
comment: Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred
description: Specifies under what circumstances (target Act) the source-Act may, must, must not or has occurred

has contra-indication
sub class of: ActRelationshipConditional
label: has contra-indication
comment: A contraindication is just a negation of a reason, i.e. it gives a condition under which the action is not to be done. Both, source and target can be any kind of service; target service is in criterion mood. How the strength of a contraindication is expressed (e.g., relative, absolute) is left as an open issue. The priorityNumber attribute could be used.
description: A contraindication is just a negation of a reason, i.e. it gives a condition under which the action is not to be done. Both, source and target can be any kind of service; target service is in criterion mood. How the strength of a contraindication is expressed (e.g., relative, absolute) is left as an open issue. The priorityNumber attribute could be used.

has pre-condition
sub class of: ActRelationshipConditional
label: has pre-condition
comment: A requirement to be true before a service is performed. The target can be any service in criterion mood. For multiple pre-conditions a conjunction attribute (AND, OR, XOR) is applicable.
description: A requirement to be true before a service is performed. The target can be any service in criterion mood. For multiple pre-conditions a conjunction attribute (AND, OR, XOR) is applicable.

has reason
sub class of: ActRelationshipConditional
label: has reason
comment: Description: The reason or rationale for a service. A reason link is weaker than a trigger, it only suggests that some service may be or might have been a reason for some action, but not that this reason requires/required the action to be taken. Also, as opposed to the trigger, there is no strong timely relation between the reason and the action. As well as providing various types of information about the rationale for a service, the RSON act relationship is routinely used between a SBADM act and an OBS act to describe the indication for use of a medication. Child concepts may be used to describe types of indication. Discussion: In prior releases, the code "SUGG" (suggests) was expressed as "an inversion of the reason link." That code has been retired in favor of the inversion indicator that is an attribute of ActRelationship.
description: Description: The reason or rationale for a service. A reason link is weaker than a trigger, it only suggests that some service may be or might have been a reason for some action, but not that this reason requires/required the action to be taken. Also, as opposed to the trigger, there is no strong timely relation between the reason and the action. As well as providing various types of information about the rationale for a service, the RSON act relationship is routinely used between a SBADM act and an OBS act to describe the indication for use of a medication. Child concepts may be used to describe types of indication. Discussion: In prior releases, the code "SUGG" (suggests) was expressed as "an inversion of the reason link." That code has been retired in favor of the inversion indicator that is an attribute of ActRelationship.

blocks
sub class of: has reason
label: blocks
comment: Definition: The source act is performed to block the effects of the target act. This act relationship should be used when describing near miss type incidents where potential harm could have occurred, but the action described in the source act blocked the potential harmful effects of the incident actually occurring.
description: Definition: The source act is performed to block the effects of the target act. This act relationship should be used when describing near miss type incidents where potential harm could have occurred, but the action described in the source act blocked the potential harmful effects of the incident actually occurring.

diagnoses
sub class of: has reason
label: diagnoses
comment: Description: The source act is intended to help establish the presence of a (an adverse) situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.
description: Description: The source act is intended to help establish the presence of a (an adverse) situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.

immunization against
sub class of: has reason
label: immunization against
comment: Description: The source act is intented to provide immunity against the effects of the target act (the target act describes an infectious disease)
description: Description: The source act is intented to provide immunity against the effects of the target act (the target act describes an infectious disease)

active immunization against
sub class of: immunization against
label: active immunization against
comment: Description: The source act is intended to provide active immunity against the effects of the target act (the target act describes an infectious disease)
description: Description: The source act is intended to provide active immunity against the effects of the target act (the target act describes an infectious disease)

passive immunization against
sub class of: immunization against
label: passive immunization against
comment: Description: The source act is intended to provide passive immunity against the effects of the target act (the target act describes an infectious disease).
description: Description: The source act is intended to provide passive immunity against the effects of the target act (the target act describes an infectious disease).

mitigates
sub class of: has reason
label: mitigates
comment: The source act removes or lessens the occurrence or effect of the target act.
description: The source act removes or lessens the occurrence or effect of the target act.

recovers
sub class of: mitigates
label: recovers
comment: Definition: The source act is performed to recover from the effects of the target act.
description: Definition: The source act is performed to recover from the effects of the target act.

prophylaxis of
sub class of: has reason
label: prophylaxis of
comment: Description: The source act is intended to reduce the risk of of an adverse situation to emerge as described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.
description: Description: The source act is intended to reduce the risk of of an adverse situation to emerge as described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.

treats
sub class of: has reason
label: treats
comment: Description: The source act is intended to improve a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.
description: Description: The source act is intended to improve a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.

adjunctive treatment
sub class of: treats
label: adjunctive treatment
comment: Description: The source act is intended to offer an additional treatment for the management or cure of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature. It is not a requirement that the non-adjunctive treatment is explicitly specified.
description: Description: The source act is intended to offer an additional treatment for the management or cure of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature. It is not a requirement that the non-adjunctive treatment is explicitly specified.

maintenance treatment
sub class of: treats
label: maintenance treatment
comment: Description: The source act is intended to provide long term maintenance improvement or management of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.
description: Description: The source act is intended to provide long term maintenance improvement or management of a pre-existing adverse situation described by the target act. This is not limited to diseases but can apply to any adverse situation or condition of medical or technical nature.

palliates
sub class of: treats
label: palliates
comment: Description: The source act is intended to provide palliation for the effects of the target act.
description: Description: The source act is intended to provide palliation for the effects of the target act.

symptomatic relief
sub class of: treats
label: symptomatic relief
comment: Description: The source act is intented to provide symptomatic relief for the effects of the target act.
description: Description: The source act is intented to provide symptomatic relief for the effects of the target act.

has trigger
sub class of: ActRelationshipConditional
label: has trigger
comment: A pre-condition that if true should result in the source Act being executed. The target is in typically in criterion mood. When reported after the fact (i.e. the criterion has been met) it may be in Event mood. A delay between the trigger and the triggered action can be specified. Discussion: This includes the concept of a required act for a service or financial instrument such as an insurance plan or policy. In such cases, the trigger is the occurrence of a specific condition such as coverage limits being exceeded.
description: A pre-condition that if true should result in the source Act being executed. The target is in typically in criterion mood. When reported after the fact (i.e. the criterion has been met) it may be in Event mood. A delay between the trigger and the triggered action can be specified. Discussion: This includes the concept of a required act for a service or financial instrument such as an insurance plan or policy. In such cases, the trigger is the occurrence of a specific condition such as coverage limits being exceeded.

ActRelationshipTemporallyPertains
sub class of: act relationship type
label: ActRelationshipTemporallyPertains
comment: Abstract collector for ActRelationhsip types that relate two acts by their timing.
description: Abstract collector for ActRelationhsip types that relate two acts by their timing.

ActRelationshipTemporallyPertainsApproximates
sub class of: ActRelationshipTemporallyPertains
label: ActRelationshipTemporallyPertainsApproximates
comment: Abstract collector for ActRelationship types that relate two acts by their approximate timing.
description: Abstract collector for ActRelationship types that relate two acts by their approximate timing.

ends near end
sub class of: ActRelationshipTemporallyPertainsApproximates
label: ends near end
comment: A relationship in which the source act's effective time ends near the end of the target act's effective time. Near is defined separately as a time interval. Usage Note: Inverse code is ENS
description: A relationship in which the source act's effective time ends near the end of the target act's effective time. Near is defined separately as a time interval. Usage Note: Inverse code is ENS

ends concurrent with
sub class of: ends near end
label: ends concurrent with
comment: A relationship in which the source act's effective time ends with the end of the target act's effective time. UsageNote: This code is reflexive. Therefore its inverse code is itself.
description: A relationship in which the source act's effective time ends with the end of the target act's effective time. UsageNote: This code is reflexive. Therefore its inverse code is itself.

concurrent with
sub class of: ends concurrent with
label: concurrent with
comment: A relationship in which the source act's effective time is the same as the target act's effective time. UsageNote: This code is reflexive. Therefore its inverse code is itself.
description: A relationship in which the source act's effective time is the same as the target act's effective time. UsageNote: This code is reflexive. Therefore its inverse code is itself.

starts before start of, ends with
sub class of: ends concurrent with
label: starts before start of, ends with
comment: The source Act starts before the start of the target Act, and ends with the target Act. UsageNote: Inverse code is SASECWE
description: The source Act starts before the start of the target Act, and ends with the target Act. UsageNote: Inverse code is SASECWE

ends near start
sub class of: ActRelationshipTemporallyPertainsApproximates
label: ends near start
comment: A relationship in which the source act's effective time ends near the start of the target act's effective time. Near is defined separately as a time interval. Usage Note: Inverse code is ENE
description: A relationship in which the source act's effective time ends near the start of the target act's effective time. Near is defined separately as a time interval. Usage Note: Inverse code is ENE

ends concurrent with start of
sub class of: ends near start
label: ends concurrent with start of
comment: The source Act ends when the target act starts (i.e. if we say "ActOne ECWS ActTwo", it means that ActOne ends when ActTwo starts, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is SCWE
description: The source Act ends when the target act starts (i.e. if we say "ActOne ECWS ActTwo", it means that ActOne ends when ActTwo starts, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is SCWE

starts near end
sub class of: ActRelationshipTemporallyPertainsApproximates
label: starts near end
comment: A relationship in which the source act's effective time starts near the end of the target act's effective time. Near is defined separately as a time interval. Usage Note: Inverse code is SNS
description: A relationship in which the source act's effective time starts near the end of the target act's effective time. Near is defined separately as a time interval. Usage Note: Inverse code is SNS

starts concurrent with end of
sub class of: starts near end
label: starts concurrent with end of
comment: The source Act starts when the target act ends (i.e. if we say "ActOne SCWE ActTwo", it means that ActOne starts when ActTwo ends, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is SBSECWS
description: The source Act starts when the target act ends (i.e. if we say "ActOne SCWE ActTwo", it means that ActOne starts when ActTwo ends, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is SBSECWS

starts near start
sub class of: ActRelationshipTemporallyPertainsApproximates
label: starts near start
comment: A relationship in which the source act's effective time starts near the start of the target act's effective time. Near is defined separately as a time interval. Usage Note: Inverse code is SNE
description: A relationship in which the source act's effective time starts near the start of the target act's effective time. Near is defined separately as a time interval. Usage Note: Inverse code is SNE

starts concurrent with
sub class of: starts near start
label: starts concurrent with
comment: A relationship in which the source act's effective time starts with the start of the target act's effective time. UsageNote: This code is reflexive. Therefore its inverse code is itself.
description: A relationship in which the source act's effective time starts with the start of the target act's effective time. UsageNote: This code is reflexive. Therefore its inverse code is itself.

starts with. ends before end of
sub class of: starts concurrent with
label: starts with. ends before end of
comment: The source Act starts with.the target Act and ends before the end of the target Act. UsageNote: Inverse code is SCWSEAE
description: The source Act starts with.the target Act and ends before the end of the target Act. UsageNote: Inverse code is SCWSEAE

starts with, ends after end of
sub class of: starts concurrent with
label: starts with, ends after end of
comment: The source Act starts with the target Act, and ends after the end of the target Act.
description: The source Act starts with the target Act, and ends after the end of the target Act.

ends after start of
sub class of: ActRelationshipTemporallyPertains
label: ends after start of
comment: A relationship in which the source act ends after the target act starts. UsageNote: Inverse code is SBE
description: A relationship in which the source act ends after the target act starts. UsageNote: Inverse code is SBE

ends after end of
sub class of: ends after start of
label: ends after end of
comment: A relationship in which the source act ends after the target act ends. UsageNote: Inverse code is EBE
description: A relationship in which the source act ends after the target act ends. UsageNote: Inverse code is EBE

starts after start of, ends after end of
sub class of: ends after end of
label: starts after start of, ends after end of
comment: The source Act starts after start of the target Act and ends after end of the target Act. UsageNote: Inverse code is SBSEBE
description: The source Act starts after start of the target Act and ends after end of the target Act. UsageNote: Inverse code is SBSEBE

contains end of
sub class of: starts after start of, ends after end of
label: contains end of
comment: The source Act contains the end of the target Act. UsageNote: Inverse code is EDU
description: The source Act contains the end of the target Act. UsageNote: Inverse code is EDU

start after start of, contains end of
sub class of: contains end of
label: start after start of, contains end of
comment: The source Act start after the start of the target Act, and contains the end of the target Act. UsageNote: Inverse code is SBSEASEBE
description: The source Act start after the start of the target Act, and contains the end of the target Act. UsageNote: Inverse code is SBSEASEBE

contains time of
sub class of: contains end of
label: contains time of
comment: The source Act contains the time of the target Act. UsageNote: Inverse code is DURING
description: The source Act contains the time of the target Act. UsageNote: Inverse code is DURING

starts after start of
sub class of: ends after start of
label: starts after start of
comment: The source Act starts after the start of the target Act (i.e. if we say "ActOne SAS ActTwo", it means that ActOne starts after the start of ActTwo, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is SBS
description: The source Act starts after the start of the target Act (i.e. if we say "ActOne SAS ActTwo", it means that ActOne starts after the start of ActTwo, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is SBS

starts after end of
sub class of: starts after start of
label: starts after end of
comment: A relationship in which the source act starts after the target act ends. UsageNote: Inverse code is EBS
description: A relationship in which the source act starts after the target act ends. UsageNote: Inverse code is EBS

occurs during
sub class of: starts after start of
label: occurs during
comment: A relationship in which the source act's effective time is wholly within the target act's effective time (including end points, as defined in the act's effective times) UsageNote: Inverse code is SBSEAE
description: A relationship in which the source act's effective time is wholly within the target act's effective time (including end points, as defined in the act's effective times) UsageNote: Inverse code is SBSEAE

starts after start of, ends with
sub class of: starts after start of
label: starts after start of, ends with
comment: The source Act starts after start of the target Act, and ends with the target Act. UsageNote: Inverse code is SBSECWE
description: The source Act starts after start of the target Act, and ends with the target Act. UsageNote: Inverse code is SBSECWE

ends after or concurrent with start of
sub class of: ActRelationshipTemporallyPertains
label: ends after or concurrent with start of
comment: A relationship in which the source act's effective time ends after or concurrent with the start of the target act's effective time. Usage Note: Inverse code is EBSORECWS
description: A relationship in which the source act's effective time ends after or concurrent with the start of the target act's effective time. Usage Note: Inverse code is EBSORECWS

ends after or concurrent with end of
sub class of: ends after or concurrent with start of
label: ends after or concurrent with end of
comment: A relationship in which the source act's effective time ends after or concurrent with the end of the target act's effective time. Usage Note: Inverse code is EBEORECW
description: A relationship in which the source act's effective time ends after or concurrent with the end of the target act's effective time. Usage Note: Inverse code is EBEORECW

independent of time of
sub class of: ActRelationshipTemporallyPertains
label: independent of time of
comment: The source Act is independent of the time of the target Act. UsageNote: This code is reflexive. Therefore its inverse code is itself.
description: The source Act is independent of the time of the target Act. UsageNote: This code is reflexive. Therefore its inverse code is itself.

starts after or concurrent with end of
sub class of: ActRelationshipTemporallyPertains
label: starts after or concurrent with end of
comment: A relationship in which the source act's effective time starts after or concurrent with the end of the target act's effective time. Usage Note: Inverse code is SBEORSCWE
description: A relationship in which the source act's effective time starts after or concurrent with the end of the target act's effective time. Usage Note: Inverse code is SBEORSCWE

starts after or concurrent with start of
sub class of: ActRelationshipTemporallyPertains
label: starts after or concurrent with start of
comment: A relationship in which the source act's effective time starts after or concurrent with the start of the target act's effective time. Usage Note: Inverse code is SBSORSCW
description: A relationship in which the source act's effective time starts after or concurrent with the start of the target act's effective time. Usage Note: Inverse code is SBSORSCW

starts before or concurrent with end of
sub class of: ActRelationshipTemporallyPertains
label: starts before or concurrent with end of
comment: A relationship in which the source act's effective time starts before or concurrent with the end of the target act's effective time. Usage Note: Inverse code is SAEORSCWE
description: A relationship in which the source act's effective time starts before or concurrent with the end of the target act's effective time. Usage Note: Inverse code is SAEORSCWE

overlaps with
sub class of: starts before or concurrent with end of
label: overlaps with
comment: A relationship in which the source act's effective time overlaps the target act's effective time in any way. UsageNote: This code is reflexive. Therefore its inverse code is itself.
description: A relationship in which the source act's effective time overlaps the target act's effective time in any way. UsageNote: This code is reflexive. Therefore its inverse code is itself.

ends during
sub class of: overlaps with
label: ends during
comment: A relationship in which the source act ends within the target act's effective time (including end points, as defined in the act's effective times) UsageNote: Inverse code is SBEEAE
description: A relationship in which the source act ends within the target act's effective time (including end points, as defined in the act's effective times) UsageNote: Inverse code is SBEEAE

contains start of, ends before end of
sub class of: ends during
label: contains start of, ends before end of
comment: The source Act contains the start of the target Act, and ends before the end of the target Act. UsageNote: Inverse code is SASSBEEAS
description: The source Act contains the start of the target Act, and ends before the end of the target Act. UsageNote: Inverse code is SASSBEEAS

contains start of
sub class of: overlaps with
label: contains start of
comment: The source Act contains the start of the target Act. UsageNote: Inverse code is SDU
description: The source Act contains the start of the target Act. UsageNote: Inverse code is SDU

starts during
sub class of: overlaps with
label: starts during
comment: A relationship in which the source act starts within the target act's effective time (including end points, as defined in the act's effective times) UsageNote: Inverse code is SBSEAS
description: A relationship in which the source act starts within the target act's effective time (including end points, as defined in the act's effective times) UsageNote: Inverse code is SBSEAS

starts before end of
sub class of: starts before or concurrent with end of
label: starts before end of
comment: The source Act starts before the end of the target Act (i.e. if we say "ActOne SBE ActTwo", it means that ActOne starts before the end of ActTwo, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is EAS
description: The source Act starts before the end of the target Act (i.e. if we say "ActOne SBE ActTwo", it means that ActOne starts before the end of ActTwo, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is EAS

ends before end of
sub class of: starts before end of
label: ends before end of
comment: The source Act ends before the end of the target Act (i.e. if we say "ActOne EBE ActTwo", it means that ActOne ends before the end of ActTwo, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is EAE
description: The source Act ends before the end of the target Act (i.e. if we say "ActOne EBE ActTwo", it means that ActOne ends before the end of ActTwo, therefore ActOne is the source and ActTwo is the target). UsageNote: Inverse code is EAE

starts before start of, ends before end of
sub class of: ends before end of
label: starts before start of, ends before end of
comment: The source Act starts before the start of the target Act, and ends before the end of the target Act. UsageNote: Inverse code is SASEAE
description: The source Act starts before the start of the target Act, and ends before the end of the target Act. UsageNote: Inverse code is SASEAE

ends before or concurrent with start of
sub class of: starts before start of, ends before end of
label: ends before or concurrent with start of
comment: A relationship in which the source act's effective time ends before or concurrent with the start of the target act's effective time. Usage Note: Inverse code is EASORECWS
description: A relationship in which the source act's effective time ends before or concurrent with the start of the target act's effective time. Usage Note: Inverse code is EASORECWS

ends before start of
sub class of: ends before or concurrent with start of
label: ends before start of
comment: A relationship in which the source act ends before the target act starts. UsageNote: Inverse code is SAE
description: A relationship in which the source act ends before the target act starts. UsageNote: Inverse code is SAE

ends before or concurrent with end of
sub class of: starts before end of
label: ends before or concurrent with end of
comment: A relationship in which the source act's effective time ends before or concurrent with the end of the target act's effective time. Usage Note: Inverse code is EAEORECW
description: A relationship in which the source act's effective time ends before or concurrent with the end of the target act's effective time. Usage Note: Inverse code is EAEORECW

starts before or concurrent with start of
sub class of: starts before end of
label: starts before or concurrent with start of
comment: A relationship in which the source act's effective time starts before or concurrent with the start of the target act's effective time. Usage Note: Inverse code is SASORSCW
description: A relationship in which the source act's effective time starts before or concurrent with the start of the target act's effective time. Usage Note: Inverse code is SASORSCW

starts before start of
sub class of: starts before or concurrent with start of
label: starts before start of
comment: A relationship in which the source act begins before the target act begins. UsageNote: Inverse code is SAS
description: A relationship in which the source act begins before the target act begins. UsageNote: Inverse code is SAS

authorized by
sub class of: act relationship type
label: authorized by
comment: A relationship in which the target act authorizes or certifies the source act.
description: A relationship in which the target act authorizes or certifies the source act.

is etiology for
sub class of: act relationship type
label: is etiology for
comment: Description: An assertion that an act was the cause of another act.This is stronger and more specific than the support link. The source (cause) is typically an observation, but may be any act, while the target may be any act. Examples: a growth of Staphylococcus aureus may be considered the cause of an abscess contamination of the infusion bag was deemed to be the cause of the infection that the patient experienced lack of staff on the shift was deemed to be a supporting factor (proximal factor) causing the patient safety incident where the patient fell out of bed because the bed-sides had not been put up which caused the night patient to fall out of bed
description: Description: An assertion that an act was the cause of another act.This is stronger and more specific than the support link. The source (cause) is typically an observation, but may be any act, while the target may be any act. Examples: a growth of Staphylococcus aureus may be considered the cause of an abscess contamination of the infusion bag was deemed to be the cause of the infection that the patient experienced lack of staff on the shift was deemed to be a supporting factor (proximal factor) causing the patient safety incident where the patient fell out of bed because the bed-sides had not been put up which caused the night patient to fall out of bed

has component
sub class of: act relationship type
label: has component
comment: The target act is a component of the source act, with no semantics regarding composition or aggregation implied.
description: The target act is a component of the source act, with no semantics regarding composition or aggregation implied.

has control variable
sub class of: has component
label: has control variable
comment: A relationship from an Act to a Control Variable. For example, if a Device makes an Observation, this relates the Observation to its Control Variables documenting the device's settings that influenced the observation.
description: A relationship from an Act to a Control Variable. For example, if a Device makes an Observation, this relates the Observation to its Control Variables documenting the device's settings that influenced the observation.

has member
sub class of: has component
label: has member
comment: The target Acts are aggregated by the source Act. Target Acts may have independent existence, participate in multiple ActRelationships, and do not contribute to the meaning of the source. UsageNotes: This explicitly represents the conventional notion of aggregation. The target Act is part of a collection of Acts (no implication is made of cardinality, a source of Acts may contain zero, one, or more member target Acts). It is expected that this will be primarily used with _ActClassRecordOrganizer, BATTERY, and LIST
description: The target Acts are aggregated by the source Act. Target Acts may have independent existence, participate in multiple ActRelationships, and do not contribute to the meaning of the source. UsageNotes: This explicitly represents the conventional notion of aggregation. The target Act is part of a collection of Acts (no implication is made of cardinality, a source of Acts may contain zero, one, or more member target Acts). It is expected that this will be primarily used with _ActClassRecordOrganizer, BATTERY, and LIST

has step
sub class of: has member
label: has step
comment: A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently. UsageNotes: Sequence of steps may be indicated by use of _ActRelationshipTemporallyPertains, as well as via ActRelationship.sequenceNumber, ActRelationship.pauseQuantity, Target.priorityCode. OpenIssue: Need Additional guidelines on when each approach should be used.
description: A collection of sub-services as steps or subtasks performed for the source service. Services may be performed sequentially or concurrently. UsageNotes: Sequence of steps may be indicated by use of _ActRelationshipTemporallyPertains, as well as via ActRelationship.sequenceNumber, ActRelationship.pauseQuantity, Target.priorityCode. OpenIssue: Need Additional guidelines on when each approach should be used.

arrival
sub class of: has step
label: arrival
comment: The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act entered into the source Act by means of the target Transportation act.
description: The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act entered into the source Act by means of the target Transportation act.

departure
sub class of: has step
label: departure
comment: The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act departed from the source Act by means of the target Transportation act.
description: The relationship that links to a Transportation Act (target) from another Act (source) indicating that the subject of the source Act departed from the source Act by means of the target Transportation act.

has part
sub class of: has component
label: has part
comment: The source Act is a composite of the target Acts. The target Acts do not have an existence independent of the source Act. UsageNote: In UML 1.1, this is a "composition" defined as: "A form of aggregation with strong ownership and coincident lifetime as part of the whole. Parts with non-fixed multiplicity may be created after the composite itself, but once created they live and die with it (i.e., they share lifetimes). Such parts can also be explicitly removed before the death of the composite. Composition may be recursive."
description: The source Act is a composite of the target Acts. The target Acts do not have an existence independent of the source Act. UsageNote: In UML 1.1, this is a "composition" defined as: "A form of aggregation with strong ownership and coincident lifetime as part of the whole. Parts with non-fixed multiplicity may be created after the composite itself, but once created they live and die with it (i.e., they share lifetimes). Such parts can also be explicitly removed before the death of the composite. Composition may be recursive."

covered by
sub class of: act relationship type
label: covered by
comment: A relationship in which the source act is covered by or is under the authority of a target act. A financial instrument such as an Invoice Element is covered by one or more specific instances of an Insurance Policy.
description: A relationship in which the source act is covered by or is under the authority of a target act. A financial instrument such as an Invoice Element is covered by one or more specific instances of an Insurance Policy.

is derived from
sub class of: act relationship type
label: is derived from
comment: Associates a derived Act with its input parameters. E.G., an anion-gap observation can be associated as being derived from given sodium-, (potassium-,), chloride-, and bicarbonate-observations. The narrative content (Act.text) of a source act is wholly machine-derived from the collection of target acts.
description: Associates a derived Act with its input parameters. E.G., an anion-gap observation can be associated as being derived from given sodium-, (potassium-,), chloride-, and bicarbonate-observations. The narrative content (Act.text) of a source act is wholly machine-derived from the collection of target acts.

episodeLink
sub class of: act relationship type
label: episodeLink
comment: Expresses an association that links two instances of the same act over time, indicating that the instance are part of the same episode, e.g. linking two condition nodes for episode of illness; linking two encounters for episode of encounter.
description: Expresses an association that links two instances of the same act over time, indicating that the instance are part of the same episode, e.g. linking two condition nodes for episode of illness; linking two encounters for episode of encounter.

provides evidence for
sub class of: act relationship type
label: provides evidence for
comment: Indicates that the target Act provides evidence in support of the action represented by the source Act. The target is not a 'reason' for the source act, but rather gives supporting information on why the source act is an appropriate course of action. Possible targets might be clinical trial results, journal articles, similar successful therapies, etc. Rationale: Provides a mechanism for conveying clinical justification for non-approved or otherwise non-traditional therapies.
description: Indicates that the target Act provides evidence in support of the action represented by the source Act. The target is not a 'reason' for the source act, but rather gives supporting information on why the source act is an appropriate course of action. Possible targets might be clinical trial results, journal articles, similar successful therapies, etc. Rationale: Provides a mechanism for conveying clinical justification for non-approved or otherwise non-traditional therapies.

exacerbated by
sub class of: act relationship type
label: exacerbated by
comment: Description:The source act is aggravated by the target act. (Example "chest pain" EXACBY "exercise")
description: Description:The source act is aggravated by the target act. (Example "chest pain" EXACBY "exercise")

has explanation
sub class of: act relationship type
label: has explanation
comment: This is the inversion of support. Used to indicate that a given observation is explained by another observation or condition.
description: This is the inversion of support. Used to indicate that a given observation is explained by another observation or condition.

interfered by
sub class of: act relationship type
label: interfered by
comment: the target act documents a set of circumstances (events, risks) which prevent successful completion, or degradation of quality of, the source Act. UsageNote: This provides the semantics to document barriers to care
description: the target act documents a set of circumstances (events, risks) which prevent successful completion, or degradation of quality of, the source Act. UsageNote: This provides the semantics to document barriers to care

items located
sub class of: act relationship type
label: items located
comment: Items located
description: Items located

limited by
sub class of: act relationship type
label: limited by
comment: A relationship that limits or restricts the source act by the elements of the target act. For example, an authorization may be limited by a financial amount (up to $500). Target Act must be in EVN.CRIT mood.
description: A relationship that limits or restricts the source act by the elements of the target act. For example, an authorization may be limited by a financial amount (up to $500). Target Act must be in EVN.CRIT mood.

has metadata
sub class of: act relationship type
label: has metadata
comment: Definition: Indicates that the attributes and associations of the target act provide metadata (for example, identifiers, authorship, etc.) for the source act. Constraint: Source act must have either a mood code that is not "EVN" (event) or its "isCriterion" attribute must set to "true". Target act must be an Act with a mood code of EVN and with isCriterionInd attribute set to "true".
description: Definition: Indicates that the attributes and associations of the target act provide metadata (for example, identifiers, authorship, etc.) for the source act. Constraint: Source act must have either a mood code that is not "EVN" (event) or its "isCriterion" attribute must set to "true". Target act must be an Act with a mood code of EVN and with isCriterionInd attribute set to "true".

is manifestation of
sub class of: act relationship type
label: is manifestation of
comment: An assertion that a new observation may be the manifestation of another existing observation or action. This assumption is attributed to the same actor who asserts the manifestation. This is stronger and more specific than an inverted support link. For example, an agitated appearance can be asserted to be the manifestation (effect) of a known hyperthyroxia. This expresses that one might not have realized a symptom if it would not be a common manifestation of a known condition. The target (cause) may be any service, while the source (manifestation) must be an observation.
description: An assertion that a new observation may be the manifestation of another existing observation or action. This assumption is attributed to the same actor who asserts the manifestation. This is stronger and more specific than an inverted support link. For example, an agitated appearance can be asserted to be the manifestation (effect) of a known hyperthyroxia. This expresses that one might not have realized a symptom if it would not be a common manifestation of a known condition. The target (cause) may be any service, while the source (manifestation) must be an observation.

assigns name
sub class of: act relationship type
label: assigns name
comment: Used to assign a "name" to a condition thread. Source is a condition node, target can be any service.
description: Used to assign a "name" to a condition thread. Source is a condition node, target can be any service.

has outcome
sub class of: act relationship type
label: has outcome
comment: An observation that should follow or does actually follow as a result or consequence of a condition or action (sometimes called "post-conditional".) Target must be an observation as a goal, risk or any criterion. For complex outcomes a conjunction attribute (AND, OR, XOR) can be used. An outcome link is often inverted to describe an outcome assessment.
description: An observation that should follow or does actually follow as a result or consequence of a condition or action (sometimes called "post-conditional".) Target must be an observation as a goal, risk or any criterion. For complex outcomes a conjunction attribute (AND, OR, XOR) can be used. An outcome link is often inverted to describe an outcome assessment.

Act Relationsip Objective
sub class of: has outcome
label: Act Relationsip Objective
comment: The target act is a desired outcome of the source act. Source is any act (typically an intervention). Target must be an observation in criterion mood.
description: The target act is a desired outcome of the source act. Source is any act (typically an intervention). Target must be an observation in criterion mood.

has continuing objective
sub class of: Act Relationsip Objective
label: has continuing objective
comment: A desired state that a service action aims to maintain. E.g., keep systolic blood pressure between 90 and 110 mm Hg. Source is an intervention service. Target must be an observation in criterion mood.
description: A desired state that a service action aims to maintain. E.g., keep systolic blood pressure between 90 and 110 mm Hg. Source is an intervention service. Target must be an observation in criterion mood.

has final objective
sub class of: Act Relationsip Objective
label: has final objective
comment: A desired outcome that a service action aims to meet finally. Source is any service (typically an intervention). Target must be an observation in criterion mood.
description: A desired outcome that a service action aims to meet finally. Source is any service (typically an intervention). Target must be an observation in criterion mood.

has goal
sub class of: has outcome
label: has goal
comment: A goal that one defines given a patient's health condition. Subsequently planned actions aim to meet that goal. Source is an observation or condition node, target must be an observation in goal mood.
description: A goal that one defines given a patient's health condition. Subsequently planned actions aim to meet that goal. Source is an observation or condition node, target must be an observation in goal mood.

has risk
sub class of: has outcome
label: has risk
comment: A noteworthy undesired outcome of a patient's condition that is either likely enough to become an issue or is less likely but dangerous enough to be addressed.
description: A noteworthy undesired outcome of a patient's condition that is either likely enough to become an issue or is less likely but dangerous enough to be addressed.

has pertinent information
sub class of: act relationship type
label: has pertinent information
comment: This is a very unspecific relationship from one item of clinical information to another. It does not judge about the role the pertinent information plays.
description: This is a very unspecific relationship from one item of clinical information to another. It does not judge about the role the pertinent information plays.

has previous instance
sub class of: act relationship type
label: has previous instance
comment: A relationship in which the target act is a predecessor instance to the source act. Generally each of these instances is similar, but no identical. In healthcare coverage it is used to link a claim item to a previous claim item that might have claimed for the same set of services.
description: A relationship in which the target act is a predecessor instance to the source act. Generally each of these instances is similar, but no identical. In healthcare coverage it is used to link a claim item to a previous claim item that might have claimed for the same set of services.

refers to
sub class of: act relationship type
label: refers to
comment: A relationship in which the target act is referred to by the source act. This permits a simple reference relationship that distinguishes between the referent and the referee.
description: A relationship in which the target act is referred to by the source act. This permits a simple reference relationship that distinguishes between the referent and the referee.

uses
sub class of: refers to
label: uses
comment: Indicates that the source act makes use of (or will make use of) the information content of the target act. UsageNotes: A usage relationship only makes sense if the target act is authored and occurs independently of the source act. Otherwise a simpler relationship such as COMP would be appropriate. Rationale: There is a need when defining a clinical trial protocol to indicate that the protocol makes use of other protocol or treatment specifications. This is stronger than the assertion of "references". References may exist without usage, and in a clinical trial protocol is common to assert both: what other specifications does this trial use and what other specifications does it merely reference.
description: Indicates that the source act makes use of (or will make use of) the information content of the target act. UsageNotes: A usage relationship only makes sense if the target act is authored and occurs independently of the source act. Otherwise a simpler relationship such as COMP would be appropriate. Rationale: There is a need when defining a clinical trial protocol to indicate that the protocol makes use of other protocol or treatment specifications. This is stronger than the assertion of "references". References may exist without usage, and in a clinical trial protocol is common to assert both: what other specifications does this trial use and what other specifications does it merely reference.

has reference values
sub class of: act relationship type
label: has reference values
comment: Reference ranges are essentially descriptors of a class of result values assumed to be "normal", "abnormal", or "critical." Those can vary by sex, age, or any other criterion. Source and target are observations, the target is in criterion mood. This link type can act as a trigger in case of alarms being triggered by critical results.
description: Reference ranges are essentially descriptors of a class of result values assumed to be "normal", "abnormal", or "critical." Those can vary by sex, age, or any other criterion. Source and target are observations, the target is in criterion mood. This link type can act as a trigger in case of alarms being triggered by critical results.

relieved by
sub class of: act relationship type
label: relieved by
comment: Description:The source act is wholly or partially alleviated by the target act. (Example "chest pain" RELVBY "sublingual nitroglycerin administration")
description: Description:The source act is wholly or partially alleviated by the target act. (Example "chest pain" RELVBY "sublingual nitroglycerin administration")

is sequel
sub class of: act relationship type
label: is sequel
comment: An act relationship indicating that the source act follows the target act. The source act should in principle represent the same kind of act as the target. Source and target need not have the same mood code (mood will often differ). The target of a sequel is called antecedent. Examples for sequel relationships are: revision, transformation, derivation from a prototype (as a specialization is a derivation of a generalization), followup, realization, instantiation.
description: An act relationship indicating that the source act follows the target act. The source act should in principle represent the same kind of act as the target. Source and target need not have the same mood code (mood will often differ). The target of a sequel is called antecedent. Examples for sequel relationships are: revision, transformation, derivation from a prototype (as a specialization is a derivation of a generalization), followup, realization, instantiation.

is appendage
sub class of: is sequel
label: is appendage
comment: An addendum (source) to an existing service object (target), containing supplemental information. The addendum is itself an original service object linked to the supplemented service object. The supplemented service object remains in place and its content and status are unaltered.
description: An addendum (source) to an existing service object (target), containing supplemental information. The addendum is itself an original service object linked to the supplemented service object. The supplemented service object remains in place and its content and status are unaltered.

has baseline
sub class of: is sequel
label: has baseline
comment: Indicates that the target observation(s) provide an initial reference for the source observation or observation group. UsageConstraints: Both source and target must be Observations or specializations thereof.
description: Indicates that the target observation(s) provide an initial reference for the source observation or observation group. UsageConstraints: Both source and target must be Observations or specializations thereof.

complies with
sub class of: is sequel
label: complies with
comment: Description:The source act complies with, adheres to, conforms to, or is permissible under (in whole or in part) the policy, contract, agreement, law, conformance criteria, certification guidelines or requirement conveyed by the target act. Examples for compliance relationships are: audits of adherence with a security policy, certificate of conformance to system certification requirements, or consent directive in compliance with or permissible under a privacy policy.
description: Description:The source act complies with, adheres to, conforms to, or is permissible under (in whole or in part) the policy, contract, agreement, law, conformance criteria, certification guidelines or requirement conveyed by the target act. Examples for compliance relationships are: audits of adherence with a security policy, certificate of conformance to system certification requirements, or consent directive in compliance with or permissible under a privacy policy.

documents
sub class of: is sequel
label: documents
comment: The source act documents the target act.
description: The source act documents the target act.

fulfills
sub class of: is sequel
label: fulfills
comment: The source act fulfills (in whole or in part) the target act. Source act must be in a mood equal or more actual than the target act.
description: The source act fulfills (in whole or in part) the target act. Source act must be in a mood equal or more actual than the target act.

occurrence
sub class of: fulfills
label: occurrence
comment: The source act is a single occurrence of a repeatable target act. The source and target act can be in any mood on the "completion track" but the source act must be as far as or further along the track than the target act (i.e., the occurrence of an intent can be an event but not vice versa).
description: The source act is a single occurrence of a repeatable target act. The source and target act can be in any mood on the "completion track" but the source act must be as far as or further along the track than the target act (i.e., the occurrence of an intent can be an event but not vice versa).

references order
sub class of: fulfills
label: references order
comment: Relates either an appointment request or an appointment to the order for the service being scheduled.
description: Relates either an appointment request or an appointment to the order for the service being scheduled.

schedules request
sub class of: fulfills
label: schedules request
comment: Associates a specific time (and associated resources) with a scheduling request or other intent.
description: Associates a specific time (and associated resources) with a scheduling request or other intent.

has generalization
sub class of: is sequel
label: has generalization
comment: The generalization relationship can be used to express categorical knowledge about services (e.g., amilorid, triamterene, and spironolactone have the common generalization potassium sparing diuretic).
description: The generalization relationship can be used to express categorical knowledge about services (e.g., amilorid, triamterene, and spironolactone have the common generalization potassium sparing diuretic).

evaluates (goal)
sub class of: is sequel
label: evaluates (goal)
comment: A goal-evaluation links an observation (intent or actual) to a goal to indicate that the observation evaluates the goal. Given the goal and the observation, a "goal distance" (e.g., goal to observation) can be "calculated" and need not be sent explicitly.
description: A goal-evaluation links an observation (intent or actual) to a goal to indicate that the observation evaluates the goal. Given the goal and the observation, a "goal distance" (e.g., goal to observation) can be "calculated" and need not be sent explicitly.

instantiates (master)
sub class of: is sequel
label: instantiates (master)
comment: Used to capture the link between a potential service ("master" or plan) and an actual service, where the actual service instantiates the potential service. The instantiation may override the master's defaults.
description: Used to capture the link between a potential service ("master" or plan) and an actual service, where the actual service instantiates the potential service. The instantiation may override the master's defaults.

modifies
sub class of: is sequel
label: modifies
comment: Definition: Used to link a newer version or 'snapshot' of a business object (source) to an older version or 'snapshot' of the same business object (target). Usage:The identifier of the Act should be the same for both source and target. If the identifiers are distinct, RPLC should be used instead. Name from source to target = "modifiesPrior" Name from target to source = "modifiesByNew"
description: Definition: Used to link a newer version or 'snapshot' of a business object (source) to an older version or 'snapshot' of the same business object (target). Usage:The identifier of the Act should be the same for both source and target. If the identifiers are distinct, RPLC should be used instead. Name from source to target = "modifiesPrior" Name from target to source = "modifiesByNew"

matches (trigger)
sub class of: is sequel
label: matches (trigger)
comment: A trigger-match links an actual service (e.g., an observation or procedure that took place) with a service in criterion mood. For example if the trigger is "observation of pain" and pain is actually observed, and if that pain-observation caused the trigger to fire, that pain-observation can be linked with the trigger.
description: A trigger-match links an actual service (e.g., an observation or procedure that took place) with a service in criterion mood. For example if the trigger is "observation of pain" and pain is actually observed, and if that pain-observation caused the trigger to fire, that pain-observation can be linked with the trigger.

has option
sub class of: is sequel
label: has option
comment: A relationship between a source Act that provides more detailed properties to the target Act. The source act thus is a specialization of the target act, but instead of mentioning all the inherited properties it only mentions new property bindings or refinements. The typical use case is to specify certain alternative variants of one kind of Act. The priorityNumber attribute is used to weigh refinements as preferred over other alternative refinements. Example: several routing options for a drug are specified as one SubstanceAdministration for the general treatment with attached refinements for the various routing options.
description: A relationship between a source Act that provides more detailed properties to the target Act. The source act thus is a specialization of the target act, but instead of mentioning all the inherited properties it only mentions new property bindings or refinements. The typical use case is to specify certain alternative variants of one kind of Act. The priorityNumber attribute is used to weigh refinements as preferred over other alternative refinements. Example: several routing options for a drug are specified as one SubstanceAdministration for the general treatment with attached refinements for the various routing options.

re-challenge
sub class of: is sequel
label: re-challenge
comment: Description:A relationship in which the target act is carried out to determine whether an effect attributed to the source act can be recreated.
description: Description:A relationship in which the target act is carried out to determine whether an effect attributed to the source act can be recreated.

reverses
sub class of: is sequel
label: reverses
comment: A relationship between a source Act that seeks to reverse or undo the action of the prior target Act. Example: A posted financial transaction (e.g., a debit transaction) was applied in error and must be reversed (e.g., by a credit transaction) the credit transaction is identified as an undo (or reversal) of the prior target transaction. Constraints: the "completion track" mood of the target Act must be equally or more "actual" than the source act. I.e., when the target act is EVN the source act can be EVN, or any INT. If the target act is INT, the source act can be INT.
description: A relationship between a source Act that seeks to reverse or undo the action of the prior target Act. Example: A posted financial transaction (e.g., a debit transaction) was applied in error and must be reversed (e.g., by a credit transaction) the credit transaction is identified as an undo (or reversal) of the prior target transaction. Constraints: the "completion track" mood of the target Act must be equally or more "actual" than the source act. I.e., when the target act is EVN the source act can be EVN, or any INT. If the target act is INT, the source act can be INT.

replaces
sub class of: is sequel
label: replaces
comment: A replacement source act replaces an existing target act. The state of the target act being replaced becomes obselete, but the act is typically still retained in the system for historical reference. The source and target must be of the same type.
description: A replacement source act replaces an existing target act. The state of the target act being replaced becomes obselete, but the act is typically still retained in the system for historical reference. The source and target must be of the same type.

succeeds
sub class of: is sequel
label: succeeds
comment: Definition: A new act that carries forward the intention of the original act, but does not completely replace it. The status of the predecessor act must be 'completed'. The original act is the target act and the successor is the source act.
description: Definition: A new act that carries forward the intention of the original act, but does not completely replace it. The status of the predecessor act must be 'completed'. The original act is the target act and the successor is the source act.

updates (condition)
sub class of: is sequel
label: updates (condition)
comment: A condition thread relationship specifically links condition nodes together to form a condition thread. The source is the new condition node and the target links to the most recent node of the existing condition thread.
description: A condition thread relationship specifically links condition nodes together to form a condition thread. The source is the new condition node and the target links to the most recent node of the existing condition thread.

Excerpts
sub class of: is sequel
label: Excerpts
comment: The source is an excerpt from the target.
description: The source is an excerpt from the target.

Excerpt verbatim
sub class of: Excerpts
label: Excerpt verbatim
comment: The source is a direct quote from the target.
description: The source is a direct quote from the target.

transformation
sub class of: is sequel
label: transformation
comment: Used when the target Act is a transformation of the source Act. (For instance, used to show that a CDA document is a transformation of a DICOM SR document.)
description: Used when the target Act is a transformation of the source Act. (For instance, used to show that a CDA document is a transformation of a DICOM SR document.)

has support
sub class of: act relationship type
label: has support
comment: Used to indicate that an existing service is suggesting evidence for a new observation. The assumption of support is attributed to the same actor who asserts the observation. Source must be an observation, target may be any service (e.g., to indicate a status post).
description: Used to indicate that an existing service is suggesting evidence for a new observation. The assumption of support is attributed to the same actor who asserts the observation. Source must be an observation, target may be any service (e.g., to indicate a status post).

has bounded support
sub class of: has support
label: has bounded support
comment: A specialization of "has support" (SPRT), used to relate a secondary observation to a Region of Interest on a multidimensional observation, if the ROI specifies the true boundaries of the secondary observation as opposed to only marking the approximate area. For example, if the start and end of an ST elevation episode is visible in an EKG, this relation would indicate the ROI bounds the "ST elevation" observation -- the ROI defines the true beginning and ending of the episode. Conversely, if a ROI simply contains ST elevation, but it does not define the bounds (start and end) of the episode, the more general "has support" relation is used. Likewise, if a ROI on an image defines the true bounds of a "1st degree burn", the relation "has bounded support" is used; but if the ROI only points to the approximate area of the burn, the general "has support" relation is used.
description: A specialization of "has support" (SPRT), used to relate a secondary observation to a Region of Interest on a multidimensional observation, if the ROI specifies the true boundaries of the secondary observation as opposed to only marking the approximate area. For example, if the start and end of an ST elevation episode is visible in an EKG, this relation would indicate the ROI bounds the "ST elevation" observation -- the ROI defines the true beginning and ending of the episode. Conversely, if a ROI simply contains ST elevation, but it does not define the bounds (start and end) of the episode, the more general "has support" relation is used. Likewise, if a ROI on an image defines the true bounds of a "1st degree burn", the relation "has bounded support" is used; but if the ROI only points to the approximate area of the burn, the general "has support" relation is used.

has subject
sub class of: act relationship type
label: has subject
comment: Relates an Act to its subject Act that the first Act is primarily concerned with. Examples The first Act may be a ControlAct manipulating the subject Act The first act is a region of interest (ROI) that defines a region within the subject Act. The first act is a reporting or notification Act, that echos the subject Act for a specific new purpose. Constraints An Act may have multiple subject acts. Rationale The ActRelationshipType "has subject" is similar to the ParticipationType "subject", Acts that primarily operate on physical subjects use the Participation, those Acts that primarily operate on other Acts (other information) use the ActRelationship.
description: Relates an Act to its subject Act that the first Act is primarily concerned with. Examples The first Act may be a ControlAct manipulating the subject Act The first act is a region of interest (ROI) that defines a region within the subject Act. The first act is a reporting or notification Act, that echos the subject Act for a specific new purpose. Constraints An Act may have multiple subject acts. Rationale The ActRelationshipType "has subject" is similar to the ParticipationType "subject", Acts that primarily operate on physical subjects use the Participation, those Acts that primarily operate on other Acts (other information) use the ActRelationship.

has qualifier
sub class of: has subject
label: has qualifier
comment: The target observation qualifies (refines) the semantics of the source observation. UsageNote: This is not intended to replace concept refinement and qualification via vocabulary. It is used when there are multiple components which together provide the complete understanding of the source Act.
description: The target observation qualifies (refines) the semantics of the source observation. UsageNote: This is not intended to replace concept refinement and qualification via vocabulary. It is used when there are multiple components which together provide the complete understanding of the source Act.

summarized by
sub class of: act relationship type
label: summarized by
comment: An act that contains summary values for a list or set of subordinate acts. For example, a summary of transactions for a particular accounting period.
description: An act that contains summary values for a list or set of subordinate acts. For example, a summary of transactions for a particular accounting period.

has value
sub class of: act relationship type
label: has value
comment: Description:Indicates that the target Act represents the result of the source observation Act. FormalConstraint: Source Act must be an Observation or specialization there-of. Source Act must not have the value attribute specified UsageNote: This relationship allows the result of an observation to be fully expressed as RIM acts as opposed to being embedded in the value attribute. For example, sending a Document act as the result of an imaging observation, sending a list of Procedures and/or other acts as the result of a medical history observation. The valueNegationInd attribute on the source Act has the same semantics of "negated finding" when it applies to the target of a VALUE ActRelationship as it does to the value attribute. On the other hand, if the ActRelationship.negationInd is true for a VALUE ActRelationship, that means the specified observation does not have the indicated value but does not imply a negated finding. Because the semantics are extremely close, it is recommended that Observation.valueNegationInd be used, not ActRelationship.negationInd. OpenIssue: The implications of negationInd on ActRelationship and the valueNegationind on Observation.
description: Description:Indicates that the target Act represents the result of the source observation Act. FormalConstraint: Source Act must be an Observation or specialization there-of. Source Act must not have the value attribute specified UsageNote: This relationship allows the result of an observation to be fully expressed as RIM acts as opposed to being embedded in the value attribute. For example, sending a Document act as the result of an imaging observation, sending a list of Procedures and/or other acts as the result of a medical history observation. The valueNegationInd attribute on the source Act has the same semantics of "negated finding" when it applies to the target of a VALUE ActRelationship as it does to the value attribute. On the other hand, if the ActRelationship.negationInd is true for a VALUE ActRelationship, that means the specified observation does not have the indicated value but does not imply a negated finding. Because the semantics are extremely close, it is recommended that Observation.valueNegationInd be used, not ActRelationship.negationInd. OpenIssue: The implications of negationInd on ActRelationship and the valueNegationind on Observation.

curative indication
sub class of: ActRelationshipType
label: curative indication
comment: curative indication
description: curative indication

adjunct curative indication
sub class of: ActRelationshipType
label: adjunct curative indication
comment: adjunct curative indication
description: adjunct curative indication

adjunct mitigation
sub class of: ActRelationshipType
label: adjunct mitigation
comment: adjunct mitigation
description: adjunct mitigation

v3 Code System ActSite
type: ValueSet
version: 2015-11-30
label: v3 Code System ActSite
comment: An anatomical location on an organism which can be the focus of an act.
description: An anatomical location on an organism which can be the focus of an act.
date: 2015-11-30
status: active
canonical status: active
include: ActSite

v3 Code System ActSite
type: CodeSystem
label: v3 Code System ActSite
comment: An anatomical location on an organism which can be the focus of an act.
description: An anatomical location on an organism which can be the focus of an act.
date: Mon Nov 30 00:00:00 AEDT 2015

HumanActSite
sub class of: ActSite
label: HumanActSite
comment: An anatomical location on a human which can be the focus of an act.
description: An anatomical location on a human which can be the focus of an act.

HumanSubstanceAdministrationSite
sub class of: HumanActSite
label: HumanSubstanceAdministrationSite
comment: The set of body locations to or through which a drug product may be administered.
description: The set of body locations to or through which a drug product may be administered.

bilateral ears
sub class of: HumanSubstanceAdministrationSite
label: bilateral ears
comment: bilateral ears
description: bilateral ears

bilateral nares
sub class of: HumanSubstanceAdministrationSite
label: bilateral nares
comment: bilateral nares
description: bilateral nares

buttock
sub class of: HumanSubstanceAdministrationSite
label: buttock
comment: buttock
description: buttock

left arm
sub class of: HumanSubstanceAdministrationSite
label: left arm
comment: left arm
description: left arm

left anterior chest
sub class of: HumanSubstanceAdministrationSite
label: left anterior chest
comment: left anterior chest
description: left anterior chest

left antecubital fossa
sub class of: HumanSubstanceAdministrationSite
label: left antecubital fossa
comment: left antecubital fossa
description: left antecubital fossa

left deltoid
sub class of: HumanSubstanceAdministrationSite
label: left deltoid
comment: left deltoid
description: left deltoid

left ear
sub class of: HumanSubstanceAdministrationSite
label: left ear
comment: left ear
description: left ear

left external jugular
sub class of: HumanSubstanceAdministrationSite
label: left external jugular
comment: left external jugular
description: left external jugular

left foot
sub class of: HumanSubstanceAdministrationSite
label: left foot
comment: left foot
description: left foot

left gluteus medius
sub class of: HumanSubstanceAdministrationSite
label: left gluteus medius
comment: left gluteus medius
description: left gluteus medius

left hand
sub class of: HumanSubstanceAdministrationSite
label: left hand
comment: left hand
description: left hand

left internal jugular
sub class of: HumanSubstanceAdministrationSite
label: left internal jugular
comment: left internal jugular
description: left internal jugular

left lower abd quadrant
sub class of: HumanSubstanceAdministrationSite
label: left lower abd quadrant
comment: left lower abd quadrant
description: left lower abd quadrant

left lower forearm
sub class of: HumanSubstanceAdministrationSite
label: left lower forearm
comment: left lower forearm
description: left lower forearm

left mid forearm
sub class of: HumanSubstanceAdministrationSite
label: left mid forearm
comment: left mid forearm
description: left mid forearm

left naris
sub class of: HumanSubstanceAdministrationSite
label: left naris
comment: left naris
description: left naris

left posterior chest
sub class of: HumanSubstanceAdministrationSite
label: left posterior chest
comment: left posterior chest
description: left posterior chest

left subclavian
sub class of: HumanSubstanceAdministrationSite
label: left subclavian
comment: left subclavian
description: left subclavian

left thigh
sub class of: HumanSubstanceAdministrationSite
label: left thigh
comment: left thigh
description: left thigh

left upper arm
sub class of: HumanSubstanceAdministrationSite
label: left upper arm
comment: left upper arm
description: left upper arm

left upper abd quadrant
sub class of: HumanSubstanceAdministrationSite
label: left upper abd quadrant
comment: left upper abd quadrant
description: left upper abd quadrant

left upper forearm
sub class of: HumanSubstanceAdministrationSite
label: left upper forearm
comment: left upper forearm
description: left upper forearm

left ventragluteal
sub class of: HumanSubstanceAdministrationSite
label: left ventragluteal
comment: left ventragluteal
description: left ventragluteal

left vastus lateralis
sub class of: HumanSubstanceAdministrationSite
label: left vastus lateralis
comment: left vastus lateralis
description: left vastus lateralis

right eye
sub class of: HumanSubstanceAdministrationSite
label: right eye
comment: right eye
description: right eye

left eye
sub class of: HumanSubstanceAdministrationSite
label: left eye
comment: left eye
description: left eye

bilateral eyes
sub class of: HumanSubstanceAdministrationSite
label: bilateral eyes
comment: bilateral eyes
description: bilateral eyes

perianal
sub class of: HumanSubstanceAdministrationSite
label: perianal
comment: perianal
description: perianal

perineal
sub class of: HumanSubstanceAdministrationSite
label: perineal
comment: perineal
description: perineal

right arm
sub class of: HumanSubstanceAdministrationSite
label: right arm
comment: right arm
description: right arm

right anterior chest
sub class of: HumanSubstanceAdministrationSite
label: right anterior chest
comment: right anterior chest
description: right anterior chest

right antecubital fossa
sub class of: HumanSubstanceAdministrationSite
label: right antecubital fossa
comment: right antecubital fossa
description: right antecubital fossa

right deltoid
sub class of: HumanSubstanceAdministrationSite
label: right deltoid
comment: right deltoid
description: right deltoid

right ear
sub class of: HumanSubstanceAdministrationSite
label: right ear
comment: right ear
description: right ear

right external jugular
sub class of: HumanSubstanceAdministrationSite
label: right external jugular
comment: right external jugular
description: right external jugular

right foot
sub class of: HumanSubstanceAdministrationSite
label: right foot
comment: right foot
description: right foot

right gluteus medius
sub class of: HumanSubstanceAdministrationSite
label: right gluteus medius
comment: right gluteus medius
description: right gluteus medius

right hand
sub class of: HumanSubstanceAdministrationSite
label: right hand
comment: right hand
description: right hand

right internal jugular
sub class of: HumanSubstanceAdministrationSite
label: right internal jugular
comment: right internal jugular
description: right internal jugular

right lower abd quadrant
sub class of: HumanSubstanceAdministrationSite
label: right lower abd quadrant
comment: right lower abd quadrant
description: right lower abd quadrant

right lower forearm
sub class of: HumanSubstanceAdministrationSite
label: right lower forearm
comment: right lower forearm
description: right lower forearm

right mid forearm
sub class of: HumanSubstanceAdministrationSite
label: right mid forearm
comment: right mid forearm
description: right mid forearm

right naris
sub class of: HumanSubstanceAdministrationSite
label: right naris
comment: right naris
description: right naris

right posterior chest
sub class of: HumanSubstanceAdministrationSite
label: right posterior chest
comment: right posterior chest
description: right posterior chest

right subclavian
sub class of: HumanSubstanceAdministrationSite
label: right subclavian
comment: right subclavian
description: right subclavian

right thigh
sub class of: HumanSubstanceAdministrationSite
label: right thigh
comment: right thigh
description: right thigh

right upper arm
sub class of: HumanSubstanceAdministrationSite
label: right upper arm
comment: right upper arm
description: right upper arm

right upper abd quadrant
sub class of: HumanSubstanceAdministrationSite
label: right upper abd quadrant
comment: right upper abd quadrant
description: right upper abd quadrant

right upper forearm
sub class of: HumanSubstanceAdministrationSite
label: right upper forearm
comment: right upper forearm
description: right upper forearm

right ventragluteal
sub class of: HumanSubstanceAdministrationSite
label: right ventragluteal
comment: right ventragluteal
description: right ventragluteal

right vastus lateralis
sub class of: HumanSubstanceAdministrationSite
label: right vastus lateralis
comment: right vastus lateralis
description: right vastus lateralis

v3 Code System ActStatus
type: ValueSet
version: 2015-11-30
label: v3 Code System ActStatus
comment: Codes representing the defined possible states of an Act, as defined by the Act class state machine.
description: Codes representing the defined possible states of an Act, as defined by the Act class state machine.
date: 2015-11-30
status: active
canonical status: active
include: ActStatus

v3 Code System ActStatus
type: CodeSystem
label: v3 Code System ActStatus
comment: Codes representing the defined possible states of an Act, as defined by the Act class state machine.
description: Codes representing the defined possible states of an Act, as defined by the Act class state machine.
date: Mon Nov 30 00:00:00 AEDT 2015

normal
sub class of: ActStatus
label: normal
comment: Encompasses the expected states of an Act, but excludes "nullified" and "obsolete" which represent unusual terminal states for the life-cycle.
description: Encompasses the expected states of an Act, but excludes "nullified" and "obsolete" which represent unusual terminal states for the life-cycle.

aborted
sub class of: normal
label: aborted
comment: The Act has been terminated prior to the originally intended completion.
description: The Act has been terminated prior to the originally intended completion.

active
sub class of: normal
label: active
comment: The Act can be performed or is being performed
description: The Act can be performed or is being performed

cancelled
sub class of: normal
label: cancelled
comment: The Act has been abandoned before activation.
description: The Act has been abandoned before activation.

completed
sub class of: normal
label: completed
comment: An Act that has terminated normally after all of its constituents have been performed.
description: An Act that has terminated normally after all of its constituents have been performed.

held
sub class of: normal
label: held
comment: An Act that is still in the preparatory stages has been put aside. No action can occur until the Act is released.
description: An Act that is still in the preparatory stages has been put aside. No action can occur until the Act is released.

new
sub class of: normal
label: new
comment: An Act that is in the preparatory stages and may not yet be acted upon
description: An Act that is in the preparatory stages and may not yet be acted upon

suspended
sub class of: normal
label: suspended
comment: An Act that has been activated (actions could or have been performed against it), but has been temporarily disabled. No further action should be taken against it until it is released
description: An Act that has been activated (actions could or have been performed against it), but has been temporarily disabled. No further action should be taken against it until it is released

nullified
sub class of: ActStatus
label: nullified
comment: This Act instance was created in error and has been 'removed' and is treated as though it never existed. A record is retained for audit purposes only.
description: This Act instance was created in error and has been 'removed' and is treated as though it never existed. A record is retained for audit purposes only.

obsolete
sub class of: ActStatus
label: obsolete
comment: This Act instance has been replaced by a new instance.
description: This Act instance has been replaced by a new instance.

ActSubstanceAdminSubstitutionCode
type: ValueSet
version: 2014-03-26
label: ActSubstanceAdminSubstitutionCode
comment: No Description Provided
description: No Description Provided
status: active
canonical status: active

v3 Code System ActUSPrivacyLaw
type: ValueSet
version: 2015-11-30
label: v3 Code System ActUSPrivacyLaw
comment: Description: A jurisdictional mandate in the US relating to privacy.
description: Description: A jurisdictional mandate in the US relating to privacy.
date: 2015-11-30
status: active
canonical status: active
include: ActUSPrivacyLaw

v3 Code System ActUSPrivacyLaw
type: CodeSystem
label: v3 Code System ActUSPrivacyLaw
comment: Description: A jurisdictional mandate in the US relating to privacy.
description: Description: A jurisdictional mandate in the US relating to privacy.
date: Mon Nov 30 00:00:00 AEDT 2015

ActUSPrivacyLaw
sub class of: ActUSPrivacyLaw
label: ActUSPrivacyLaw
comment: Definition: A jurisdictional mandate in the U.S. relating to privacy. Usage Note: ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies. May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1.
description: Definition: A jurisdictional mandate in the U.S. relating to privacy. Usage Note: ActPrivacyLaw codes may be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies. May be used to further specify rationale for assignment of other ActPrivacyPolicy codes in the US realm, e.g., ETH and 42CFRPart2 can be differentiated from ETH and Title38Part1.

42 CFR Part2
sub class of: ActUSPrivacyLaw
label: 42 CFR Part2
comment: 42 CFR Part 2 stipulates the right of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program. Definition: Non-disclosure of health information relating to health care paid for by a federally assisted substance abuse program without patient consent. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.
description: 42 CFR Part 2 stipulates the right of an individual who has applied for or been given diagnosis or treatment for alcohol or drug abuse at a federally assisted program. Definition: Non-disclosure of health information relating to health care paid for by a federally assisted substance abuse program without patient consent. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.

Common Rule
sub class of: ActUSPrivacyLaw
label: Common Rule
comment: U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46) that has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements. Definition: U.S. federal laws governing research-related privacy policies. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.
description: U.S. Federal regulations governing the protection of human subjects in research (codified at Subpart A of 45 CFR part 46) that has been adopted by 15 U.S. Federal departments and agencies in an effort to promote uniformity, understanding, and compliance with human subject protections. Existing regulations governing the protection of human subjects in Food and Drug Administration (FDA)-regulated research (21 CFR parts 50, 56, 312, and 812) are separate from the Common Rule but include similar requirements. Definition: U.S. federal laws governing research-related privacy policies. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.

HIPAA notice of privacy practices
sub class of: ActUSPrivacyLaw
label: HIPAA notice of privacy practices
comment: The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Subpart E) permits access, use and disclosure of certain personal health information (PHI as defined under the law) for purposes of Treatment, Payment, and Operations, and requires that the provider ask that patients acknowledge the Provider's Notice of Privacy Practices as permitted conduct under the law. Definition: Notification of HIPAA Privacy Practices. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.
description: The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Subpart E) permits access, use and disclosure of certain personal health information (PHI as defined under the law) for purposes of Treatment, Payment, and Operations, and requires that the provider ask that patients acknowledge the Provider's Notice of Privacy Practices as permitted conduct under the law. Definition: Notification of HIPAA Privacy Practices. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialtyCode complies.

HIPAA psychotherapy notes
sub class of: ActUSPrivacyLaw
label: HIPAA psychotherapy notes
comment: The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Section 164.508) requires authorization for certain uses and disclosure of psychotherapy notes. Definition: Authorization that must be obtained for disclosure of psychotherapy notes. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.
description: The U.S. Public Law 104-191 Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule (45 CFR Part 164 Section 164.508) requires authorization for certain uses and disclosure of psychotherapy notes. Definition: Authorization that must be obtained for disclosure of psychotherapy notes. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.

HIPAA self-pay
sub class of: ActUSPrivacyLaw
label: HIPAA self-pay
comment: Section 13405(a) of the Health Information Technology for Economic and Clinical Health Act (HITECH) stipulates the right of an individual to have disclosures regarding certain health care items or services for which the individual pays out of pocket in full restricted from a health plan. Definition: Non-disclosure of health information to a health plan relating to health care items or services for which an individual pays out of pocket in full. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.
description: Section 13405(a) of the Health Information Technology for Economic and Clinical Health Act (HITECH) stipulates the right of an individual to have disclosures regarding certain health care items or services for which the individual pays out of pocket in full restricted from a health plan. Definition: Non-disclosure of health information to a health plan relating to health care items or services for which an individual pays out of pocket in full. Usage Note: May be associated with an Act or a Role to indicate the legal provision to which the assignment of an Act.confidentialityCode or Role.confidentialityCode complies.

Title 38 Section 7332
sub class of: ActUSPrivacyLaw
label: Title 38 Section 7332
comment: Title 38 Part 1-protected information may only be disclosed to a third party with the special written consent of the patient except where expressly authorized by 38 USC 7332. VA may disclose this information for specific purposes to: VA employees on a need to know basis - more restrictive than Privacy Act need to know; contractors who need the information in order to perform or fulfill the duties of the contract; and researchers who provide assurances that the information will not be identified in any report. This information may also be disclosed without consent where patient lacks decision-making capacity; in a medical emergency for the purpose of treating a condition which poses an immediate threat to the health of any individual and which requires immediate medical intervention; for eye, tissue, or organ donation purposes; and disclosure of HIV information for public health purposes. Definition: Title 38 Part 1 - §1.462 Confidentiality restrictions. (a) General. The patient records to which §§1.460 through 1.499 of this part apply may be disclosed or used only as permitted by these regulations and may not otherwise be disclosed or used in any civil, criminal, administrative, or legislative proceedings conducted by any Federal, State, or local authority. Any disclosure made under these regulations must be limited to that information which is necessary to carry out the purpose of the disclosure. SUBCHAPTER III--PROTECTION OF PATIENT RIGHTS Sec. 7332. Confidentiality of certain medical records (a)(1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in subsections (…
description: Title 38 Part 1-protected information may only be disclosed to a third party with the special written consent of the patient except where expressly authorized by 38 USC 7332. VA may disclose this information for specific purposes to: VA employees on a need to know basis - more restrictive than Privacy Act need to know; contractors who need the information in order to perform or fulfill the duties of the contract; and researchers who provide assurances that the information will not be identified in any report. This information may also be disclosed without consent where patient lacks decision-making capacity; in a medical emergency for the purpose of treating a condition which poses an immediate threat to the health of any individual and which requires immediate medical intervention; for eye, tissue, or organ donation purposes; and disclosure of HIV information for public health purposes. Definition: Title 38 Part 1 - §1.462 Confidentiality restrictions. (a) General. The patient records to which §§1.460 through 1.499 of this part apply may be disclosed or used only as permitted by these regulations and may not otherwise be disclosed or used in any civil, criminal, administrative, or legislative proceedings conducted by any Federal, State, or local authority. Any disclosure made under these regulations must be limited to that information which is necessary to carry out the purpose of the disclosure. SUBCHAPTER III--PROTECTION OF PATIENT RIGHTS Sec. 7332. Confidentiality of certain medical records (a)(1) Records of the identity, diagnosis, prognosis, or treatment of any patient or subject which are maintained in connection with the performance of any program or activity (including education, training, treatment, rehabilitation, or research) relating to drug abuse, alcoholism or alcohol abuse, infection with the human immunodeficiency virus, or sickle cell anemia which is carried out by or for the Department under this title shall, except as provided in subsections (…

v3 Code System ActUncertainty
type: ValueSet
version: 2015-11-30
label: v3 Code System ActUncertainty
comment: OpenIssue: Missing Description
description: OpenIssue: Missing Description
date: 2015-11-30
status: active
canonical status: active
include: ActUncertainty

v3 Code System ActUncertainty
type: CodeSystem
label: v3 Code System ActUncertainty
comment: OpenIssue: Missing Description
description: OpenIssue: Missing Description
date: Mon Nov 30 00:00:00 AEDT 2015

stated with no assertion of uncertainty
sub class of: ActUncertainty
label: stated with no assertion of uncertainty
comment: Specifies that the act statement is made without explicit tagging of uncertainty. This is the normal statement, meaning that it is not free of errors and uncertainty may still exist.
description: Specifies that the act statement is made without explicit tagging of uncertainty. This is the normal statement, meaning that it is not free of errors and uncertainty may still exist.

stated with uncertainty
sub class of: ActUncertainty
label: stated with uncertainty
comment: Specifies that the originator of the Act statement does not have full confidence in the applicability (i.e., in event mood: factual truth) of the statement.
description: Specifies that the originator of the Act statement does not have full confidence in the applicability (i.e., in event mood: factual truth) of the statement.

v3 Code System AddressPartType
type: ValueSet
version: 2015-11-30
label: v3 Code System AddressPartType
comment: Description: Code that specifies whether an address part names the street, city, country, postal code, post box, etc. Discussion: The hierarchical nature of these concepts shows composition. E.g. "Street Name" is part of "Street Address Line"
description: Description: Code that specifies whether an address part names the street, city, country, postal code, post box, etc. Discussion: The hierarchical nature of these concepts shows composition. E.g. "Street Name" is part of "Street Address Line"
date: 2015-11-30
status: active
canonical status: active
include: AddressPartType

v3 Code System AddressPartType
type: CodeSystem
label: v3 Code System AddressPartType
comment: Description: Code that specifies whether an address part names the street, city, country, postal code, post box, etc. Discussion: The hierarchical nature of these concepts shows composition. E.g. "Street Name" is part of "Street Address Line"
description: Description: Code that specifies whether an address part names the street, city, country, postal code, post box, etc. Discussion: The hierarchical nature of these concepts shows composition. E.g. "Street Name" is part of "Street Address Line"
date: Mon Nov 30 00:00:00 AEDT 2015

additional locator
sub class of: AddressPartType
label: additional locator
comment: This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).
description: This can be a unit designator, such as apartment number, suite number, or floor. There may be several unit designators in an address (e.g., "3rd floor, Appt. 342"). This can also be a designator pointing away from the location, rather than specifying a smaller location within some larger one (e.g., Dutch "t.o." means "opposite to" for house boats located across the street facing houses).

address line
sub class of: AddressPartType
label: address line
comment: Description: An address line is for either an additional locator, a delivery address or a street address.
description: Description: An address line is for either an additional locator, a delivery address or a street address.

delivery address line
sub class of: address line
label: delivery address line
comment: A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both.
description: A delivery address line is frequently used instead of breaking out delivery mode, delivery installation, etc. An address generally has only a delivery address line or a street address line, but not both.

street address line
sub class of: address line
label: street address line
comment: Description: A street address line is frequently used instead of breaking out build number, street name, street type, etc. An address generally has only a delivery address line or a street address line, but not both.
description: Description: A street address line is frequently used instead of breaking out build number, street name, street type, etc. An address generally has only a delivery address line or a street address line, but not both.

building number numeric
sub class of: AddressPartType
label: building number numeric
comment: The numeric portion of a building number
description: The numeric portion of a building number

building number
sub class of: AddressPartType
label: building number
comment: The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.
description: The number of a building, house or lot alongside the street. Also known as "primary street number". This does not number the street but rather the building.

building number suffix
sub class of: AddressPartType
label: building number suffix
comment: Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number
description: Any alphabetic character, fraction or other text that may appear after the numeric portion of a building number

care of
sub class of: AddressPartType
label: care of
comment: The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient
description: The name of the party who will take receipt at the specified address, and will take on responsibility for ensuring delivery to the target recipient

census tract
sub class of: AddressPartType
label: census tract
comment: A geographic sub-unit delineated for demographic purposes.
description: A geographic sub-unit delineated for demographic purposes.

country
sub class of: AddressPartType
label: country
comment: Country
description: Country

county or parish
sub class of: AddressPartType
label: county or parish
comment: A sub-unit of a state or province. (49 of the United States of America use the term "county;" Louisiana uses the term "parish".)
description: A sub-unit of a state or province. (49 of the United States of America use the term "county;" Louisiana uses the term "parish".)

municipality
sub class of: AddressPartType
label: municipality
comment: The name of the city, town, village, or other community or delivery center
description: The name of the city, town, village, or other community or delivery center

delimiter
sub class of: AddressPartType
label: delimiter
comment: Delimiters are printed without framing white space. If no value component is provided, the delimiter appears as a line break.
description: Delimiters are printed without framing white space. If no value component is provided, the delimiter appears as a line break.

delivery installation type
sub class of: AddressPartType
label: delivery installation type
comment: Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc.
description: Indicates the type of delivery installation (the facility to which the mail will be delivered prior to final shipping via the delivery mode.) Example: post office, letter carrier depot, community mail center, station, etc.

delivery installation area
sub class of: AddressPartType
label: delivery installation area
comment: The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route.
description: The location of the delivery installation, usually a town or city, and is only required if the area is different from the municipality. Area to which mail delivery service is provided from any postal facility or service such as an individual letter carrier, rural route, or postal route.

delivery installation qualifier
sub class of: AddressPartType
label: delivery installation qualifier
comment: A number, letter or name identifying a delivery installation. E.g., for Station A, the delivery installation qualifier would be 'A'.
description: A number, letter or name identifying a delivery installation. E.g., for Station A, the delivery installation qualifier would be 'A'.

direction
sub class of: AddressPartType
label: direction
comment: Direction (e.g., N, S, W, E)
description: Direction (e.g., N, S, W, E)

delivery mode
sub class of: AddressPartType
label: delivery mode
comment: Indicates the type of service offered, method of delivery. For example: post office box, rural route, general delivery, etc.
description: Indicates the type of service offered, method of delivery. For example: post office box, rural route, general delivery, etc.

delivery mode identifier
sub class of: AddressPartType
label: delivery mode identifier
comment: Represents the routing information such as a letter carrier route number. It is the identifying number of the designator (the box number or rural route number).
description: Represents the routing information such as a letter carrier route number. It is the identifying number of the designator (the box number or rural route number).

delivery point identifier
sub class of: AddressPartType
label: delivery point identifier
comment: A value that uniquely identifies the postal address.
description: A value that uniquely identifies the postal address.

intersection
sub class of: AddressPartType
label: intersection
comment: Description:An intersection denotes that the actual address is located AT or CLOSE TO the intersection OF two or more streets.
description: Description:An intersection denotes that the actual address is located AT or CLOSE TO the intersection OF two or more streets.

post box
sub class of: AddressPartType
label: post box
comment: A numbered box located in a post station.
description: A numbered box located in a post station.

precinct
sub class of: AddressPartType
label: precinct
comment: A subsection of a municipality
description: A subsection of a municipality

state or province
sub class of: AddressPartType
label: state or province
comment: A sub-unit of a country with limited sovereignty in a federally organized country.
description: A sub-unit of a country with limited sovereignty in a federally organized country.

street name base
sub class of: AddressPartType
label: street name base
comment: The base name of a roadway or artery recognized by a municipality (excluding street type and direction)
description: The base name of a roadway or artery recognized by a municipality (excluding street type and direction)

street name
sub class of: AddressPartType
label: street name
comment: street name
description: street name

street type
sub class of: AddressPartType
label: street type
comment: The designation given to the street. (e.g. Street, Avenue, Crescent, etc.)
description: The designation given to the street. (e.g. Street, Avenue, Crescent, etc.)

unit identifier
sub class of: AddressPartType
label: unit identifier
comment: The number or name of a specific unit contained within a building or complex, as assigned by that building or complex.
description: The number or name of a specific unit contained within a building or complex, as assigned by that building or complex.

unit designator
sub class of: AddressPartType
label: unit designator
comment: Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor
description: Indicates the type of specific unit contained within a building or complex. E.g. Appartment, Floor

postal code
sub class of: AddressPartType
label: postal code
comment: A postal code designating a region defined by the postal service.
description: A postal code designating a region defined by the postal service.

v3 Code System AddressUse
type: ValueSet
version: 2015-11-30
label: v3 Code System AddressUse
comment: Codes that provide guidance around the circumstances in which a given address should be used.
description: Codes that provide guidance around the circumstances in which a given address should be used.
date: 2015-11-30
status: active
canonical status: active
include: AddressUse

v3 Code System AddressUse
type: CodeSystem
label: v3 Code System AddressUse
comment: Codes that provide guidance around the circumstances in which a given address should be used.
description: Codes that provide guidance around the circumstances in which a given address should be used.
date: Mon Nov 30 00:00:00 AEDT 2015

_GeneralAddressUse
sub class of: AddressUse
label: _GeneralAddressUse
comment: Description: Address uses that can apply to both postal and telecommunication addresses.
description: Description: Address uses that can apply to both postal and telecommunication addresses.

bad address
sub class of: _GeneralAddressUse
label: bad address
comment: Description: A flag indicating that the address is bad, in fact, useless.
description: Description: A flag indicating that the address is bad, in fact, useless.

confidential address
sub class of: _GeneralAddressUse
label: confidential address
comment: Description: Indicates that the address is considered sensitive and should only be shared or published in accordance with organizational controls governing patient demographic information with increased sensitivity. Uses of Addresses. Lloyd to supply more complete description.
description: Description: Indicates that the address is considered sensitive and should only be shared or published in accordance with organizational controls governing patient demographic information with increased sensitivity. Uses of Addresses. Lloyd to supply more complete description.

home address
sub class of: _GeneralAddressUse
label: home address
comment: Description: A communication address at a home, attempted contacts for business purposes might intrude privacy and chances are one will contact family or other household members instead of the person one wishes to call. Typically used with urgent cases, or if no other contacts are available.
description: Description: A communication address at a home, attempted contacts for business purposes might intrude privacy and chances are one will contact family or other household members instead of the person one wishes to call. Typically used with urgent cases, or if no other contacts are available.

primary home
sub class of: home address
label: primary home
comment: Description: The primary home, to reach a person after business hours.
description: Description: The primary home, to reach a person after business hours.

vacation home
sub class of: home address
label: vacation home
comment: Description: A vacation home, to reach a person while on vacation.
description: Description: A vacation home, to reach a person while on vacation.

no longer in use
sub class of: _GeneralAddressUse
label: no longer in use
comment: This address is no longer in use. Usage Note: Address may also carry valid time ranges. This code is used to cover the situations where it is known that the address is no longer valid, but no particular time range for its use is known.
description: This address is no longer in use. Usage Note: Address may also carry valid time ranges. This code is used to cover the situations where it is known that the address is no longer valid, but no particular time range for its use is known.

temporary address
sub class of: _GeneralAddressUse
label: temporary address
comment: Description: A temporary address, may be good for visit or mailing. Note that an address history can provide more detailed information.
description: Description: A temporary address, may be good for visit or mailing. Note that an address history can provide more detailed information.

work place
sub class of: _GeneralAddressUse
label: work place
comment: Description: An office address. First choice for business related contacts during business hours.
description: Description: An office address. First choice for business related contacts during business hours.

direct
sub class of: work place
label: direct
comment: Description: Indicates a work place address or telecommunication address that reaches the individual or organization directly without intermediaries. For phones, often referred to as a 'private line'.
description: Description: Indicates a work place address or telecommunication address that reaches the individual or organization directly without intermediaries. For phones, often referred to as a 'private line'.

public
sub class of: work place
label: public
comment: Description: Indicates a work place address or telecommunication address that is a 'standard' address which may reach a reception service, mail-room, or other intermediary prior to the target entity.
description: Description: Indicates a work place address or telecommunication address that is a 'standard' address which may reach a reception service, mail-room, or other intermediary prior to the target entity.

_PostalAddressUse
sub class of: AddressUse
label: _PostalAddressUse
comment: Description: Address uses that only apply to postal addresses, not telecommunication addresses.
description: Description: Address uses that only apply to postal addresses, not telecommunication addresses.

physical visit address
sub class of: _PostalAddressUse
label: physical visit address
comment: Description: Used primarily to visit an address.
description: Description: Used primarily to visit an address.

postal address
sub class of: _PostalAddressUse
label: postal address
comment: Description: Used to send mail.
description: Description: Used to send mail.

_TelecommunicationAddressUse
sub class of: AddressUse
label: _TelecommunicationAddressUse
comment: Description: Address uses that only apply to telecommunication addresses, not postal addresses.
description: Description: Address uses that only apply to telecommunication addresses, not postal addresses.

answering service
sub class of: _TelecommunicationAddressUse
label: answering service
comment: Description: An automated answering machine used for less urgent cases and if the main purpose of contact is to leave a message or access an automated announcement.
description: Description: An automated answering machine used for less urgent cases and if the main purpose of contact is to leave a message or access an automated announcement.

emergency contact
sub class of: _TelecommunicationAddressUse
label: emergency contact
comment: Description: A contact specifically designated to be used for emergencies. This is the first choice in emergencies, independent of any other use codes.
description: Description: A contact specifically designated to be used for emergencies. This is the first choice in emergencies, independent of any other use codes.

mobile contact)
sub class of: _TelecommunicationAddressUse
label: mobile contact)
comment: Description: A telecommunication device that moves and stays with its owner. May have characteristics of all other use codes, suitable for urgent matters, not the first choice for routine business.
description: Description: A telecommunication device that moves and stays with its owner. May have characteristics of all other use codes, suitable for urgent matters, not the first choice for routine business.

pager
sub class of: _TelecommunicationAddressUse
label: pager
comment: Description: A paging device suitable to solicit a callback or to leave a very short message.
description: Description: A paging device suitable to solicit a callback or to leave a very short message.

v3 Code System AdministrativeGender
type: ValueSet
version: 2015-11-30
label: v3 Code System AdministrativeGender
comment: The gender of a person used for adminstrative purposes (as opposed to clinical gender)
description: The gender of a person used for adminstrative purposes (as opposed to clinical gender)
date: 2015-11-30
status: active
canonical status: active
include: AdministrativeGender

v3 Code System AdministrativeGender
type: CodeSystem
label: v3 Code System AdministrativeGender
comment: The gender of a person used for adminstrative purposes (as opposed to clinical gender)
description: The gender of a person used for adminstrative purposes (as opposed to clinical gender)
date: Mon Nov 30 00:00:00 AEDT 2015

Female
sub class of: AdministrativeGender
label: Female
comment: Female
description: Female

Male
sub class of: AdministrativeGender
label: Male
comment: Male
description: Male

Undifferentiated
sub class of: AdministrativeGender
label: Undifferentiated
comment: The gender of a person could not be uniquely defined as male or female, such as hermaphrodite.
description: The gender of a person could not be uniquely defined as male or female, such as hermaphrodite.

v3 Code System AmericanIndianAlaskaNativeLanguages
type: ValueSet
version: 2015-11-30
label: v3 Code System AmericanIndianAlaskaNativeLanguages
comment: American Indian and Alaska Native languages currently being used in the United States.
description: American Indian and Alaska Native languages currently being used in the United States.
date: 2015-11-30
status: active
canonical status: active
include: AmericanIndianAlaskaNativeLanguages

v3 Code System AmericanIndianAlaskaNativeLanguages
type: CodeSystem
label: v3 Code System AmericanIndianAlaskaNativeLanguages
comment: American Indian and Alaska Native languages currently being used in the United States.
description: American Indian and Alaska Native languages currently being used in the United States.
date: Mon Nov 30 00:00:00 AEDT 2015

Algic
sub class of: AmericanIndianAlaskaNativeLanguages
label: Algic
comment: Algic
description: Algic

Algonquian
sub class of: Algic
label: Algonquian
comment: Algonquian
description: Algonquian

Arapahoan
sub class of: Algonquian
label: Arapahoan
comment: Arapahoan
description: Arapahoan

ArapahoGrosVentre
sub class of: Arapahoan
label: ArapahoGrosVentre
comment: ArapahoGrosVentre
description: ArapahoGrosVentre

Arapaho
sub class of: ArapahoGrosVentre
label: Arapaho
comment: Arapaho
description: Arapaho

Gros Ventre
sub class of: ArapahoGrosVentre
label: Gros Ventre
comment: Gros Ventre
description: Gros Ventre

CreeMontagnais
sub class of: Algonquian
label: CreeMontagnais
comment: CreeMontagnais
description: CreeMontagnais

Cree
sub class of: CreeMontagnais
label: Cree
comment: Cree
description: Cree

Western Cree
sub class of: Cree
label: Western Cree
comment: Western Cree
description: Western Cree

EasternAlgonquin
sub class of: Algonquian
label: EasternAlgonquin
comment: EasternAlgonquin
description: EasternAlgonquin

Abenakian
sub class of: EasternAlgonquin
label: Abenakian
comment: Abenakian
description: Abenakian

Eastern Abenaki
sub class of: Abenakian
label: Eastern Abenaki
comment: Eastern Abenaki
description: Eastern Abenaki

Western Abenaki
sub class of: Abenakian
label: Western Abenaki
comment: Western Abenaki
description: Western Abenaki

Maliseet-Passamaquoddy
sub class of: Abenakian
label: Maliseet-Passamaquoddy
comment: Maliseet-Passamaquoddy
description: Maliseet-Passamaquoddy

Delawaran
sub class of: EasternAlgonquin
label: Delawaran
comment: Delawaran
description: Delawaran

Unami Delaware
sub class of: Delawaran
label: Unami Delaware
comment: Unami Delaware
description: Unami Delaware

Micmac
sub class of: EasternAlgonquin
label: Micmac
comment: Micmac
description: Micmac

Ojibwayan
sub class of: Algonquian
label: Ojibwayan
comment: Ojibwayan
description: Ojibwayan

Southern Ojibwa
sub class of: Ojibwayan
label: Southern Ojibwa
comment: Southern Ojibwa
description: Southern Ojibwa

Potawatami
sub class of: Ojibwayan
label: Potawatami
comment: Potawatami
description: Potawatami

SaukFoxKickapoo
sub class of: Algonquian
label: SaukFoxKickapoo
comment: SaukFoxKickapoo
description: SaukFoxKickapoo

Kickapoo
sub class of: SaukFoxKickapoo
label: Kickapoo
comment: Kickapoo
description: Kickapoo

Mesquakie
sub class of: SaukFoxKickapoo
label: Mesquakie
comment: Mesquakie
description: Mesquakie

Shawnee
sub class of: SaukFoxKickapoo
label: Shawnee
comment: Shawnee
description: Shawnee

Blackfoot
sub class of: Algonquian
label: Blackfoot
comment: Blackfoot
description: Blackfoot

Cheyenne
sub class of: Algonquian
label: Cheyenne
comment: Cheyenne
description: Cheyenne

Menominee
sub class of: Algonquian
label: Menominee
comment: Menominee
description: Menominee

Ritwan
sub class of: Algic
label: Ritwan
comment: Ritwan
description: Ritwan

Yurok
sub class of: Ritwan
label: Yurok
comment: Yurok
description: Yurok

Caddoan
sub class of: AmericanIndianAlaskaNativeLanguages
label: Caddoan
comment: Caddoan
description: Caddoan

NorthernCaddoan
sub class of: Caddoan
label: NorthernCaddoan
comment: NorthernCaddoan
description: NorthernCaddoan

Arikara
sub class of: NorthernCaddoan
label: Arikara
comment: Arikara
description: Arikara

Pawnee
sub class of: NorthernCaddoan
label: Pawnee
comment: Pawnee
description: Pawnee

Wichita
sub class of: NorthernCaddoan
label: Wichita
comment: Wichita
description: Wichita

SouthernCaddoan
sub class of: Caddoan
label: SouthernCaddoan
comment: SouthernCaddoan
description: SouthernCaddoan

Caddo
sub class of: SouthernCaddoan
label: Caddo
comment: Caddo
description: Caddo

Chimakuan
sub class of: AmericanIndianAlaskaNativeLanguages
label: Chimakuan
comment: Chimakuan
description: Chimakuan

Quileute
sub class of: Chimakuan
label: Quileute
comment: Quileute
description: Quileute

EskimoAleut
sub class of: AmericanIndianAlaskaNativeLanguages
label: EskimoAleut
comment: EskimoAleut
description: EskimoAleut

Aleut
sub class of: EskimoAleut
label: Aleut
comment: Aleut
description: Aleut

Aleut
sub class of: Aleut
label: Aleut
comment: Aleut
description: Aleut

Eskimoan
sub class of: EskimoAleut
label: Eskimoan
comment: Eskimoan
description: Eskimoan

InuitInupiaq
sub class of: Eskimoan
label: InuitInupiaq
comment: InuitInupiaq
description: InuitInupiaq

North Alaskan Inuktitut
sub class of: InuitInupiaq
label: North Alaskan Inuktitut
comment: North Alaskan Inuktitut
description: North Alaskan Inuktitut

Northwest Alaska Inuktitut
sub class of: InuitInupiaq
label: Northwest Alaska Inuktitut
comment: Northwest Alaska Inuktitut
description: Northwest Alaska Inuktitut

SirenikskiYupik
sub class of: Eskimoan
label: SirenikskiYupik
comment: SirenikskiYupik
description: SirenikskiYupik

Pacific Yupik Gulf
sub class of: SirenikskiYupik
label: Pacific Yupik Gulf
comment: Pacific Yupik Gulf
description: Pacific Yupik Gulf

Central Siberian Yupik
sub class of: SirenikskiYupik
label: Central Siberian Yupik
comment: Central Siberian Yupik
description: Central Siberian Yupik

Central Alaskan Yupik
sub class of: SirenikskiYupik
label: Central Alaskan Yupik
comment: Central Alaskan Yupik
description: Central Alaskan Yupik

Hokan
sub class of: AmericanIndianAlaskaNativeLanguages
label: Hokan
comment: Hokan
description: Hokan

CochimiYuman
sub class of: Hokan
label: CochimiYuman
comment: CochimiYuman
description: CochimiYuman

Yuman
sub class of: CochimiYuman
label: Yuman
comment: Yuman
description: Yuman

DeltaCalifornia
sub class of: Yuman
label: DeltaCalifornia
comment: DeltaCalifornia
description: DeltaCalifornia

Diegueno
sub class of: DeltaCalifornia
label: Diegueno
comment: Diegueno
description: Diegueno

Kumeyaay
sub class of: Diegueno
label: Kumeyaay
comment: Kumeyaay
description: Kumeyaay

Cocopa
sub class of: DeltaCalifornia
label: Cocopa
comment: Cocopa
description: Cocopa

Pai
sub class of: Yuman
label: Pai
comment: Pai
description: Pai

Havasupai
sub class of: Pai
label: Havasupai
comment: Havasupai
description: Havasupai

River
sub class of: Yuman
label: River
comment: River
description: River

Mohave
sub class of: River
label: Mohave
comment: Mohave
description: Mohave

Maricopa
sub class of: River
label: Maricopa
comment: Maricopa
description: Maricopa

Quechan
sub class of: River
label: Quechan
comment: Quechan
description: Quechan

Palaihnihan
sub class of: Hokan
label: Palaihnihan
comment: Palaihnihan
description: Palaihnihan

Achumawi
sub class of: Palaihnihan
label: Achumawi
comment: Achumawi
description: Achumawi

Atsugewi
sub class of: Palaihnihan
label: Atsugewi
comment: Atsugewi
description: Atsugewi

Pomoan
sub class of: Hokan
label: Pomoan
comment: Pomoan
description: Pomoan

Kashaya
sub class of: Pomoan
label: Kashaya
comment: Kashaya
description: Kashaya

Northeastern Pomo
sub class of: Pomoan
label: Northeastern Pomo
comment: Northeastern Pomo
description: Northeastern Pomo

Southeastern Pomo
sub class of: Pomoan
label: Southeastern Pomo
comment: Southeastern Pomo
description: Southeastern Pomo

Southern Pomo
sub class of: Pomoan
label: Southern Pomo
comment: Southern Pomo
description: Southern Pomo

Central Pomo
sub class of: Pomoan
label: Central Pomo
comment: Central Pomo
description: Central Pomo

Shasta
sub class of: Hokan
label: Shasta
comment: Shasta
description: Shasta

Shasta
sub class of: Shasta
label: Shasta
comment: Shasta
description: Shasta

Karok
sub class of: Hokan
label: Karok
comment: Karok
description: Karok

Washoe
sub class of: Hokan
label: Washoe
comment: Washoe
description: Washoe

Iroquoian
sub class of: AmericanIndianAlaskaNativeLanguages
label: Iroquoian
comment: Iroquoian
description: Iroquoian

NorthernIroquoian
sub class of: Iroquoian
label: NorthernIroquoian
comment: NorthernIroquoian
description: NorthernIroquoian

Cayuga
sub class of: NorthernIroquoian
label: Cayuga
comment: Cayuga
description: Cayuga

Mohawk
sub class of: NorthernIroquoian
label: Mohawk
comment: Mohawk
description: Mohawk

Oneida
sub class of: NorthernIroquoian
label: Oneida
comment: Oneida
description: Oneida

Onondaga
sub class of: NorthernIroquoian
label: Onondaga
comment: Onondaga
description: Onondaga

Seneca
sub class of: NorthernIroquoian
label: Seneca
comment: Seneca
description: Seneca

Tuscarora
sub class of: NorthernIroquoian
label: Tuscarora
comment: Tuscarora
description: Tuscarora

Cherokee
sub class of: Iroquoian
label: Cherokee
comment: Cherokee
description: Cherokee

Keresan
sub class of: AmericanIndianAlaskaNativeLanguages
label: Keresan
comment: Keresan
description: Keresan

Rio Grande Keresan
sub class of: Keresan
label: Rio Grande Keresan
comment: Rio Grande Keresan
description: Rio Grande Keresan

Acoma-Laguna
sub class of: Keresan
label: Acoma-Laguna
comment: Acoma-Laguna
description: Acoma-Laguna

KiowaTanoan
sub class of: AmericanIndianAlaskaNativeLanguages
label: KiowaTanoan
comment: KiowaTanoan
description: KiowaTanoan

Tiwa
sub class of: KiowaTanoan
label: Tiwa
comment: Tiwa
description: Tiwa

Northern Tiwa
sub class of: Tiwa
label: Northern Tiwa
comment: Northern Tiwa
description: Northern Tiwa

Southern Tiwa
sub class of: Tiwa
label: Southern Tiwa
comment: Southern Tiwa
description: Southern Tiwa

Kiowa
sub class of: KiowaTanoan
label: Kiowa
comment: Kiowa
description: Kiowa

Tewa
sub class of: KiowaTanoan
label: Tewa
comment: Tewa
description: Tewa

Jemez
sub class of: KiowaTanoan
label: Jemez
comment: Jemez
description: Jemez

Muskogean
sub class of: AmericanIndianAlaskaNativeLanguages
label: Muskogean
comment: Muskogean
description: Muskogean

CentralMuskogean
sub class of: Muskogean
label: CentralMuskogean
comment: CentralMuskogean
description: CentralMuskogean

Alabama
sub class of: CentralMuskogean
label: Alabama
comment: Alabama
description: Alabama

Koasati
sub class of: CentralMuskogean
label: Koasati
comment: Koasati
description: Koasati

Mikasuki
sub class of: CentralMuskogean
label: Mikasuki
comment: Mikasuki
description: Mikasuki

WesternMuskogean
sub class of: Muskogean
label: WesternMuskogean
comment: WesternMuskogean
description: WesternMuskogean

Choctaw
sub class of: WesternMuskogean
label: Choctaw
comment: Choctaw
description: Choctaw

Chickasaw
sub class of: WesternMuskogean
label: Chickasaw
comment: Chickasaw
description: Chickasaw

Creek
sub class of: Muskogean
label: Creek
comment: Creek
description: Creek

Nadene
sub class of: AmericanIndianAlaskaNativeLanguages
label: Nadene
comment: Nadene
description: Nadene

AthapaskanEyak
sub class of: Nadene
label: AthapaskanEyak
comment: AthapaskanEyak
description: AthapaskanEyak

Athapaskan
sub class of: AthapaskanEyak
label: Athapaskan
comment: Athapaskan
description: Athapaskan

Apachean
sub class of: Athapaskan
label: Apachean
comment: Apachean
description: Apachean

EasternApachean
sub class of: Apachean
label: EasternApachean
comment: EasternApachean
description: EasternApachean

Jicarilla
sub class of: EasternApachean
label: Jicarilla
comment: Jicarilla
description: Jicarilla

Lipan
sub class of: EasternApachean
label: Lipan
comment: Lipan
description: Lipan

WesternApachean
sub class of: Apachean
label: WesternApachean
comment: WesternApachean
description: WesternApachean

Mescalero-Chiricahua
sub class of: WesternApachean
label: Mescalero-Chiricahua
comment: Mescalero-Chiricahua
description: Mescalero-Chiricahua

Western Apache
sub class of: WesternApachean
label: Western Apache
comment: Western Apache
description: Western Apache

Dine
sub class of: WesternApachean
label: Dine
comment: Dine
description: Dine

Kiowa Apache
sub class of: Apachean
label: Kiowa Apache
comment: Kiowa Apache
description: Kiowa Apache

CentralAlaskaYukon
sub class of: Athapaskan
label: CentralAlaskaYukon
comment: CentralAlaskaYukon
description: CentralAlaskaYukon

KoyukonIngalik
sub class of: CentralAlaskaYukon
label: KoyukonIngalik
comment: KoyukonIngalik
description: KoyukonIngalik

Holikachuk
sub class of: KoyukonIngalik
label: Holikachuk
comment: Holikachuk
description: Holikachuk

Degexit'an
sub class of: KoyukonIngalik
label: Degexit'an
comment: Degexit'an
description: Degexit'an

Koyukon
sub class of: KoyukonIngalik
label: Koyukon
comment: Koyukon
description: Koyukon

KutchinHan
sub class of: CentralAlaskaYukon
label: KutchinHan
comment: KutchinHan
description: KutchinHan

Han
sub class of: KutchinHan
label: Han
comment: Han
description: Han

Kutchin
sub class of: KutchinHan
label: Kutchin
comment: Kutchin
description: Kutchin

TananaTutchone
sub class of: CentralAlaskaYukon
label: TananaTutchone
comment: TananaTutchone
description: TananaTutchone

Tanana
sub class of: TananaTutchone
label: Tanana
comment: Tanana
description: Tanana

Lower Tanana
sub class of: Tanana
label: Lower Tanana
comment: Lower Tanana
description: Lower Tanana

Upper Tanana
sub class of: Tanana
label: Upper Tanana
comment: Upper Tanana
description: Upper Tanana

Tanacross
sub class of: Tanana
label: Tanacross
comment: Tanacross
description: Tanacross

Upper Kuskokwim
sub class of: TananaTutchone
label: Upper Kuskokwim
comment: Upper Kuskokwim
description: Upper Kuskokwim

PacificCoastAthapaskan
sub class of: Athapaskan
label: PacificCoastAthapaskan
comment: PacificCoastAthapaskan
description: PacificCoastAthapaskan

CaliforniaAthapaskan
sub class of: PacificCoastAthapaskan
label: CaliforniaAthapaskan
comment: CaliforniaAthapaskan
description: CaliforniaAthapaskan

Hupa
sub class of: CaliforniaAthapaskan
label: Hupa
comment: Hupa
description: Hupa

Cahto
sub class of: CaliforniaAthapaskan
label: Cahto
comment: Cahto
description: Cahto

OregonAthapaskan
sub class of: PacificCoastAthapaskan
label: OregonAthapaskan
comment: OregonAthapaskan
description: OregonAthapaskan

Tolowa
sub class of: OregonAthapaskan
label: Tolowa
comment: Tolowa
description: Tolowa

Tututni
sub class of: OregonAthapaskan
label: Tututni
comment: Tututni
description: Tututni

SouthernAlaska
sub class of: Athapaskan
label: SouthernAlaska
comment: SouthernAlaska
description: SouthernAlaska

Ahtna
sub class of: SouthernAlaska
label: Ahtna
comment: Ahtna
description: Ahtna

Tanaina
sub class of: SouthernAlaska
label: Tanaina
comment: Tanaina
description: Tanaina

Eyak
sub class of: AthapaskanEyak
label: Eyak
comment: Eyak
description: Eyak

Tlingit
sub class of: Nadene
label: Tlingit
comment: Tlingit
description: Tlingit

Penutian
sub class of: AmericanIndianAlaskaNativeLanguages
label: Penutian
comment: Penutian
description: Penutian

Chinookan
sub class of: Penutian
label: Chinookan
comment: Chinookan
description: Chinookan

UpperChinook
sub class of: Chinookan
label: UpperChinook
comment: UpperChinook
description: UpperChinook

Kiksht
sub class of: UpperChinook
label: Kiksht
comment: Kiksht
description: Kiksht

Coosan
sub class of: Penutian
label: Coosan
comment: Coosan
description: Coosan

Hanis
sub class of: Coosan
label: Hanis
comment: Hanis
description: Hanis

Maiduan
sub class of: Penutian
label: Maiduan
comment: Maiduan
description: Maiduan

Northwest Maidu
sub class of: Maiduan
label: Northwest Maidu
comment: Northwest Maidu
description: Northwest Maidu

Northeast Maidu
sub class of: Maiduan
label: Northeast Maidu
comment: Northeast Maidu
description: Northeast Maidu

Nisenan
sub class of: Maiduan
label: Nisenan
comment: Nisenan
description: Nisenan

PlateauPenutian
sub class of: Penutian
label: PlateauPenutian
comment: PlateauPenutian
description: PlateauPenutian

Sahaptian
sub class of: PlateauPenutian
label: Sahaptian
comment: Sahaptian
description: Sahaptian

Umatilla
sub class of: Sahaptian
label: Umatilla
comment: Umatilla
description: Umatilla

Walla Walla
sub class of: Sahaptian
label: Walla Walla
comment: Walla Walla
description: Walla Walla

Tenino
sub class of: Sahaptian
label: Tenino
comment: Tenino
description: Tenino

Yakima
sub class of: Sahaptian
label: Yakima
comment: Yakima
description: Yakima

Klamath-Modoc
sub class of: PlateauPenutian
label: Klamath-Modoc
comment: Klamath-Modoc
description: Klamath-Modoc

Nez Perce
sub class of: PlateauPenutian
label: Nez Perce
comment: Nez Perce
description: Nez Perce

Takelman
sub class of: Penutian
label: Takelman
comment: Takelman
description: Takelman

Kalapuyan
sub class of: Takelman
label: Kalapuyan
comment: Kalapuyan
description: Kalapuyan

Central Kalapuyan
sub class of: Kalapuyan
label: Central Kalapuyan
comment: Central Kalapuyan
description: Central Kalapuyan

Tsimshianic
sub class of: Penutian
label: Tsimshianic
comment: Tsimshianic
description: Tsimshianic

Coast Tsimshain
sub class of: Tsimshianic
label: Coast Tsimshain
comment: Coast Tsimshain
description: Coast Tsimshain

Utian
sub class of: Penutian
label: Utian
comment: Utian
description: Utian

Miwokan
sub class of: Utian
label: Miwokan
comment: Miwokan
description: Miwokan

EasternMiwok
sub class of: Miwokan
label: EasternMiwok
comment: EasternMiwok
description: EasternMiwok

Central Sierra Miwok
sub class of: EasternMiwok
label: Central Sierra Miwok
comment: Central Sierra Miwok
description: Central Sierra Miwok

Northern Sierra Miwok
sub class of: EasternMiwok
label: Northern Sierra Miwok
comment: Northern Sierra Miwok
description: Northern Sierra Miwok

Plains Miwok
sub class of: EasternMiwok
label: Plains Miwok
comment: Plains Miwok
description: Plains Miwok

Southern Sierra Miwok
sub class of: EasternMiwok
label: Southern Sierra Miwok
comment: Southern Sierra Miwok
description: Southern Sierra Miwok

WesternMiwok
sub class of: Miwokan
label: WesternMiwok
comment: WesternMiwok
description: WesternMiwok

Coast Miwok
sub class of: WesternMiwok
label: Coast Miwok
comment: Coast Miwok
description: Coast Miwok

Lake Miwok
sub class of: WesternMiwok
label: Lake Miwok
comment: Lake Miwok
description: Lake Miwok

Wintuan
sub class of: Penutian
label: Wintuan
comment: Wintuan
description: Wintuan

Wintu-Nomlaki
sub class of: Wintuan
label: Wintu-Nomlaki
comment: Wintu-Nomlaki
description: Wintu-Nomlaki

Yokutsan
sub class of: Penutian
label: Yokutsan
comment: Yokutsan
description: Yokutsan

Kings River
sub class of: Yokutsan
label: Kings River
comment: Kings River
description: Kings River

Gashowu
sub class of: Yokutsan
label: Gashowu
comment: Gashowu
description: Gashowu

Poso Creek
sub class of: Yokutsan
label: Poso Creek
comment: Poso Creek
description: Poso Creek

Tule-Kaweah
sub class of: Yokutsan
label: Tule-Kaweah
comment: Tule-Kaweah
description: Tule-Kaweah

Pidgin
sub class of: AmericanIndianAlaskaNativeLanguages
label: Pidgin
comment: Pidgin
description: Pidgin

Chinook Wawa
sub class of: Pidgin
label: Chinook Wawa
comment: Chinook Wawa
description: Chinook Wawa

Salishan
sub class of: AmericanIndianAlaskaNativeLanguages
label: Salishan
comment: Salishan
description: Salishan

CentralSalish
sub class of: Salishan
label: CentralSalish
comment: CentralSalish
description: CentralSalish

Clallam
sub class of: CentralSalish
label: Clallam
comment: Clallam
description: Clallam

Lushootseed
sub class of: CentralSalish
label: Lushootseed
comment: Lushootseed
description: Lushootseed

Northern Straits
sub class of: CentralSalish
label: Northern Straits
comment: Northern Straits
description: Northern Straits

InteriorSalish
sub class of: Salishan
label: InteriorSalish
comment: InteriorSalish
description: InteriorSalish

Columbian
sub class of: InteriorSalish
label: Columbian
comment: Columbian
description: Columbian

Coeur D'alene
sub class of: InteriorSalish
label: Coeur D'alene
comment: Coeur D'alene
description: Coeur D'alene

Kalispel
sub class of: InteriorSalish
label: Kalispel
comment: Kalispel
description: Kalispel

Okanagan
sub class of: InteriorSalish
label: Okanagan
comment: Okanagan
description: Okanagan

Tsamosan
sub class of: Salishan
label: Tsamosan
comment: Tsamosan
description: Tsamosan

Lower Chehalis
sub class of: Tsamosan
label: Lower Chehalis
comment: Lower Chehalis
description: Lower Chehalis

Upper Chehalis
sub class of: Tsamosan
label: Upper Chehalis
comment: Upper Chehalis
description: Upper Chehalis

Cowlitz
sub class of: Tsamosan
label: Cowlitz
comment: Cowlitz
description: Cowlitz

Quinault
sub class of: Tsamosan
label: Quinault
comment: Quinault
description: Quinault

SiouanCatawba
sub class of: AmericanIndianAlaskaNativeLanguages
label: SiouanCatawba
comment: SiouanCatawba
description: SiouanCatawba

Siouan
sub class of: SiouanCatawba
label: Siouan
comment: Siouan
description: Siouan

MississippiValley
sub class of: Siouan
label: MississippiValley
comment: MississippiValley
description: MississippiValley

ChiwereWinnebago
sub class of: MississippiValley
label: ChiwereWinnebago
comment: ChiwereWinnebago
description: ChiwereWinnebago

Chiwere
sub class of: ChiwereWinnebago
label: Chiwere
comment: Chiwere
description: Chiwere

Hocak
sub class of: ChiwereWinnebago
label: Hocak
comment: Hocak
description: Hocak

Dakotan
sub class of: MississippiValley
label: Dakotan
comment: Dakotan
description: Dakotan

Assiniboine
sub class of: Dakotan
label: Assiniboine
comment: Assiniboine
description: Assiniboine

Dakota
sub class of: Dakotan
label: Dakota
comment: Dakota
description: Dakota

Lakota
sub class of: Dakotan
label: Lakota
comment: Lakota
description: Lakota

Nakota
sub class of: Dakotan
label: Nakota
comment: Nakota
description: Nakota

Dhegiha
sub class of: MississippiValley
label: Dhegiha
comment: Dhegiha
description: Dhegiha

Kansa
sub class of: Dhegiha
label: Kansa
comment: Kansa
description: Kansa

Omaha-Ponca
sub class of: Dhegiha
label: Omaha-Ponca
comment: Omaha-Ponca
description: Omaha-Ponca

Osage
sub class of: Dhegiha
label: Osage
comment: Osage
description: Osage

Quapaw
sub class of: Dhegiha
label: Quapaw
comment: Quapaw
description: Quapaw

MissouriRiver
sub class of: Siouan
label: MissouriRiver
comment: MissouriRiver
description: MissouriRiver

Crow
sub class of: MissouriRiver
label: Crow
comment: Crow
description: Crow

Hidatsa
sub class of: MissouriRiver
label: Hidatsa
comment: Hidatsa
description: Hidatsa

Mandan
sub class of: Siouan
label: Mandan
comment: Mandan
description: Mandan

UtoAztecan
sub class of: AmericanIndianAlaskaNativeLanguages
label: UtoAztecan
comment: UtoAztecan
description: UtoAztecan

Numic
sub class of: UtoAztecan
label: Numic
comment: Numic
description: Numic

CentralNumic
sub class of: Numic
label: CentralNumic
comment: CentralNumic
description: CentralNumic

Comanche
sub class of: CentralNumic
label: Comanche
comment: Comanche
description: Comanche

Panamint
sub class of: CentralNumic
label: Panamint
comment: Panamint
description: Panamint

Shoshone
sub class of: CentralNumic
label: Shoshone
comment: Shoshone
description: Shoshone

SouthernNumic
sub class of: Numic
label: SouthernNumic
comment: SouthernNumic
description: SouthernNumic

Kawaiisu
sub class of: SouthernNumic
label: Kawaiisu
comment: Kawaiisu
description: Kawaiisu

Ute-Southern Paiute
sub class of: SouthernNumic
label: Ute-Southern Paiute
comment: Ute-Southern Paiute
description: Ute-Southern Paiute

WesternNumic
sub class of: Numic
label: WesternNumic
comment: WesternNumic
description: WesternNumic

Mono
sub class of: WesternNumic
label: Mono
comment: Mono
description: Mono

Northern Paiute-Bannock
sub class of: WesternNumic
label: Northern Paiute-Bannock
comment: Northern Paiute-Bannock
description: Northern Paiute-Bannock

Takic
sub class of: UtoAztecan
label: Takic
comment: Takic
description: Takic

Cupan
sub class of: Takic
label: Cupan
comment: Cupan
description: Cupan

Cahuilla
sub class of: Cupan
label: Cahuilla
comment: Cahuilla
description: Cahuilla

Cupeno
sub class of: Cupan
label: Cupeno
comment: Cupeno
description: Cupeno

Luiseno
sub class of: Cupan
label: Luiseno
comment: Luiseno
description: Luiseno

SerranoGabrielino
sub class of: Takic
label: SerranoGabrielino
comment: SerranoGabrielino
description: SerranoGabrielino

Serrano
sub class of: SerranoGabrielino
label: Serrano
comment: Serrano
description: Serrano

Taracahitan
sub class of: UtoAztecan
label: Taracahitan
comment: Taracahitan
description: Taracahitan

Cahitan
sub class of: Taracahitan
label: Cahitan
comment: Cahitan
description: Cahitan

Yaqui
sub class of: Cahitan
label: Yaqui
comment: Yaqui
description: Yaqui

Tepiman
sub class of: UtoAztecan
label: Tepiman
comment: Tepiman
description: Tepiman

Papago-Pima
sub class of: Tepiman
label: Papago-Pima
comment: Papago-Pima
description: Papago-Pima

Hopi
sub class of: UtoAztecan
label: Hopi
comment: Hopi
description: Hopi

Tubatululabal
sub class of: UtoAztecan
label: Tubatululabal
comment: Tubatululabal
description: Tubatululabal

Wakashan
sub class of: AmericanIndianAlaskaNativeLanguages
label: Wakashan
comment: Wakashan
description: Wakashan

Nootkan
sub class of: Wakashan
label: Nootkan
comment: Nootkan
description: Nootkan

Makah
sub class of: Nootkan
label: Makah
comment: Makah
description: Makah

Yukian
sub class of: AmericanIndianAlaskaNativeLanguages
label: Yukian
comment: Yukian
description: Yukian

Wappo
sub class of: Yukian
label: Wappo
comment: Wappo
description: Wappo

Yuki
sub class of: Yukian
label: Yuki
comment: Yuki
description: Yuki

Haida
sub class of: AmericanIndianAlaskaNativeLanguages
label: Haida
comment: Haida
description: Haida

Kootenai
sub class of: AmericanIndianAlaskaNativeLanguages
label: Kootenai
comment: Kootenai
description: Kootenai

Plains Indian Sign Language
sub class of: AmericanIndianAlaskaNativeLanguages
label: Plains Indian Sign Language
comment: Plains Indian Sign Language
description: Plains Indian Sign Language

Yuchi
sub class of: AmericanIndianAlaskaNativeLanguages
label: Yuchi
comment: Yuchi
description: Yuchi

Zuni
sub class of: AmericanIndianAlaskaNativeLanguages
label: Zuni
comment: Zuni
description: Zuni

v3 Code System Calendar
type: ValueSet
version: 2015-11-30
label: v3 Code System Calendar
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: Calendar

v3 Code System Calendar
type: CodeSystem
label: v3 Code System Calendar
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

Gregorian
sub class of: Calendar
label: Gregorian
comment: The Gregorian calendar is the calendar in effect in most countries of Christian influence since approximately 1582. This calendar superceded the Julian calendar.
description: The Gregorian calendar is the calendar in effect in most countries of Christian influence since approximately 1582. This calendar superceded the Julian calendar.

v3 Code System CalendarCycle
type: ValueSet
version: 2015-11-30
label: v3 Code System CalendarCycle
comment: Calendar cycle identifiers
description: Calendar cycle identifiers
date: 2015-11-30
status: active
canonical status: active
include: CalendarCycle

v3 Code System CalendarCycle
type: CodeSystem
label: v3 Code System CalendarCycle
comment: Calendar cycle identifiers
description: Calendar cycle identifiers
date: Mon Nov 30 00:00:00 AEDT 2015

CalendarCycleOneLetter
sub class of: CalendarCycle
label: CalendarCycleOneLetter
comment: CalendarCycleOneLetter
description: CalendarCycleOneLetter

week (continuous)
sub class of: CalendarCycleOneLetter
label: week (continuous)
comment: week (continuous)
description: week (continuous)

year
sub class of: CalendarCycleOneLetter
label: year
comment: year
description: year

day of the month
sub class of: CalendarCycleOneLetter
label: day of the month
comment: day of the month
description: day of the month

day of the week (begins with Monday)
sub class of: CalendarCycleOneLetter
label: day of the week (begins with Monday)
comment: day of the week (begins with Monday)
description: day of the week (begins with Monday)

hour of the day
sub class of: CalendarCycleOneLetter
label: hour of the day
comment: hour of the day
description: hour of the day

month of the year
sub class of: CalendarCycleOneLetter
label: month of the year
comment: month of the year
description: month of the year

minute of the hour
sub class of: CalendarCycleOneLetter
label: minute of the hour
comment: minute of the hour
description: minute of the hour

second of the minute
sub class of: CalendarCycleOneLetter
label: second of the minute
comment: second of the minute
description: second of the minute

CalendarCycleTwoLetter
sub class of: CalendarCycle
label: CalendarCycleTwoLetter
comment: CalendarCycleTwoLetter
description: CalendarCycleTwoLetter

day (continuous)
sub class of: CalendarCycleTwoLetter
label: day (continuous)
comment: day (continuous)
description: day (continuous)

hour (continuous)
sub class of: CalendarCycleTwoLetter
label: hour (continuous)
comment: hour (continuous)
description: hour (continuous)

month (continuous)
sub class of: CalendarCycleTwoLetter
label: month (continuous)
comment: month (continuous)
description: month (continuous)

minute (continuous)
sub class of: CalendarCycleTwoLetter
label: minute (continuous)
comment: minute (continuous)
description: minute (continuous)

second (continuous)
sub class of: CalendarCycleTwoLetter
label: second (continuous)
comment: second (continuous)
description: second (continuous)

day of the year
sub class of: CalendarCycleTwoLetter
label: day of the year
comment: day of the year
description: day of the year

week of the year
sub class of: CalendarCycleTwoLetter
label: week of the year
comment: week of the year
description: week of the year

week of the month
sub class of: CalendarCycle
label: week of the month
comment: The week with the month's first Thursday in it (analagous to the ISO 8601 definition for week of the year).
description: The week with the month's first Thursday in it (analagous to the ISO 8601 definition for week of the year).

v3 Code System CalendarType
type: ValueSet
version: 2015-11-30
label: v3 Code System CalendarType
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: CalendarType

v3 Code System CalendarType
type: CodeSystem
label: v3 Code System CalendarType
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

Gregorian
sub class of: CalendarType
label: Gregorian
comment: The Gregorian calendar is in effect in the most countries of Christian influence since approximately 1582. This calendar superceded the Julian calendar.
description: The Gregorian calendar is in effect in the most countries of Christian influence since approximately 1582. This calendar superceded the Julian calendar.

v3 Code System Charset
type: ValueSet
version: 2015-11-30
label: v3 Code System Charset
comment: Internet Assigned Numbers Authority (IANA) Charset Types
description: Internet Assigned Numbers Authority (IANA) Charset Types
date: 2015-11-30
status: active
canonical status: active
include: Charset

v3 Code System Charset
type: CodeSystem
label: v3 Code System Charset
comment: Internet Assigned Numbers Authority (IANA) Charset Types
description: Internet Assigned Numbers Authority (IANA) Charset Types
date: Mon Nov 30 00:00:00 AEDT 2015

EBCDIC
sub class of: Charset
label: EBCDIC
comment: HL7 is indifferent to the use of this Charset.
description: HL7 is indifferent to the use of this Charset.

ISO-10646-UCS-2
sub class of: Charset
label: ISO-10646-UCS-2
comment: Deprecated for HL7 use.
description: Deprecated for HL7 use.

ISO-10646-UCS-4
sub class of: Charset
label: ISO-10646-UCS-4
comment: Deprecated for HL7 use.
description: Deprecated for HL7 use.

ISO-8859-1
sub class of: Charset
label: ISO-8859-1
comment: HL7 is indifferent to the use of this Charset.
description: HL7 is indifferent to the use of this Charset.

ISO-8859-2
sub class of: Charset
label: ISO-8859-2
comment: HL7 is indifferent to the use of this Charset.
description: HL7 is indifferent to the use of this Charset.

ISO-8859-5
sub class of: Charset
label: ISO-8859-5
comment: HL7 is indifferent to the use of this Charset.
description: HL7 is indifferent to the use of this Charset.

JIS-2022-JP
sub class of: Charset
label: JIS-2022-JP
comment: HL7 is indifferent to the use of this Charset.
description: HL7 is indifferent to the use of this Charset.

US-ASCII
sub class of: Charset
label: US-ASCII
comment: Required for HL7 use.
description: Required for HL7 use.

UTF-7
sub class of: Charset
label: UTF-7
comment: HL7 is indifferent to the use of this Charset.
description: HL7 is indifferent to the use of this Charset.

UTF-8
sub class of: Charset
label: UTF-8
comment: Required for Unicode support.
description: Required for Unicode support.

v3 Code System CodingRationale
type: ValueSet
version: 2015-11-30
label: v3 Code System CodingRationale
comment: Identifies how to interpret the instance of the code, codeSystem value in a set of translations. Since HL7 (or a government body) may mandate that codes from certain value sets be sent in conformant messages, other synonyms that are sent in the translation set need to be distinguished among the originally captured source, the HL7 specified code, or some future role. When this code is NULL, it indicates that the translation is an undefined type. When valued, this property must contain one of the following values: SRC - Source (or original) code HL7 - HL7 Specified or Mandated SH - both HL7 mandated and the original code (precoordination) There may be additional values added to this value set as we work through the use of codes in messages and determine other Use Cases requiring special interpretation of the translations.
description: Identifies how to interpret the instance of the code, codeSystem value in a set of translations. Since HL7 (or a government body) may mandate that codes from certain value sets be sent in conformant messages, other synonyms that are sent in the translation set need to be distinguished among the originally captured source, the HL7 specified code, or some future role. When this code is NULL, it indicates that the translation is an undefined type. When valued, this property must contain one of the following values: SRC - Source (or original) code HL7 - HL7 Specified or Mandated SH - both HL7 mandated and the original code (precoordination) There may be additional values added to this value set as we work through the use of codes in messages and determine other Use Cases requiring special interpretation of the translations.
date: 2015-11-30
status: active
canonical status: active
include: CodingRationale

v3 Code System CodingRationale
type: CodeSystem
label: v3 Code System CodingRationale
comment: Identifies how to interpret the instance of the code, codeSystem value in a set of translations. Since HL7 (or a government body) may mandate that codes from certain code systems be sent in conformant messages, other synonyms that are sent in the translation set need to be distinguished among the originally captured source, the HL7 specified code, or some future role. When this code is NULL, it indicates that the translation is an undefined type. When valued, this property must contain one of the following values: SRC - Source (or original) code HL7 - HL7 Specified or Mandated SH - both HL7 mandated and the original code (precoordination) There may be additional values added to this code system as we work through the use of codes in messages and determine other Use Cases requiring special interpretation of the translations.
description: Identifies how to interpret the instance of the code, codeSystem value in a set of translations. Since HL7 (or a government body) may mandate that codes from certain code systems be sent in conformant messages, other synonyms that are sent in the translation set need to be distinguished among the originally captured source, the HL7 specified code, or some future role. When this code is NULL, it indicates that the translation is an undefined type. When valued, this property must contain one of the following values: SRC - Source (or original) code HL7 - HL7 Specified or Mandated SH - both HL7 mandated and the original code (precoordination) There may be additional values added to this code system as we work through the use of codes in messages and determine other Use Cases requiring special interpretation of the translations.
date: Mon Nov 30 00:00:00 AEDT 2015

originally produced code
sub class of: CodingRationale
label: originally produced code
comment: Description: Originally produced code.
description: Description: Originally produced code.

original and required
sub class of: CodingRationale
label: original and required
comment: Originally produced code, required by the specification describing the use of the coded concept.
description: Originally produced code, required by the specification describing the use of the coded concept.

post-coded
sub class of: CodingRationale
label: post-coded
comment: Description: Post-coded from free text source</description>
description: Description: Post-coded from free text source</description>

post-coded and required
sub class of: CodingRationale
label: post-coded and required
comment: Post-coded from free text source, required by the specification describing the use of the coded concept.
description: Post-coded from free text source, required by the specification describing the use of the coded concept.

required
sub class of: CodingRationale
label: required
comment: Description: Required standard code for HL7.
description: Description: Required standard code for HL7.

HL7 Specified or Mandated
sub class of: CodingRationale
label: HL7 Specified or Mandated
comment: HL7 Specified or Mandated
description: HL7 Specified or Mandated

Both HL7 mandated and the original code
sub class of: CodingRationale
label: Both HL7 mandated and the original code
comment: Both HL7 mandated and the original code (precoordination)
description: Both HL7 mandated and the original code (precoordination)

Source (or original) code
sub class of: CodingRationale
label: Source (or original) code
comment: Source (or original) code
description: Source (or original) code

v3 Code System CommunicationFunctionType
type: ValueSet
version: 2015-11-30
label: v3 Code System CommunicationFunctionType
comment: Describes the type of communication function that the associated entity plays in the associated transmission.
description: Describes the type of communication function that the associated entity plays in the associated transmission.
date: 2015-11-30
status: active
canonical status: active
include: CommunicationFunctionType

v3 Code System CommunicationFunctionType
type: CodeSystem
label: v3 Code System CommunicationFunctionType
comment: Describes the type of communication function that the associated entity plays in the associated transmission.
description: Describes the type of communication function that the associated entity plays in the associated transmission.
date: Mon Nov 30 00:00:00 AEDT 2015

receiver
sub class of: CommunicationFunctionType
label: receiver
comment: The entity is the receiver of the transmission.
description: The entity is the receiver of the transmission.

respond to
sub class of: CommunicationFunctionType
label: respond to
comment: The entity is the one to which the response or reply to the transmission should be sent.
description: The entity is the one to which the response or reply to the transmission should be sent.

sender
sub class of: CommunicationFunctionType
label: sender
comment: The entity is the sender of the transmission.
description: The entity is the sender of the transmission.

Compartment
type: ValueSet
version: 2014-03-26
label: Compartment
comment: A named tag set for metadata used to populate a security category label field that "segments" an IT resource per policy by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Privacy and Security Classification System) Usage Note: This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field. Map: Aligns with ISO 2382-8 definition of Compartment - "A division of data into isolated blocks with separate security controls for the purpose of reducing risk."
description: A named tag set for metadata used to populate a security category label field that "segments" an IT resource per policy by indicating that access and use is restricted to members of a defined community or project. (HL7 Healthcare Privacy and Security Classification System) Usage Note: This is the healthcare analog to the US Intelligence Community's concept of a Special Access Program. Compartment codes may be used in as a field value in an initiator's clearance to indicate permission to access and use an IT Resource with a security label having the same compartment value in security category label field. Map: Aligns with ISO 2382-8 definition of Compartment - "A division of data into isolated blocks with separate security controls for the purpose of reducing risk."
status: active
canonical status: active

v3 Code System CompressionAlgorithm
type: ValueSet
version: 2015-11-30
label: v3 Code System CompressionAlgorithm
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: CompressionAlgorithm

v3 Code System CompressionAlgorithm
type: CodeSystem
label: v3 Code System CompressionAlgorithm
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

bzip
sub class of: CompressionAlgorithm
label: bzip
comment: bzip-2 compression format. See [http://www.bzip.org/] for more information.
description: bzip-2 compression format. See [http://www.bzip.org/] for more information.

deflate
sub class of: CompressionAlgorithm
label: deflate
comment: The deflate compressed data format as specified in RFC 1951 [http://www.ietf.org/rfc/rfc1951.txt].
description: The deflate compressed data format as specified in RFC 1951 [http://www.ietf.org/rfc/rfc1951.txt].

gzip
sub class of: CompressionAlgorithm
label: gzip
comment: A compressed data format that is compatible with the widely used GZIP utility as specified in RFC 1952 [http://www.ietf.org/rfc/rfc1952.txt] (uses the deflate algorithm).
description: A compressed data format that is compatible with the widely used GZIP utility as specified in RFC 1952 [http://www.ietf.org/rfc/rfc1952.txt] (uses the deflate algorithm).

compress
sub class of: CompressionAlgorithm
label: compress
comment: Original UNIX compress algorithm and file format using the LZC algorithm (a variant of LZW). Patent encumbered and less efficient than deflate.
description: Original UNIX compress algorithm and file format using the LZC algorithm (a variant of LZW). Patent encumbered and less efficient than deflate.

Z7
sub class of: CompressionAlgorithm
label: Z7
comment: 7z compression file format. See [http://www.7-zip.org/7z.html] for more information.
description: 7z compression file format. See [http://www.7-zip.org/7z.html] for more information.

zlib
sub class of: CompressionAlgorithm
label: zlib
comment: A compressed data format that also uses the deflate algorithm. Specified as RFC 1950 [http://www.ietf.org/rfc/rfc1952.txt]
description: A compressed data format that also uses the deflate algorithm. Specified as RFC 1950 [http://www.ietf.org/rfc/rfc1952.txt]

v3 Code System Confidentiality
type: ValueSet
version: 2015-11-30
label: v3 Code System Confidentiality
comment: A set of codes specifying the security classification of acts and roles in accordance with the definition for concept domain "Confidentiality".
description: A set of codes specifying the security classification of acts and roles in accordance with the definition for concept domain "Confidentiality".
date: 2015-11-30
status: active
canonical status: active
include: Confidentiality

v3 Code System Confidentiality
type: CodeSystem
label: v3 Code System Confidentiality
comment: A set of codes specifying the security classification of acts and roles in accordance with the definition for concept domain "Confidentiality".
description: A set of codes specifying the security classification of acts and roles in accordance with the definition for concept domain "Confidentiality".
date: Mon Nov 30 00:00:00 AEDT 2015

Confidentiality
sub class of: Confidentiality
label: Confidentiality
comment: A specializable code and its leaf codes used in Confidentiality value sets to value the Act.Confidentiality and Role.Confidentiality attribute in accordance with the definition for concept domain "Confidentiality".
description: A specializable code and its leaf codes used in Confidentiality value sets to value the Act.Confidentiality and Role.Confidentiality attribute in accordance with the definition for concept domain "Confidentiality".

low
sub class of: Confidentiality
label: low
comment: Definition: Privacy metadata indicating that the information has been de-identified, and there are mitigating circumstances that prevent re-identification, which minimize risk of harm from unauthorized disclosure. The information requires protection to maintain low sensitivity. Examples: Includes anonymized, pseudonymized, or non-personally identifiable information such as HIPAA limited data sets. Map: No clear map to ISO 13606-4 Sensitivity Level (1) Care Management: RECORD_COMPONENTs that might need to be accessed by a wide range of administrative staff to manage the subject of care's access to health services. Usage Note: This metadata indicates the receiver may have an obligation to comply with a data use agreement.
description: Definition: Privacy metadata indicating that the information has been de-identified, and there are mitigating circumstances that prevent re-identification, which minimize risk of harm from unauthorized disclosure. The information requires protection to maintain low sensitivity. Examples: Includes anonymized, pseudonymized, or non-personally identifiable information such as HIPAA limited data sets. Map: No clear map to ISO 13606-4 Sensitivity Level (1) Care Management: RECORD_COMPONENTs that might need to be accessed by a wide range of administrative staff to manage the subject of care's access to health services. Usage Note: This metadata indicates the receiver may have an obligation to comply with a data use agreement.

moderate
sub class of: Confidentiality
label: moderate
comment: Definition: Privacy metadata indicating moderately sensitive information, which presents moderate risk of harm if disclosed without authorization. Examples: Includes allergies of non-sensitive nature used inform food service; health information a patient authorizes to be used for marketing, released to a bank for a health credit card or savings account; or information in personal health record systems that are not governed under health privacy laws. Map: Partial Map to ISO 13606-4 Sensitivity Level (2) Clinical Management: Less sensitive RECORD_COMPONENTs that might need to be accessed by a wider range of personnel not all of whom are actively caring for the patient (e.g. radiology staff). Usage Note: This metadata indicates that the receiver may be obligated to comply with the receiver's terms of use or privacy policies.
description: Definition: Privacy metadata indicating moderately sensitive information, which presents moderate risk of harm if disclosed without authorization. Examples: Includes allergies of non-sensitive nature used inform food service; health information a patient authorizes to be used for marketing, released to a bank for a health credit card or savings account; or information in personal health record systems that are not governed under health privacy laws. Map: Partial Map to ISO 13606-4 Sensitivity Level (2) Clinical Management: Less sensitive RECORD_COMPONENTs that might need to be accessed by a wider range of personnel not all of whom are actively caring for the patient (e.g. radiology staff). Usage Note: This metadata indicates that the receiver may be obligated to comply with the receiver's terms of use or privacy policies.

normal
sub class of: Confidentiality
label: normal
comment: Definition: Privacy metadata indicating that the information is typical, non-stigmatizing health information, which presents typical risk of harm if disclosed without authorization. Examples: In the US, this includes what HIPAA identifies as the minimum necessary protected health information (PHI) given a covered purpose of use (treatment, payment, or operations). Includes typical, non-stigmatizing health information disclosed in an application for health, workers compensation, disability, or life insurance. Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care: Default for normal clinical care access (i.e. most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations. Usage Note: This metadata indicates that the receiver may be obligated to comply with applicable jurisdictional privacy law or disclosure authorization.
description: Definition: Privacy metadata indicating that the information is typical, non-stigmatizing health information, which presents typical risk of harm if disclosed without authorization. Examples: In the US, this includes what HIPAA identifies as the minimum necessary protected health information (PHI) given a covered purpose of use (treatment, payment, or operations). Includes typical, non-stigmatizing health information disclosed in an application for health, workers compensation, disability, or life insurance. Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care: Default for normal clinical care access (i.e. most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations. Usage Note: This metadata indicates that the receiver may be obligated to comply with applicable jurisdictional privacy law or disclosure authorization.

restricted
sub class of: Confidentiality
label: restricted
comment: Privacy metadata indicating highly sensitive, potentially stigmatizing information, which presents a high risk to the information subject if disclosed without authorization. May be pre-empted by jurisdictional law, e.g., for public health reporting or emergency treatment. Examples: Includes information that is additionally protected such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child abuse, genetic disease, and reproductive health; or sensitive demographic information such as a patient's standing as an employee or a celebrity. May be used to indicate proprietary or classified information that is not related to an individual, e.g., secret ingredients in a therapeutic substance; or the name of a manufacturer. Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care: Default for normal clinical care access (i.e. most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations.. Usage Note: This metadata indicates that the receiver may be obligated to comply with applicable, prevailing (default) jurisdictional privacy law or disclosure authorization..
description: Privacy metadata indicating highly sensitive, potentially stigmatizing information, which presents a high risk to the information subject if disclosed without authorization. May be pre-empted by jurisdictional law, e.g., for public health reporting or emergency treatment. Examples: Includes information that is additionally protected such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child abuse, genetic disease, and reproductive health; or sensitive demographic information such as a patient's standing as an employee or a celebrity. May be used to indicate proprietary or classified information that is not related to an individual, e.g., secret ingredients in a therapeutic substance; or the name of a manufacturer. Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care: Default for normal clinical care access (i.e. most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations.. Usage Note: This metadata indicates that the receiver may be obligated to comply with applicable, prevailing (default) jurisdictional privacy law or disclosure authorization..

unrestricted
sub class of: Confidentiality
label: unrestricted
comment: Definition: Privacy metadata indicating that the information is not classified as sensitive. Examples: Includes publicly available information, e.g., business name, phone, email or physical address. Usage Note: This metadata indicates that the receiver has no obligation to consider additional policies when making access control decisions. Note that in some jurisdictions, personally identifiable information must be protected as confidential, so it would not be appropriate to assign a confidentiality code of "unrestricted" to that information even if it is publicly available.
description: Definition: Privacy metadata indicating that the information is not classified as sensitive. Examples: Includes publicly available information, e.g., business name, phone, email or physical address. Usage Note: This metadata indicates that the receiver has no obligation to consider additional policies when making access control decisions. Note that in some jurisdictions, personally identifiable information must be protected as confidential, so it would not be appropriate to assign a confidentiality code of "unrestricted" to that information even if it is publicly available.

very restricted
sub class of: Confidentiality
label: very restricted
comment: . Privacy metadata indicating that the information is extremely sensitive and likely stigmatizing health information that presents a very high risk if disclosed without authorization. This information must be kept in the highest confidence. Examples: Includes information about a victim of abuse, patient requested information sensitivity, and taboo subjects relating to health status that must be discussed with the patient by an attending provider before sharing with the patient. May also include information held under “legal lockâ€? or attorney-client privilege Map: This metadata indicates that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject. Usage Note: This metadata indicates that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject.
description: . Privacy metadata indicating that the information is extremely sensitive and likely stigmatizing health information that presents a very high risk if disclosed without authorization. This information must be kept in the highest confidence. Examples: Includes information about a victim of abuse, patient requested information sensitivity, and taboo subjects relating to health status that must be discussed with the patient by an attending provider before sharing with the patient. May also include information held under “legal lockâ€? or attorney-client privilege Map: This metadata indicates that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject. Usage Note: This metadata indicates that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject.

ConfidentialityByAccessKind
sub class of: Confidentiality
label: ConfidentialityByAccessKind
comment: Description: By accessing subject / role and relationship based rights (These concepts are mutually exclusive, one and only one is required for a valid confidentiality coding.) Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode
description: Description: By accessing subject / role and relationship based rights (These concepts are mutually exclusive, one and only one is required for a valid confidentiality coding.) Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode

business
sub class of: ConfidentialityByAccessKind
label: business
comment: Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality. However, no patient related information may ever be of this confidentiality level. Deprecation Comment: Replced by ActCode.B
description: Description: Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality. However, no patient related information may ever be of this confidentiality level. Deprecation Comment: Replced by ActCode.B

clinician
sub class of: ConfidentialityByAccessKind
label: clinician
comment: Description: Only clinicians may see this item, billing and administration persons can not access this item without special permission. Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode
description: Description: Only clinicians may see this item, billing and administration persons can not access this item without special permission. Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode

individual
sub class of: ConfidentialityByAccessKind
label: individual
comment: Description: Access only to individual persons who are mentioned explicitly as actors of this service and whose actor type warrants that access (cf. to actor type code). Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode
description: Description: Access only to individual persons who are mentioned explicitly as actors of this service and whose actor type warrants that access (cf. to actor type code). Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode

ConfidentialityByInfoType
sub class of: Confidentiality
label: ConfidentialityByInfoType
comment: Description: By information type, only for service catalog entries (multiples allowed). Not to be used with actual patient data! Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode
description: Description: By information type, only for service catalog entries (multiples allowed). Not to be used with actual patient data! Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode

substance abuse related
sub class of: ConfidentialityByInfoType
label: substance abuse related
comment: Description: Alcohol/drug-abuse related item Deprecation Comment:Replced by ActCode.ETH
description: Description: Alcohol/drug-abuse related item Deprecation Comment:Replced by ActCode.ETH

HIV related
sub class of: ConfidentialityByInfoType
label: HIV related
comment: Description: HIV and AIDS related item Deprecation Comment:Replced by ActCode.HIV
description: Description: HIV and AIDS related item Deprecation Comment:Replced by ActCode.HIV

psychiatry relate
sub class of: ConfidentialityByInfoType
label: psychiatry relate
comment: Description: Psychiatry related item Deprecation Comment:Replced by ActCode.PSY
description: Description: Psychiatry related item Deprecation Comment:Replced by ActCode.PSY

sexual and domestic violence related
sub class of: ConfidentialityByInfoType
label: sexual and domestic violence related
comment: Description: Sexual assault / domestic violence related item Deprecation Comment:Replced by ActCode.SDV
description: Description: Sexual assault / domestic violence related item Deprecation Comment:Replced by ActCode.SDV

ConfidentialityModifiers
sub class of: Confidentiality
label: ConfidentialityModifiers
comment: Description: Modifiers of role based access rights (multiple allowed) Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode
description: Description: Modifiers of role based access rights (multiple allowed) Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode

celebrity
sub class of: ConfidentialityModifiers
label: celebrity
comment: Description: Celebrities are people of public interest (VIP) including employees, whose information require special protection. Deprecation Comment:Replced by ActCode.CEL
description: Description: Celebrities are people of public interest (VIP) including employees, whose information require special protection. Deprecation Comment:Replced by ActCode.CEL

sensitive
sub class of: ConfidentialityModifiers
label: sensitive
comment: Description: Information for which the patient seeks heightened confidentiality. Sensitive information is not to be shared with family members. Information reported by the patient about family members is sensitive by default. Flag can be set or cleared on patient's request. Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode
description: Description: Information for which the patient seeks heightened confidentiality. Sensitive information is not to be shared with family members. Information reported by the patient about family members is sensitive by default. Flag can be set or cleared on patient's request. Deprecation Comment:Deprecated due to updated confidentiality codes under ActCode

taboo
sub class of: ConfidentialityModifiers
label: taboo
comment: Description: Information not to be disclosed or discussed with patient except through physician assigned to patient in this case. This is usually a temporary constraint only, example use is a new fatal diagnosis or finding, such as malignancy or HIV. Deprecation Note:Replced by ActCode.TBOO
description: Description: Information not to be disclosed or discussed with patient except through physician assigned to patient in this case. This is usually a temporary constraint only, example use is a new fatal diagnosis or finding, such as malignancy or HIV. Deprecation Note:Replced by ActCode.TBOO

v3 Code System ContainerCap
type: ValueSet
version: 2015-11-30
label: v3 Code System ContainerCap
comment: The type of cap associated with a container
description: The type of cap associated with a container
date: 2015-11-30
status: active
canonical status: active
include: ContainerCap

v3 Code System ContainerCap
type: CodeSystem
label: v3 Code System ContainerCap
comment: The type of cap associated with a container
description: The type of cap associated with a container
date: Mon Nov 30 00:00:00 AEDT 2015

MedicationCap
sub class of: ContainerCap
label: MedicationCap
comment: Cap types for medication containers
description: Cap types for medication containers

ChildProof
sub class of: MedicationCap
label: ChildProof
comment: A cap designed to be difficult to open for children. Generally requires multiple simultaneous actions (e.g. squeeze and twist) to open. Used for products that may be dangerous if ingested or overdosed by children.
description: A cap designed to be difficult to open for children. Generally requires multiple simultaneous actions (e.g. squeeze and twist) to open. Used for products that may be dangerous if ingested or overdosed by children.

EasyOpen
sub class of: MedicationCap
label: EasyOpen
comment: A cap designed to be easily removed. For products intended to be opened by persons with limited strength or dexterity.
description: A cap designed to be easily removed. For products intended to be opened by persons with limited strength or dexterity.

Film
sub class of: ContainerCap
label: Film
comment: A non-reactive plastic film covering over the opening of a container.
description: A non-reactive plastic film covering over the opening of a container.

Foil
sub class of: ContainerCap
label: Foil
comment: A foil covering (type of foil not specified) over the opening of a container
description: A foil covering (type of foil not specified) over the opening of a container

Push Cap
sub class of: ContainerCap
label: Push Cap
comment: A non-threaded cap that forms a tight-fitting closure on a container by pushing the fitted end into the conatiner opening
description: A non-threaded cap that forms a tight-fitting closure on a container by pushing the fitted end into the conatiner opening

Screw Cap
sub class of: ContainerCap
label: Screw Cap
comment: A threaded cap that is screwed onto the opening of a container
description: A threaded cap that is screwed onto the opening of a container

v3 Code System ContainerSeparator
type: ValueSet
version: 2015-11-30
label: v3 Code System ContainerSeparator
comment: A material in a blood collection container that facilites the separation of of blood cells from serum or plasma
description: A material in a blood collection container that facilites the separation of of blood cells from serum or plasma
date: 2015-11-30
status: active
canonical status: active
include: ContainerSeparator

v3 Code System ContainerSeparator
type: CodeSystem
label: v3 Code System ContainerSeparator
comment: A material in a blood collection container that facilites the separation of of blood cells from serum or plasma
description: A material in a blood collection container that facilites the separation of of blood cells from serum or plasma
date: Mon Nov 30 00:00:00 AEDT 2015

Gel
sub class of: ContainerSeparator
label: Gel
comment: A gelatinous type of separator material.
description: A gelatinous type of separator material.

None
sub class of: ContainerSeparator
label: None
comment: No separator material is present in the container.
description: No separator material is present in the container.

v3 Code System ContentProcessingMode
type: ValueSet
version: 2015-11-30
label: v3 Code System ContentProcessingMode
comment: Description: Identifies the order in which content should be processed.
description: Description: Identifies the order in which content should be processed.
date: 2015-11-30
status: active
canonical status: active
include: ContentProcessingMode

v3 Code System ContentProcessingMode
type: CodeSystem
label: v3 Code System ContentProcessingMode
comment: Description: Identifies the order in which content should be processed.
description: Description: Identifies the order in which content should be processed.
date: Mon Nov 30 00:00:00 AEDT 2015

Sequential
sub class of: ContentProcessingMode
label: Sequential
comment: Description:The content should be processed in a sequential fashion.
description: Description:The content should be processed in a sequential fashion.

Unordered
sub class of: ContentProcessingMode
label: Unordered
comment: Description:The content may be processed in any order.
description: Description:The content may be processed in any order.

v3 Code System ContextControl
type: ValueSet
version: 2015-11-30
label: v3 Code System ContextControl
comment: A code that specifies how an ActRelationship or Participation contributes to the context of an Act, and whether it may be propagated to descendent Acts whose association allows such propagation (see also attributes Participation.contextControlCode, ActRelationship.contextControlCode, ActRelationship.contextConductionInd).
description: A code that specifies how an ActRelationship or Participation contributes to the context of an Act, and whether it may be propagated to descendent Acts whose association allows such propagation (see also attributes Participation.contextControlCode, ActRelationship.contextControlCode, ActRelationship.contextConductionInd).
date: 2015-11-30
status: active
canonical status: active
include: ContextControl

v3 Code System ContextControl
type: CodeSystem
label: v3 Code System ContextControl
comment: A code that specifies how an ActRelationship or Participation contributes to the context of an Act, and whether it may be propagated to descendent Acts whose association allows such propagation (see also attributes Participation.contextControlCode, ActRelationship.contextControlCode, ActRelationship.contextConductionInd).
description: A code that specifies how an ActRelationship or Participation contributes to the context of an Act, and whether it may be propagated to descendent Acts whose association allows such propagation (see also attributes Participation.contextControlCode, ActRelationship.contextControlCode, ActRelationship.contextConductionInd).
date: Mon Nov 30 00:00:00 AEDT 2015

ContextControlAdditive
sub class of: ContextControl
label: ContextControlAdditive
comment: The association adds to the existing context associated with the Act. Both this association and any associations propagated from ancestor Acts are interpreted as being related to this Act.
description: The association adds to the existing context associated with the Act. Both this association and any associations propagated from ancestor Acts are interpreted as being related to this Act.

additive, non-propagating
sub class of: ContextControlAdditive
label: additive, non-propagating
comment: The association adds to the existing context associated with the Act, but will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Additive, Non-Propagating" it means that the author will be added to the set of author participations that have propagated from ancestor Acts for the purpose of this Act. However only the previously propagated authors will propagate to any child Acts that allow context to be propagated.
description: The association adds to the existing context associated with the Act, but will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Additive, Non-Propagating" it means that the author will be added to the set of author participations that have propagated from ancestor Acts for the purpose of this Act. However only the previously propagated authors will propagate to any child Acts that allow context to be propagated.

additive, propagating
sub class of: ContextControlAdditive
label: additive, propagating
comment: The association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Additive, Propagating" it means that the author will be added to the set of author participations that have propagated from ancestor Acts, and will itself propagate with the other authors to any child Acts that allow context to be propagated.
description: The association adds to the existing context associated with the Act, and will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Additive, Propagating" it means that the author will be added to the set of author participations that have propagated from ancestor Acts, and will itself propagate with the other authors to any child Acts that allow context to be propagated.

ContextControlNonPropagating
sub class of: ContextControl
label: ContextControlNonPropagating
comment: The association applies only to the current Act and will not propagate to any child Acts that are related via a conducting ActRelationship (refer to contextConductionInd).
description: The association applies only to the current Act and will not propagate to any child Acts that are related via a conducting ActRelationship (refer to contextConductionInd).

overriding, non-propagating
sub class of: ContextControlNonPropagating
label: overriding, non-propagating
comment: The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. However, this overriding association will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Overriding, Non-Propagating" it means that the author will replace the set of author participations that have propagated from ancestor Acts. Furthermore, no author participations whatsoever will propagate to any child Acts that allow context to be propagated.
description: The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. However, this overriding association will not propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Overriding, Non-Propagating" it means that the author will replace the set of author participations that have propagated from ancestor Acts. Furthermore, no author participations whatsoever will propagate to any child Acts that allow context to be propagated.

ContextControlOverriding
sub class of: ContextControl
label: ContextControlOverriding
comment: The association adds to the existing context associated with the Act, but replaces associations propagated from ancestor Acts whose typeCodes are the same or more specific.
description: The association adds to the existing context associated with the Act, but replaces associations propagated from ancestor Acts whose typeCodes are the same or more specific.

overriding, propagating
sub class of: ContextControlOverriding
label: overriding, propagating
comment: The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. This overriding association will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Overriding, Propagating" it means that the author will replace the set of author participations that have propagated from ancestor Acts, and will itself be the only author to propagate to any child Acts that allow context to be propagated.
description: The association is added to the existing context associated with the Act, but overrides an association with the same typeCode. This overriding association will propagate to any descendant Acts reached by conducting ActRelationships (see contextControlCode). Examples: If an 'Author' Participation were marked as "Overriding, Propagating" it means that the author will replace the set of author participations that have propagated from ancestor Acts, and will itself be the only author to propagate to any child Acts that allow context to be propagated.

ContextControlPropagating
sub class of: ContextControl
label: ContextControlPropagating
comment: The association propagates to any child Acts that are related via a conducting ActRelationship (refer to contextConductionInd).
description: The association propagates to any child Acts that are related via a conducting ActRelationship (refer to contextConductionInd).

v3 Code System DataOperation
type: ValueSet
version: 2015-11-30
label: v3 Code System DataOperation
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: DataOperation

v3 Code System DataOperation
type: CodeSystem
label: v3 Code System DataOperation
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

operate
sub class of: DataOperation
label: operate
comment: Description:Act on an object or objects.
description: Description:Act on an object or objects.

create
sub class of: operate
label: create
comment: Description:Fundamental operation in an Information System (IS) that results only in the act of bringing an object into existence. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface. For an HL7 Act, the state transitions per the HL7 Reference Information Model.
description: Description:Fundamental operation in an Information System (IS) that results only in the act of bringing an object into existence. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface. For an HL7 Act, the state transitions per the HL7 Reference Information Model.

delete
sub class of: operate
label: delete
comment: Description:Fundamental operation in an Information System (IS) that results only in the removal of information about an object from memory or storage. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.
description: Description:Fundamental operation in an Information System (IS) that results only in the removal of information about an object from memory or storage. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.

execute
sub class of: operate
label: execute
comment: Description:Fundamental operation in an IS that results only in initiating performance of a single or set of programs (i.e., software objects). Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.
description: Description:Fundamental operation in an IS that results only in initiating performance of a single or set of programs (i.e., software objects). Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.

read
sub class of: operate
label: read
comment: Description:Fundamental operation in an Information System (IS) that results only in the flow of information about an object to a subject. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.
description: Description:Fundamental operation in an Information System (IS) that results only in the flow of information about an object to a subject. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.

revise
sub class of: operate
label: revise
comment: Definition:Fundamental operation in an Information System (IS) that results only in the revision or alteration of an object. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.
description: Definition:Fundamental operation in an Information System (IS) that results only in the revision or alteration of an object. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.

append
sub class of: revise
label: append
comment: Description:Fundamental operation in an Information System (IS) that results only in the addition of information to an object already in existence. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.
description: Description:Fundamental operation in an Information System (IS) that results only in the addition of information to an object already in existence. Note: The preceding definition is taken from the HL7 RBAC specification. There is no restriction on how the operation is invoked, e.g., via a user interface.

modify status
sub class of: revise
label: modify status
comment: Description:Change the status of an object representing an Act.
description: Description:Change the status of an object representing an Act.

abort
sub class of: modify status
label: abort
comment: Description:Change the status of an object representing an Act to "aborted", i.e., terminated prior to the originally intended completion. For an HL7 Act, the state transitions per the HL7 Reference Information Model.
description: Description:Change the status of an object representing an Act to "aborted", i.e., terminated prior to the originally intended completion. For an HL7 Act, the state transitions per the HL7 Reference Information Model.

activate
sub class of: modify status
label: activate
comment: Description:Change the status of an object representing an Act to "active", i.e., so it can be performed or is being performed, for the first time. (Contrast with REACTIVATE.) For an HL7 Act, the state transitions per the HL7 Reference Information Model.
description: Description:Change the status of an object representing an Act to "active", i.e., so it can be performed or is being performed, for the first time. (Contrast with REACTIVATE.) For an HL7 Act, the state transitions per the HL7 Reference Information Model.

cancel
sub class of: modify status
label: cancel
comment: Description:Change the status of an object representing an Act to "cancelled", i.e., abandoned before activation. For an HL7 Act, the state transitions per the HL7 Reference Information Model.
description: Description:Change the status of an object representing an Act to "cancelled", i.e., abandoned before activation. For an HL7 Act, the state transitions per the HL7 Reference Information Model.

complete
sub class of: modify status
label: complete
comment: Description:Change the status of an object representing an Act to "completed", i.e., terminated normally after all of its constituents have been performed. For an HL7 Act, the state transitions per the HL7 Reference Information Model.
description: Description:Change the status of an object representing an Act to "completed", i.e., terminated normally after all of its constituents have been performed. For an HL7 Act, the state transitions per the HL7 Reference Information Model.

hold
sub class of: modify status
label: hold
comment: Description:Change the status of an object representing an Act to "held", i.e., put aside an Act that is still in preparatory stages. No action can occur until the Act is released. For an HL7 Act, the state transitions per the HL7 Reference Information Model.
description: Description:Change the status of an object representing an Act to "held", i.e., put aside an Act that is still in preparatory stages. No action can occur until the Act is released. For an HL7 Act, the state transitions per the HL7 Reference Information Model.

jump
sub class of: modify status
label: jump
comment: Description:Change the status of an object representing an Act to a normal state. For an HL7 Act, the state transitions per the HL7 Reference Information Model.
description: Description:Change the status of an object representing an Act to a normal state. For an HL7 Act, the state transitions per the HL7 Reference Information Model.

nullify
sub class of: modify status
label: nullify
comment: Description:Change the status of an object representing an Act to "nullified", i.e., treat as though it never existed. For an HL7 Act, the state transitions per the HL7 Reference Information Model.
description: Description:Change the status of an object representing an Act to "nullified", i.e., treat as though it never existed. For an HL7 Act, the state transitions per the HL7 Reference Information Model.

obsolete
sub class of: modify status
label: obsolete
comment: Description:Change the status of an object representing an Act to "obsolete" when it has been replaced by a new instance. For an HL7 Act, the state transitions per the HL7 Reference Information Model.
description: Description:Change the status of an object representing an Act to "obsolete" when it has been replaced by a new instance. For an HL7 Act, the state transitions per the HL7 Reference Information Model.

reactivate
sub class of: modify status
label: reactivate
comment: Description:Change the status of a formerly active object representing an Act to "active", i.e., so it can again be performed or is being performed. (Contrast with ACTIVATE.) For an HL7 Act, the state transitions per the HL7 Reference Information Model.
description: Description:Change the status of a formerly active object representing an Act to "active", i.e., so it can again be performed or is being performed. (Contrast with ACTIVATE.) For an HL7 Act, the state transitions per the HL7 Reference Information Model.

release
sub class of: modify status
label: release
comment: Description:Change the status of an object representing an Act so it is no longer "held", i.e., allow action to occur. For an HL7 Act, the state transitions per the HL7 Reference Information Model.
description: Description:Change the status of an object representing an Act so it is no longer "held", i.e., allow action to occur. For an HL7 Act, the state transitions per the HL7 Reference Information Model.

resume
sub class of: modify status
label: resume
comment: Description:Change the status of a suspended object representing an Act to "active", i.e., so it can be performed or is being performed. For an HL7 Act, the state transitions per the HL7 Reference Information Model.
description: Description:Change the status of a suspended object representing an Act to "active", i.e., so it can be performed or is being performed. For an HL7 Act, the state transitions per the HL7 Reference Information Model.

suspend
sub class of: modify status
label: suspend
comment: Definition:Change the status of an object representing an Act to suspended, i.e., so it is temporarily not in service.
description: Definition:Change the status of an object representing an Act to suspended, i.e., so it is temporarily not in service.

v3 Code System DeviceAlertLevel
type: ValueSet
version: 2015-11-30
label: v3 Code System DeviceAlertLevel
comment: Domain values for the Device.Alert_levelCode
description: Domain values for the Device.Alert_levelCode
date: 2015-11-30
status: active
canonical status: active
include: DeviceAlertLevel

v3 Code System DeviceAlertLevel
type: CodeSystem
label: v3 Code System DeviceAlertLevel
comment: Domain values for the Device.Alert_levelCode
description: Domain values for the Device.Alert_levelCode
date: Mon Nov 30 00:00:00 AEDT 2015

Critical
sub class of: DeviceAlertLevel
label: Critical
comment: Shut Down, Fix Problem and Re-initialize
description: Shut Down, Fix Problem and Re-initialize

Normal
sub class of: DeviceAlertLevel
label: Normal
comment: No Corrective Action Needed
description: No Corrective Action Needed

Serious
sub class of: DeviceAlertLevel
label: Serious
comment: Corrective Action Required
description: Corrective Action Required

Warning
sub class of: DeviceAlertLevel
label: Warning
comment: Corrective Action Anticipated
description: Corrective Action Anticipated

v3 Code System DocumentCompletion
type: ValueSet
version: 2015-11-30
label: v3 Code System DocumentCompletion
comment: Identifies the current completion state of a clinical document.
description: Identifies the current completion state of a clinical document.
date: 2015-11-30
status: active
canonical status: active
include: DocumentCompletion

v3 Code System DocumentCompletion
type: CodeSystem
label: v3 Code System DocumentCompletion
comment: Identifies the current completion state of a clinical document.
description: Identifies the current completion state of a clinical document.
date: Mon Nov 30 00:00:00 AEDT 2015

authenticated
sub class of: DocumentCompletion
label: authenticated
comment: A completion status in which a document has been signed manually or electronically by one or more individuals who attest to its accuracy. No explicit determination is made that the assigned individual has performed the authentication. While the standard allows multiple instances of authentication, it would be typical to have a single instance of authentication, usually by the assigned individual.
description: A completion status in which a document has been signed manually or electronically by one or more individuals who attest to its accuracy. No explicit determination is made that the assigned individual has performed the authentication. While the standard allows multiple instances of authentication, it would be typical to have a single instance of authentication, usually by the assigned individual.

dictated
sub class of: DocumentCompletion
label: dictated
comment: A completion status in which information has been orally recorded but not yet transcribed.
description: A completion status in which information has been orally recorded but not yet transcribed.

documented
sub class of: DocumentCompletion
label: documented
comment: A completion status in which document content, other than dictation, has been received but has not been translated into the final electronic format. Examples include paper documents, whether hand-written or typewritten, and intermediate electronic forms, such as voice to text.
description: A completion status in which document content, other than dictation, has been received but has not been translated into the final electronic format. Examples include paper documents, whether hand-written or typewritten, and intermediate electronic forms, such as voice to text.

incomplete
sub class of: DocumentCompletion
label: incomplete
comment: A completion status in which information is known to be missing from a transcribed document.
description: A completion status in which information is known to be missing from a transcribed document.

in progress
sub class of: DocumentCompletion
label: in progress
comment: A workflow status where the material has been assigned to personnel to perform the task of transcription. The document remains in this state until the document is transcribed.
description: A workflow status where the material has been assigned to personnel to perform the task of transcription. The document remains in this state until the document is transcribed.

legally authenticated
sub class of: DocumentCompletion
label: legally authenticated
comment: A completion status in which a document has been signed manually or electronically by the individual who is legally responsible for that document. This is the most mature state in the workflow progression.
description: A completion status in which a document has been signed manually or electronically by the individual who is legally responsible for that document. This is the most mature state in the workflow progression.

nullified document
sub class of: DocumentCompletion
label: nullified document
comment: A completion status in which a document was created in error or was placed in the wrong chart. The document is no longer available.
description: A completion status in which a document was created in error or was placed in the wrong chart. The document is no longer available.

pre-authenticated
sub class of: DocumentCompletion
label: pre-authenticated
comment: A completion status in which a document is transcribed but not authenticated.
description: A completion status in which a document is transcribed but not authenticated.

unsigned completed document
sub class of: DocumentCompletion
label: unsigned completed document
comment: A completion status where the document is complete and there is no expectation that the document will be signed.
description: A completion status where the document is complete and there is no expectation that the document will be signed.

v3 Code System DocumentStorage
type: ValueSet
version: 2015-11-30
label: v3 Code System DocumentStorage
comment: Identifies the storage status of a document.
description: Identifies the storage status of a document.
date: 2015-11-30
status: active
canonical status: active
include: DocumentStorage

v3 Code System DocumentStorage
type: CodeSystem
label: v3 Code System DocumentStorage
comment: Identifies the storage status of a document.
description: Identifies the storage status of a document.
date: Mon Nov 30 00:00:00 AEDT 2015

active
sub class of: DocumentStorage
label: active
comment: A storage status in which a document is available on-line.
description: A storage status in which a document is available on-line.

active and archived
sub class of: active
label: active and archived
comment: A storage status in which a document is available on-line and is also stored off-line for long-term access.
description: A storage status in which a document is available on-line and is also stored off-line for long-term access.

archived (not active)
sub class of: DocumentStorage
label: archived (not active)
comment: A storage status in which a document has been stored off-line for long-term access.
description: A storage status in which a document has been stored off-line for long-term access.

purged
sub class of: DocumentStorage
label: purged
comment: A storage status in which a document is no longer available in this system.
description: A storage status in which a document is no longer available in this system.

v3 Code System EducationLevel
type: ValueSet
version: 2015-11-30
label: v3 Code System EducationLevel
comment: Years of education that a person has completed
description: Years of education that a person has completed
date: 2015-11-30
status: active
canonical status: active
include: EducationLevel

v3 Code System EducationLevel
type: CodeSystem
label: v3 Code System EducationLevel
comment: Years of education that a person has completed
description: Years of education that a person has completed
date: Mon Nov 30 00:00:00 AEDT 2015

Associate's or technical degree complete
sub class of: EducationLevel
label: Associate's or technical degree complete
comment: Associate's or technical degree complete
description: Associate's or technical degree complete

College or baccalaureate degree complete
sub class of: EducationLevel
label: College or baccalaureate degree complete
comment: College or baccalaureate degree complete
description: College or baccalaureate degree complete

Elementary School
sub class of: EducationLevel
label: Elementary School
comment: Elementary School
description: Elementary School

Graduate or professional Degree complete
sub class of: EducationLevel
label: Graduate or professional Degree complete
comment: Graduate or professional Degree complete
description: Graduate or professional Degree complete

High School or secondary school degree complete
sub class of: EducationLevel
label: High School or secondary school degree complete
comment: High School or secondary school degree complete
description: High School or secondary school degree complete

Some post-baccalaureate education
sub class of: EducationLevel
label: Some post-baccalaureate education
comment: Some post-baccalaureate education
description: Some post-baccalaureate education

Doctoral or post graduate education
sub class of: EducationLevel
label: Doctoral or post graduate education
comment: Doctoral or post graduate education
description: Doctoral or post graduate education

Some College education
sub class of: EducationLevel
label: Some College education
comment: Some College education
description: Some College education

Some secondary or high school education
sub class of: EducationLevel
label: Some secondary or high school education
comment: Some secondary or high school education
description: Some secondary or high school education

v3 Code System EmployeeJobClass
type: ValueSet
version: 2015-11-30
label: v3 Code System EmployeeJobClass
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: EmployeeJobClass

v3 Code System EmployeeJobClass
type: CodeSystem
label: v3 Code System EmployeeJobClass
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

full-time
sub class of: EmployeeJobClass
label: full-time
comment: Employment in which the employee is expected to work at least a standard work week (defined by the US Bureau of Labor Statistics as 35-44 hours per week)
description: Employment in which the employee is expected to work at least a standard work week (defined by the US Bureau of Labor Statistics as 35-44 hours per week)

part-time
sub class of: EmployeeJobClass
label: part-time
comment: Employment in which the employee is expected to work less than a standard work week (defined by the US Bureau of Labor Statistics as 35-44 hours per week)
description: Employment in which the employee is expected to work less than a standard work week (defined by the US Bureau of Labor Statistics as 35-44 hours per week)

v3 Code System EncounterAdmissionSource
type: ValueSet
version: 2015-11-30
label: v3 Code System EncounterAdmissionSource
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: EncounterAdmissionSource

v3 Code System EncounterAdmissionSource
type: CodeSystem
label: v3 Code System EncounterAdmissionSource
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

emergency
sub class of: EncounterAdmissionSource
label: emergency
comment: emergency
description: emergency

labor and delivery
sub class of: EncounterAdmissionSource
label: labor and delivery
comment: labor and delivery
description: labor and delivery

newborn
sub class of: EncounterAdmissionSource
label: newborn
comment: newborn
description: newborn

v3 Code System EncounterSpecialCourtesy
type: ValueSet
version: 2015-11-30
label: v3 Code System EncounterSpecialCourtesy
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: EncounterSpecialCourtesy

v3 Code System EncounterSpecialCourtesy
type: CodeSystem
label: v3 Code System EncounterSpecialCourtesy
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

extended courtesy
sub class of: EncounterSpecialCourtesy
label: extended courtesy
comment: extended courtesy
description: extended courtesy

normal courtesy
sub class of: EncounterSpecialCourtesy
label: normal courtesy
comment: normal courtesy
description: normal courtesy

professional courtesy
sub class of: EncounterSpecialCourtesy
label: professional courtesy
comment: professional courtesy
description: professional courtesy

staff
sub class of: EncounterSpecialCourtesy
label: staff
comment: Courtesies extended to the staff of the entity providing service.
description: Courtesies extended to the staff of the entity providing service.

very important person
sub class of: EncounterSpecialCourtesy
label: very important person
comment: very important person
description: very important person

v3 Code System EntityClass
type: ValueSet
version: 2015-11-30
label: v3 Code System EntityClass
comment: Classifies the Entity class and all of its subclasses. The terminology is hierarchical. At the top is this HL7-defined domain of high-level categories (such as represented by the Entity subclasses). Each of these terms must be harmonized and is specializable. The value sets beneath are drawn from multiple, frequently external, domains that reflect much more fine-grained typing.
description: Classifies the Entity class and all of its subclasses. The terminology is hierarchical. At the top is this HL7-defined domain of high-level categories (such as represented by the Entity subclasses). Each of these terms must be harmonized and is specializable. The value sets beneath are drawn from multiple, frequently external, domains that reflect much more fine-grained typing.
date: 2015-11-30
status: active
canonical status: active
include: EntityClass

v3 Code System EntityClass
type: CodeSystem
label: v3 Code System EntityClass
comment: Classifies the Entity class and all of its subclasses. The terminology is hierarchical. At the top is this HL7-defined domain of high-level categories (such as represented by the Entity subclasses). Each of these terms must be harmonized and is specializable. The code systems beneath are drawn from multiple, frequently external, domains that reflect much more fine-grained typing.
description: Classifies the Entity class and all of its subclasses. The terminology is hierarchical. At the top is this HL7-defined domain of high-level categories (such as represented by the Entity subclasses). Each of these terms must be harmonized and is specializable. The code systems beneath are drawn from multiple, frequently external, domains that reflect much more fine-grained typing.
date: Mon Nov 30 00:00:00 AEDT 2015

entity
sub class of: EntityClass
label: entity
comment: Corresponds to the Entity class
description: Corresponds to the Entity class

health chart entity
sub class of: entity
label: health chart entity
comment: A health chart included to serve as a document receiving entity in the management of medical records.
description: A health chart included to serve as a document receiving entity in the management of medical records.

living subject
sub class of: entity
label: living subject
comment: Anything that essentially has the property of life, independent of current state (a dead human corpse is still essentially a living subject).
description: Anything that essentially has the property of life, independent of current state (a dead human corpse is still essentially a living subject).

non-person living subject
sub class of: living subject
label: non-person living subject
comment: A subtype of living subject that includes all living things except the species Homo Sapiens.
description: A subtype of living subject that includes all living things except the species Homo Sapiens.

animal
sub class of: non-person living subject
label: animal
comment: A living subject from the animal kingdom.
description: A living subject from the animal kingdom.

microorganism
sub class of: non-person living subject
label: microorganism
comment: All single celled living organisms including protozoa, bacteria, yeast, viruses, etc.
description: All single celled living organisms including protozoa, bacteria, yeast, viruses, etc.

plant
sub class of: non-person living subject
label: plant
comment: A living subject from the order of plants.
description: A living subject from the order of plants.

person
sub class of: living subject
label: person
comment: A living subject of the species homo sapiens.
description: A living subject of the species homo sapiens.

material
sub class of: entity
label: material
comment: Any thing that has extension in space and mass, may be of living or non-living origin.
description: Any thing that has extension in space and mass, may be of living or non-living origin.

chemical substance
sub class of: material
label: chemical substance
comment: A substance that is fully defined by an organic or inorganic chemical formula, includes mixtures of other chemical substances. Refine using, e.g., IUPAC codes.
description: A substance that is fully defined by an organic or inorganic chemical formula, includes mixtures of other chemical substances. Refine using, e.g., IUPAC codes.

food
sub class of: material
label: food
comment: Naturally occurring, processed or manufactured entities that are primarily used as food for humans and animals.
description: Naturally occurring, processed or manufactured entities that are primarily used as food for humans and animals.

manufactured material
sub class of: material
label: manufactured material
comment: Corresponds to the ManufacturedMaterial class
description: Corresponds to the ManufacturedMaterial class

container
sub class of: manufactured material
label: container
comment: A container of other entities.
description: A container of other entities.

holder
sub class of: container
label: holder
comment: A type of container that can hold other containers or other holders.
description: A type of container that can hold other containers or other holders.

device
sub class of: manufactured material
label: device
comment: A subtype of ManufacturedMaterial used in an activity, without being substantially changed through that activity. The kind of device is identified by the code attribute inherited from Entity. Usage: This includes durable (reusable) medical equipment as well as disposable equipment.
description: A subtype of ManufacturedMaterial used in an activity, without being substantially changed through that activity. The kind of device is identified by the code attribute inherited from Entity. Usage: This includes durable (reusable) medical equipment as well as disposable equipment.

certificate representation
sub class of: device
label: certificate representation
comment: A physical artifact that stores information about the granting of authorization.
description: A physical artifact that stores information about the granting of authorization.

imaging modality
sub class of: device
label: imaging modality
comment: Class to contain unique attributes of diagnostic imaging equipment.
description: Class to contain unique attributes of diagnostic imaging equipment.

organization
sub class of: entity
label: organization
comment: A social or legal structure formed by human beings.
description: A social or legal structure formed by human beings.

public institution
sub class of: organization
label: public institution
comment: An agency of the people of a state often assuming some authority over a certain matter. Includes government, governmental agencies, associations.
description: An agency of the people of a state often assuming some authority over a certain matter. Includes government, governmental agencies, associations.

state
sub class of: organization
label: state
comment: A politically organized body of people bonded by territory, culture, or ethnicity, having sovereignty (to a certain extent) granted by other states (enclosing or neighboring states). This includes countries (nations), provinces (e.g., one of the United States of America or a French departement), counties or municipalities. Refine using, e.g., ISO country codes, FIPS-PUB state codes, etc.
description: A politically organized body of people bonded by territory, culture, or ethnicity, having sovereignty (to a certain extent) granted by other states (enclosing or neighboring states). This includes countries (nations), provinces (e.g., one of the United States of America or a French departement), counties or municipalities. Refine using, e.g., ISO country codes, FIPS-PUB state codes, etc.

Nation
sub class of: state
label: Nation
comment: A politically organized body of people bonded by territory and known as a nation.
description: A politically organized body of people bonded by territory and known as a nation.

place
sub class of: entity
label: place
comment: A physical place or site with its containing structure. May be natural or man-made. The geographic position of a place may or may not be constant.
description: A physical place or site with its containing structure. May be natural or man-made. The geographic position of a place may or may not be constant.

city or town
sub class of: place
label: city or town
comment: The territory of a city, town or other municipality.
description: The territory of a city, town or other municipality.

country
sub class of: place
label: country
comment: The territory of a sovereign nation.
description: The territory of a sovereign nation.

county or parish
sub class of: place
label: county or parish
comment: The territory of a county, parish or other division of a state or province.
description: The territory of a county, parish or other division of a state or province.

state or province
sub class of: place
label: state or province
comment: The territory of a state, province, department or other division of a sovereign country.
description: The territory of a state, province, department or other division of a sovereign country.

group
sub class of: entity
label: group
comment: A grouping of resources (personnel, material, or places) to be used for scheduling purposes. May be a pool of like-type resources, a team, or combination of personnel, material and places.
description: A grouping of resources (personnel, material, or places) to be used for scheduling purposes. May be a pool of like-type resources, a team, or combination of personnel, material and places.

v3 Code System EntityCode
type: ValueSet
version: 2015-11-30
label: v3 Code System EntityCode
comment: OpenIssue: Missing description.
description: OpenIssue: Missing description.
date: 2015-11-30
status: active
canonical status: active
include: EntityCode

v3 Code System EntityCode
type: CodeSystem
label: v3 Code System EntityCode
comment: OpenIssue: Missing description.
description: OpenIssue: Missing description.
date: Mon Nov 30 00:00:00 AEDT 2015

MaterialEntityClassType
sub class of: EntityCode
label: MaterialEntityClassType
comment: Types of Material for EntityClass "MAT"
description: Types of Material for EntityClass "MAT"

ContainerEntityType
sub class of: MaterialEntityClassType
label: ContainerEntityType
comment: Material intended to hold another material for purpose of storage or transport.
description: Material intended to hold another material for purpose of storage or transport.

Package
sub class of: ContainerEntityType
label: Package
comment: A material intended to hold other materials for purposes of storage or transportation
description: A material intended to hold other materials for purposes of storage or transportation

NonRigidContainerEntityType
sub class of: Package
label: NonRigidContainerEntityType
comment: A container having dimensions that adjust somewhat based on the amount and shape of the material placed within it.
description: A container having dimensions that adjust somewhat based on the amount and shape of the material placed within it.

Bag
sub class of: NonRigidContainerEntityType
label: Bag
comment: A pouched or pendulous container.
description: A pouched or pendulous container.

Packet
sub class of: NonRigidContainerEntityType
label: Packet
comment: A paper
description: A paper

Pouch
sub class of: NonRigidContainerEntityType
label: Pouch
comment: A small bag or container made of a soft material.
description: A small bag or container made of a soft material.

Sachet
sub class of: NonRigidContainerEntityType
label: Sachet
comment: A small bag or packet containing a small portion of a substance.
description: A small bag or packet containing a small portion of a substance.

RigidContainerEntityType
sub class of: Package
label: RigidContainerEntityType
comment: A container having a fixed and inflexible dimensions and volume
description: A container having a fixed and inflexible dimensions and volume

IndividualPackageEntityType
sub class of: RigidContainerEntityType
label: IndividualPackageEntityType
comment: Container intended to contain sufficient material for only one use.
description: Container intended to contain sufficient material for only one use.

Ampule
sub class of: IndividualPackageEntityType
label: Ampule
comment: A small sealed glass container that holds a measured amount of a medicinal substance.
description: A small sealed glass container that holds a measured amount of a medicinal substance.

Minim
sub class of: IndividualPackageEntityType
label: Minim
comment: Individually dosed ophthalmic solution. One time eye dropper dispenser.
description: Individually dosed ophthalmic solution. One time eye dropper dispenser.

Nebuamp
sub class of: IndividualPackageEntityType
label: Nebuamp
comment: Individually dosed inhalation solution.
description: Individually dosed inhalation solution.

Ovule
sub class of: IndividualPackageEntityType
label: Ovule
comment: A container either glass or plastic and a narrow neck, for storing liquid.
description: A container either glass or plastic and a narrow neck, for storing liquid.

MultiUseContainerEntityType
sub class of: RigidContainerEntityType
label: MultiUseContainerEntityType
comment: A container intended to contain sufficient material for more than one use. (I.e. Material is intended to be removed from the container at more than one discrete time period.)
description: A container intended to contain sufficient material for more than one use. (I.e. Material is intended to be removed from the container at more than one discrete time period.)

Bottle
sub class of: MultiUseContainerEntityType
label: Bottle
comment: A container, typically rounded, either glass or plastic with a narrow neck and capable of storing liquid.
description: A container, typically rounded, either glass or plastic with a narrow neck and capable of storing liquid.

Amber Bottle
sub class of: Bottle
label: Amber Bottle
comment: A bottle of yellow to brown color. Used to store light-sensitive materials
description: A bottle of yellow to brown color. Used to store light-sensitive materials

Dropper Bottle
sub class of: Bottle
label: Dropper Bottle
comment: A bottle with a cap designed to release the contained liquid in droplets of a specific size.
description: A bottle with a cap designed to release the contained liquid in droplets of a specific size.

Glass Bottle
sub class of: Bottle
label: Glass Bottle
comment: A bottle made of glass
description: A bottle made of glass

Plastic Bottle
sub class of: Bottle
label: Plastic Bottle
comment: A bottle made of plastic
description: A bottle made of plastic

Polyethylene Bottle
sub class of: Plastic Bottle
label: Polyethylene Bottle
comment: A bottle made of polyethylene
description: A bottle made of polyethylene

Box
sub class of: MultiUseContainerEntityType
label: Box
comment: A 6-sided container commonly made from paper or cardboard used for solid forms.
description: A 6-sided container commonly made from paper or cardboard used for solid forms.

Can
sub class of: MultiUseContainerEntityType
label: Can
comment: A metal container in which a material is hermetically sealed to enable storage over long periods.
description: A metal container in which a material is hermetically sealed to enable storage over long periods.

Cartridge
sub class of: MultiUseContainerEntityType
label: Cartridge
comment: A sealed container of liquid or powder intended to be loaded into a device.
description: A sealed container of liquid or powder intended to be loaded into a device.

Canister
sub class of: MultiUseContainerEntityType
label: Canister
comment: A pressurized metal container holding a substance released as a spray or aerosol.
description: A pressurized metal container holding a substance released as a spray or aerosol.

Jar
sub class of: MultiUseContainerEntityType
label: Jar
comment: A container of glass, earthenware, plastic, etc. Top of the container has a diameter of similar size to the diameter of the container as a whole
description: A container of glass, earthenware, plastic, etc. Top of the container has a diameter of similar size to the diameter of the container as a whole

Jug
sub class of: MultiUseContainerEntityType
label: Jug
comment: A deep vessel for holding liquids, with a handle and often with a spout or lip shape for pouring.
description: A deep vessel for holding liquids, with a handle and often with a spout or lip shape for pouring.

Tin
sub class of: MultiUseContainerEntityType
label: Tin
comment: A lidded container made of thin sheet metal.
description: A lidded container made of thin sheet metal.

Tub
sub class of: MultiUseContainerEntityType
label: Tub
comment: An open flat bottomed round container.
description: An open flat bottomed round container.

Tube
sub class of: MultiUseContainerEntityType
label: Tube
comment: A long hollow rigid or flexible cylinder. Material is extruded by squeezing the container.
description: A long hollow rigid or flexible cylinder. Material is extruded by squeezing the container.

Vial
sub class of: MultiUseContainerEntityType
label: Vial
comment: A small cylindrical glass for holding liquid medicines.
description: A small cylindrical glass for holding liquid medicines.

Blister Pack
sub class of: RigidContainerEntityType
label: Blister Pack
comment: A bubblepack. Medications sealed individually, separated into doses.
description: A bubblepack. Medications sealed individually, separated into doses.

Card
sub class of: Blister Pack
label: Card
comment: A bubble pack card. Multiple individual/separated doses.
description: A bubble pack card. Multiple individual/separated doses.

Compliance Package
sub class of: Package
label: Compliance Package
comment: A container intended to contain sufficient material for more than one use, but grouped or organized to provide individual access to sufficient material for a single use. Often used to ensure that the proper type and amount of material is consumed/expended for each use.
description: A container intended to contain sufficient material for more than one use, but grouped or organized to provide individual access to sufficient material for a single use. Often used to ensure that the proper type and amount of material is consumed/expended for each use.

Dial Pack
sub class of: Compliance Package
label: Dial Pack
comment: Rotatable dispenser. Eg. Birth control package.
description: Rotatable dispenser. Eg. Birth control package.

Disk
sub class of: Compliance Package
label: Disk
comment: Object that is thin, flat, and circular. Doses of medication often contained in bubbles on the disk.
description: Object that is thin, flat, and circular. Doses of medication often contained in bubbles on the disk.

Dosette
sub class of: Compliance Package
label: Dosette
comment: Special packaging that will help patients take their medications on a regular basis.
description: Special packaging that will help patients take their medications on a regular basis.

Strip
sub class of: Compliance Package
label: Strip
comment: A continuous strip of plastic sectioned into individual pouches, each one containing the quantity of 1 or more medications intended to be administered at a specific time
description: A continuous strip of plastic sectioned into individual pouches, each one containing the quantity of 1 or more medications intended to be administered at a specific time

Kit
sub class of: Package
label: Kit
comment: A container for a diverse collection of products intended to be used together for some purpose (e.g. Medicinal kits often contain a syringe, a needle and the injectable medication).
description: A container for a diverse collection of products intended to be used together for some purpose (e.g. Medicinal kits often contain a syringe, a needle and the injectable medication).

System
sub class of: Kit
label: System
comment: A kit in which the components are interconnected.
description: A kit in which the components are interconnected.

MedicalDevice
sub class of: MaterialEntityClassType
label: MedicalDevice
comment: A device with direct or indirect therapeutic purpose. Values for EntityCode when EntityClass = "DEV"
description: A device with direct or indirect therapeutic purpose. Values for EntityCode when EntityClass = "DEV"

AccessMedicalDevice
sub class of: MedicalDevice
label: AccessMedicalDevice
comment: A device used to allow access to a part of a body
description: A device used to allow access to a part of a body

Line
sub class of: AccessMedicalDevice
label: Line
comment: A hollow tube used to administer a substance into a vein, artery or body cavity
description: A hollow tube used to administer a substance into a vein, artery or body cavity

Intra-arterial Line
sub class of: Line
label: Intra-arterial Line
comment: A line used to administer a substance into an artery
description: A line used to administer a substance into an artery

Intraveneous Line
sub class of: Line
label: Intraveneous Line
comment: A line used to administer a substance into a vein
description: A line used to administer a substance into a vein

AdministrationMedicalDevice
sub class of: MedicalDevice
label: AdministrationMedicalDevice
comment: A device intended to administer a substance to a subject
description: A device intended to administer a substance to a subject

InjectionMedicalDevice
sub class of: AdministrationMedicalDevice
label: InjectionMedicalDevice
comment: A device intended to administer liquid into a subject via a
description: A device intended to administer liquid into a subject via a

AutoInjector
sub class of: InjectionMedicalDevice
label: AutoInjector
comment: Automatically injects medication.
description: Automatically injects medication.

Pen
sub class of: InjectionMedicalDevice
label: Pen
comment: A device which can contain a cartridge for injection purposes. Eg. Insulin pen.
description: A device which can contain a cartridge for injection purposes. Eg. Insulin pen.

Syringe
sub class of: InjectionMedicalDevice
label: Syringe
comment: A barrel with a plunger.
description: A barrel with a plunger.

Applicator
sub class of: AdministrationMedicalDevice
label: Applicator
comment: A device used to apply a liquid or powder to a surface.
description: A device used to apply a liquid or powder to a surface.

Inhaler
sub class of: AdministrationMedicalDevice
label: Inhaler
comment: A small device used for inhaling medicine in the form of a vapour or gas in order to ease a respiratory condition such as asthma or to relieve nasal congestion.
description: A small device used for inhaling medicine in the form of a vapour or gas in order to ease a respiratory condition such as asthma or to relieve nasal congestion.

Diskus
sub class of: Inhaler
label: Diskus
comment: The device used to inhale the doses of medication contained in the disk form.
description: The device used to inhale the doses of medication contained in the disk form.

Diskhaler
sub class of: Inhaler
label: Diskhaler
comment: The device used to inhale the doses of medication contained in the disk form.
description: The device used to inhale the doses of medication contained in the disk form.

Turbuhaler
sub class of: Inhaler
label: Turbuhaler
comment: Asthma medication delivery device.
description: Asthma medication delivery device.

Pump
sub class of: AdministrationMedicalDevice
label: Pump
comment: A device that is used to raise, compress, or transfer liquids or gases and is operated by a piston or similar mechanism.
description: A device that is used to raise, compress, or transfer liquids or gases and is operated by a piston or similar mechanism.

SpecimenAdditiveEntity
sub class of: MaterialEntityClassType
label: SpecimenAdditiveEntity
comment: Set of codes related to specimen additives
description: Set of codes related to specimen additives

ACD Solution A
sub class of: SpecimenAdditiveEntity
label: ACD Solution A
comment: ACD Solution A of trisodium citrate, 22.0g/L; citric acid, 8.0 g/L; and dextrose 24.5 g/L. Used in Blood banking and histocompatibilty testing
description: ACD Solution A of trisodium citrate, 22.0g/L; citric acid, 8.0 g/L; and dextrose 24.5 g/L. Used in Blood banking and histocompatibilty testing

ACD Solution B
sub class of: SpecimenAdditiveEntity
label: ACD Solution B
comment: ACD Solution B of trisodium citrate, 13.2g/L; citric acid, 4.8 g/L; and dextrose 14.7 g/L. Used in Blood banking and histocompatibilty testing.
description: ACD Solution B of trisodium citrate, 13.2g/L; citric acid, 4.8 g/L; and dextrose 14.7 g/L. Used in Blood banking and histocompatibilty testing.

Acetic Acid
sub class of: SpecimenAdditiveEntity
label: Acetic Acid
comment: 50% V/V acetic acid in water. Used as a urine preservative
description: 50% V/V acetic acid in water. Used as a urine preservative

Amies transport medium
sub class of: SpecimenAdditiveEntity
label: Amies transport medium
comment: Sodium Chloride 3.0g, Potassium Chloride 0.2g, Calcium Chloride 0.1g, Magnesium Chloride 0.1g, Monopotassium Phosphate 0.2g, Disodium Phosphate 1.15g, Sodium Thiogly collate 1.0g, Distilled Water 1 liter
description: Sodium Chloride 3.0g, Potassium Chloride 0.2g, Calcium Chloride 0.1g, Magnesium Chloride 0.1g, Monopotassium Phosphate 0.2g, Disodium Phosphate 1.15g, Sodium Thiogly collate 1.0g, Distilled Water 1 liter

Bacterial Transport medium
sub class of: SpecimenAdditiveEntity
label: Bacterial Transport medium
comment: Any medium used to maintain bacterial viability (e.g. Stuart's, Cary-Blair, Amies)
description: Any medium used to maintain bacterial viability (e.g. Stuart's, Cary-Blair, Amies)

Buffered 10% formalin
sub class of: SpecimenAdditiveEntity
label: Buffered 10% formalin
comment: Formaldehyde 4% w/v; methyl alcohol 1% w/v; phosphate buffering salts. Tissue preservative
description: Formaldehyde 4% w/v; methyl alcohol 1% w/v; phosphate buffering salts. Tissue preservative

Boric Acid
sub class of: SpecimenAdditiveEntity
label: Boric Acid
comment: Powdered boric acid (usually 10 g) added to 24-hour urine collections as a preservative.
description: Powdered boric acid (usually 10 g) added to 24-hour urine collections as a preservative.

Bouin's solution
sub class of: SpecimenAdditiveEntity
label: Bouin's solution
comment: Picric acid, saturated aqueous solution (750.0 ml), 37-40% formalin (250.0 ml), glacial acetic acid (50.0 ml). Tissue preservative.
description: Picric acid, saturated aqueous solution (750.0 ml), 37-40% formalin (250.0 ml), glacial acetic acid (50.0 ml). Tissue preservative.

Buffered skim milk
sub class of: SpecimenAdditiveEntity
label: Buffered skim milk
comment: 50% skim milk in 0.01 M phosphate-buffered saline. Maintain virus viability
description: 50% skim milk in 0.01 M phosphate-buffered saline. Maintain virus viability

3.2% Citrate
sub class of: SpecimenAdditiveEntity
label: 3.2% Citrate
comment: A 3.2% solution of Sodium Citrate in water. Used as a blood preservative
description: A 3.2% solution of Sodium Citrate in water. Used as a blood preservative

3.8% Citrate
sub class of: SpecimenAdditiveEntity
label: 3.8% Citrate
comment: A 3.8% solution of Sodium Citrate in water. Used as a blood preservative
description: A 3.8% solution of Sodium Citrate in water. Used as a blood preservative

Carson's Modified 10% formalin
sub class of: SpecimenAdditiveEntity
label: Carson's Modified 10% formalin
comment: A modification of buffered 10% formalin used as a general tissue preservative.
description: A modification of buffered 10% formalin used as a general tissue preservative.

Cary Blair Medium
sub class of: SpecimenAdditiveEntity
label: Cary Blair Medium
comment: Sodium Thioglycollate 1.5 g, Disodium Hydrogen Phosphate 1.1 g, Sodium Chloride 5.0 g, Calcium Chloride 0.09 g, Agar 5.0 g, per Liter of Water
description: Sodium Thioglycollate 1.5 g, Disodium Hydrogen Phosphate 1.1 g, Sodium Chloride 5.0 g, Calcium Chloride 0.09 g, Agar 5.0 g, per Liter of Water

Chlamydia transport medium
sub class of: SpecimenAdditiveEntity
label: Chlamydia transport medium
comment: Any of a number of non-nutritive buffered media used to maintain Chlamydia viability during transportation to the laboratory
description: Any of a number of non-nutritive buffered media used to maintain Chlamydia viability during transportation to the laboratory

CTAD
sub class of: SpecimenAdditiveEntity
label: CTAD
comment: Buffered tri-sodium citrate solution with theophylline, adenosine and dipyridamole
description: Buffered tri-sodium citrate solution with theophylline, adenosine and dipyridamole

Potassium/K EDTA 15%
sub class of: SpecimenAdditiveEntity
label: Potassium/K EDTA 15%
comment: Potassium EDTA 15% solution in water
description: Potassium EDTA 15% solution in water

Potassium/K EDTA 7.5%
sub class of: SpecimenAdditiveEntity
label: Potassium/K EDTA 7.5%
comment: Potassium EDTA 7.5% solution in water
description: Potassium EDTA 7.5% solution in water

Sodium/Na EDTA
sub class of: SpecimenAdditiveEntity
label: Sodium/Na EDTA
comment: Sodium fluoride and Disodium EDTA
description: Sodium fluoride and Disodium EDTA

Enteric bacteria transport medium
sub class of: SpecimenAdditiveEntity
label: Enteric bacteria transport medium
comment: Any of a number of non-nutritive buffered media used to maintain enteric bacterial viability during transportation to the laboratory
description: Any of a number of non-nutritive buffered media used to maintain enteric bacterial viability during transportation to the laboratory

10% Formalin
sub class of: SpecimenAdditiveEntity
label: 10% Formalin
comment: A 10% v/v solution in water of formalin( a 37% solution of formaldehyde and water). Used for tissue preservation.
description: A 10% v/v solution in water of formalin( a 37% solution of formaldehyde and water). Used for tissue preservation.

Thrombin NIH; soybean trypsin inhibitor
sub class of: SpecimenAdditiveEntity
label: Thrombin NIH; soybean trypsin inhibitor
comment: Thrombin plus soybean trypsin inhibitor. For use in identifying fibrn degredation products.
description: Thrombin plus soybean trypsin inhibitor. For use in identifying fibrn degredation products.

Sodium Fluoride, 10mg
sub class of: SpecimenAdditiveEntity
label: Sodium Fluoride, 10mg
comment: Sodium fluoride, 10mg added as a urine preservative.
description: Sodium fluoride, 10mg added as a urine preservative.

Sodium Fluoride, 100mg
sub class of: SpecimenAdditiveEntity
label: Sodium Fluoride, 100mg
comment: Sodium fluoride, 100mg added as a urine preservative.
description: Sodium fluoride, 100mg added as a urine preservative.

6N HCL
sub class of: SpecimenAdditiveEntity
label: 6N HCL
comment: A solution of HCl containing 6moles of hydrogen ion/L. Used as a Urine Preservative.
description: A solution of HCl containing 6moles of hydrogen ion/L. Used as a Urine Preservative.

Ammonium heparin
sub class of: SpecimenAdditiveEntity
label: Ammonium heparin
comment: Ammonium heparin
description: Ammonium heparin

Lithium/Li Heparin
sub class of: SpecimenAdditiveEntity
label: Lithium/Li Heparin
comment: Lithium heparin salt
description: Lithium heparin salt

Sodium/Na Heparin
sub class of: SpecimenAdditiveEntity
label: Sodium/Na Heparin
comment: Sodium heparin salt
description: Sodium heparin salt

Nitric Acid
sub class of: SpecimenAdditiveEntity
label: Nitric Acid
comment: 6N Nitric acid used to preserve urine for heavy metal analysis.
description: 6N Nitric acid used to preserve urine for heavy metal analysis.

Jones Kendrick Medium
sub class of: SpecimenAdditiveEntity
label: Jones Kendrick Medium
comment: A transport medium formulated to maintain Bordetella pertussis viability.
description: A transport medium formulated to maintain Bordetella pertussis viability.

Karnovsky's fixative
sub class of: SpecimenAdditiveEntity
label: Karnovsky's fixative
comment: 5% Glutaraldehyde, 4% Formaldehyde in 0.08M buffer. Tissue preservation
description: 5% Glutaraldehyde, 4% Formaldehyde in 0.08M buffer. Tissue preservation

Potassium Oxalate
sub class of: SpecimenAdditiveEntity
label: Potassium Oxalate
comment: Potassium oxalate and sodium fluoride in a 1.25:1 ratio
description: Potassium oxalate and sodium fluoride in a 1.25:1 ratio

Lithium iodoacetate
sub class of: SpecimenAdditiveEntity
label: Lithium iodoacetate
comment: Iodoacetate lithium salt
description: Iodoacetate lithium salt

M4
sub class of: SpecimenAdditiveEntity
label: M4
comment: Modified Hank's balanced salt solution supplemented with bovine serum albumin, gelatin, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with HEPES buffer. Phenol red is used to indicate pH. Vancomycin, Amphotericin B and Colistin are used to
description: Modified Hank's balanced salt solution supplemented with bovine serum albumin, gelatin, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with HEPES buffer. Phenol red is used to indicate pH. Vancomycin, Amphotericin B and Colistin are used to

M4-RT
sub class of: SpecimenAdditiveEntity
label: M4-RT
comment: Modified Hank's balanced salt solution supplemented with bovine serum albumin, gelatin, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with Hepes buffer. Phenol red is used to indicate pH. Gentamicin and amphotericin B are used to inhibit c
description: Modified Hank's balanced salt solution supplemented with bovine serum albumin, gelatin, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with Hepes buffer. Phenol red is used to indicate pH. Gentamicin and amphotericin B are used to inhibit c

M5
sub class of: SpecimenAdditiveEntity
label: M5
comment: Modified Hank's balanced salt solution supplemented with protein stabilizers, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with Hepes buffer. Phenol red is used to indicate pH. Vancomycin, Amphotericin B and Colistin are used to inhibit c
description: Modified Hank's balanced salt solution supplemented with protein stabilizers, sucrose and glutamic acid. It is buffered to pH 7.3+ or - 0.2 with Hepes buffer. Phenol red is used to indicate pH. Vancomycin, Amphotericin B and Colistin are used to inhibit c

Michel's transport medium
sub class of: SpecimenAdditiveEntity
label: Michel's transport medium
comment: 1M potassium citrate, pH 7.0 2.5 ml, 0.1M magnesium sulfate 5.0 ml, 0.1M N-ethyl malemide 5.0 ml, dH2O 87.5 ml, ammonium sulfate 55gm. Preserve antigens for Immunofluorescence procedures
description: 1M potassium citrate, pH 7.0 2.5 ml, 0.1M magnesium sulfate 5.0 ml, 0.1M N-ethyl malemide 5.0 ml, dH2O 87.5 ml, ammonium sulfate 55gm. Preserve antigens for Immunofluorescence procedures

MMD transport medium
sub class of: SpecimenAdditiveEntity
label: MMD transport medium
comment: A buffered medium with ammonium sulfate added to preserve antigens for Immunofluorescence procedures
description: A buffered medium with ammonium sulfate added to preserve antigens for Immunofluorescence procedures

Sodium Fluoride
sub class of: SpecimenAdditiveEntity
label: Sodium Fluoride
comment: Sodium fluoride
description: Sodium fluoride

None
sub class of: SpecimenAdditiveEntity
label: None
comment: No additive. Specifically identifes the specimen as having no additives.
description: No additive. Specifically identifes the specimen as having no additives.

Page's Saline
sub class of: SpecimenAdditiveEntity
label: Page's Saline
comment: 0.12 g NaCl, 0.004 g MgSO, 0.004 g, CaCl, 0.142 g Na2HPO4 and 0.136 g KH2PO4 per liter of distilled water. Maintain Acanthaoemba viability.
description: 0.12 g NaCl, 0.004 g MgSO, 0.004 g, CaCl, 0.142 g Na2HPO4 and 0.136 g KH2PO4 per liter of distilled water. Maintain Acanthaoemba viability.

Phenol
sub class of: SpecimenAdditiveEntity
label: Phenol
comment: Phenol. Urine preservative
description: Phenol. Urine preservative

Polyvinylalcohol
sub class of: SpecimenAdditiveEntity
label: Polyvinylalcohol
comment: Polyvinyl alcohol
description: Polyvinyl alcohol

Reagan Lowe Medium
sub class of: SpecimenAdditiveEntity
label: Reagan Lowe Medium
comment: A transport medium formulated to maintain Bordetella pertussis viability.
description: A transport medium formulated to maintain Bordetella pertussis viability.

Siliceous earth
sub class of: SpecimenAdditiveEntity
label: Siliceous earth
comment: Diatomaceous earth. For glucose determination blood samples
description: Diatomaceous earth. For glucose determination blood samples

Sodium polyanethol sulfonate 0.35% in 0.85% sodium chloride
sub class of: SpecimenAdditiveEntity
label: Sodium polyanethol sulfonate 0.35% in 0.85% sodium chloride
comment: Sodium polyanethol sulfonate in saline. Anticomplementary and antiphagocytic properties. Used in blood culture collection.
description: Sodium polyanethol sulfonate in saline. Anticomplementary and antiphagocytic properties. Used in blood culture collection.

Serum Separator Tube
sub class of: SpecimenAdditiveEntity
label: Serum Separator Tube
comment: Polymer separator gel with clot activator
description: Polymer separator gel with clot activator

Stuart transport medium
sub class of: SpecimenAdditiveEntity
label: Stuart transport medium
comment: Sodium Glycerophosphate 10.0g, Calcium Chloride 0.1g, Mercaptoacetic Acid 1.0ml, Distilled Water 1 liter
description: Sodium Glycerophosphate 10.0g, Calcium Chloride 0.1g, Mercaptoacetic Acid 1.0ml, Distilled Water 1 liter

Thrombin
sub class of: SpecimenAdditiveEntity
label: Thrombin
comment: Thrombin. Accelerates clotting.
description: Thrombin. Accelerates clotting.

Thymol
sub class of: SpecimenAdditiveEntity
label: Thymol
comment: 2-Isopropyl-5-methyl phenol. A preservative for 24 Hr Urine samples
description: 2-Isopropyl-5-methyl phenol. A preservative for 24 Hr Urine samples

Thyoglycolate broth
sub class of: SpecimenAdditiveEntity
label: Thyoglycolate broth
comment: A nutritive medium with a reducing agent (sodium thioglycolate) which, due to a chemical reaction, removes oxygen from the broth.
description: A nutritive medium with a reducing agent (sodium thioglycolate) which, due to a chemical reaction, removes oxygen from the broth.

Toluene
sub class of: SpecimenAdditiveEntity
label: Toluene
comment: Also known as Methylbenzene; Toluol; Phenylmethane. A preservative for 24 Hr Urine samples
description: Also known as Methylbenzene; Toluol; Phenylmethane. A preservative for 24 Hr Urine samples

Ureaplasma transport medium
sub class of: SpecimenAdditiveEntity
label: Ureaplasma transport medium
comment: A buffered salt solution with antifungal agents added for the collection and transport of Ureaplasma specimens.
description: A buffered salt solution with antifungal agents added for the collection and transport of Ureaplasma specimens.

Viral Transport medium
sub class of: SpecimenAdditiveEntity
label: Viral Transport medium
comment: Sucrose 74.6g, Potassium hydrogenphosphate 0.52g, L-glutamic acid 0.72g, Bovine serum albumin 5.0g, Gentamicin 50mg, Potassium dihydrogenphosphate 1.25g, L-15 medium 9.9L, Water to 10L. Maintain Virus viability.
description: Sucrose 74.6g, Potassium hydrogenphosphate 0.52g, L-glutamic acid 0.72g, Bovine serum albumin 5.0g, Gentamicin 50mg, Potassium dihydrogenphosphate 1.25g, L-15 medium 9.9L, Water to 10L. Maintain Virus viability.

Buffered Citrate
sub class of: SpecimenAdditiveEntity
label: Buffered Citrate
comment: 3.8% Citrate buffered to a pH of 5.5 for Westergren Sedimentation Rate
description: 3.8% Citrate buffered to a pH of 5.5 for Westergren Sedimentation Rate

Blood Product
sub class of: MaterialEntityClassType
label: Blood Product
comment: A manufactured product that is produced from the raw blood oi a donor with the intention of using it in a recipient transfusion.
description: A manufactured product that is produced from the raw blood oi a donor with the intention of using it in a recipient transfusion.

Vaccine
sub class of: MaterialEntityClassType
label: Vaccine
comment: A Type of medicine that creates an immune protection without the recipient experiencing the disease.
description: A Type of medicine that creates an immune protection without the recipient experiencing the disease.

DrugEntity
sub class of: MaterialEntityClassType
label: DrugEntity
comment: A substance whose therapeutic effect is produced by chemical action within the body.
description: A substance whose therapeutic effect is produced by chemical action within the body.

ClinicalDrug
sub class of: DrugEntity
label: ClinicalDrug
comment: Any substance or mixture of substances manufactured, sold or represented for use in: (a) the diagnosis, treatment, mitigation or prevention of a disease, disorder, abnormal physical state, or its symptoms, in human beings or animals; (b) restoring, correcting or modifying organic functions in human beings or animals.
description: Any substance or mixture of substances manufactured, sold or represented for use in: (a) the diagnosis, treatment, mitigation or prevention of a disease, disorder, abnormal physical state, or its symptoms, in human beings or animals; (b) restoring, correcting or modifying organic functions in human beings or animals.

NonDrugAgentEntity
sub class of: EntityCode
label: NonDrugAgentEntity
comment: Indicates types of allergy and intolerance agents which are non-drugs. (E.g. foods, latex, etc.)
description: Indicates types of allergy and intolerance agents which are non-drugs. (E.g. foods, latex, etc.)

egg
sub class of: NonDrugAgentEntity
label: egg
comment: egg
description: egg

fish
sub class of: NonDrugAgentEntity
label: fish
comment: fish
description: fish

lactose
sub class of: NonDrugAgentEntity
label: lactose
comment: lactose
description: lactose

peanut
sub class of: NonDrugAgentEntity
label: peanut
comment: peanut
description: peanut

soy
sub class of: NonDrugAgentEntity
label: soy
comment: soy
description: soy

sulfites
sub class of: NonDrugAgentEntity
label: sulfites
comment: sulfites
description: sulfites

wheat or gluten
sub class of: NonDrugAgentEntity
label: wheat or gluten
comment: wheat or gluten
description: wheat or gluten

isocyanates
sub class of: NonDrugAgentEntity
label: isocyanates
comment: isocyanates
description: isocyanates

solvents
sub class of: NonDrugAgentEntity
label: solvents
comment: solvents
description: solvents

oils
sub class of: NonDrugAgentEntity
label: oils
comment: oils
description: oils

venoms
sub class of: NonDrugAgentEntity
label: venoms
comment: venoms
description: venoms

latex
sub class of: NonDrugAgentEntity
label: latex
comment: latex
description: latex

shellfish
sub class of: NonDrugAgentEntity
label: shellfish
comment: shellfish
description: shellfish

strawberries
sub class of: NonDrugAgentEntity
label: strawberries
comment: strawberries
description: strawberries

tomatoes
sub class of: NonDrugAgentEntity
label: tomatoes
comment: tomatoes
description: tomatoes

dust
sub class of: NonDrugAgentEntity
label: dust
comment: dust
description: dust

dust mites
sub class of: NonDrugAgentEntity
label: dust mites
comment: dust mites
description: dust mites

OrganizationEntityType
sub class of: EntityCode
label: OrganizationEntityType
comment: Further classifies entities of classCode ORG.
description: Further classifies entities of classCode ORG.

household
sub class of: OrganizationEntityType
label: household
comment: The group of persons who occupy a single housing unit.
description: The group of persons who occupy a single housing unit.

NationEntityType
sub class of: OrganizationEntityType
label: NationEntityType
comment: Codes identifying nation states. Allows for finer grained specification of Entity with classcode <= NAT Example:ISO3166 country codes.
description: Codes identifying nation states. Allows for finer grained specification of Entity with classcode <= NAT Example:ISO3166 country codes.

religious institution
sub class of: OrganizationEntityType
label: religious institution
comment: An organization that provides religious rites of worship.
description: An organization that provides religious rites of worship.

PlaceEntityType
sub class of: EntityCode
label: PlaceEntityType
comment: Types of places for EntityClass "PLC"
description: Types of places for EntityClass "PLC"

Bed Location
sub class of: PlaceEntityType
label: Bed Location
comment: The location of a bed
description: The location of a bed

Building Location
sub class of: PlaceEntityType
label: Building Location
comment: The location of a building
description: The location of a building

Floor Location
sub class of: PlaceEntityType
label: Floor Location
comment: The location of a floor of a building
description: The location of a floor of a building

Room Location
sub class of: PlaceEntityType
label: Room Location
comment: The location of a room
description: The location of a room

Wing Location
sub class of: PlaceEntityType
label: Wing Location
comment: The location of a wing of a building (e.g. East Wing). The same room number for the same floor number can be distinguished by wing number in some situations
description: The location of a wing of a building (e.g. East Wing). The same room number for the same floor number can be distinguished by wing number in some situations

ResourceGroupEntityType
sub class of: EntityCode
label: ResourceGroupEntityType
comment: Codes to characterize a Resource Group using categories that typify its membership and/or function . Example: PractitionerGroup
description: Codes to characterize a Resource Group using categories that typify its membership and/or function . Example: PractitionerGroup

PractitionerGroup
sub class of: ResourceGroupEntityType
label: PractitionerGroup
comment: PractitionerGroup
description: PractitionerGroup

v3 Code System EntityDeterminer
type: ValueSet
version: 2015-11-30
label: v3 Code System EntityDeterminer
comment: EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing.
description: EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing.
date: 2015-11-30
status: active
canonical status: active
include: EntityDeterminer

v3 Code System EntityDeterminer
type: CodeSystem
label: v3 Code System EntityDeterminer
comment: EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing.
description: EntityDeterminer in natural language grammar is the class of words that comprises articles, demonstrative pronouns, and quantifiers. In the RIM, determiner is a structural code in the Entity class to distinguish whether any given Entity object stands for some, any one, or a specific thing.
date: Mon Nov 30 00:00:00 AEDT 2015

specific
sub class of: EntityDeterminer
label: specific
comment: Description:A determiner that specifies that the Entity object represents a particular physical thing (as opposed to a universal, kind, or class of physical thing). Discussion: It does not matter whether an INSTANCE still exists as a whole at the point in time (or process) when we mention it, for example, a drug product lot is an INSTANCE even though it has been portioned out for retail purpose.
description: Description:A determiner that specifies that the Entity object represents a particular physical thing (as opposed to a universal, kind, or class of physical thing). Discussion: It does not matter whether an INSTANCE still exists as a whole at the point in time (or process) when we mention it, for example, a drug product lot is an INSTANCE even though it has been portioned out for retail purpose.

specific group
sub class of: specific
label: specific group
comment: A determiner that specifies that the Entity object represents a particular collection of physical things (as opposed to a universal, kind, or class of physical thing). While the collection may resolve to having only a single individual (or even no individuals), the potential should exist for it to cover multiple individuals.
description: A determiner that specifies that the Entity object represents a particular collection of physical things (as opposed to a universal, kind, or class of physical thing). While the collection may resolve to having only a single individual (or even no individuals), the potential should exist for it to cover multiple individuals.

described
sub class of: EntityDeterminer
label: described
comment: Description:A determiner that specifies that the Entity object represents a universal, kind or class of physical thing (as opposed to a particular thing).
description: Description:A determiner that specifies that the Entity object represents a universal, kind or class of physical thing (as opposed to a particular thing).

described group
sub class of: described
label: described group
comment: A determiner that specifies that the Entity object represents a universal, kind or class of collections physical things. While the collection may resolve to having only a single individual (or even no individuals), the potential should exist for it to cover multiple individuals.
description: A determiner that specifies that the Entity object represents a universal, kind or class of collections physical things. While the collection may resolve to having only a single individual (or even no individuals), the potential should exist for it to cover multiple individuals.

described quantified
sub class of: described
label: described quantified
comment: The described quantified determiner indicates that the given Entity is taken as a general description of a specific amount of a thing. For example, QUANTIFIED_KIND of syringe (quantity = 3,) stands for exactly three syringes.
description: The described quantified determiner indicates that the given Entity is taken as a general description of a specific amount of a thing. For example, QUANTIFIED_KIND of syringe (quantity = 3,) stands for exactly three syringes.

v3 Code System EntityHandling
type: ValueSet
version: 2015-11-30
label: v3 Code System EntityHandling
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: EntityHandling

v3 Code System EntityHandling
type: CodeSystem
label: v3 Code System EntityHandling
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

Ambient Temperature
sub class of: EntityHandling
label: Ambient Temperature
comment: Keep at ambient temperature, 22 +/- 2C
description: Keep at ambient temperature, 22 +/- 2C

Body Temperature
sub class of: EntityHandling
label: Body Temperature
comment: Critical to keep at body temperature 36-38C
description: Critical to keep at body temperature 36-38C

Critical Ambient temperature
sub class of: EntityHandling
label: Critical Ambient temperature
comment: Critical ambient - must not be refrigerated or frozen.
description: Critical ambient - must not be refrigerated or frozen.

Protect from Air
sub class of: EntityHandling
label: Protect from Air
comment: Critical. Do not expose to atmosphere. Do not uncap.
description: Critical. Do not expose to atmosphere. Do not uncap.

Critical frozen
sub class of: EntityHandling
label: Critical frozen
comment: Critical frozen. Specimen must not be allowed to thaw until immediately prior to testing.
description: Critical frozen. Specimen must not be allowed to thaw until immediately prior to testing.

Critical refrigerated temperature
sub class of: EntityHandling
label: Critical refrigerated temperature
comment: Critical refrigerated - must not be allowed to freeze or warm until imediately prior to testing.
description: Critical refrigerated - must not be allowed to freeze or warm until imediately prior to testing.

Deep Frozen
sub class of: EntityHandling
label: Deep Frozen
comment: Deep Frozen -16 to -20C.
description: Deep Frozen -16 to -20C.

dry
sub class of: EntityHandling
label: dry
comment: Keep in a dry environment
description: Keep in a dry environment

frozen
sub class of: EntityHandling
label: frozen
comment: Keep frozen below 0 ?C
description: Keep frozen below 0 ?C

Metal Free
sub class of: EntityHandling
label: Metal Free
comment: Container is free of heavy metals, including lead.
description: Container is free of heavy metals, including lead.

nitrogen
sub class of: EntityHandling
label: nitrogen
comment: Keep in liquid nitrogen
description: Keep in liquid nitrogen

Protect from Light
sub class of: EntityHandling
label: Protect from Light
comment: Protect from light (eg. Wrap in aluminum foil).
description: Protect from light (eg. Wrap in aluminum foil).

do not shake
sub class of: EntityHandling
label: do not shake
comment: Do not shake
description: Do not shake

no shock
sub class of: EntityHandling
label: no shock
comment: Protect against shock
description: Protect against shock

Refrigerated temperature
sub class of: EntityHandling
label: Refrigerated temperature
comment: Keep at refrigerated temperature:4-8C Accidental warming or freezing is of little consequence.
description: Keep at refrigerated temperature:4-8C Accidental warming or freezing is of little consequence.

Shake before use
sub class of: EntityHandling
label: Shake before use
comment: Shake thoroughly before using
description: Shake thoroughly before using

Ultra frozen
sub class of: EntityHandling
label: Ultra frozen
comment: Ultra cold frozen -75 to -85C. Ultra cold freezer is typically at temperature of dry ice.
description: Ultra cold frozen -75 to -85C. Ultra cold freezer is typically at temperature of dry ice.

upright
sub class of: EntityHandling
label: upright
comment: Keep upright, do not turn upside down
description: Keep upright, do not turn upside down

v3 Code System EntityNamePartQualifier
type: ValueSet
version: 2015-11-30
label: v3 Code System EntityNamePartQualifier
comment: OpenIssue: Needs description
description: OpenIssue: Needs description
date: 2015-11-30
status: active
canonical status: active
include: EntityNamePartQualifier

v3 Code System EntityNamePartQualifier
type: CodeSystem
label: v3 Code System EntityNamePartQualifier
comment: OpenIssue: Needs description
description: OpenIssue: Needs description
date: Mon Nov 30 00:00:00 AEDT 2015

OrganizationNamePartQualifier
sub class of: EntityNamePartQualifier
label: OrganizationNamePartQualifier
comment: OrganizationNamePartQualifier
description: OrganizationNamePartQualifier

academic
sub class of: OrganizationNamePartQualifier
label: academic
comment: Indicates that a prefix like "Dr." or a suffix like "M.D." or "Ph.D." is an academic title.
description: Indicates that a prefix like "Dr." or a suffix like "M.D." or "Ph.D." is an academic title.

adopted
sub class of: OrganizationNamePartQualifier
label: adopted
comment: The name the person was given at the time of adoption.
description: The name the person was given at the time of adoption.

birth
sub class of: OrganizationNamePartQualifier
label: birth
comment: A name that a person had shortly after being born. Usually for family names but may be used to mark given names at birth that may have changed later.
description: A name that a person had shortly after being born. Usually for family names but may be used to mark given names at birth that may have changed later.

callme
sub class of: OrganizationNamePartQualifier
label: callme
comment: A callme name is (usually a given name) that is preferred when a person is directly addressed.
description: A callme name is (usually a given name) that is preferred when a person is directly addressed.

initial
sub class of: OrganizationNamePartQualifier
label: initial
comment: Indicates that a name part is just an initial. Initials do not imply a trailing period since this would not work with non-Latin scripts. Initials may consist of more than one letter, e.g., "Ph." could stand for "Philippe" or "Th." for "Thomas".
description: Indicates that a name part is just an initial. Initials do not imply a trailing period since this would not work with non-Latin scripts. Initials may consist of more than one letter, e.g., "Ph." could stand for "Philippe" or "Th." for "Thomas".

Legal status
sub class of: OrganizationNamePartQualifier
label: Legal status
comment: For organizations a suffix indicating the legal status, e.g., "Inc.", "Co.", "AG", "GmbH", "B.V." "S.A.", "Ltd." etc.
description: For organizations a suffix indicating the legal status, e.g., "Inc.", "Co.", "AG", "GmbH", "B.V." "S.A.", "Ltd." etc.

nobility
sub class of: OrganizationNamePartQualifier
label: nobility
comment: In Europe and Asia, there are still people with nobility titles (aristocrats). German "von" is generally a nobility title, not a mere voorvoegsel. Others are "Earl of" or "His Majesty King of..." etc. Rarely used nowadays, but some systems do keep track of this.
description: In Europe and Asia, there are still people with nobility titles (aristocrats). German "von" is generally a nobility title, not a mere voorvoegsel. Others are "Earl of" or "His Majesty King of..." etc. Rarely used nowadays, but some systems do keep track of this.

professional
sub class of: OrganizationNamePartQualifier
label: professional
comment: Primarily in the British Imperial culture people tend to have an abbreviation of their professional organization as part of their credential suffices.
description: Primarily in the British Imperial culture people tend to have an abbreviation of their professional organization as part of their credential suffices.

spouse
sub class of: OrganizationNamePartQualifier
label: spouse
comment: The name assumed from the partner in a marital relationship (hence the "SP"). Usually the spouse's family name. Note that no inference about gender can be made from the existence of spouse names.
description: The name assumed from the partner in a marital relationship (hence the "SP"). Usually the spouse's family name. Note that no inference about gender can be made from the existence of spouse names.

title
sub class of: OrganizationNamePartQualifier
label: title
comment: Indicates that a prefix or a suffix is a title that applies to the whole name, not just the adjacent name part.
description: Indicates that a prefix or a suffix is a title that applies to the whole name, not just the adjacent name part.

voorvoegsel
sub class of: OrganizationNamePartQualifier
label: voorvoegsel
comment: A Dutch "voorvoegsel" is something like "van" or "de" that might have indicated nobility in the past but no longer so. Similar prefixes exist in other languages such as Spanish, French or Portugese.
description: A Dutch "voorvoegsel" is something like "van" or "de" that might have indicated nobility in the past but no longer so. Similar prefixes exist in other languages such as Spanish, French or Portugese.

PharmaceuticalEntityNamePartQualifiers
sub class of: EntityNamePartQualifier
label: PharmaceuticalEntityNamePartQualifiers
comment: Description: Medication Name Parts are a means of specifying a range of acceptable "official" forms of the name of a product. They are used as patterns against which input name strings may be matched for automatic identification of products from input text reports. While they cover the concepts held under "doseForm" or "route" or "strength" the name parts are not the same and do not fit into a controlled vocabulary in the same way. By specifying up to 8 name parts a much larger range of possible names can be generated.
description: Description: Medication Name Parts are a means of specifying a range of acceptable "official" forms of the name of a product. They are used as patterns against which input name strings may be matched for automatic identification of products from input text reports. While they cover the concepts held under "doseForm" or "route" or "strength" the name parts are not the same and do not fit into a controlled vocabulary in the same way. By specifying up to 8 name parts a much larger range of possible names can be generated.

container name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: container name
comment: Description: This refers to the container if present in the medicinal product name. EXAMPLES: For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): pre-filled syringe
description: Description: This refers to the container if present in the medicinal product name. EXAMPLES: For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): pre-filled syringe

device name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: device name
comment: Description: This refers to the qualifiers in the name for devices and is at the moment mainly applicable to insulins and inhalation products. EXAMPLES: For the medicinal product Actrapid FlexPen 100 IU/ml Solution for injection Subcutaneous use: FlexPen.
description: Description: This refers to the qualifiers in the name for devices and is at the moment mainly applicable to insulins and inhalation products. EXAMPLES: For the medicinal product Actrapid FlexPen 100 IU/ml Solution for injection Subcutaneous use: FlexPen.

FlavorName
sub class of: PharmaceuticalEntityNamePartQualifiers
label: FlavorName
comment: Description: This refers to a flavor of the medicinal product if present in the medicinal product name. Examples: For 'CoughCure Linctus Orange Flavor', the flavor part is "Orange" For 'Wonderdrug Syrup Cherry Flavor', the flavor part is "Cherry"
description: Description: This refers to a flavor of the medicinal product if present in the medicinal product name. Examples: For 'CoughCure Linctus Orange Flavor', the flavor part is "Orange" For 'Wonderdrug Syrup Cherry Flavor', the flavor part is "Cherry"

FormulationPartName
sub class of: PharmaceuticalEntityNamePartQualifiers
label: FormulationPartName
comment: Description: This refers to the formulation of the medicinal product if present in the medicinal product name. Examples: For 'SpecialMed Sugar Free Cough Syrup', the formulation name part is "Sugar Free" For 'QuickCure Gluten-free Bulk Fibre', the formulation name part is "gluten-free"
description: Description: This refers to the formulation of the medicinal product if present in the medicinal product name. Examples: For 'SpecialMed Sugar Free Cough Syrup', the formulation name part is "Sugar Free" For 'QuickCure Gluten-free Bulk Fibre', the formulation name part is "gluten-free"

form name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: form name
comment: Description: This refers to the pharmaceutical form/ if present in the medicinal product name. EXAMPLES: For Agenerase 50 mg soft capsules: Soft Capsules For Ludiomil 25mg-Filmtabletten: Filmtabletten For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): suspension for injection
description: Description: This refers to the pharmaceutical form/ if present in the medicinal product name. EXAMPLES: For Agenerase 50 mg soft capsules: Soft Capsules For Ludiomil 25mg-Filmtabletten: Filmtabletten For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): suspension for injection

invented name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: invented name
comment: Description: This refers to the product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name and, if appropriate, whether it is intended e.g. for babies, children or adults. EXAMPLES: Agenerase Optaflu Ludiomil
description: Description: This refers to the product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name and, if appropriate, whether it is intended e.g. for babies, children or adults. EXAMPLES: Agenerase Optaflu Ludiomil

TargetPopulationName
sub class of: PharmaceuticalEntityNamePartQualifiers
label: TargetPopulationName
comment: Description: This refers to the target population for the medicinal product if present in the medicinal product name Examples: For 'Broncho-Drug 3.5 mg-capsules for children', the target population part is "children" For 'Adult Chesty Cough Syrup', the target population part is "adult"
description: Description: This refers to the target population for the medicinal product if present in the medicinal product name Examples: For 'Broncho-Drug 3.5 mg-capsules for children', the target population part is "children" For 'Adult Chesty Cough Syrup', the target population part is "adult"

scientific name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: scientific name
comment: Description: This refers to the product common or scientific name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name. EXAMPLES: For Agenerase: N/A For Optaflu: Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season) For Ludiomil: N/A
description: Description: This refers to the product common or scientific name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name. EXAMPLES: For Agenerase: N/A For Optaflu: Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season) For Ludiomil: N/A

strength name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: strength name
comment: Description: This refers to the strength if present in the medicinal product name. The use of decimal points should be accommodated if required. EXAMPLES: For Agenerase 50 mg soft capsules: 50mg For Ludiomil 25mg-Filmtabletten: 25 mg For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): N/A
description: Description: This refers to the strength if present in the medicinal product name. The use of decimal points should be accommodated if required. EXAMPLES: For Agenerase 50 mg soft capsules: 50mg For Ludiomil 25mg-Filmtabletten: 25 mg For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): N/A

TimeOrPeriodName
sub class of: PharmaceuticalEntityNamePartQualifiers
label: TimeOrPeriodName
comment: Description: This refers to a time or time period that may be specified in the text of the medicinal product name Example: For an influenza vaccine 'Drug-FLU season 2008/2009', the time/period part is "2008/2009 season"
description: Description: This refers to a time or time period that may be specified in the text of the medicinal product name Example: For an influenza vaccine 'Drug-FLU season 2008/2009', the time/period part is "2008/2009 season"

trademark name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: trademark name
comment: Description: This refers to trademark/company element if present in the medicinal product name. EXAMPLES: for Insulin Human Winthrop Comb 15: Winthrop
description: Description: This refers to trademark/company element if present in the medicinal product name. EXAMPLES: for Insulin Human Winthrop Comb 15: Winthrop

intended use name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: intended use name
comment: Description: This refers to the intended use if present in the medicinal product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name. Examples: For 'Drug-BI Caplets - Heartburn Relief', the intended use part is: "Heartburn Relief" For 'Medicine Honey Syrup for Soothing Coughs' the intended use part is "Soothing Coughs"
description: Description: This refers to the intended use if present in the medicinal product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name. Examples: For 'Drug-BI Caplets - Heartburn Relief', the intended use part is: "Heartburn Relief" For 'Medicine Honey Syrup for Soothing Coughs' the intended use part is "Soothing Coughs"

PersonNamePartQualifier
sub class of: EntityNamePartQualifier
label: PersonNamePartQualifier
comment: PersonNamePartQualifier
description: PersonNamePartQualifier

PersonNamePartAffixTypes
sub class of: PersonNamePartQualifier
label: PersonNamePartAffixTypes
comment: PersonNamePartAffixTypes
description: PersonNamePartAffixTypes

PersonNamePartChangeQualifier
sub class of: PersonNamePartQualifier
label: PersonNamePartChangeQualifier
comment: PersonNamePartChangeQualifier
description: PersonNamePartChangeQualifier

PersonNamePartMiscQualifier
sub class of: PersonNamePartQualifier
label: PersonNamePartMiscQualifier
comment: PersonNamePartMiscQualifier
description: PersonNamePartMiscQualifier

v3 Code System EntityNamePartQualifierR2
type: ValueSet
version: 2015-11-30
label: v3 Code System EntityNamePartQualifierR2
comment: Description: The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records.
description: Description: The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records.
date: 2015-11-30
status: active
canonical status: active
include: EntityNamePartQualifierR2

v3 Code System EntityNamePartQualifierR2
type: CodeSystem
label: v3 Code System EntityNamePartQualifierR2
comment: Description: The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records.
description: Description: The qualifier is a set of codes each of which specifies a certain subcategory of the name part in addition to the main name part type. For example, a given name may be flagged as a nickname, a family name may be a pseudonym or a name of public records.
date: Mon Nov 30 00:00:00 AEDT 2015

acquired
sub class of: EntityNamePartQualifierR2
label: acquired
comment: Description:A name part a person acquired. The name part may be acquired by adoption, or the person may have chosen to use the name part for some other reason. Note: this differs from an Other/Psuedonym/Alias in that an acquired name part is acquired on a formal basis rather than an informal one (e.g. registered as part of the official name).
description: Description:A name part a person acquired. The name part may be acquired by adoption, or the person may have chosen to use the name part for some other reason. Note: this differs from an Other/Psuedonym/Alias in that an acquired name part is acquired on a formal basis rather than an informal one (e.g. registered as part of the official name).

spouse
sub class of: acquired
label: spouse
comment: Description:The name assumed from the partner in a marital relationship. Usually the spouse's family name. Note that no inference about gender can be made from the existence of spouse names.
description: Description:The name assumed from the partner in a marital relationship. Usually the spouse's family name. Note that no inference about gender can be made from the existence of spouse names.

birth
sub class of: EntityNamePartQualifierR2
label: birth
comment: Description:A name that a person was given at birth or established as a consequence of adoption. Note: This is not used for temporary names assigned at birth such as "Baby of Smith" a" which is just a name with a use code of "TEMP".
description: Description:A name that a person was given at birth or established as a consequence of adoption. Note: This is not used for temporary names assigned at birth such as "Baby of Smith" a" which is just a name with a use code of "TEMP".

callme
sub class of: EntityNamePartQualifierR2
label: callme
comment: Description:Used to indicate which of the various name parts is used when interacting with the person.
description: Description:Used to indicate which of the various name parts is used when interacting with the person.

initial
sub class of: EntityNamePartQualifierR2
label: initial
comment: Description:Indicates that a name part is just an initial. Initials do not imply a trailing period since this would not work with non-Latin scripts. In some languages, initials may consist of more than one letter, e.g., "Ph" could stand for "Philippe" or "Th" For "Thomas".
description: Description:Indicates that a name part is just an initial. Initials do not imply a trailing period since this would not work with non-Latin scripts. In some languages, initials may consist of more than one letter, e.g., "Ph" could stand for "Philippe" or "Th" For "Thomas".

legal status
sub class of: EntityNamePartQualifierR2
label: legal status
comment: Description:For organizations a suffix indicating the legal status, e.g., "Inc.", "Co.", "AG", "GmbH", "B.V." "S.A.", "Ltd." etc.
description: Description:For organizations a suffix indicating the legal status, e.g., "Inc.", "Co.", "AG", "GmbH", "B.V." "S.A.", "Ltd." etc.

middle name
sub class of: EntityNamePartQualifierR2
label: middle name
comment: Description:Indicates that the name part is a middle name. Usage Notes: In general, the english "middle name" concept is all of the given names after the first. This qualifier may be used to explicitly indicate which given names are considered to be middle names. The middle name qualifier may also be used with family names. This is a Scandinavian use case, matching the concept of "mellomnavn","mellannamn". Note that there are specific rules that indicate what names may be taken as a mellannamn in different Scandinavian countries.
description: Description:Indicates that the name part is a middle name. Usage Notes: In general, the english "middle name" concept is all of the given names after the first. This qualifier may be used to explicitly indicate which given names are considered to be middle names. The middle name qualifier may also be used with family names. This is a Scandinavian use case, matching the concept of "mellomnavn","mellannamn". Note that there are specific rules that indicate what names may be taken as a mellannamn in different Scandinavian countries.

prefix
sub class of: EntityNamePartQualifierR2
label: prefix
comment: Description:A prefix has a strong association to the immediately following name part. A prefix has no implicit trailing white space (it has implicit leading white space though).
description: Description:A prefix has a strong association to the immediately following name part. A prefix has no implicit trailing white space (it has implicit leading white space though).

PharmaceuticalEntityNamePartQualifiers
sub class of: EntityNamePartQualifierR2
label: PharmaceuticalEntityNamePartQualifiers
comment: Description: Medication Name Parts are a means of specifying a range of acceptable "official" forms of the name of a product. They are used as patterns against which input name strings may be matched for automatic identification of products from input text reports. While they cover the concepts held under "doseForm" or "route" or "strength" the name parts are not the same and do not fit into a controlled vocabulary in the same way. By specifying up to 8 name parts a much larger range of possible names can be generated.
description: Description: Medication Name Parts are a means of specifying a range of acceptable "official" forms of the name of a product. They are used as patterns against which input name strings may be matched for automatic identification of products from input text reports. While they cover the concepts held under "doseForm" or "route" or "strength" the name parts are not the same and do not fit into a controlled vocabulary in the same way. By specifying up to 8 name parts a much larger range of possible names can be generated.

container name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: container name
comment: Description: This refers to the container if present in the medicinal product name. EXAMPLES: For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): pre-filled syringe
description: Description: This refers to the container if present in the medicinal product name. EXAMPLES: For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): pre-filled syringe

device name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: device name
comment: Description: This refers to the qualifiers in the name for devices and is at the moment mainly applicable to insulins and inhalation products. EXAMPLES: For the medicinal product Actrapid FlexPen 100 IU/ml Solution for injection Subcutaneous use: FlexPen.
description: Description: This refers to the qualifiers in the name for devices and is at the moment mainly applicable to insulins and inhalation products. EXAMPLES: For the medicinal product Actrapid FlexPen 100 IU/ml Solution for injection Subcutaneous use: FlexPen.

FlavorName
sub class of: PharmaceuticalEntityNamePartQualifiers
label: FlavorName
comment: Description: This refers to a flavor of the medicinal product if present in the medicinal product name. Examples: For 'CoughCure Linctus Orange Flavor', the flavor part is "Orange" For 'Wonderdrug Syrup Cherry Flavor', the flavor part is "Cherry"
description: Description: This refers to a flavor of the medicinal product if present in the medicinal product name. Examples: For 'CoughCure Linctus Orange Flavor', the flavor part is "Orange" For 'Wonderdrug Syrup Cherry Flavor', the flavor part is "Cherry"

FormulationPartName
sub class of: PharmaceuticalEntityNamePartQualifiers
label: FormulationPartName
comment: Description: This refers to the formulation of the medicinal product if present in the medicinal product name. Examples: For 'SpecialMed Sugar Free Cough Syrup', the formulation name part is "Sugar Free" For 'QuickCure Gluten-free Bulk Fibre', the formulation name part is "gluten-free"
description: Description: This refers to the formulation of the medicinal product if present in the medicinal product name. Examples: For 'SpecialMed Sugar Free Cough Syrup', the formulation name part is "Sugar Free" For 'QuickCure Gluten-free Bulk Fibre', the formulation name part is "gluten-free"

form name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: form name
comment: Description: This refers to the pharmaceutical form/ if present in the medicinal product name. EXAMPLES: For Agenerase 50 mg soft capsules: Soft Capsules For Ludiomil 25mg-Filmtabletten: Filmtabletten For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): suspension for injection
description: Description: This refers to the pharmaceutical form/ if present in the medicinal product name. EXAMPLES: For Agenerase 50 mg soft capsules: Soft Capsules For Ludiomil 25mg-Filmtabletten: Filmtabletten For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): suspension for injection

invented name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: invented name
comment: Description: This refers to the product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name and, if appropriate, whether it is intended e.g. for babies, children or adults. EXAMPLES: Agenerase Optaflu Ludiomil
description: Description: This refers to the product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name and, if appropriate, whether it is intended e.g. for babies, children or adults. EXAMPLES: Agenerase Optaflu Ludiomil

TargetPopulationName
sub class of: PharmaceuticalEntityNamePartQualifiers
label: TargetPopulationName
comment: Description: This refers to the target population for the medicinal product if present in the medicinal product name Examples: For 'Broncho-Drug 3.5 mg-capsules for children', the target population part is "children" For 'Adult Chesty Cough Syrup', the target population part is "adult"
description: Description: This refers to the target population for the medicinal product if present in the medicinal product name Examples: For 'Broncho-Drug 3.5 mg-capsules for children', the target population part is "children" For 'Adult Chesty Cough Syrup', the target population part is "adult"

scientific name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: scientific name
comment: Description: This refers to the product common or scientific name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name. EXAMPLES: For Agenerase: N/A For Optaflu: Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season) For Ludiomil: N/A
description: Description: This refers to the product common or scientific name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name. EXAMPLES: For Agenerase: N/A For Optaflu: Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season) For Ludiomil: N/A

strength name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: strength name
comment: Description: This refers to the strength if present in the medicinal product name. The use of decimal points should be accommodated if required. EXAMPLES: For Agenerase 50 mg soft capsules: 50mg For Ludiomil 25mg-Filmtabletten: 25 mg For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): N/A
description: Description: This refers to the strength if present in the medicinal product name. The use of decimal points should be accommodated if required. EXAMPLES: For Agenerase 50 mg soft capsules: 50mg For Ludiomil 25mg-Filmtabletten: 25 mg For Optaflu suspension for injection in pre-filled syringe Influenza vaccine (surface antigen, inactivated, prepared in cell culture) (2007/2008 season): N/A

TimeOrPeriodName
sub class of: PharmaceuticalEntityNamePartQualifiers
label: TimeOrPeriodName
comment: Description: This refers to a time or time period that may be specified in the text of the medicinal product name Example: For an influenza vaccine 'Drug-FLU season 2008/2009', the time/period part is "2008/2009 season"
description: Description: This refers to a time or time period that may be specified in the text of the medicinal product name Example: For an influenza vaccine 'Drug-FLU season 2008/2009', the time/period part is "2008/2009 season"

trademark name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: trademark name
comment: Description: This refers to trademark/company element if present in the medicinal product name. EXAMPLES: for Insulin Human Winthrop Comb 15: Winthrop
description: Description: This refers to trademark/company element if present in the medicinal product name. EXAMPLES: for Insulin Human Winthrop Comb 15: Winthrop

intended use name
sub class of: PharmaceuticalEntityNamePartQualifiers
label: intended use name
comment: Description: This refers to the intended use if present in the medicinal product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name. Examples: For 'Drug-BI Caplets - Heartburn Relief', the intended use part is: "Heartburn Relief" For 'Medicine Honey Syrup for Soothing Coughs' the intended use part is "Soothing Coughs"
description: Description: This refers to the intended use if present in the medicinal product name without the trademark or the name of the marketing authorization holder or any other descriptor reflected in the product name. Examples: For 'Drug-BI Caplets - Heartburn Relief', the intended use part is: "Heartburn Relief" For 'Medicine Honey Syrup for Soothing Coughs' the intended use part is "Soothing Coughs"

suffix
sub class of: EntityNamePartQualifierR2
label: suffix
comment: Description:A suffix has a strong association to the immediately preceding name part. A suffix has no implicit leading white space (it has implicit trailing white space though).
description: Description:A suffix has a strong association to the immediately preceding name part. A suffix has no implicit leading white space (it has implicit trailing white space though).

TitleStyles
sub class of: EntityNamePartQualifierR2
label: TitleStyles
comment: Description:Extra information about the style of a title
description: Description:Extra information about the style of a title

academic
sub class of: TitleStyles
label: academic
comment: Description:Indicates that a title like "Dr.", "M.D." or "Ph.D." is an academic title.
description: Description:Indicates that a title like "Dr.", "M.D." or "Ph.D." is an academic title.

honorific
sub class of: TitleStyles
label: honorific
comment: Description:A honorific such as "The Right Honourable" or "Weledelgeleerde Heer".
description: Description:A honorific such as "The Right Honourable" or "Weledelgeleerde Heer".

nobility
sub class of: TitleStyles
label: nobility
comment: Description:A nobility title such as Sir, Count, Grafin.
description: Description:A nobility title such as Sir, Count, Grafin.

professional
sub class of: TitleStyles
label: professional
comment: Description:Primarily in the British Imperial culture people tend to have an abbreviation of their professional organization as part of their credential titles.
description: Description:Primarily in the British Imperial culture people tend to have an abbreviation of their professional organization as part of their credential titles.

v3 Code System EntityNamePartType
type: ValueSet
version: 2015-11-30
label: v3 Code System EntityNamePartType
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: EntityNamePartType

v3 Code System EntityNamePartType
type: CodeSystem
label: v3 Code System EntityNamePartType
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

delimiter
sub class of: EntityNamePartType
label: delimiter
comment: A delimiter has no meaning other than being literally printed in this name representation. A delimiter has no implicit leading and trailing white space.
description: A delimiter has no meaning other than being literally printed in this name representation. A delimiter has no implicit leading and trailing white space.

family
sub class of: EntityNamePartType
label: family
comment: Family name, this is the name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
description: Family name, this is the name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

given
sub class of: EntityNamePartType
label: given
comment: Given name (don't call it "first name" since this given names do not always come first)
description: Given name (don't call it "first name" since this given names do not always come first)

prefix
sub class of: EntityNamePartType
label: prefix
comment: A prefix has a strong association to the immediately following name part. A prefix has no implicit trailing white space (it has implicit leading white space though). Note that prefixes can be inverted.
description: A prefix has a strong association to the immediately following name part. A prefix has no implicit trailing white space (it has implicit leading white space though). Note that prefixes can be inverted.

suffix
sub class of: EntityNamePartType
label: suffix
comment: Description:A suffix has a strong association to the immediately preceding name part. A suffix has no implicit leading white space (it has implicit trailing white space though). Suffices cannot be inverted.
description: Description:A suffix has a strong association to the immediately preceding name part. A suffix has no implicit leading white space (it has implicit trailing white space though). Suffices cannot be inverted.

v3 Code System EntityNamePartTypeR2
type: ValueSet
version: 2015-11-30
label: v3 Code System EntityNamePartTypeR2
comment: Description: Indicates whether the name part is a given name, family name, prefix, suffix, etc.
description: Description: Indicates whether the name part is a given name, family name, prefix, suffix, etc.
date: 2015-11-30
status: active
canonical status: active
include: EntityNamePartTypeR2

v3 Code System EntityNamePartTypeR2
type: CodeSystem
label: v3 Code System EntityNamePartTypeR2
comment: Description: Indicates whether the name part is a given name, family name, prefix, suffix, etc.
description: Description: Indicates whether the name part is a given name, family name, prefix, suffix, etc.
date: Mon Nov 30 00:00:00 AEDT 2015

delimiter
sub class of: EntityNamePartTypeR2
label: delimiter
comment: Description:A delimiter has no meaning other than being literally printed in this name representation. A delimiter has no implicit leading and trailing white space.
description: Description:A delimiter has no meaning other than being literally printed in this name representation. A delimiter has no implicit leading and trailing white space.

family
sub class of: EntityNamePartTypeR2
label: family
comment: Description:Family name, this is the name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
description: Description:Family name, this is the name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

given
sub class of: EntityNamePartTypeR2
label: given
comment: Description:Given name. Note: don't call it "first name" since the given names do not always come first.
description: Description:Given name. Note: don't call it "first name" since the given names do not always come first.

title
sub class of: EntityNamePartTypeR2
label: title
comment: Description:Part of the name that is acquired as a title due to academic, legal, employment or nobility status etc. Note:Title name parts include name parts that come after the name such as qualifications, even if they are not always considered to be titles.
description: Description:Part of the name that is acquired as a title due to academic, legal, employment or nobility status etc. Note:Title name parts include name parts that come after the name such as qualifications, even if they are not always considered to be titles.

v3 Code System EntityNameUse
type: ValueSet
version: 2015-11-30
label: v3 Code System EntityNameUse
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: EntityNameUse

v3 Code System EntityNameUse
type: CodeSystem
label: v3 Code System EntityNameUse
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

NameRepresentationUse
sub class of: EntityNameUse
label: NameRepresentationUse
comment: Identifies the different representations of a name. The representation may affect how the name is used. (E.g. use of Ideographic for formal communications.)
description: Identifies the different representations of a name. The representation may affect how the name is used. (E.g. use of Ideographic for formal communications.)

Alphabetic
sub class of: NameRepresentationUse
label: Alphabetic
comment: Alphabetic transcription of name (Japanese: romaji)
description: Alphabetic transcription of name (Japanese: romaji)

Ideographic
sub class of: NameRepresentationUse
label: Ideographic
comment: Ideographic representation of name (e.g., Japanese kanji, Chinese characters)
description: Ideographic representation of name (e.g., Japanese kanji, Chinese characters)

Syllabic
sub class of: NameRepresentationUse
label: Syllabic
comment: Syllabic transcription of name (e.g., Japanese kana, Korean hangul)
description: Syllabic transcription of name (e.g., Japanese kana, Korean hangul)

assigned
sub class of: EntityNameUse
label: assigned
comment: A name assigned to a person. Reasons some organizations assign alternate names may include not knowing the person's name, or to maintain anonymity. Some, but not necessarily all, of the name types that people call "alias" may fit into this category.
description: A name assigned to a person. Reasons some organizations assign alternate names may include not knowing the person's name, or to maintain anonymity. Some, but not necessarily all, of the name types that people call "alias" may fit into this category.

License
sub class of: EntityNameUse
label: License
comment: As recorded on a license, record, certificate, etc. (only if different from legal name)
description: As recorded on a license, record, certificate, etc. (only if different from legal name)

Indigenous/Tribal
sub class of: EntityNameUse
label: Indigenous/Tribal
comment: e.g. Chief Red Cloud
description: e.g. Chief Red Cloud

Legal
sub class of: EntityNameUse
label: Legal
comment: Known as/conventional/the one you use
description: Known as/conventional/the one you use

official registry
sub class of: Legal
label: official registry
comment: Definition:The formal name as registered in an official (government) registry, but which name might not be commonly used. Particularly used in countries with a law system based on Napoleonic law.
description: Definition:The formal name as registered in an official (government) registry, but which name might not be commonly used. Particularly used in countries with a law system based on Napoleonic law.

pseudonym
sub class of: EntityNameUse
label: pseudonym
comment: A self asserted name that the person is using or has used.
description: A self asserted name that the person is using or has used.

Artist/Stage
sub class of: pseudonym
label: Artist/Stage
comment: Includes writer's pseudonym, stage name, etc
description: Includes writer's pseudonym, stage name, etc

Religious
sub class of: EntityNameUse
label: Religious
comment: e.g. Sister Mary Francis, Brother John
description: e.g. Sister Mary Francis, Brother John

search
sub class of: EntityNameUse
label: search
comment: A name intended for use in searching or matching.
description: A name intended for use in searching or matching.

phonetic
sub class of: search
label: phonetic
comment: A name spelled phonetically. There are a variety of phonetic spelling algorithms. This code value does not distinguish between these.Discussion:
description: A name spelled phonetically. There are a variety of phonetic spelling algorithms. This code value does not distinguish between these.Discussion:

Soundex
sub class of: search
label: Soundex
comment: A name spelled according to the SoundEx algorithm.
description: A name spelled according to the SoundEx algorithm.

v3 Code System EntityNameUseR2
type: ValueSet
version: 2015-11-30
label: v3 Code System EntityNameUseR2
comment: Description: A set of codes advising a system or user which name in a set of names to select for a given purpose.
description: Description: A set of codes advising a system or user which name in a set of names to select for a given purpose.
date: 2015-11-30
status: active
canonical status: active
include: EntityNameUseR2

v3 Code System EntityNameUseR2
type: CodeSystem
label: v3 Code System EntityNameUseR2
comment: Description: A set of codes advising a system or user which name in a set of names to select for a given purpose.
description: Description: A set of codes advising a system or user which name in a set of names to select for a given purpose.
date: Mon Nov 30 00:00:00 AEDT 2015

Assumed
sub class of: EntityNameUseR2
label: Assumed
comment: Description:A name that a person has assumed or has been assumed to them.
description: Description:A name that a person has assumed or has been assumed to them.

business name
sub class of: Assumed
label: business name
comment: Description:A name used in a Professional or Business context . Examples: Continuing to use a maiden name in a professional context, or using a stage performing name (some of these names are also pseudonyms)
description: Description:A name used in a Professional or Business context . Examples: Continuing to use a maiden name in a professional context, or using a stage performing name (some of these names are also pseudonyms)

Anonymous
sub class of: Assumed
label: Anonymous
comment: Description:Anonymous assigned name (used to protect a persons identity for privacy reasons)
description: Description:Anonymous assigned name (used to protect a persons identity for privacy reasons)

Indigenous/Tribal
sub class of: Assumed
label: Indigenous/Tribal
comment: Description:e.g . Chief Red Cloud
description: Description:e.g . Chief Red Cloud

Other/Pseudonym/Alias
sub class of: Assumed
label: Other/Pseudonym/Alias
comment: Description:A non-official name by which the person is sometimes known. (This may also be used to record informal names such as a nickname)
description: Description:A non-official name by which the person is sometimes known. (This may also be used to record informal names such as a nickname)

religious
sub class of: Assumed
label: religious
comment: Description:A name assumed as part of a religious vocation . e.g . Sister Mary Francis, Brother John
description: Description:A name assumed as part of a religious vocation . e.g . Sister Mary Francis, Brother John

customary
sub class of: EntityNameUseR2
label: customary
comment: Description:Known as/conventional/the one you normally use
description: Description:Known as/conventional/the one you normally use

maiden name
sub class of: EntityNameUseR2
label: maiden name
comment: Description:A name used prior to marriage.Note that marriage naming customs vary greatly around the world. This name use is for use by applications that collect and store maiden names. Though the concept of maiden name is often gender specific, the use of this term is not gender specific. The use of this term does not imply any particular history for a person's name, nor should the maiden name be determined algorithmically
description: Description:A name used prior to marriage.Note that marriage naming customs vary greatly around the world. This name use is for use by applications that collect and store maiden names. Though the concept of maiden name is often gender specific, the use of this term is not gender specific. The use of this term does not imply any particular history for a person's name, nor should the maiden name be determined algorithmically

NameRepresentationUse
sub class of: EntityNameUseR2
label: NameRepresentationUse
comment: Description:Identifies the different representations of a name . The representation may affect how the name is used . (E.g . use of Ideographic for formal communications.)
description: Description:Identifies the different representations of a name . The representation may affect how the name is used . (E.g . use of Ideographic for formal communications.)

alphabetic
sub class of: NameRepresentationUse
label: alphabetic
comment: Description:Alphabetic transcription of name in latin alphabet (Japanese: romaji)
description: Description:Alphabetic transcription of name in latin alphabet (Japanese: romaji)

ideographic
sub class of: NameRepresentationUse
label: ideographic
comment: Description:Ideographic representation of name (e.g., Japanese kanji, Chinese characters)
description: Description:Ideographic representation of name (e.g., Japanese kanji, Chinese characters)

syllabic
sub class of: NameRepresentationUse
label: syllabic
comment: Description:Syllabic transcription of name (e.g., Japanese kana, Korean hangul)
description: Description:Syllabic transcription of name (e.g., Japanese kana, Korean hangul)

no longer in use
sub class of: EntityNameUseR2
label: no longer in use
comment: Description:This name is no longer in use (note: Names may also carry valid time ranges . This code is used to cover the situations where it is known that the name is no longer valid, but no particular time range for its use is known)
description: Description:This name is no longer in use (note: Names may also carry valid time ranges . This code is used to cover the situations where it is known that the name is no longer valid, but no particular time range for its use is known)

do not use
sub class of: no longer in use
label: do not use
comment: Description:This name should no longer be used when interacting with the person (i.e . in addition to no longer being used, the name should not be even mentioned when interacting with the person)Note: applications are not required to compare names labeled "Do Not Use" and other names in order to eliminate name parts that are common between the other name and a name labeled "Do Not Use".
description: Description:This name should no longer be used when interacting with the person (i.e . in addition to no longer being used, the name should not be even mentioned when interacting with the person)Note: applications are not required to compare names labeled "Do Not Use" and other names in order to eliminate name parts that are common between the other name and a name labeled "Do Not Use".

official registry name
sub class of: EntityNameUseR2
label: official registry name
comment: Description:The formal name as registered in an official (government) registry, but which name might not be commonly used . May correspond to the concept of legal name
description: Description:The formal name as registered in an official (government) registry, but which name might not be commonly used . May correspond to the concept of legal name

phonetic
sub class of: EntityNameUseR2
label: phonetic
comment: Description:The name as understood by the data enterer, i.e. a close approximation of a phonetic spelling of the name, not based on a phonetic algorithm.
description: Description:The name as understood by the data enterer, i.e. a close approximation of a phonetic spelling of the name, not based on a phonetic algorithm.

search
sub class of: EntityNameUseR2
label: search
comment: Description:A name intended for use in searching or matching. This is used when the name is incomplete and contains enough details for search matching, but not enough for other uses.
description: Description:A name intended for use in searching or matching. This is used when the name is incomplete and contains enough details for search matching, but not enough for other uses.

temporary
sub class of: EntityNameUseR2
label: temporary
comment: Description:A temporary name. Note that a name valid time can provide more detailed information. This may also be used for temporary names assigned at birth or in emergency situations.
description: Description:A temporary name. Note that a name valid time can provide more detailed information. This may also be used for temporary names assigned at birth or in emergency situations.

v3 Code System EntityRisk
type: ValueSet
version: 2015-11-30
label: v3 Code System EntityRisk
comment: Kinds of risks associated with the handling of the material..
description: Kinds of risks associated with the handling of the material..
date: 2015-11-30
status: active
canonical status: active
include: EntityRisk

v3 Code System EntityRisk
type: CodeSystem
label: v3 Code System EntityRisk
comment: Kinds of risks associated with the handling of the material..
description: Kinds of risks associated with the handling of the material..
date: Mon Nov 30 00:00:00 AEDT 2015

aggressive
sub class of: EntityRisk
label: aggressive
comment: A danger that can be associated with certain living subjects, including humans.
description: A danger that can be associated with certain living subjects, including humans.

Biological
sub class of: EntityRisk
label: Biological
comment: The dangers associated with normal biological materials. I.e. potential risk of unknown infections. Routine biological materials from living subjects.
description: The dangers associated with normal biological materials. I.e. potential risk of unknown infections. Routine biological materials from living subjects.

Corrosive
sub class of: EntityRisk
label: Corrosive
comment: Material is corrosive and may cause severe injury to skin, mucous membranes and eyes. Avoid any unprotected contact.
description: Material is corrosive and may cause severe injury to skin, mucous membranes and eyes. Avoid any unprotected contact.

Escape Risk
sub class of: EntityRisk
label: Escape Risk
comment: The entity is at risk for escaping from containment or control.
description: The entity is at risk for escaping from containment or control.

inflammable
sub class of: EntityRisk
label: inflammable
comment: Material is highly inflammable and in certain mixtures (with air) may lead to explosions. Keep away from fire, sparks and excessive heat.
description: Material is highly inflammable and in certain mixtures (with air) may lead to explosions. Keep away from fire, sparks and excessive heat.

explosive
sub class of: inflammable
label: explosive
comment: Material is an explosive mixture. Keep away from fire, sparks, and heat.
description: Material is an explosive mixture. Keep away from fire, sparks, and heat.

infectious
sub class of: EntityRisk
label: infectious
comment: Material known to be infectious with human pathogenic microorganisms. Those who handle this material must take precautions for their protection.
description: Material known to be infectious with human pathogenic microorganisms. Those who handle this material must take precautions for their protection.

biohazard
sub class of: infectious
label: biohazard
comment: Material contains microorganisms that is an environmental hazard. Must be handled with special care.
description: Material contains microorganisms that is an environmental hazard. Must be handled with special care.

injury hazard
sub class of: EntityRisk
label: injury hazard
comment: Material is solid and sharp (e.g., cannulas). Dispose in hard container.
description: Material is solid and sharp (e.g., cannulas). Dispose in hard container.

poison
sub class of: EntityRisk
label: poison
comment: Material is poisonous to humans and/or animals. Special care must be taken to avoid incorporation, even of small amounts.
description: Material is poisonous to humans and/or animals. Special care must be taken to avoid incorporation, even of small amounts.

radioactive
sub class of: EntityRisk
label: radioactive
comment: Material is a source for ionizing radiation and must be handled with special care to avoid injury of those who handle it and to avoid environmental hazards.
description: Material is a source for ionizing radiation and must be handled with special care to avoid injury of those who handle it and to avoid environmental hazards.

v3 Code System EntityStatus
type: ValueSet
version: 2015-11-30
label: v3 Code System EntityStatus
comment: Codes representing the defined possible states of an Entity, as defined by the Entity class state machine.
description: Codes representing the defined possible states of an Entity, as defined by the Entity class state machine.
date: 2015-11-30
status: active
canonical status: active
include: EntityStatus

v3 Code System EntityStatus
type: CodeSystem
label: v3 Code System EntityStatus
comment: Codes representing the defined possible states of an Entity, as defined by the Entity class state machine.
description: Codes representing the defined possible states of an Entity, as defined by the Entity class state machine.
date: Mon Nov 30 00:00:00 AEDT 2015

normal
sub class of: EntityStatus
label: normal
comment: The 'typical' state. Excludes "nullified" which represents the termination state of an Entity record instance that was created in error.
description: The 'typical' state. Excludes "nullified" which represents the termination state of an Entity record instance that was created in error.

active
sub class of: normal
label: active
comment: The state representing the fact that the Entity record is currently active.
description: The state representing the fact that the Entity record is currently active.

inactive
sub class of: normal
label: inactive
comment: Definition: The state representing the fact that the entity is inactive.
description: Definition: The state representing the fact that the entity is inactive.

terminated
sub class of: normal
label: terminated
comment: The state representing the normal termination of an Entity record.
description: The state representing the normal termination of an Entity record.

nullified
sub class of: EntityStatus
label: nullified
comment: The state representing the termination of an Entity record instance that was created in error.
description: The state representing the termination of an Entity record instance that was created in error.

v3 Code System EquipmentAlertLevel
type: ValueSet
version: 2015-11-30
label: v3 Code System EquipmentAlertLevel
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: EquipmentAlertLevel

v3 Code System EquipmentAlertLevel
type: CodeSystem
label: v3 Code System EquipmentAlertLevel
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

Critical
sub class of: EquipmentAlertLevel
label: Critical
comment: Shut Down, Fix Problem and Re-init
description: Shut Down, Fix Problem and Re-init

Normal
sub class of: EquipmentAlertLevel
label: Normal
comment: No Corrective Action Needed
description: No Corrective Action Needed

Serious
sub class of: EquipmentAlertLevel
label: Serious
comment: Corrective Action Required
description: Corrective Action Required

Warning
sub class of: EquipmentAlertLevel
label: Warning
comment: Corrective Action Anticipated
description: Corrective Action Anticipated

v3 Code System Ethnicity
type: ValueSet
version: 2015-11-30
label: v3 Code System Ethnicity
comment: In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification. Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification. The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino. The standards define a Hispanic or Latino as a person of "Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race." The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories. In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both.
description: In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification. Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification. The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino. The standards define a Hispanic or Latino as a person of "Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race." The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories. In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both.
date: 2015-11-30
status: active
canonical status: active
include: Ethnicity

v3 Code System Ethnicity
type: CodeSystem
label: v3 Code System Ethnicity
comment: In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification. Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification. The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino. The standards define a Hispanic or Latino as a person of "Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race." The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories. In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both.
description: In the United States, federal standards for classifying data on ethnicity determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define ethnicity, and they recognize the absence of an anthropological or scientific basis for ethnicity classification. Instead, the federal standards acknowledge that ethnicity is a social-political construct in which an individual's own identification with a particular ethnicity is preferred to observer identification. The standards specify two minimum ethnicity categories: Hispanic or Latino, and Not Hispanic or Latino. The standards define a Hispanic or Latino as a person of "Mexican, Puerto Rican, Cuban, South or Central America, or other Spanish culture or origin, regardless of race." The standards stipulate that ethnicity data need not be limited to the two minimum categories, but any expansion must be collapsible to those categories. In addition, the standards stipulate that an individual can be Hispanic or Latino or can be Not Hispanic or Latino, but cannot be both.
date: Mon Nov 30 00:00:00 AEDT 2015

Hispanic or Latino
sub class of: Ethnicity
label: Hispanic or Latino
comment: Hispanic or Latino
description: Hispanic or Latino

Spaniard
sub class of: Hispanic or Latino
label: Spaniard
comment: Spaniard
description: Spaniard

Andalusian
sub class of: Spaniard
label: Andalusian
comment: Andalusian
description: Andalusian

Asturian
sub class of: Spaniard
label: Asturian
comment: Asturian
description: Asturian

Castillian
sub class of: Spaniard
label: Castillian
comment: Castillian
description: Castillian

Catalonian
sub class of: Spaniard
label: Catalonian
comment: Catalonian
description: Catalonian

Belearic Islander
sub class of: Spaniard
label: Belearic Islander
comment: Belearic Islander
description: Belearic Islander

Gallego
sub class of: Spaniard
label: Gallego
comment: Gallego
description: Gallego

Valencian
sub class of: Spaniard
label: Valencian
comment: Valencian
description: Valencian

Canarian
sub class of: Spaniard
label: Canarian
comment: Canarian
description: Canarian

Spanish Basque
sub class of: Spaniard
label: Spanish Basque
comment: Spanish Basque
description: Spanish Basque

Mexican
sub class of: Hispanic or Latino
label: Mexican
comment: Mexican
description: Mexican

Mexican American
sub class of: Mexican
label: Mexican American
comment: Mexican American
description: Mexican American

Mexicano
sub class of: Mexican
label: Mexicano
comment: Mexicano
description: Mexicano

Chicano
sub class of: Mexican
label: Chicano
comment: Chicano
description: Chicano

La Raza
sub class of: Mexican
label: La Raza
comment: La Raza
description: La Raza

Mexican American Indian
sub class of: Mexican
label: Mexican American Indian
comment: Mexican American Indian
description: Mexican American Indian

Central American
sub class of: Hispanic or Latino
label: Central American
comment: Central American
description: Central American

Costa Rican
sub class of: Central American
label: Costa Rican
comment: Costa Rican
description: Costa Rican

Guatemalan
sub class of: Central American
label: Guatemalan
comment: Guatemalan
description: Guatemalan

Honduran
sub class of: Central American
label: Honduran
comment: Honduran
description: Honduran

Nicaraguan
sub class of: Central American
label: Nicaraguan
comment: Nicaraguan
description: Nicaraguan

Panamanian
sub class of: Central American
label: Panamanian
comment: Panamanian
description: Panamanian

Salvadoran
sub class of: Central American
label: Salvadoran
comment: Salvadoran
description: Salvadoran

Central American Indian
sub class of: Central American
label: Central American Indian
comment: Central American Indian
description: Central American Indian

Canal Zone
sub class of: Central American
label: Canal Zone
comment: Canal Zone
description: Canal Zone

South American
sub class of: Hispanic or Latino
label: South American
comment: South American
description: South American

Argentinean
sub class of: South American
label: Argentinean
comment: Argentinean
description: Argentinean

Bolivian
sub class of: South American
label: Bolivian
comment: Bolivian
description: Bolivian

Chilean
sub class of: South American
label: Chilean
comment: Chilean
description: Chilean

Colombian
sub class of: South American
label: Colombian
comment: Colombian
description: Colombian

Ecuadorian
sub class of: South American
label: Ecuadorian
comment: Ecuadorian
description: Ecuadorian

Paraguayan
sub class of: South American
label: Paraguayan
comment: Paraguayan
description: Paraguayan

Peruvian
sub class of: South American
label: Peruvian
comment: Peruvian
description: Peruvian

Uruguayan
sub class of: South American
label: Uruguayan
comment: Uruguayan
description: Uruguayan

Venezuelan
sub class of: South American
label: Venezuelan
comment: Venezuelan
description: Venezuelan

South American Indian
sub class of: South American
label: South American Indian
comment: South American Indian
description: South American Indian

Criollo
sub class of: South American
label: Criollo
comment: Criollo
description: Criollo

Latin American
sub class of: Hispanic or Latino
label: Latin American
comment: Latin American
description: Latin American

Puerto Rican
sub class of: Hispanic or Latino
label: Puerto Rican
comment: Puerto Rican
description: Puerto Rican

Cuban
sub class of: Hispanic or Latino
label: Cuban
comment: Cuban
description: Cuban

Dominican
sub class of: Hispanic or Latino
label: Dominican
comment: Dominican
description: Dominican

Not Hispanic or Latino
sub class of: Ethnicity
label: Not Hispanic or Latino
comment: Note that this term remains in the table for completeness, even though within HL7, the notion of "not otherwise coded" term is deprecated.
description: Note that this term remains in the table for completeness, even though within HL7, the notion of "not otherwise coded" term is deprecated.

v3 Code System ExposureMode
type: ValueSet
version: 2015-11-30
label: v3 Code System ExposureMode
comment: Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure.
description: Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure.
date: 2015-11-30
status: active
canonical status: active
include: ExposureMode

v3 Code System ExposureMode
type: CodeSystem
label: v3 Code System ExposureMode
comment: Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure.
description: Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure.
date: Mon Nov 30 00:00:00 AEDT 2015

ExposureMode
sub class of: ExposureMode
label: ExposureMode
comment: Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure.
description: Code for the mechanism by which the exposure agent was exchanged or potentially exchanged by the participants involved in the exposure.

airborne
sub class of: ExposureMode
label: airborne
comment: Description: Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.
description: Description: Communication of an agent from a living subject or environmental source to a living subject through indirect contact via oral or nasal inhalation.

contact
sub class of: ExposureMode
label: contact
comment: Description: Communication of an agent from a living subject or environmental source to a living subject through direct physical contact.
description: Description: Communication of an agent from a living subject or environmental source to a living subject through direct physical contact.

foodborne
sub class of: ExposureMode
label: foodborne
comment: Description: Communication of an agent from a food source to a living subject via oral consumption.
description: Description: Communication of an agent from a food source to a living subject via oral consumption.

waterborne
sub class of: ExposureMode
label: waterborne
comment: Description: Communication of an agent to a living subject by contact and/or consumption via an aqueous medium
description: Description: Communication of an agent to a living subject by contact and/or consumption via an aqueous medium

FamilyMember
type: ValueSet
version: 2014-03-26
label: FamilyMember
comment: A relationship between two people characterizing their "familial" relationship
description: A relationship between two people characterizing their "familial" relationship
status: active
canonical status: active

v3 Code System GTSAbbreviation
type: ValueSet
version: 2015-11-30
label: v3 Code System GTSAbbreviation
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: GTSAbbreviation

v3 Code System GTSAbbreviation
type: CodeSystem
label: v3 Code System GTSAbbreviation
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

AM
sub class of: GTSAbbreviation
label: AM
comment: Every morning at institution specified times.
description: Every morning at institution specified times.

BID
sub class of: GTSAbbreviation
label: BID
comment: Two times a day at institution specified time
description: Two times a day at institution specified time

JB
sub class of: GTSAbbreviation
label: JB
comment: Regular business days (Monday to Friday excluding holidays)
description: Regular business days (Monday to Friday excluding holidays)

JE
sub class of: GTSAbbreviation
label: JE
comment: Regular weekends (Saturday and Sunday excluding holidays)
description: Regular weekends (Saturday and Sunday excluding holidays)

GTSAbbreviationHolidays
sub class of: GTSAbbreviation
label: GTSAbbreviationHolidays
comment: Holidays
description: Holidays

GTSAbbreviationHolidaysChristianRoman
sub class of: GTSAbbreviationHolidays
label: GTSAbbreviationHolidaysChristianRoman
comment: Christian Holidays (Roman/Gregorian [Western] Tradition.)
description: Christian Holidays (Roman/Gregorian [Western] Tradition.)

JHCHREAS
sub class of: GTSAbbreviationHolidaysChristianRoman
label: JHCHREAS
comment: Easter Sunday. The Easter date is a rather complex calculation based on Astronomical tables describing full moon dates. Details can be found at [http://www.assa.org.au/edm.html, and http://aa.usno.navy.mil/AA/faq/docs/easter.html]. Note that the Christian Orthodox Holidays are based on the Julian calendar.
description: Easter Sunday. The Easter date is a rather complex calculation based on Astronomical tables describing full moon dates. Details can be found at [http://www.assa.org.au/edm.html, and http://aa.usno.navy.mil/AA/faq/docs/easter.html]. Note that the Christian Orthodox Holidays are based on the Julian calendar.

JHCHRGFR
sub class of: GTSAbbreviationHolidaysChristianRoman
label: JHCHRGFR
comment: Good Friday, is the Friday right before Easter Sunday.
description: Good Friday, is the Friday right before Easter Sunday.

JHCHRNEW
sub class of: GTSAbbreviationHolidaysChristianRoman
label: JHCHRNEW
comment: New Year's Day (January 1)
description: New Year's Day (January 1)

JHCHRPEN
sub class of: GTSAbbreviationHolidaysChristianRoman
label: JHCHRPEN
comment: Pentecost Sunday, is seven weeks after Easter (the 50th day of Easter).
description: Pentecost Sunday, is seven weeks after Easter (the 50th day of Easter).

JHCHRXME
sub class of: GTSAbbreviationHolidaysChristianRoman
label: JHCHRXME
comment: Christmas Eve (December 24)
description: Christmas Eve (December 24)

JHCHRXMS
sub class of: GTSAbbreviationHolidaysChristianRoman
label: JHCHRXMS
comment: Christmas Day (December 25)
description: Christmas Day (December 25)

The Netherlands National Holidays
sub class of: GTSAbbreviationHolidays
label: The Netherlands National Holidays
comment: Description:The Netherlands National Holidays.
description: Description:The Netherlands National Holidays.

Liberation day (May 5 every five years)
sub class of: The Netherlands National Holidays
label: Liberation day (May 5 every five years)
comment: Description:Liberation day (May 5 every five years)
description: Description:Liberation day (May 5 every five years)

Queen's day (April 30)
sub class of: The Netherlands National Holidays
label: Queen's day (April 30)
comment: Description:Queen's day (April 30)
description: Description:Queen's day (April 30)

Sinterklaas (December 5)
sub class of: The Netherlands National Holidays
label: Sinterklaas (December 5)
comment: Description:Sinterklaas (December 5)
description: Description:Sinterklaas (December 5)

GTSAbbreviationHolidaysUSNational
sub class of: GTSAbbreviationHolidays
label: GTSAbbreviationHolidaysUSNational
comment: United States National Holidays (public holidays for federal employees established by U.S. Federal law 5 U.S.C. 6103).
description: United States National Holidays (public holidays for federal employees established by U.S. Federal law 5 U.S.C. 6103).

JHNUSCLM
sub class of: GTSAbbreviationHolidaysUSNational
label: JHNUSCLM
comment: Columbus Day, the second Monday in October.
description: Columbus Day, the second Monday in October.

JHNUSIND
sub class of: GTSAbbreviationHolidaysUSNational
label: JHNUSIND
comment: Independence Day (4th of July)
description: Independence Day (4th of July)

JHNUSIND1
sub class of: GTSAbbreviationHolidaysUSNational
label: JHNUSIND1
comment: Alternative Monday after 4th of July Weekend [5 U.S.C. 6103(b)].
description: Alternative Monday after 4th of July Weekend [5 U.S.C. 6103(b)].

JHNUSIND5
sub class of: GTSAbbreviationHolidaysUSNational
label: JHNUSIND5
comment: Alternative Friday before 4th of July Weekend [5 U.S.C. 6103(b)].
description: Alternative Friday before 4th of July Weekend [5 U.S.C. 6103(b)].

JHNUSLBR
sub class of: GTSAbbreviationHolidaysUSNational
label: JHNUSLBR
comment: Labor Day, the first Monday in September.
description: Labor Day, the first Monday in September.

JHNUSMEM
sub class of: GTSAbbreviationHolidaysUSNational
label: JHNUSMEM
comment: Memorial Day, the last Monday in May.
description: Memorial Day, the last Monday in May.

JHNUSMEM5
sub class of: GTSAbbreviationHolidaysUSNational
label: JHNUSMEM5
comment: Friday before Memorial Day Weekend
description: Friday before Memorial Day Weekend

JHNUSMEM6
sub class of: GTSAbbreviationHolidaysUSNational
label: JHNUSMEM6
comment: Saturday of Memorial Day Weekend
description: Saturday of Memorial Day Weekend

JHNUSMLK
sub class of: GTSAbbreviationHolidaysUSNational
label: JHNUSMLK
comment: Dr. Martin Luther King, Jr. Day, the third Monday in January.
description: Dr. Martin Luther King, Jr. Day, the third Monday in January.

JHNUSPRE
sub class of: GTSAbbreviationHolidaysUSNational
label: JHNUSPRE
comment: Washington's Birthday (Presidential Day) the third Monday in February.
description: Washington's Birthday (Presidential Day) the third Monday in February.

JHNUSTKS
sub class of: GTSAbbreviationHolidaysUSNational
label: JHNUSTKS
comment: Thanksgiving Day, the fourth Thursday in November.
description: Thanksgiving Day, the fourth Thursday in November.

JHNUSTKS5
sub class of: GTSAbbreviationHolidaysUSNational
label: JHNUSTKS5
comment: Friday after Thanksgiving.
description: Friday after Thanksgiving.

JHNUSVET
sub class of: GTSAbbreviationHolidaysUSNational
label: JHNUSVET
comment: Veteran's Day, November 11.
description: Veteran's Day, November 11.

PM
sub class of: GTSAbbreviation
label: PM
comment: Every afternoon at institution specified times.
description: Every afternoon at institution specified times.

QID
sub class of: GTSAbbreviation
label: QID
comment: Four times a day at institution specified time
description: Four times a day at institution specified time

TID
sub class of: GTSAbbreviation
label: TID
comment: Three times a day at institution specified time
description: Three times a day at institution specified time

v3 Code System GenderStatus
type: ValueSet
version: 2015-11-30
label: v3 Code System GenderStatus
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: GenderStatus

v3 Code System GenderStatus
type: CodeSystem
label: v3 Code System GenderStatus
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

Intact
sub class of: GenderStatus
label: Intact
comment: Reproductively intact
description: Reproductively intact

Neutered
sub class of: GenderStatus
label: Neutered
comment: Reproductively neutered
description: Reproductively neutered

GeneralPurposeOfUse
type: ValueSet
version: 2014-03-26
label: GeneralPurposeOfUse
comment: Supports communication of purpose of use at a general level.
description: Supports communication of purpose of use at a general level.
status: active
canonical status: active

v3 Code System HL7UpdateMode
type: ValueSet
version: 2015-11-30
label: v3 Code System HL7UpdateMode
comment: The possible modes of updating that occur when an attribute is received by a system that already contains values for that attribute.
description: The possible modes of updating that occur when an attribute is received by a system that already contains values for that attribute.
date: 2015-11-30
status: active
canonical status: active
include: HL7UpdateMode

v3 Code System HL7UpdateMode
type: CodeSystem
label: v3 Code System HL7UpdateMode
comment: The possible modes of updating that occur when an attribute is received by a system that already contains values for that attribute.
description: The possible modes of updating that occur when an attribute is received by a system that already contains values for that attribute.
date: Mon Nov 30 00:00:00 AEDT 2015

Add
sub class of: HL7UpdateMode
label: Add
comment: Description:The item was (or is to be) added, having not been present immediately before. (If it is already present, this may be treated as an error condition.)
description: Description:The item was (or is to be) added, having not been present immediately before. (If it is already present, this may be treated as an error condition.)

Add or Replace
sub class of: HL7UpdateMode
label: Add or Replace
comment: Description:The item was (or is to be) either added or replaced.
description: Description:The item was (or is to be) either added or replaced.

Remove
sub class of: HL7UpdateMode
label: Remove
comment: Description:The item was (or is to be) removed (sometimes referred to as deleted). If the item is part of a collection, delete any matching items.
description: Description:The item was (or is to be) removed (sometimes referred to as deleted). If the item is part of a collection, delete any matching items.

Key
sub class of: HL7UpdateMode
label: Key
comment: Description:This item is part of the identifying information for this object.
description: Description:This item is part of the identifying information for this object.

No Change
sub class of: HL7UpdateMode
label: No Change
comment: Description:There was (or is to be) no change to the item. This is primarily used when this element has not changed, but other attributes in the instance have changed.
description: Description:There was (or is to be) no change to the item. This is primarily used when this element has not changed, but other attributes in the instance have changed.

Replace
sub class of: HL7UpdateMode
label: Replace
comment: Description:The item existed previously and has (or is to be) revised. (If an item does not already exist, this may be treated as an error condition.)
description: Description:The item existed previously and has (or is to be) revised. (If an item does not already exist, this may be treated as an error condition.)

Reference
sub class of: HL7UpdateMode
label: Reference
comment: Description:This item provides enough information to allow a processing system to locate the full applicable record by identifying the object.
description: Description:This item provides enough information to allow a processing system to locate the full applicable record by identifying the object.

Unknown
sub class of: HL7UpdateMode
label: Unknown
comment: Description:Description:It is not specified whether or what kind of change has occurred to the item, or whether the item is present as a reference or identifying property.
description: Description:Description:It is not specified whether or what kind of change has occurred to the item, or whether the item is present as a reference or identifying property.

SetUpdateMode
sub class of: HL7UpdateMode
label: SetUpdateMode
comment: These concepts apply when the element and/or message is updating a set of items.
description: These concepts apply when the element and/or message is updating a set of items.

Set Add
sub class of: SetUpdateMode
label: Set Add
comment: Add the message element to the collection of items on the receiving system that correspond to the message element.
description: Add the message element to the collection of items on the receiving system that correspond to the message element.

Set Add or Change
sub class of: SetUpdateMode
label: Set Add or Change
comment: Change the item on the receiving system that corresponds to this message element; if a matching element does not exist, add a new one created with the values in the message.
description: Change the item on the receiving system that corresponds to this message element; if a matching element does not exist, add a new one created with the values in the message.

Set Change
sub class of: SetUpdateMode
label: Set Change
comment: Change the item on the receiving system that corresponds to this message element; do not process if a matching element does not exist.
description: Change the item on the receiving system that corresponds to this message element; do not process if a matching element does not exist.

Set Delete
sub class of: SetUpdateMode
label: Set Delete
comment: Delete the item on the receiving system that corresponds to this message element.
description: Delete the item on the receiving system that corresponds to this message element.

Add or Update
sub class of: HL7UpdateMode
label: Add or Update
comment: Description: AU: If this item exists, update it with these values. If it does not exist, create it with these values. If the item is part of the collection, update each item that matches this item, and if no items match, add a new item to the collection.
description: Description: AU: If this item exists, update it with these values. If it does not exist, create it with these values. If the item is part of the collection, update each item that matches this item, and if no items match, add a new item to the collection.

Ignore
sub class of: HL7UpdateMode
label: Ignore
comment: Ignore this role, it is not relevant to the update.
description: Ignore this role, it is not relevant to the update.

Verify
sub class of: HL7UpdateMode
label: Verify
comment: Verify - this message element must match a value already in the receiving systems database in order to process the message.
description: Verify - this message element must match a value already in the receiving systems database in order to process the message.

v3 Code System HtmlLinkType
type: ValueSet
version: 2015-11-30
label: v3 Code System HtmlLinkType
comment: HtmlLinkType values are drawn from HTML 4.0 and describe the relationship between the current document and the anchor that is the target of the link
description: HtmlLinkType values are drawn from HTML 4.0 and describe the relationship between the current document and the anchor that is the target of the link
date: 2015-11-30
status: active
canonical status: active
include: HtmlLinkType

v3 Code System HtmlLinkType
type: CodeSystem
label: v3 Code System HtmlLinkType
comment: HtmlLinkType values are drawn from HTML 4.0 and describe the relationship between the current document and the anchor that is the target of the link
description: HtmlLinkType values are drawn from HTML 4.0 and describe the relationship between the current document and the anchor that is the target of the link
date: Mon Nov 30 00:00:00 AEDT 2015

alternate
sub class of: HtmlLinkType
label: alternate
comment: Designates substitute versions for the document in which the link occurs. When used together with the lang attribute, it implies a translated version of the document. When used together with the media attribute, it implies a version designed for a different medium (or media).
description: Designates substitute versions for the document in which the link occurs. When used together with the lang attribute, it implies a translated version of the document. When used together with the media attribute, it implies a version designed for a different medium (or media).

appendix
sub class of: HtmlLinkType
label: appendix
comment: Refers to a document serving as an appendix in a collection of documents.
description: Refers to a document serving as an appendix in a collection of documents.

bookmark
sub class of: HtmlLinkType
label: bookmark
comment: Refers to a bookmark. A bookmark is a link to a key entry point within an extended document. The title attribute may be used, for example, to label the bookmark. Note that several bookmarks may be defined in each document.
description: Refers to a bookmark. A bookmark is a link to a key entry point within an extended document. The title attribute may be used, for example, to label the bookmark. Note that several bookmarks may be defined in each document.

chapter
sub class of: HtmlLinkType
label: chapter
comment: Refers to a document serving as a chapter in a collection of documents.
description: Refers to a document serving as a chapter in a collection of documents.

contents
sub class of: HtmlLinkType
label: contents
comment: Refers to a document serving as a table of contents. Some user agents also support the synonym ToC (from "Table of Contents").
description: Refers to a document serving as a table of contents. Some user agents also support the synonym ToC (from "Table of Contents").

copyright
sub class of: HtmlLinkType
label: copyright
comment: Refers to a copyright statement for the current document.
description: Refers to a copyright statement for the current document.

glossary
sub class of: HtmlLinkType
label: glossary
comment: Refers to a document providing a glossary of terms that pertain to the current document.
description: Refers to a document providing a glossary of terms that pertain to the current document.

help
sub class of: HtmlLinkType
label: help
comment: Refers to a document offering help (more information, links to other sources of information, etc.).
description: Refers to a document offering help (more information, links to other sources of information, etc.).

index
sub class of: HtmlLinkType
label: index
comment: Refers to a document providing an index for the current document.
description: Refers to a document providing an index for the current document.

next
sub class of: HtmlLinkType
label: next
comment: Refers to the next document in a linear sequence of documents. User agents may choose to preload the "next" document, to reduce the perceived load time.
description: Refers to the next document in a linear sequence of documents. User agents may choose to preload the "next" document, to reduce the perceived load time.

prev
sub class of: HtmlLinkType
label: prev
comment: Refers to the previous document in an ordered series of documents. Some user agents also support the synonym "Previous".
description: Refers to the previous document in an ordered series of documents. Some user agents also support the synonym "Previous".

section
sub class of: HtmlLinkType
label: section
comment: Refers to a document serving as a section in a collection of documents.
description: Refers to a document serving as a section in a collection of documents.

start
sub class of: HtmlLinkType
label: start
comment: Refers to the first document in a collection of documents. This link type tells search engines which document is considered by the author to be the starting point of the collection.
description: Refers to the first document in a collection of documents. This link type tells search engines which document is considered by the author to be the starting point of the collection.

stylesheet
sub class of: HtmlLinkType
label: stylesheet
comment: Refers to an external style sheet. See the section on external style sheets for details. This is used together with the link type "Alternate" for user-selectable alternate style sheets.
description: Refers to an external style sheet. See the section on external style sheets for details. This is used together with the link type "Alternate" for user-selectable alternate style sheets.

subsection
sub class of: HtmlLinkType
label: subsection
comment: Refers to a document serving as a subsection in a collection of documents.
description: Refers to a document serving as a subsection in a collection of documents.

v3 Code System IdentifierReliability
type: ValueSet
version: 2015-11-30
label: v3 Code System IdentifierReliability
comment: Specifies the reliability with which the identifier is known. This attribute MAY be used to assist with identifier matching algorithms.
description: Specifies the reliability with which the identifier is known. This attribute MAY be used to assist with identifier matching algorithms.
date: 2015-11-30
status: active
canonical status: active
include: IdentifierReliability

v3 Code System IdentifierReliability
type: CodeSystem
label: v3 Code System IdentifierReliability
comment: Specifies the reliability with which the identifier is known. This attribute MAY be used to assist with identifier matching algorithms.
description: Specifies the reliability with which the identifier is known. This attribute MAY be used to assist with identifier matching algorithms.
date: Mon Nov 30 00:00:00 AEDT 2015

Issued by System
sub class of: IdentifierReliability
label: Issued by System
comment: Description: The identifier was issued by the system responsible for constructing the instance.
description: Description: The identifier was issued by the system responsible for constructing the instance.

Unverified by system
sub class of: IdentifierReliability
label: Unverified by system
comment: Description: The identifier was provided to the system that constructed the instance, but has not been verified. e.g. a Drivers license entered manually into a system by a user.
description: Description: The identifier was provided to the system that constructed the instance, but has not been verified. e.g. a Drivers license entered manually into a system by a user.

Verified by system
sub class of: IdentifierReliability
label: Verified by system
comment: Description: The identifier was not issued by the system responsible for constructing the instance, but the system that captured the id has verified the identifier with the issuing authority, or with another system that has verified the identifier.
description: Description: The identifier was not issued by the system responsible for constructing the instance, but the system that captured the id has verified the identifier with the issuing authority, or with another system that has verified the identifier.

v3 Code System IdentifierScope
type: ValueSet
version: 2015-11-30
label: v3 Code System IdentifierScope
comment: Description: Codes to specify the scope in which the identifier applies to the object with which it is associated, and used in the datatype property II.
description: Description: Codes to specify the scope in which the identifier applies to the object with which it is associated, and used in the datatype property II.
date: 2015-11-30
status: active
canonical status: active
include: IdentifierScope

v3 Code System IdentifierScope
type: CodeSystem
label: v3 Code System IdentifierScope
comment: Description: Codes to specify the scope in which the identifier applies to the object with which it is associated, and used in the datatype property II.
description: Description: Codes to specify the scope in which the identifier applies to the object with which it is associated, and used in the datatype property II.
date: Mon Nov 30 00:00:00 AEDT 2015

Business Identifier
sub class of: IdentifierScope
label: Business Identifier
comment: Description: An identifier whose scope is defined by the business practices associated with the object. In contrast to the other scope identifiers, the scope of the use of the id is not necessarily restricted to a single object, but may be reused for other objects closely associated with the object due to business practice.
description: Description: An identifier whose scope is defined by the business practices associated with the object. In contrast to the other scope identifiers, the scope of the use of the id is not necessarily restricted to a single object, but may be reused for other objects closely associated with the object due to business practice.

Object Identifier
sub class of: IdentifierScope
label: Object Identifier
comment: Description: The identifier associated with a particular object. It remains consistent as the object undergoes state transitions.
description: Description: The identifier associated with a particular object. It remains consistent as the object undergoes state transitions.

Version Identifier
sub class of: IdentifierScope
label: Version Identifier
comment: Description: An identifier that references a particular object as it existed at a given point in time. The identifier SHALL change with each state transition on the object. I.e. The version identifier of an object prior to a 'suspend' state transition is distinct from the identifier of the object after the state transition. Each version identifier can be tied to exactly one ControlAct event which brought that version into being (though the control act may never be instantiated). NOTE: Applications that do not support versioning of objects must ignore and not persist these ids to avoid confusion resulting from leaving the same identifier on an object that undergoes changes.
description: Description: An identifier that references a particular object as it existed at a given point in time. The identifier SHALL change with each state transition on the object. I.e. The version identifier of an object prior to a 'suspend' state transition is distinct from the identifier of the object after the state transition. Each version identifier can be tied to exactly one ControlAct event which brought that version into being (though the control act may never be instantiated). NOTE: Applications that do not support versioning of objects must ignore and not persist these ids to avoid confusion resulting from leaving the same identifier on an object that undergoes changes.

View Specific Identifier
sub class of: IdentifierScope
label: View Specific Identifier
comment: Description: An identifier that references a particular object as it existed at a given point in time. The identifier SHALL change with each state transition on the object. Example The version identifier of an object prior to a 'suspend' state transition is distinct from the identifier of the object after the state transition. Each version identifier can be tied to exactly one ControlAct event which brought that version into being (though the control act may never be instantiated). NOTE: Applications that do not support versioning of objects must ignore and not persist these ids to avoid confusion resulting from leaving the same identifier on an object that undergoes changes.
description: Description: An identifier that references a particular object as it existed at a given point in time. The identifier SHALL change with each state transition on the object. Example The version identifier of an object prior to a 'suspend' state transition is distinct from the identifier of the object after the state transition. Each version identifier can be tied to exactly one ControlAct event which brought that version into being (though the control act may never be instantiated). NOTE: Applications that do not support versioning of objects must ignore and not persist these ids to avoid confusion resulting from leaving the same identifier on an object that undergoes changes.

InformationSensitivityPolicy
type: ValueSet
version: 2014-03-26
label: InformationSensitivityPolicy
comment: Sensitivity codes are not useful for interoperability outside of a policy domain because sensitivity policies are typically localized and vary drastically across policy domains even for the same information category because of differing organizational business rules, security policies, and jurisdictional requirements. For example, an "employee" sensitivity code would make little sense for use outside of a policy domain. "Taboo" would rarely be useful outside of a policy domain unless there are jurisdictional requirements requiring that a provider disclose sensitive information to a patient directly. Sensitivity codes may be more appropriate in a legacy system's Master Files in order to notify those who access a patient's orders and observations about the sensitivity policies that apply. Newer systems may have a security engine that uses a sensitivity policy's criteria directly. The specializable Sensitivity Act.code may be useful in some scenarious if used in combination with a sensitivity identifier and/or Act.title.
description: Sensitivity codes are not useful for interoperability outside of a policy domain because sensitivity policies are typically localized and vary drastically across policy domains even for the same information category because of differing organizational business rules, security policies, and jurisdictional requirements. For example, an "employee" sensitivity code would make little sense for use outside of a policy domain. "Taboo" would rarely be useful outside of a policy domain unless there are jurisdictional requirements requiring that a provider disclose sensitive information to a patient directly. Sensitivity codes may be more appropriate in a legacy system's Master Files in order to notify those who access a patient's orders and observations about the sensitivity policies that apply. Newer systems may have a security engine that uses a sensitivity policy's criteria directly. The specializable Sensitivity Act.code may be useful in some scenarious if used in combination with a sensitivity identifier and/or Act.title.
status: active
canonical status: active

v3 Code System IntegrityCheckAlgorithm
type: ValueSet
version: 2015-11-30
label: v3 Code System IntegrityCheckAlgorithm
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: IntegrityCheckAlgorithm

v3 Code System IntegrityCheckAlgorithm
type: CodeSystem
label: v3 Code System IntegrityCheckAlgorithm
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

secure hash algorithm - 1
sub class of: IntegrityCheckAlgorithm
label: secure hash algorithm - 1
comment: This algorithm is defined in FIPS PUB 180-1: Secure Hash Standard. As of April 17, 1995.
description: This algorithm is defined in FIPS PUB 180-1: Secure Hash Standard. As of April 17, 1995.

secure hash algorithm - 256
sub class of: IntegrityCheckAlgorithm
label: secure hash algorithm - 256
comment: This algorithm is defined in FIPS PUB 180-2: Secure Hash Standard.
description: This algorithm is defined in FIPS PUB 180-2: Secure Hash Standard.

v3 Code System LanguageAbilityMode
type: ValueSet
version: 2015-11-30
label: v3 Code System LanguageAbilityMode
comment: A value representing the method of expression of the language. Example: Expressed spoken, expressed written, expressed signed, received spoken, received written, received signed. OpenIssue: Description copied from Concept Domain of same name. Must be verified.
description: A value representing the method of expression of the language. Example: Expressed spoken, expressed written, expressed signed, received spoken, received written, received signed. OpenIssue: Description copied from Concept Domain of same name. Must be verified.
date: 2015-11-30
status: active
canonical status: active
include: LanguageAbilityMode

v3 Code System LanguageAbilityMode
type: CodeSystem
label: v3 Code System LanguageAbilityMode
comment: A value representing the method of expression of the language. Example: Expressed spoken, expressed written, expressed signed, received spoken, received written, received signed. OpenIssue: Description copied from Concept Domain of same name. Must be verified.
description: A value representing the method of expression of the language. Example: Expressed spoken, expressed written, expressed signed, received spoken, received written, received signed. OpenIssue: Description copied from Concept Domain of same name. Must be verified.
date: Mon Nov 30 00:00:00 AEDT 2015

Expressed signed
sub class of: LanguageAbilityMode
label: Expressed signed
comment: Expressed signed
description: Expressed signed

Expressed spoken
sub class of: LanguageAbilityMode
label: Expressed spoken
comment: Expressed spoken
description: Expressed spoken

Expressed written
sub class of: LanguageAbilityMode
label: Expressed written
comment: Expressed written
description: Expressed written

Received signed
sub class of: LanguageAbilityMode
label: Received signed
comment: Received signed
description: Received signed

Received spoken
sub class of: LanguageAbilityMode
label: Received spoken
comment: Received spoken
description: Received spoken

Received written
sub class of: LanguageAbilityMode
label: Received written
comment: Received written
description: Received written

v3 Code System LanguageAbilityProficiency
type: ValueSet
version: 2015-11-30
label: v3 Code System LanguageAbilityProficiency
comment: A value representing the level of proficiency in a language. Example: Excellent, good, fair, poor. OpenIssue: Description copied from Concept Domain of same name. Must be verified.
description: A value representing the level of proficiency in a language. Example: Excellent, good, fair, poor. OpenIssue: Description copied from Concept Domain of same name. Must be verified.
date: 2015-11-30
status: active
canonical status: active
include: LanguageAbilityProficiency

v3 Code System LanguageAbilityProficiency
type: CodeSystem
label: v3 Code System LanguageAbilityProficiency
comment: A value representing the level of proficiency in a language. Example: Excellent, good, fair, poor. OpenIssue: Description copied from Concept Domain of same name. Must be verified.
description: A value representing the level of proficiency in a language. Example: Excellent, good, fair, poor. OpenIssue: Description copied from Concept Domain of same name. Must be verified.
date: Mon Nov 30 00:00:00 AEDT 2015

Excellent
sub class of: LanguageAbilityProficiency
label: Excellent
comment: Excellent
description: Excellent

Fair
sub class of: LanguageAbilityProficiency
label: Fair
comment: Fair
description: Fair

Good
sub class of: LanguageAbilityProficiency
label: Good
comment: Good
description: Good

Poor
sub class of: LanguageAbilityProficiency
label: Poor
comment: Poor
description: Poor

v3 Code System LivingArrangement
type: ValueSet
version: 2015-11-30
label: v3 Code System LivingArrangement
comment: A code depicting the living arrangements of a person
description: A code depicting the living arrangements of a person
date: 2015-11-30
status: active
canonical status: active
include: LivingArrangement

v3 Code System LivingArrangement
type: CodeSystem
label: v3 Code System LivingArrangement
comment: A code depicting the living arrangements of a person
description: A code depicting the living arrangements of a person
date: Mon Nov 30 00:00:00 AEDT 2015

homeless
sub class of: LivingArrangement
label: homeless
comment: Definition: Living arrangements lacking a permanent residence.
description: Definition: Living arrangements lacking a permanent residence.

Nomadic
sub class of: homeless
label: Nomadic
comment: Nomadic
description: Nomadic

Transient
sub class of: homeless
label: Transient
comment: Transient
description: Transient

Institution
sub class of: LivingArrangement
label: Institution
comment: Institution
description: Institution

community shelter
sub class of: Institution
label: community shelter
comment: Definition: A group living arrangement specifically for the care of those in need of temporary and crisis housing assistance. Examples include domestic violence shelters, shelters for displaced or homeless individuals, Salvation Army, Jesus House, etc. Community based services may be provided.
description: Definition: A group living arrangement specifically for the care of those in need of temporary and crisis housing assistance. Examples include domestic violence shelters, shelters for displaced or homeless individuals, Salvation Army, Jesus House, etc. Community based services may be provided.

Group Home
sub class of: Institution
label: Group Home
comment: Group Home
description: Group Home

Nursing Home
sub class of: Institution
label: Nursing Home
comment: Nursing Home
description: Nursing Home

Extended care facility
sub class of: Institution
label: Extended care facility
comment: Extended care facility
description: Extended care facility

private residence
sub class of: LivingArrangement
label: private residence
comment: Definition: A living arrangement within a private residence for single family.
description: Definition: A living arrangement within a private residence for single family.

Independent Household
sub class of: private residence
label: Independent Household
comment: Independent Household
description: Independent Household

Retirement Community
sub class of: private residence
label: Retirement Community
comment: Retirement Community
description: Retirement Community

supported living
sub class of: private residence
label: supported living
comment: Definition: Assisted living in a single family residence for persons with physical, behavioral, or functional health, or socio-economic challenges. There may or may not be on-site supervision but the housing is designed to assist the client with developing independent living skills. Community based services may be provided.
description: Definition: Assisted living in a single family residence for persons with physical, behavioral, or functional health, or socio-economic challenges. There may or may not be on-site supervision but the housing is designed to assist the client with developing independent living skills. Community based services may be provided.

v3 Code System LocalMarkupIgnore
type: ValueSet
version: 2015-11-30
label: v3 Code System LocalMarkupIgnore
comment: Tells a receiver to ignore just the local markup tags (local_markup, local_header, local_attr) when value="markup", or to ignore the local markup tags and all contained content when value="all"
description: Tells a receiver to ignore just the local markup tags (local_markup, local_header, local_attr) when value="markup", or to ignore the local markup tags and all contained content when value="all"
date: 2015-11-30
status: active
canonical status: active
include: LocalMarkupIgnore

v3 Code System LocalMarkupIgnore
type: CodeSystem
label: v3 Code System LocalMarkupIgnore
comment: Tells a receiver to ignore just the local markup tags (local_markup, local_header, local_attr) when value="markup", or to ignore the local markup tags and all contained content when value="all"
description: Tells a receiver to ignore just the local markup tags (local_markup, local_header, local_attr) when value="markup", or to ignore the local markup tags and all contained content when value="all"
date: Mon Nov 30 00:00:00 AEDT 2015

all
sub class of: LocalMarkupIgnore
label: all
comment: all
description: all

markup
sub class of: LocalMarkupIgnore
label: markup
comment: markup
description: markup

v3 Code System LocalRemoteControlState
type: ValueSet
version: 2015-11-30
label: v3 Code System LocalRemoteControlState
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: LocalRemoteControlState

v3 Code System LocalRemoteControlState
type: CodeSystem
label: v3 Code System LocalRemoteControlState
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

Local
sub class of: LocalRemoteControlState
label: Local
comment: An equipment can either work autonomously ('Local' control state).
description: An equipment can either work autonomously ('Local' control state).

Remote
sub class of: LocalRemoteControlState
label: Remote
comment: An equipment can be controlled by another system, e.g., LAS computer ('Remote' control state).
description: An equipment can be controlled by another system, e.g., LAS computer ('Remote' control state).

v3 Code System ManagedParticipationStatus
type: ValueSet
version: 2015-11-30
label: v3 Code System ManagedParticipationStatus
comment: Codes representing the defined possible states of a Managed Participation, as defined by the Managed Participation class state machine.
description: Codes representing the defined possible states of a Managed Participation, as defined by the Managed Participation class state machine.
date: 2015-11-30
status: active
canonical status: active
include: ManagedParticipationStatus

v3 Code System ManagedParticipationStatus
type: CodeSystem
label: v3 Code System ManagedParticipationStatus
comment: Codes representing the defined possible states of a Managed Participation, as defined by the Managed Participation class state machine.
description: Codes representing the defined possible states of a Managed Participation, as defined by the Managed Participation class state machine.
date: Mon Nov 30 00:00:00 AEDT 2015

normal
sub class of: ManagedParticipationStatus
label: normal
comment: The 'typical' state. Excludes "nullified" which represents the termination state of a participation instance that was created in error.
description: The 'typical' state. Excludes "nullified" which represents the termination state of a participation instance that was created in error.

active
sub class of: normal
label: active
comment: The state representing the fact that the Participation is in progress.
description: The state representing the fact that the Participation is in progress.

cancelled
sub class of: normal
label: cancelled
comment: The terminal state resulting from cancellation of the Participation prior to activation.
description: The terminal state resulting from cancellation of the Participation prior to activation.

completed
sub class of: normal
label: completed
comment: The terminal state representing the successful completion of the Participation.
description: The terminal state representing the successful completion of the Participation.

pending
sub class of: normal
label: pending
comment: The state representing that fact that the Participation has not yet become active.
description: The state representing that fact that the Participation has not yet become active.

nullified
sub class of: ManagedParticipationStatus
label: nullified
comment: The state representing the termination of a Participation instance that was created in error.
description: The state representing the termination of a Participation instance that was created in error.

v3 Code System MapRelationship
type: ValueSet
version: 2015-11-30
label: v3 Code System MapRelationship
comment: The closeness or quality of the mapping between the HL7 concept (as represented by the HL7 concept identifier) and the source coding system. The values are patterned after the similar relationships used in the UMLS Metathesaurus. Because the HL7 coding sy
description: The closeness or quality of the mapping between the HL7 concept (as represented by the HL7 concept identifier) and the source coding system. The values are patterned after the similar relationships used in the UMLS Metathesaurus. Because the HL7 coding sy
date: 2015-11-30
status: active
canonical status: active
include: MapRelationship

v3 Code System MapRelationship
type: CodeSystem
label: v3 Code System MapRelationship
comment: The closeness or quality of the mapping between the HL7 concept (as represented by the HL7 concept identifier) and the source coding system. The values are patterned after the similar relationships used in the UMLS Metathesaurus. Because the HL7 coding sy
description: The closeness or quality of the mapping between the HL7 concept (as represented by the HL7 concept identifier) and the source coding system. The values are patterned after the similar relationships used in the UMLS Metathesaurus. Because the HL7 coding sy
date: Mon Nov 30 00:00:00 AEDT 2015

Broader Than
sub class of: MapRelationship
label: Broader Than
comment: The first concept is at a more abstract level than the second concept. For example, Hepatitis is broader than Hepatitis A, and endocrine disease is broader than Diabetes Mellitus. Broader than is the opposite of the narrower than relationship.
description: The first concept is at a more abstract level than the second concept. For example, Hepatitis is broader than Hepatitis A, and endocrine disease is broader than Diabetes Mellitus. Broader than is the opposite of the narrower than relationship.

Exact
sub class of: MapRelationship
label: Exact
comment: The two concepts have identical meaning.
description: The two concepts have identical meaning.

Narrower Than
sub class of: MapRelationship
label: Narrower Than
comment: The first concept is at a more detailed level than the second concept. For example, Pennicillin G is narrower than Pennicillin, and vellus hair is narrower than hair. Narrower than is the opposite of broader than.
description: The first concept is at a more detailed level than the second concept. For example, Pennicillin G is narrower than Pennicillin, and vellus hair is narrower than hair. Narrower than is the opposite of broader than.

v3 Code System MaritalStatus
type: ValueSet
version: 2015-11-30
label: v3 Code System MaritalStatus
comment: * * * No description supplied * * * Open Issue: The specific meanings of these codes can vary somewhat by jurisdiction and implementation so caution should be used when determining equivalency.
description: * * * No description supplied * * * Open Issue: The specific meanings of these codes can vary somewhat by jurisdiction and implementation so caution should be used when determining equivalency.
date: 2015-11-30
status: active
canonical status: active
include: MaritalStatus

v3 Code System MaritalStatus
type: CodeSystem
label: v3 Code System MaritalStatus
comment: * * * No description supplied * * * Open Issue: The specific meanings of these codes can vary somewhat by jurisdiction and implementation so caution should be used when determining equivalency.
description: * * * No description supplied * * * Open Issue: The specific meanings of these codes can vary somewhat by jurisdiction and implementation so caution should be used when determining equivalency.
date: Mon Nov 30 00:00:00 AEDT 2015

Annulled
sub class of: MaritalStatus
label: Annulled
comment: Marriage contract has been declared null and to not have existed
description: Marriage contract has been declared null and to not have existed

Divorced
sub class of: MaritalStatus
label: Divorced
comment: Marriage contract has been declared dissolved and inactive
description: Marriage contract has been declared dissolved and inactive

Interlocutory
sub class of: MaritalStatus
label: Interlocutory
comment: Subject to an Interlocutory Decree.
description: Subject to an Interlocutory Decree.

Legally Separated
sub class of: MaritalStatus
label: Legally Separated
comment: Legally Separated
description: Legally Separated

Married
sub class of: MaritalStatus
label: Married
comment: A current marriage contract is active
description: A current marriage contract is active

Polygamous
sub class of: MaritalStatus
label: Polygamous
comment: More than 1 current spouse
description: More than 1 current spouse

Never Married
sub class of: MaritalStatus
label: Never Married
comment: No marriage contract has ever been entered
description: No marriage contract has ever been entered

Domestic partner
sub class of: MaritalStatus
label: Domestic partner
comment: Person declares that a domestic partner relationship exists.
description: Person declares that a domestic partner relationship exists.

unmarried
sub class of: MaritalStatus
label: unmarried
comment: Currently not in a marriage contract.
description: Currently not in a marriage contract.

Widowed
sub class of: MaritalStatus
label: Widowed
comment: The spouse has died
description: The spouse has died

v3 Code System MessageWaitingPriority
type: ValueSet
version: 2015-11-30
label: v3 Code System MessageWaitingPriority
comment: Indicates that the receiver has messages for the sender OpenIssue: Description does not make sense relative to name of coding system. Must be reviewed and improved.
description: Indicates that the receiver has messages for the sender OpenIssue: Description does not make sense relative to name of coding system. Must be reviewed and improved.
date: 2015-11-30
status: active
canonical status: active
include: MessageWaitingPriority

v3 Code System MessageWaitingPriority
type: CodeSystem
label: v3 Code System MessageWaitingPriority
comment: Indicates that the receiver has messages for the sender OpenIssue: Description does not make sense relative to name of coding system. Must be reviewed and improved.
description: Indicates that the receiver has messages for the sender OpenIssue: Description does not make sense relative to name of coding system. Must be reviewed and improved.
date: Mon Nov 30 00:00:00 AEDT 2015

High
sub class of: MessageWaitingPriority
label: High
comment: High priority messages are available
description: High priority messages are available

Low
sub class of: MessageWaitingPriority
label: Low
comment: Low priority messages are available
description: Low priority messages are available

Medium
sub class of: MessageWaitingPriority
label: Medium
comment: Medium priority messages are available
description: Medium priority messages are available

MilitaryRoleType
type: ValueSet
version: 2014-03-26
label: MilitaryRoleType
comment: Definition: A person playing the role of program eligible under a program based on military status. Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a member of the military meets jurisdictional or program criteria
description: Definition: A person playing the role of program eligible under a program based on military status. Discussion: This CoveredPartyRoleType.code is typically used when the CoveredPartyRole class code is either "program eligible" or "subscriber" and the person's status as a member of the military meets jurisdictional or program criteria
status: active
canonical status: active

v3 Code System ModifyIndicator
type: ValueSet
version: 2015-11-30
label: v3 Code System ModifyIndicator
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: ModifyIndicator

v3 Code System ModifyIndicator
type: CodeSystem
label: v3 Code System ModifyIndicator
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

Modified subscription
sub class of: ModifyIndicator
label: Modified subscription
comment: Modified subscription to a query server.
description: Modified subscription to a query server.

New subscription
sub class of: ModifyIndicator
label: New subscription
comment: New subscription to a query server.
description: New subscription to a query server.

v3 Code System NullFlavor
type: ValueSet
version: 2015-11-30
label: v3 Code System NullFlavor
comment: A collection of codes specifying why a valid value is not present.
description: A collection of codes specifying why a valid value is not present.
date: 2015-11-30
status: active
canonical status: active
include: NullFlavor

v3 Code System NullFlavor
type: CodeSystem
label: v3 Code System NullFlavor
comment: A collection of codes specifying why a valid value is not present.
description: A collection of codes specifying why a valid value is not present.
date: Mon Nov 30 00:00:00 AEDT 2015

NoInformation
sub class of: NullFlavor
label: NoInformation
comment: Description:The value is exceptional (missing, omitted, incomplete, improper). No information as to the reason for being an exceptional value is provided. This is the most general exceptional value. It is also the default exceptional value.
description: Description:The value is exceptional (missing, omitted, incomplete, improper). No information as to the reason for being an exceptional value is provided. This is the most general exceptional value. It is also the default exceptional value.

invalid
sub class of: NoInformation
label: invalid
comment: Description:The value as represented in the instance is not a member of the set of permitted data values in the constrained value domain of a variable.
description: Description:The value as represented in the instance is not a member of the set of permitted data values in the constrained value domain of a variable.

derived
sub class of: invalid
label: derived
comment: Description:An actual value may exist, but it must be derived from the provided information (usually an EXPR generic data type extension will be used to convey the derivation expressionexpression .
description: Description:An actual value may exist, but it must be derived from the provided information (usually an EXPR generic data type extension will be used to convey the derivation expressionexpression .

other
sub class of: invalid
label: other
comment: Description:The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system). Usage Notes: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to *any* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc. With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.
description: Description:The actual value is not a member of the set of permitted data values in the constrained value domain of a variable. (e.g., concept not provided by required code system). Usage Notes: This flavor and its specializations are most commonly used with the CD datatype and its flavors. However, it may apply to *any* datatype where the constraints of the type are tighter than can be conveyed. For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc. With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE. By definition, all local codes and original text are part of the value set if the coding strength is CWE.

negative infinity
sub class of: other
label: negative infinity
comment: Negative infinity of numbers.
description: Negative infinity of numbers.

positive infinity
sub class of: other
label: positive infinity
comment: Positive infinity of numbers.
description: Positive infinity of numbers.

un-encoded
sub class of: invalid
label: un-encoded
comment: Description: The actual value has not yet been encoded within the approved value domain. Example: Original text or a local code has been specified but translation or encoding to the approved value set has not yet occurred due to limitations of the sending system. Original text has been captured for a PQ, but not attempt has been made to split the value and unit or to encode the unit in UCUM. Usage Notes: If it is known that it is not possible to encode the concept, OTH should be used instead. However, use of UNC does not necessarily guarantee the concept will be encodable, only that encoding has not been attempted. Data type properties such as original text and translations may be present when this null flavor is included.
description: Description: The actual value has not yet been encoded within the approved value domain. Example: Original text or a local code has been specified but translation or encoding to the approved value set has not yet occurred due to limitations of the sending system. Original text has been captured for a PQ, but not attempt has been made to split the value and unit or to encode the unit in UCUM. Usage Notes: If it is known that it is not possible to encode the concept, OTH should be used instead. However, use of UNC does not necessarily guarantee the concept will be encodable, only that encoding has not been attempted. Data type properties such as original text and translations may be present when this null flavor is included.

masked
sub class of: NoInformation
label: masked
comment: There is information on this item available but it has not been provided by the sender due to security, privacy or other reasons. There may be an alternate mechanism for gaining access to this information. Note: using this null flavor does provide information that may be a breach of confidentiality, even though no detail data is provided. Its primary purpose is for those circumstances where it is necessary to inform the receiver that the information does exist without providing any detail.
description: There is information on this item available but it has not been provided by the sender due to security, privacy or other reasons. There may be an alternate mechanism for gaining access to this information. Note: using this null flavor does provide information that may be a breach of confidentiality, even though no detail data is provided. Its primary purpose is for those circumstances where it is necessary to inform the receiver that the information does exist without providing any detail.

not applicable
sub class of: NoInformation
label: not applicable
comment: Known to have no proper value (e.g., last menstrual period for a male).
description: Known to have no proper value (e.g., last menstrual period for a male).

unknown
sub class of: NoInformation
label: unknown
comment: Description:A proper value is applicable, but not known. Usage Notes: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless: Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown') Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)
description: Description:A proper value is applicable, but not known. Usage Notes: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless: Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown') Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

asked but unknown
sub class of: unknown
label: asked but unknown
comment: Information was sought but not found (e.g., patient was asked but didn't know)
description: Information was sought but not found (e.g., patient was asked but didn't know)

temporarily unavailable
sub class of: asked but unknown
label: temporarily unavailable
comment: Information is not available at this time but it is expected that it will be available later.
description: Information is not available at this time but it is expected that it will be available later.

not asked
sub class of: unknown
label: not asked
comment: This information has not been sought (e.g., patient was not asked)
description: This information has not been sought (e.g., patient was not asked)

Not available
sub class of: unknown
label: Not available
comment: Information is not available at this time (with no expectation regarding whether it will or will not be available in the future).
description: Information is not available at this time (with no expectation regarding whether it will or will not be available in the future).

Sufficient Quantity
sub class of: unknown
label: Sufficient Quantity
comment: Description:The specific quantity is not known, but is known to be non-zero and is not specified because it makes up the bulk of the material. e.g. 'Add 10mg of ingredient X, 50mg of ingredient Y, and sufficient quantity of water to 100mL.' The null flavor would be used to express the quantity of water.
description: Description:The specific quantity is not known, but is known to be non-zero and is not specified because it makes up the bulk of the material. e.g. 'Add 10mg of ingredient X, 50mg of ingredient Y, and sufficient quantity of water to 100mL.' The null flavor would be used to express the quantity of water.

trace
sub class of: unknown
label: trace
comment: The content is greater than zero, but too small to be quantified.
description: The content is greater than zero, but too small to be quantified.

not present
sub class of: NullFlavor
label: not present
comment: Value is not present in a message. This is only defined in messages, never in application data! All values not present in the message must be replaced by the applicable default, or no-information (NI) as the default of all defaults.
description: Value is not present in a message. This is only defined in messages, never in application data! All values not present in the message must be replaced by the applicable default, or no-information (NI) as the default of all defaults.

ObligationPolicy
type: ValueSet
version: 2014-03-26
label: ObligationPolicy
comment: Conveys the mandated workflow action that an information custodian, receiver, or user must perform. Examples: encrypt Usage Note: Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.
description: Conveys the mandated workflow action that an information custodian, receiver, or user must perform. Examples: encrypt Usage Note: Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.
status: active
canonical status: active

v3 Code System ObservationInterpretation
type: ValueSet
version: 2015-11-30
label: v3 Code System ObservationInterpretation
comment: One or more codes specifying a rough qualitative interpretation of the observation, such as "normal", "abnormal", "below normal", "change up", "resistant", "susceptible", etc. OpenIssue: Description copied from Concept Domain of same name. Must be verified. Note also that this might be identical to the V2 value set of interpretation codes (formerly Abnormal Flags in older versions).
description: One or more codes specifying a rough qualitative interpretation of the observation, such as "normal", "abnormal", "below normal", "change up", "resistant", "susceptible", etc. OpenIssue: Description copied from Concept Domain of same name. Must be verified. Note also that this might be identical to the V2 value set of interpretation codes (formerly Abnormal Flags in older versions).
date: 2015-11-30
status: active
canonical status: active
include: ObservationInterpretation

v3 Code System ObservationInterpretation
type: CodeSystem
label: v3 Code System ObservationInterpretation
comment: One or more codes specifying a rough qualitative interpretation of the observation, such as "normal", "abnormal", "below normal", "change up", "resistant", "susceptible", etc. OpenIssue: Description copied from Concept Domain of same name. Must be verified. Note also that this might be identical to the V2 code system of interpretation codes (formerly Abnormal Flags in older versions).
description: One or more codes specifying a rough qualitative interpretation of the observation, such as "normal", "abnormal", "below normal", "change up", "resistant", "susceptible", etc. OpenIssue: Description copied from Concept Domain of same name. Must be verified. Note also that this might be identical to the V2 code system of interpretation codes (formerly Abnormal Flags in older versions).
date: Mon Nov 30 00:00:00 AEDT 2015

GeneticObservationInterpretation
sub class of: ObservationInterpretation
label: GeneticObservationInterpretation
comment: Codes that specify interpretation of genetic analysis, such as "positive", "negative", "carrier", "responsive", etc.
description: Codes that specify interpretation of genetic analysis, such as "positive", "negative", "carrier", "responsive", etc.

Carrier
sub class of: GeneticObservationInterpretation
label: Carrier
comment: The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.
description: The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder.

Carrier
sub class of: GeneticObservationInterpretation
label: Carrier
comment: The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder. Deprecation Comment: This code is currently the same string as the print name for this concept and is inconsistent with the conventions being used for the other codes in the coding system, as it is a full word with initial capitalization, rather than an all upper case mnemonic. The recommendation from OO is to deprecate the code "Carrier" and to add "CAR" as the new active code representation for this concept.
description: The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder. Deprecation Comment: This code is currently the same string as the print name for this concept and is inconsistent with the conventions being used for the other codes in the coding system, as it is a full word with initial capitalization, rather than an all upper case mnemonic. The recommendation from OO is to deprecate the code "Carrier" and to add "CAR" as the new active code representation for this concept.

ObservationInterpretationChange
sub class of: ObservationInterpretation
label: ObservationInterpretationChange
comment: Interpretations of change of quantity and/or severity. At most one of B or W and one of U or D allowed.
description: Interpretations of change of quantity and/or severity. At most one of B or W and one of U or D allowed.

Better
sub class of: ObservationInterpretationChange
label: Better
comment: The current result or observation value has improved compared to the previous result or observation value (the change is significant as defined in the respective test procedure). [Note: This can be applied to quantitative or qualitative observations.]
description: The current result or observation value has improved compared to the previous result or observation value (the change is significant as defined in the respective test procedure). [Note: This can be applied to quantitative or qualitative observations.]

Significant change down
sub class of: ObservationInterpretationChange
label: Significant change down
comment: The current result has decreased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).
description: The current result has decreased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).

Significant change up
sub class of: ObservationInterpretationChange
label: Significant change up
comment: The current result has increased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).
description: The current result has increased from the previous result for a quantitative observation (the change is significant as defined in the respective test procedure).

Worse
sub class of: ObservationInterpretationChange
label: Worse
comment: The current result or observation value has degraded compared to the previous result or observation value (the change is significant as defined in the respective test procedure). [Note: This can be applied to quantitative or qualitative observations.]
description: The current result or observation value has degraded compared to the previous result or observation value (the change is significant as defined in the respective test procedure). [Note: This can be applied to quantitative or qualitative observations.]

ObservationInterpretationExceptions
sub class of: ObservationInterpretation
label: ObservationInterpretationExceptions
comment: Technical exceptions resulting in the inability to provide an interpretation. At most one allowed. Does not imply normality or severity.
description: Technical exceptions resulting in the inability to provide an interpretation. At most one allowed. Does not imply normality or severity.

Off scale low
sub class of: ObservationInterpretationExceptions
label: Off scale low
comment: The result is below the minimum detection limit (the test procedure or equipment is the limiting factor). Synonyms: Below analytical limit, low off scale.
description: The result is below the minimum detection limit (the test procedure or equipment is the limiting factor). Synonyms: Below analytical limit, low off scale.

Off scale high
sub class of: ObservationInterpretationExceptions
label: Off scale high
comment: The result is above the maximum quantifiable limit (the test procedure or equipment is the limiting factor). Synonyms: Above analytical limit, high off scale.
description: The result is above the maximum quantifiable limit (the test procedure or equipment is the limiting factor). Synonyms: Above analytical limit, high off scale.

Anti-complementary substances present
sub class of: ObservationInterpretationExceptions
label: Anti-complementary substances present
comment: A valid result cannot be obtained for the specified component / analyte due to the presence of anti-complementary substances in the sample.
description: A valid result cannot be obtained for the specified component / analyte due to the presence of anti-complementary substances in the sample.

Insufficient evidence
sub class of: ObservationInterpretationExceptions
label: Insufficient evidence
comment: There is insufficient evidence that the species in question is a good target for therapy with the drug. A categorical interpretation is not possible. [Note: A MIC with "IE" and/or a comment may be reported (without an accompanying S, I or R-categorization).]
description: There is insufficient evidence that the species in question is a good target for therapy with the drug. A categorical interpretation is not possible. [Note: A MIC with "IE" and/or a comment may be reported (without an accompanying S, I or R-categorization).]

Quality control failure
sub class of: ObservationInterpretationExceptions
label: Quality control failure
comment: A result cannot be considered valid for the specified component / analyte or organism due to failure in the quality control testing component.
description: A result cannot be considered valid for the specified component / analyte or organism due to failure in the quality control testing component.

Cytotoxic substance present
sub class of: ObservationInterpretationExceptions
label: Cytotoxic substance present
comment: A valid result cannot be obtained for the specified organism or cell line due to the presence of cytotoxic substances in the sample or culture.
description: A valid result cannot be obtained for the specified organism or cell line due to the presence of cytotoxic substances in the sample or culture.

ObservationInterpretationNormality
sub class of: ObservationInterpretation
label: ObservationInterpretationNormality
comment: Interpretation of normality or degree of abnormality (including critical or "alert" level). Concepts in this category are mutually exclusive, i.e., at most one is allowed.
description: Interpretation of normality or degree of abnormality (including critical or "alert" level). Concepts in this category are mutually exclusive, i.e., at most one is allowed.

Abnormal
sub class of: ObservationInterpretationNormality
label: Abnormal
comment: The result or observation value is outside the reference range or expected norm (as defined for the respective test procedure). [Note: Typically applies to non-numeric results.]
description: The result or observation value is outside the reference range or expected norm (as defined for the respective test procedure). [Note: Typically applies to non-numeric results.]

Critical abnormal
sub class of: Abnormal
label: Critical abnormal
comment: The result or observation value is outside a reference range or expected norm at a level at which immediate action should be considered for patient safety (as defined for the respective test procedure). [Note: Typically applies to non-numeric results. Analogous to critical/panic limits for numeric results.]
description: The result or observation value is outside a reference range or expected norm at a level at which immediate action should be considered for patient safety (as defined for the respective test procedure). [Note: Typically applies to non-numeric results. Analogous to critical/panic limits for numeric results.]

Critical high
sub class of: Critical abnormal
label: Critical high
comment: The result for a quantitative observation is above a reference level at which immediate action should be considered for patient safety (as defined for the respective test procedure). Synonym: Above upper panic limits.
description: The result for a quantitative observation is above a reference level at which immediate action should be considered for patient safety (as defined for the respective test procedure). Synonym: Above upper panic limits.

Critical low
sub class of: Critical abnormal
label: Critical low
comment: The result for a quantitative observation is below a reference level at which immediate action should be considered for patient safety (as defined for the respective test procedure). Synonym: Below lower panic limits.
description: The result for a quantitative observation is below a reference level at which immediate action should be considered for patient safety (as defined for the respective test procedure). Synonym: Below lower panic limits.

High
sub class of: Abnormal
label: High
comment: The result for a quantitative observation is above the upper limit of the reference range (as defined for the respective test procedure). Synonym: Above high normal
description: The result for a quantitative observation is above the upper limit of the reference range (as defined for the respective test procedure). Synonym: Above high normal

Significantly high
sub class of: High
label: Significantly high
comment: A test result that is significantly higher than the reference (normal) or therapeutic interval, but has not reached the critically high value and might need special attention, as defined by the laboratory or the clinician.[Note: This level is situated between 'H' and 'HH'.] Deprecation Comment: The code 'H>' is being deprecated in order to align with the use of the code 'HU' for "Very high" in V2 Table 0078 "Interpretation Codes". [Note: The use of code 'H>' is non-preferred, as this code is deprecated and on track to be retired; use code 'HU' instead.
description: A test result that is significantly higher than the reference (normal) or therapeutic interval, but has not reached the critically high value and might need special attention, as defined by the laboratory or the clinician.[Note: This level is situated between 'H' and 'HH'.] Deprecation Comment: The code 'H>' is being deprecated in order to align with the use of the code 'HU' for "Very high" in V2 Table 0078 "Interpretation Codes". [Note: The use of code 'H>' is non-preferred, as this code is deprecated and on track to be retired; use code 'HU' instead.

Significantly high
sub class of: High
label: Significantly high
comment: A test result that is significantly higher than the reference (normal) or therapeutic interval, but has not reached the critically high value and might need special attention, as defined by the laboratory or the clinician.
description: A test result that is significantly higher than the reference (normal) or therapeutic interval, but has not reached the critically high value and might need special attention, as defined by the laboratory or the clinician.

Low
sub class of: Abnormal
label: Low
comment: The result for a quantitative observation is below the lower limit of the reference range (as defined for the respective test procedure). Synonym: Below low normal
description: The result for a quantitative observation is below the lower limit of the reference range (as defined for the respective test procedure). Synonym: Below low normal

Significantly low
sub class of: Low
label: Significantly low
comment: A test result that is significantly lower than the reference (normal) or therapeutic interval, but has not reached the critically low value and might need special attention, as defined by the laboratory or the clinician.[Note: This level is situated between 'L' and 'LL'.] Deprecation Comment: The code 'L<' is being deprecated in order to align with the use of the code 'LU' for "Very low" in V2 Table 0078 "Interpretation Codes". [Note: The use of code 'L<' is non-preferred, as this code is deprecated and on track to be retired; use code 'LU' instead.
description: A test result that is significantly lower than the reference (normal) or therapeutic interval, but has not reached the critically low value and might need special attention, as defined by the laboratory or the clinician.[Note: This level is situated between 'L' and 'LL'.] Deprecation Comment: The code 'L<' is being deprecated in order to align with the use of the code 'LU' for "Very low" in V2 Table 0078 "Interpretation Codes". [Note: The use of code 'L<' is non-preferred, as this code is deprecated and on track to be retired; use code 'LU' instead.

Significantly low
sub class of: Low
label: Significantly low
comment: A test result that is significantly lower than the reference (normal) or therapeutic interval, but has not reached the critically low value and might need special attention, as defined by the laboratory or the clinician.
description: A test result that is significantly lower than the reference (normal) or therapeutic interval, but has not reached the critically low value and might need special attention, as defined by the laboratory or the clinician.

Normal
sub class of: ObservationInterpretationNormality
label: Normal
comment: The result or observation value is within the reference range or expected norm (as defined for the respective test procedure). [Note: Applies to numeric or non-numeric results.]
description: The result or observation value is within the reference range or expected norm (as defined for the respective test procedure). [Note: Applies to numeric or non-numeric results.]

ObservationInterpretationSusceptibility
sub class of: ObservationInterpretation
label: ObservationInterpretationSusceptibility
comment: Interpretations of anti-microbial susceptibility testing results (microbiology). At most one allowed.
description: Interpretations of anti-microbial susceptibility testing results (microbiology). At most one allowed.

Intermediate
sub class of: ObservationInterpretationSusceptibility
label: Intermediate
comment: Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with uncertain therapeutic effect. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm) Projects: ISO 20776-1, ISO 20776-2 [Note 1: Bacterial strains are categorized as intermediate by applying the appropriate breakpoints in a defined phenotypic test system.] [Note 2: This class of susceptibility implies that an infection due to the isolate can be appropriately treated in body sites where the drugs are physiologically concentrated or when a high dosage of drug can be used.] [Note 3: This class also indicates a "buffer zone," to prevent small, uncontrolled, technical factors from causing major discrepancies in interpretations.] [Note 4: These breakpoints can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]
description: Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with uncertain therapeutic effect. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm) Projects: ISO 20776-1, ISO 20776-2 [Note 1: Bacterial strains are categorized as intermediate by applying the appropriate breakpoints in a defined phenotypic test system.] [Note 2: This class of susceptibility implies that an infection due to the isolate can be appropriately treated in body sites where the drugs are physiologically concentrated or when a high dosage of drug can be used.] [Note 3: This class also indicates a "buffer zone," to prevent small, uncontrolled, technical factors from causing major discrepancies in interpretations.] [Note 4: These breakpoints can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]

moderately susceptible
sub class of: ObservationInterpretationSusceptibility
label: moderately susceptible
comment: The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder. Deprecation Comment: This antimicrobial susceptibility test interpretation concept is recommended by OO to be deprecated as it is no longer recommended for use in susceptibility testing by CLSI (reference CLSI document M100-S22; Vol. 32 No.3; CLSI Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement. Jan 2012).
description: The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder. Deprecation Comment: This antimicrobial susceptibility test interpretation concept is recommended by OO to be deprecated as it is no longer recommended for use in susceptibility testing by CLSI (reference CLSI document M100-S22; Vol. 32 No.3; CLSI Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement. Jan 2012).

Non-susceptible
sub class of: ObservationInterpretationSusceptibility
label: Non-susceptible
comment: A category used for isolates for which only a susceptible interpretive criterion has been designated because of the absence or rare occurrence of resistant strains. Isolates that have MICs above or zone diameters below the value indicated for the susceptible breakpoint should be reported as non-susceptible. NOTE 1: An isolate that is interpreted as non-susceptible does not necessarily mean that the isolate has a resistance mechanism. It is possible that isolates with MICs above the susceptible breakpoint that lack resistance mechanisms may be encountered within the wild-type distribution subsequent to the time the susceptible-only breakpoint is set. NOTE 2: For strains yielding results in the "nonsusceptible" category, organism identification and antimicrobial susceptibility test results should be confirmed. Synonym: decreased susceptibility.
description: A category used for isolates for which only a susceptible interpretive criterion has been designated because of the absence or rare occurrence of resistant strains. Isolates that have MICs above or zone diameters below the value indicated for the susceptible breakpoint should be reported as non-susceptible. NOTE 1: An isolate that is interpreted as non-susceptible does not necessarily mean that the isolate has a resistance mechanism. It is possible that isolates with MICs above the susceptible breakpoint that lack resistance mechanisms may be encountered within the wild-type distribution subsequent to the time the susceptible-only breakpoint is set. NOTE 2: For strains yielding results in the "nonsusceptible" category, organism identification and antimicrobial susceptibility test results should be confirmed. Synonym: decreased susceptibility.

Resistant
sub class of: ObservationInterpretationSusceptibility
label: Resistant
comment: Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic failure. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm) Projects: ISO 20776-1, ISO 20776-2 [Note 1: Bacterial strains are categorized as resistant by applying the appropriate breakpoints in a defined phenotypic test system.] [Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]
description: Bacterial strain inhibited in vitro by a concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic failure. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm) Projects: ISO 20776-1, ISO 20776-2 [Note 1: Bacterial strains are categorized as resistant by applying the appropriate breakpoints in a defined phenotypic test system.] [Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]

Synergy - resistant
sub class of: Resistant
label: Synergy - resistant
comment: A category for isolates where the bacteria (e.g. enterococci) are not susceptible in vitro to a combination therapy (e.g., high-level aminoglycoside and cell wall active agent). This is predictive that this combination therapy will not be effective. Usage Note: Since the use of penicillin or ampicillin alone often results in treatment failure of serious enterococcal or other bacterial infections, combination therapy is usually indicated to enhance bactericidal activity. The synergy between a cell wall active agent (such as penicillin, ampicillin, or vancomycin) and an aminoglycoside (such as gentamicin, kanamycin or streptomycin) is best predicted by screening for high-level bacterial resistance to the aminoglycoside. Open Issue: The print name of the code is very general and the description is very specific to a pair of classes of agents, which may lead to confusion of these concepts in the future should other synergies be found.
description: A category for isolates where the bacteria (e.g. enterococci) are not susceptible in vitro to a combination therapy (e.g., high-level aminoglycoside and cell wall active agent). This is predictive that this combination therapy will not be effective. Usage Note: Since the use of penicillin or ampicillin alone often results in treatment failure of serious enterococcal or other bacterial infections, combination therapy is usually indicated to enhance bactericidal activity. The synergy between a cell wall active agent (such as penicillin, ampicillin, or vancomycin) and an aminoglycoside (such as gentamicin, kanamycin or streptomycin) is best predicted by screening for high-level bacterial resistance to the aminoglycoside. Open Issue: The print name of the code is very general and the description is very specific to a pair of classes of agents, which may lead to confusion of these concepts in the future should other synergies be found.

Susceptible
sub class of: ObservationInterpretationSusceptibility
label: Susceptible
comment: Bacterial strain inhibited by in vitro concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic success. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm) Synonym (earlier term): Sensitive Projects: ISO 20776-1, ISO 20776-2 [Note 1: Bacterial strains are categorized as susceptible by applying the appropriate breakpoints in a defined phenotypic system.] [Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]
description: Bacterial strain inhibited by in vitro concentration of an antimicrobial agent that is associated with a high likelihood of therapeutic success. Reference: CLSI (http://www.clsi.org/Content/NavigationMenu/Resources/HarmonizedTerminologyDatabase/Harmonized_Terminolo.htm) Synonym (earlier term): Sensitive Projects: ISO 20776-1, ISO 20776-2 [Note 1: Bacterial strains are categorized as susceptible by applying the appropriate breakpoints in a defined phenotypic system.] [Note 2: This breakpoint can be altered due to changes in circumstances (e.g., changes in commonly used drug dosages, emergence of new resistance mechanisms).]

Susceptible-dose dependent
sub class of: Susceptible
label: Susceptible-dose dependent
comment: A category that includes isolates with antimicrobial agent minimum inhibitory concentrations (MICs) that approach usually attainable blood and tissue levels and for which response rates may be lower than for susceptible isolates. Reference: CLSI document M44-A2 2009 "Method for antifungal disk diffusion susceptibility testing of yeasts; approved guideline - second edition" - page 2.
description: A category that includes isolates with antimicrobial agent minimum inhibitory concentrations (MICs) that approach usually attainable blood and tissue levels and for which response rates may be lower than for susceptible isolates. Reference: CLSI document M44-A2 2009 "Method for antifungal disk diffusion susceptibility testing of yeasts; approved guideline - second edition" - page 2.

Synergy - susceptible
sub class of: Susceptible
label: Synergy - susceptible
comment: A category for isolates where the bacteria (e.g. enterococci) are susceptible in vitro to a combination therapy (e.g., high-level aminoglycoside and cell wall active agent). This is predictive that this combination therapy will be effective. Usage Note: Since the use of penicillin or ampicillin alone often results in treatment failure of serious enterococcal or other bacterial infections, combination therapy is usually indicated to enhance bactericidal activity. The synergy between a cell wall active agent (such as penicillin, ampicillin, or vancomycin) and an aminoglycoside (such as gentamicin, kanamycin or streptomycin) is best predicted by screening for high-level bacterial resistance to the aminoglycoside. Open Issue: The print name of the code is very general and the description is very specific to a pair of classes of agents, which may lead to confusion of these concepts in the future should other synergies be found.
description: A category for isolates where the bacteria (e.g. enterococci) are susceptible in vitro to a combination therapy (e.g., high-level aminoglycoside and cell wall active agent). This is predictive that this combination therapy will be effective. Usage Note: Since the use of penicillin or ampicillin alone often results in treatment failure of serious enterococcal or other bacterial infections, combination therapy is usually indicated to enhance bactericidal activity. The synergy between a cell wall active agent (such as penicillin, ampicillin, or vancomycin) and an aminoglycoside (such as gentamicin, kanamycin or streptomycin) is best predicted by screening for high-level bacterial resistance to the aminoglycoside. Open Issue: The print name of the code is very general and the description is very specific to a pair of classes of agents, which may lead to confusion of these concepts in the future should other synergies be found.

very susceptible
sub class of: ObservationInterpretationSusceptibility
label: very susceptible
comment: The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder. Deprecation Comment: This antimicrobial susceptibility test interpretation concept is recommended by OO to be deprecated as it is no longer recommended for use in susceptibility testing by CLSI (reference CLSI document M100-S22; Vol. 32 No.3; CLSI Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement. Jan 2012).
description: The patient is considered as carrier based on the testing results. A carrier is an individual who carries an altered form of a gene which can lead to having a child or offspring in future generations with a genetic disorder. Deprecation Comment: This antimicrobial susceptibility test interpretation concept is recommended by OO to be deprecated as it is no longer recommended for use in susceptibility testing by CLSI (reference CLSI document M100-S22; Vol. 32 No.3; CLSI Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Second Informational Supplement. Jan 2012).

outside threshold
sub class of: ObservationInterpretation
label: outside threshold
comment: The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported. Example: A positive result on a Hepatitis screening test. Open Issue: EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L). The only apparent significant difference is their reference to use in protocols for exclusion of study subjects. These concepts/codes were proposed by RCRIM for use in the CTLaboratory message. They were submitted and approved in the November 2005 Harmonization cycle in proposal "030103C_VOCAB_RCRIM_l_quade_RCRIM Obs Interp_20051028154455". However, this proposal was not fully implemented in the vocabulary. The proposal recommended creation of the x_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes. Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response. It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held.
description: The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported. Example: A positive result on a Hepatitis screening test. Open Issue: EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L). The only apparent significant difference is their reference to use in protocols for exclusion of study subjects. These concepts/codes were proposed by RCRIM for use in the CTLaboratory message. They were submitted and approved in the November 2005 Harmonization cycle in proposal "030103C_VOCAB_RCRIM_l_quade_RCRIM Obs Interp_20051028154455". However, this proposal was not fully implemented in the vocabulary. The proposal recommended creation of the x_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes. Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response. It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held.

above high threshold
sub class of: outside threshold
label: above high threshold
comment: The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported. Example: A positive result on a Hepatitis screening test. Open Issue: EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L). The only apparent significant difference is their reference to use in protocols for exclusion of study subjects. These concepts/codes were proposed by RCRIM for use in the CTLaboratory message. They were submitted and approved in the November 2005 Harmonization cycle in proposal "030103C_VOCAB_RCRIM_l_quade_RCRIM Obs Interp_20051028154455". However, this proposal was not fully implemented in the vocabulary. The proposal recommended creation of the x_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes. Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response. It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held.
description: The observation/test result is interpreted as being outside the inclusion range for a particular protocol within which the result is being reported. Example: A positive result on a Hepatitis screening test. Open Issue: EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L). The only apparent significant difference is their reference to use in protocols for exclusion of study subjects. These concepts/codes were proposed by RCRIM for use in the CTLaboratory message. They were submitted and approved in the November 2005 Harmonization cycle in proposal "030103C_VOCAB_RCRIM_l_quade_RCRIM Obs Interp_20051028154455". However, this proposal was not fully implemented in the vocabulary. The proposal recommended creation of the x_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes. Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response. It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held.

below low threshold
sub class of: outside threshold
label: below low threshold
comment: The numeric observation/test result is interpreted as being below the low threshold value for a particular protocol within which the result is being reported. Example: A Total White Blood Cell Count falling below a protocol-defined threshold value of 3000/mm^3 Open Issue: EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L). The only apparent significant difference is their reference to use in protocols for exclusion of study subjects. These concepts/codes were proposed by RCRIM for use in the CTLaboratory message. They were submitted and approved in the November 2005 Harmonization cycle in proposal "030103C_VOCAB_RCRIM_l_quade_RCRIM Obs Interp_20051028154455". However, this proposal was not fully implemented in the vocabulary. The proposal recommended creation of the x_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes. Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response. It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held.
description: The numeric observation/test result is interpreted as being below the low threshold value for a particular protocol within which the result is being reported. Example: A Total White Blood Cell Count falling below a protocol-defined threshold value of 3000/mm^3 Open Issue: EX, HX, LX: These three concepts do not seem to meet a clear need in the vocabulary, and their use in observation interpretation appears likely to be covered by other existing concepts (e.g., A, H, L). The only apparent significant difference is their reference to use in protocols for exclusion of study subjects. These concepts/codes were proposed by RCRIM for use in the CTLaboratory message. They were submitted and approved in the November 2005 Harmonization cycle in proposal "030103C_VOCAB_RCRIM_l_quade_RCRIM Obs Interp_20051028154455". However, this proposal was not fully implemented in the vocabulary. The proposal recommended creation of the x_ClinicalResearchExclusion domain in ObservationInterpretation with a value set including those three concepts/codes, but there is no subdomain of that name or equivalent with a binding to either of the value sets that contain these concepts/codes. Members of the OO WG have recently attempted to contact members of RCRIM regarding these concepts, both by email and at the recent WGM in Atlanta, without response. It is felt by OO that the best course of action to take at this time is to add this comprehensive Open Issue rather than deprecate these three concepts at this time, until further discussion is held.

ObservationInterpretationDetection
sub class of: ObservationInterpretation
label: ObservationInterpretationDetection
comment: Interpretations of the presence or absence of a component / analyte or organism in a test or of a sign in a clinical observation. In keeping with laboratory data processing practice, these concepts provide a categorical interpretation of the "meaning" of the quantitative value for the same observation.
description: Interpretations of the presence or absence of a component / analyte or organism in a test or of a sign in a clinical observation. In keeping with laboratory data processing practice, these concepts provide a categorical interpretation of the "meaning" of the quantitative value for the same observation.

Indeterminate
sub class of: ObservationInterpretationDetection
label: Indeterminate
comment: The specified component / analyte, organism or clinical sign could neither be declared positive / negative nor detected / not detected by the performed test or procedure. Usage Note: For example, if the specimen was degraded, poorly processed, or was missing the required anatomic structures, then "indeterminate" (i.e. "cannot be determined") is the appropriate response, not "equivocal".
description: The specified component / analyte, organism or clinical sign could neither be declared positive / negative nor detected / not detected by the performed test or procedure. Usage Note: For example, if the specimen was degraded, poorly processed, or was missing the required anatomic structures, then "indeterminate" (i.e. "cannot be determined") is the appropriate response, not "equivocal".

Equivocal
sub class of: Indeterminate
label: Equivocal
comment: The test or procedure was successfully performed, but the results are borderline and can neither be declared positive / negative nor detected / not detected according to the current established criteria.
description: The test or procedure was successfully performed, but the results are borderline and can neither be declared positive / negative nor detected / not detected according to the current established criteria.

Negative
sub class of: ObservationInterpretationDetection
label: Negative
comment: An absence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure. [Note: Negative does not necessarily imply the complete absence of the specified item.]
description: An absence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure. [Note: Negative does not necessarily imply the complete absence of the specified item.]

Not detected
sub class of: Negative
label: Not detected
comment: The presence of the specified component / analyte, organism or clinical sign could not be determined within the limit of detection of the performed test or procedure.
description: The presence of the specified component / analyte, organism or clinical sign could not be determined within the limit of detection of the performed test or procedure.

Positive
sub class of: ObservationInterpretationDetection
label: Positive
comment: A presence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.
description: A presence finding of the specified component / analyte, organism or clinical sign based on the established threshold of the performed test or procedure.

Detected
sub class of: Positive
label: Detected
comment: The measurement of the specified component / analyte, organism or clinical sign above the limit of detection of the performed test or procedure.
description: The measurement of the specified component / analyte, organism or clinical sign above the limit of detection of the performed test or procedure.

ObservationInterpretationExpectation
sub class of: ObservationInterpretation
label: ObservationInterpretationExpectation
comment: Interpretation of the observed result taking into account additional information (contraindicators) about the patient's situation. Concepts in this category are mutually exclusive, i.e., at most one is allowed.
description: Interpretation of the observed result taking into account additional information (contraindicators) about the patient's situation. Concepts in this category are mutually exclusive, i.e., at most one is allowed.

Expected
sub class of: ObservationInterpretationExpectation
label: Expected
comment: This result has been evaluated in light of known contraindicators. Once those contraindicators have been taken into account the result is determined to be "Expected" (e.g., presence of drugs in a patient that is taking prescription medication for pain management).
description: This result has been evaluated in light of known contraindicators. Once those contraindicators have been taken into account the result is determined to be "Expected" (e.g., presence of drugs in a patient that is taking prescription medication for pain management).

Unexpected
sub class of: ObservationInterpretationExpectation
label: Unexpected
comment: This result has been evaluated in light of known contraindicators. Once those contraindicators have been taken into account the result is determined to be "Unexpected" (e.g., presence of non-prescribed drugs in a patient that is taking prescription medication for pain management).
description: This result has been evaluated in light of known contraindicators. Once those contraindicators have been taken into account the result is determined to be "Unexpected" (e.g., presence of non-prescribed drugs in a patient that is taking prescription medication for pain management).

ReactivityObservationInterpretation
sub class of: ObservationInterpretation
label: ReactivityObservationInterpretation
comment: Interpretations of the presence and level of reactivity of the specified component / analyte with the reagent in the performed laboratory test.
description: Interpretations of the presence and level of reactivity of the specified component / analyte with the reagent in the performed laboratory test.

Non-reactive
sub class of: ReactivityObservationInterpretation
label: Non-reactive
comment: An absence finding used to indicate that the specified component / analyte did not react measurably with the reagent.
description: An absence finding used to indicate that the specified component / analyte did not react measurably with the reagent.

Reactive
sub class of: ReactivityObservationInterpretation
label: Reactive
comment: A presence finding used to indicate that the specified component / analyte reacted with the reagent above the reliably measurable limit of the performed test.
description: A presence finding used to indicate that the specified component / analyte reacted with the reagent above the reliably measurable limit of the performed test.

Weakly reactive
sub class of: Reactive
label: Weakly reactive
comment: A weighted presence finding used to indicate that the specified component / analyte reacted with the reagent, but below the reliably measurable limit of the performed test.
description: A weighted presence finding used to indicate that the specified component / analyte reacted with the reagent, but below the reliably measurable limit of the performed test.

v3 Code System ObservationMethod
type: ValueSet
version: 2015-11-30
label: v3 Code System ObservationMethod
comment: A code that provides additional detail about the means or technique used to ascertain the observation. Examples: Blood pressure measurement method: arterial puncture vs. sphygmomanometer (Riva-Rocci), sitting vs. supine position, etc. OpenIssue: Description copied from Concept Domain of same name. Must be verified. Note that the Domain has a full discussion about use of the attribute and constraining that is not appropriate for the value set description. Needs to be improved.
description: A code that provides additional detail about the means or technique used to ascertain the observation. Examples: Blood pressure measurement method: arterial puncture vs. sphygmomanometer (Riva-Rocci), sitting vs. supine position, etc. OpenIssue: Description copied from Concept Domain of same name. Must be verified. Note that the Domain has a full discussion about use of the attribute and constraining that is not appropriate for the value set description. Needs to be improved.
date: 2015-11-30
status: active
canonical status: active
include: ObservationMethod

v3 Code System ObservationMethod
type: CodeSystem
label: v3 Code System ObservationMethod
comment: A code that provides additional detail about the means or technique used to ascertain the observation. Examples: Blood pressure measurement method: arterial puncture vs. sphygmomanometer (Riva-Rocci), sitting vs. supine position, etc. OpenIssue: Description copied from Concept Domain of same name. Must be verified. Note that the Domain has a full discussion about use of the attribute and constraining that is not appropriate for the code system description. Needs to be improved.
description: A code that provides additional detail about the means or technique used to ascertain the observation. Examples: Blood pressure measurement method: arterial puncture vs. sphygmomanometer (Riva-Rocci), sitting vs. supine position, etc. OpenIssue: Description copied from Concept Domain of same name. Must be verified. Note that the Domain has a full discussion about use of the attribute and constraining that is not appropriate for the code system description. Needs to be improved.
date: Mon Nov 30 00:00:00 AEDT 2015

DecisionObservationMethod
sub class of: ObservationMethod
label: DecisionObservationMethod
comment: Provides codes for decision methods, initially for assessing the causality of events.
description: Provides codes for decision methods, initially for assessing the causality of events.

algorithm
sub class of: DecisionObservationMethod
label: algorithm
comment: Reaching a decision through the application of an algorithm designed to weigh the different factors involved.
description: Reaching a decision through the application of an algorithm designed to weigh the different factors involved.

bayesian calculation
sub class of: algorithm
label: bayesian calculation
comment: Reaching a decision through the use of Bayesian statistical analysis.
description: Reaching a decision through the use of Bayesian statistical analysis.

global introspection
sub class of: DecisionObservationMethod
label: global introspection
comment: Reaching a decision by consideration of the totality of factors involved in order to reach a judgement.
description: Reaching a decision by consideration of the totality of factors involved in order to reach a judgement.

GeneticObservationMethod
sub class of: ObservationMethod
label: GeneticObservationMethod
comment: A code that provides additional detail about the means or technique used to ascertain the genetic analysis. Example, PCR, Micro Array
description: A code that provides additional detail about the means or technique used to ascertain the genetic analysis. Example, PCR, Micro Array

PCR
sub class of: GeneticObservationMethod
label: PCR
comment: Description: Polymerase Chain Reaction
description: Description: Polymerase Chain Reaction

observation method aggregate
sub class of: ObservationMethod
label: observation method aggregate
comment: Provides additional detail about the aggregation methods used to compute the aggregated values for an observation. This is an abstract code.
description: Provides additional detail about the aggregation methods used to compute the aggregated values for an observation. This is an abstract code.

average
sub class of: observation method aggregate
label: average
comment: Average of non-null values in the referenced set of values
description: Average of non-null values in the referenced set of values

count
sub class of: observation method aggregate
label: count
comment: Count of non-null values in the referenced set of values
description: Count of non-null values in the referenced set of values

maxima
sub class of: observation method aggregate
label: maxima
comment: Largest of all non-null values in the referenced set of values.
description: Largest of all non-null values in the referenced set of values.

median
sub class of: observation method aggregate
label: median
comment: The median of all non-null values in the referenced set of values.
description: The median of all non-null values in the referenced set of values.

minima
sub class of: observation method aggregate
label: minima
comment: Smallest of all non-null values in the referenced set of values.
description: Smallest of all non-null values in the referenced set of values.

mode
sub class of: observation method aggregate
label: mode
comment: The most common value of all non-null values in the referenced set of values.
description: The most common value of all non-null values in the referenced set of values.

population standard deviation
sub class of: observation method aggregate
label: population standard deviation
comment: Standard Deviation of the values in the referenced set of values, computed over the population.
description: Standard Deviation of the values in the referenced set of values, computed over the population.

sample standard deviation
sub class of: observation method aggregate
label: sample standard deviation
comment: Standard Deviation of the values in the referenced set of values, computed over a sample of the population.
description: Standard Deviation of the values in the referenced set of values, computed over a sample of the population.

sum
sub class of: observation method aggregate
label: sum
comment: Sum of non-null values in the referenced set of values
description: Sum of non-null values in the referenced set of values

population variance
sub class of: observation method aggregate
label: population variance
comment: Variance of the values in the referenced set of values, computed over the population.
description: Variance of the values in the referenced set of values, computed over the population.

sample variance
sub class of: observation method aggregate
label: sample variance
comment: Variance of the values in the referenced set of values, computed over a sample of the population.
description: Variance of the values in the referenced set of values, computed over a sample of the population.

VerificationMethod
sub class of: ObservationMethod
label: VerificationMethod
comment: VerificationMethod
description: VerificationMethod

document verification
sub class of: VerificationMethod
label: document verification
comment: Verification by means of document. Example: Fax, letter, attachment to e-mail.
description: Verification by means of document. Example: Fax, letter, attachment to e-mail.

registry verification
sub class of: VerificationMethod
label: registry verification
comment: verification by means of a response to an electronic query Example: query message to a Covered Party registry application or Coverage Administrator.
description: verification by means of a response to an electronic query Example: query message to a Covered Party registry application or Coverage Administrator.

electronic token verification
sub class of: VerificationMethod
label: electronic token verification
comment: Verification by means of electronic token. Example: smartcard, magnetic swipe card, RFID device.
description: Verification by means of electronic token. Example: smartcard, magnetic swipe card, RFID device.

voice-based verification
sub class of: VerificationMethod
label: voice-based verification
comment: Verification by means of voice. Example: By speaking with or calling the Coverage Administrator or Covered Party
description: Verification by means of voice. Example: By speaking with or calling the Coverage Administrator or Covered Party

Complement fixation
sub class of: ObservationMethod
label: Complement fixation
comment: Complement fixation
description: Complement fixation

Computed axial tomography
sub class of: ObservationMethod
label: Computed axial tomography
comment: Computed axial tomography
description: Computed axial tomography

HLAR agar test
sub class of: ObservationMethod
label: HLAR agar test
comment: Susceptibility, High Level Aminoglycoside Resistance agar test
description: Susceptibility, High Level Aminoglycoside Resistance agar test

Macroscopic observation
sub class of: ObservationMethod
label: Macroscopic observation
comment: Visual, Macroscopic observation
description: Visual, Macroscopic observation

Magnetic resonance
sub class of: ObservationMethod
label: Magnetic resonance
comment: Computed, Magnetic resonance
description: Computed, Magnetic resonance

Morphometry
sub class of: ObservationMethod
label: Morphometry
comment: Computed, Morphometry
description: Computed, Morphometry

Positron emission tomography
sub class of: ObservationMethod
label: Positron emission tomography
comment: Computed, Positron emission tomography
description: Computed, Positron emission tomography

SAMHSA confirmation
sub class of: ObservationMethod
label: SAMHSA confirmation
comment: SAMHSA drug assay confirmation
description: SAMHSA drug assay confirmation

SAMHSA screening
sub class of: ObservationMethod
label: SAMHSA screening
comment: SAMHSA drug assay screening
description: SAMHSA drug assay screening

Serum Neutralization
sub class of: ObservationMethod
label: Serum Neutralization
comment: Serum Neutralization
description: Serum Neutralization

Titration
sub class of: ObservationMethod
label: Titration
comment: Titration
description: Titration

Ultrasound
sub class of: ObservationMethod
label: Ultrasound
comment: Ultrasound
description: Ultrasound

X-ray crystallography
sub class of: ObservationMethod
label: X-ray crystallography
comment: X-ray crystallography
description: X-ray crystallography

Agglutination
sub class of: ObservationMethod
label: Agglutination
comment: Agglutination
description: Agglutination

Buffered acidified plate agglutination
sub class of: ObservationMethod
label: Buffered acidified plate agglutination
comment: Agglutination, Buffered acidified plate
description: Agglutination, Buffered acidified plate

Card agglutination
sub class of: ObservationMethod
label: Card agglutination
comment: Agglutination, Card
description: Agglutination, Card

Hemagglutination
sub class of: ObservationMethod
label: Hemagglutination
comment: Agglutination, Hemagglutination
description: Agglutination, Hemagglutination

Hemagglutination inhibition
sub class of: ObservationMethod
label: Hemagglutination inhibition
comment: Agglutination, Hemagglutination inhibition
description: Agglutination, Hemagglutination inhibition

Latex agglutination
sub class of: ObservationMethod
label: Latex agglutination
comment: Agglutination, Latex
description: Agglutination, Latex

Plate agglutination
sub class of: ObservationMethod
label: Plate agglutination
comment: Agglutination, Plate
description: Agglutination, Plate

Rapid agglutination
sub class of: ObservationMethod
label: Rapid agglutination
comment: Agglutination, Rapid Plate
description: Agglutination, Rapid Plate

RBC agglutination
sub class of: ObservationMethod
label: RBC agglutination
comment: Agglutination, RBC
description: Agglutination, RBC

Rivanol agglutination
sub class of: ObservationMethod
label: Rivanol agglutination
comment: Agglutination, Rivanol
description: Agglutination, Rivanol

Tube agglutination
sub class of: ObservationMethod
label: Tube agglutination
comment: Agglutination, Tube
description: Agglutination, Tube

Bioassay
sub class of: ObservationMethod
label: Bioassay
comment: Bioassay
description: Bioassay

Animal Inoculation
sub class of: ObservationMethod
label: Animal Inoculation
comment: Bioassay, Animal Inoculation
description: Bioassay, Animal Inoculation

Cytotoxicity
sub class of: ObservationMethod
label: Cytotoxicity
comment: Bioassay, Cytotoxicity
description: Bioassay, Cytotoxicity

Embryo infective dose 50
sub class of: ObservationMethod
label: Embryo infective dose 50
comment: Bioassay, Embryo Infective Dose 50
description: Bioassay, Embryo Infective Dose 50

Embryo lethal dose 50
sub class of: ObservationMethod
label: Embryo lethal dose 50
comment: Bioassay, Embryo Lethal Dose 50
description: Bioassay, Embryo Lethal Dose 50

Mouse intercerebral inoculation
sub class of: ObservationMethod
label: Mouse intercerebral inoculation
comment: Bioassay, Mouse intercerebral inoculation
description: Bioassay, Mouse intercerebral inoculation

Bioassay, qualitative
sub class of: ObservationMethod
label: Bioassay, qualitative
comment: Bioassay, qualitative
description: Bioassay, qualitative

Bioassay, quantitative
sub class of: ObservationMethod
label: Bioassay, quantitative
comment: Bioassay, quantitative
description: Bioassay, quantitative

Chemical method
sub class of: ObservationMethod
label: Chemical method
comment: Chemical
description: Chemical

Differential light absorption chemical test
sub class of: ObservationMethod
label: Differential light absorption chemical test
comment: Chemical, Differential light absorption
description: Chemical, Differential light absorption

Dipstick
sub class of: ObservationMethod
label: Dipstick
comment: Chemical, Dipstick
description: Chemical, Dipstick

Dipstick colorimetric laboratory test
sub class of: ObservationMethod
label: Dipstick colorimetric laboratory test
comment: Chemical, Dipstick colorimetric laboratory test
description: Chemical, Dipstick colorimetric laboratory test

Test strip
sub class of: ObservationMethod
label: Test strip
comment: Chemical, Test strip
description: Chemical, Test strip

Chromatography
sub class of: ObservationMethod
label: Chromatography
comment: Chromatography
description: Chromatography

Affinity chromatography
sub class of: ObservationMethod
label: Affinity chromatography
comment: Chromatography, Affinity
description: Chromatography, Affinity

Gas liquid chromatography
sub class of: ObservationMethod
label: Gas liquid chromatography
comment: Chromatography, Gas liquid
description: Chromatography, Gas liquid

High performance liquid chromatography
sub class of: ObservationMethod
label: High performance liquid chromatography
comment: Chromatography, High performance liquid
description: Chromatography, High performance liquid

Liquid Chromatography
sub class of: ObservationMethod
label: Liquid Chromatography
comment: Chromatography, Liquid
description: Chromatography, Liquid

Protein A affinity chromatography
sub class of: ObservationMethod
label: Protein A affinity chromatography
comment: Chromatography, Protein A affinity
description: Chromatography, Protein A affinity

Coagulation
sub class of: ObservationMethod
label: Coagulation
comment: Coagulation
description: Coagulation

Tilt tube coagulation time
sub class of: ObservationMethod
label: Tilt tube coagulation time
comment: Coagulation, Tilt tube
description: Coagulation, Tilt tube

Tilt tube reptilase induced coagulation
sub class of: ObservationMethod
label: Tilt tube reptilase induced coagulation
comment: Coagulation, Tilt tube reptilase induced
description: Coagulation, Tilt tube reptilase induced

Automated count
sub class of: ObservationMethod
label: Automated count
comment: Count, Automated
description: Count, Automated

Manual cell count
sub class of: ObservationMethod
label: Manual cell count
comment: Count, Manual
description: Count, Manual

Platelet count, Rees-Ecker
sub class of: ObservationMethod
label: Platelet count, Rees-Ecker
comment: Count, Platelet, Rees-Ecker
description: Count, Platelet, Rees-Ecker

Aerobic Culture
sub class of: ObservationMethod
label: Aerobic Culture
comment: Culture, Aerobic
description: Culture, Aerobic

Anaerobic Culture
sub class of: ObservationMethod
label: Anaerobic Culture
comment: Culture, Anaerobic
description: Culture, Anaerobic

Chicken embryo culture
sub class of: ObservationMethod
label: Chicken embryo culture
comment: Culture, Chicken Embryo
description: Culture, Chicken Embryo

Delayed secondary enrichment
sub class of: ObservationMethod
label: Delayed secondary enrichment
comment: Culture, Delayed secondary enrichment
description: Culture, Delayed secondary enrichment

Microaerophilic Culture
sub class of: ObservationMethod
label: Microaerophilic Culture
comment: Culture, Microaerophilic
description: Culture, Microaerophilic

Quantitative microbial culture, cup
sub class of: ObservationMethod
label: Quantitative microbial culture, cup
comment: Culture, Quantitative microbial, cup
description: Culture, Quantitative microbial, cup

Quantitative microbial culture, droplet
sub class of: ObservationMethod
label: Quantitative microbial culture, droplet
comment: Culture, Quantitative microbial, droplet
description: Culture, Quantitative microbial, droplet

Quantitative microbial culture, filter paper
sub class of: ObservationMethod
label: Quantitative microbial culture, filter paper
comment: Culture, Quantitative microbial, filter paper
description: Culture, Quantitative microbial, filter paper

Quantitative microbial culture, pad culture
sub class of: ObservationMethod
label: Quantitative microbial culture, pad culture
comment: Culture, Quantitative microbial, pad
description: Culture, Quantitative microbial, pad

Quantitative microbial culture, pour plate
sub class of: ObservationMethod
label: Quantitative microbial culture, pour plate
comment: Culture, Quantitative microbial, pour plate
description: Culture, Quantitative microbial, pour plate

Quantitative microbial culture, surface streak
sub class of: ObservationMethod
label: Quantitative microbial culture, surface streak
comment: Culture, Quantitative microbial, surface streak
description: Culture, Quantitative microbial, surface streak

Somatic Cell culture
sub class of: ObservationMethod
label: Somatic Cell culture
comment: Culture, Somatic Cell
description: Culture, Somatic Cell

Agar diffusion
sub class of: ObservationMethod
label: Agar diffusion
comment: Diffusion, Agar
description: Diffusion, Agar

Agar Gel Immunodiffusion
sub class of: ObservationMethod
label: Agar Gel Immunodiffusion
comment: Diffusion, Agar Gel Immunodiffusion
description: Diffusion, Agar Gel Immunodiffusion

Electrophoresis
sub class of: ObservationMethod
label: Electrophoresis
comment: Electrophoresis
description: Electrophoresis

Agaorse gel electrophoresis
sub class of: ObservationMethod
label: Agaorse gel electrophoresis
comment: Electrophoresis, Agaorse gel
description: Electrophoresis, Agaorse gel

Electrophoresis, citrate agar
sub class of: ObservationMethod
label: Electrophoresis, citrate agar
comment: Electrophoresis, citrate agar
description: Electrophoresis, citrate agar

Immunoelectrophoresis
sub class of: ObservationMethod
label: Immunoelectrophoresis
comment: Electrophoresis, Immuno
description: Electrophoresis, Immuno

Polyacrylamide gel electrophoresis
sub class of: ObservationMethod
label: Polyacrylamide gel electrophoresis
comment: Electrophoresis, Polyacrylamide gel
description: Electrophoresis, Polyacrylamide gel

Starch gel electrophoresis
sub class of: ObservationMethod
label: Starch gel electrophoresis
comment: Electrophoresis, Starch gel
description: Electrophoresis, Starch gel

ELISA
sub class of: ObservationMethod
label: ELISA
comment: ELISA
description: ELISA

ELISA, antigen capture
sub class of: ObservationMethod
label: ELISA, antigen capture
comment: ELISA, antigen capture
description: ELISA, antigen capture

ELISA, avidin biotin peroxidase complex
sub class of: ObservationMethod
label: ELISA, avidin biotin peroxidase complex
comment: ELISA, avidin biotin peroxidase complex
description: ELISA, avidin biotin peroxidase complex

Kinetic ELISA
sub class of: ObservationMethod
label: Kinetic ELISA
comment: ELISA, Kinetic
description: ELISA, Kinetic

ELISA, peroxidase-antiperoxidase
sub class of: ObservationMethod
label: ELISA, peroxidase-antiperoxidase
comment: ELISA, peroxidase-antiperoxidase
description: ELISA, peroxidase-antiperoxidase

API 20 Strep
sub class of: ObservationMethod
label: API 20 Strep
comment: Identification, API 20 Strep
description: Identification, API 20 Strep

API 20A
sub class of: ObservationMethod
label: API 20A
comment: Identification, API 20A
description: Identification, API 20A

API 20C AUX
sub class of: ObservationMethod
label: API 20C AUX
comment: Identification, API 20C AUX
description: Identification, API 20C AUX

API 20E
sub class of: ObservationMethod
label: API 20E
comment: Identification, API 20E
description: Identification, API 20E

API 20NE
sub class of: ObservationMethod
label: API 20NE
comment: Identification, API 20NE
description: Identification, API 20NE

API 50 CH
sub class of: ObservationMethod
label: API 50 CH
comment: Identification, API 50 CH
description: Identification, API 50 CH

API An-IDENT
sub class of: ObservationMethod
label: API An-IDENT
comment: Identification, API An-IDENT
description: Identification, API An-IDENT

API Coryne
sub class of: ObservationMethod
label: API Coryne
comment: Identification, API Coryne
description: Identification, API Coryne

API Rapid 20E
sub class of: ObservationMethod
label: API Rapid 20E
comment: Identification, API Rapid 20E
description: Identification, API Rapid 20E

API Staph
sub class of: ObservationMethod
label: API Staph
comment: Identification, API Staph
description: Identification, API Staph

API ZYM
sub class of: ObservationMethod
label: API ZYM
comment: Identification, API ZYM
description: Identification, API ZYM

Bacterial identification
sub class of: ObservationMethod
label: Bacterial identification
comment: Identification, Bacterial
description: Identification, Bacterial

mini VIDAS
sub class of: ObservationMethod
label: mini VIDAS
comment: Identification, mini VIDAS
description: Identification, mini VIDAS

Phage susceptibility typing
sub class of: ObservationMethod
label: Phage susceptibility typing
comment: Identification, Phage susceptibility typing
description: Identification, Phage susceptibility typing

Quad-FERM+
sub class of: ObservationMethod
label: Quad-FERM+
comment: Identification, Quad-FERM+
description: Identification, Quad-FERM+

RAPIDEC Staph
sub class of: ObservationMethod
label: RAPIDEC Staph
comment: Identification, RAPIDEC Staph
description: Identification, RAPIDEC Staph

Staphaurex
sub class of: ObservationMethod
label: Staphaurex
comment: Identification, Staphaurex
description: Identification, Staphaurex

VIDAS
sub class of: ObservationMethod
label: VIDAS
comment: Identification, VIDAS
description: Identification, VIDAS

Vitek
sub class of: ObservationMethod
label: Vitek
comment: Identification, Vitek
description: Identification, Vitek

VITEK 2
sub class of: ObservationMethod
label: VITEK 2
comment: Identification, VITEK 2
description: Identification, VITEK 2

Immune stain
sub class of: ObservationMethod
label: Immune stain
comment: Immune stain
description: Immune stain

Immunofluorescent antibody, direct
sub class of: ObservationMethod
label: Immunofluorescent antibody, direct
comment: Immune stain, Immunofluorescent antibody, direct
description: Immune stain, Immunofluorescent antibody, direct

Immunofluorescent antibody, indirect
sub class of: ObservationMethod
label: Immunofluorescent antibody, indirect
comment: Immune stain, Immunofluorescent antibody, indirect
description: Immune stain, Immunofluorescent antibody, indirect

Immunoperoxidase, Avidin-Biotin Complex
sub class of: ObservationMethod
label: Immunoperoxidase, Avidin-Biotin Complex
comment: Immune stain, Immunoperoxidase, Avidin-Biotin Complex
description: Immune stain, Immunoperoxidase, Avidin-Biotin Complex

Immunoperoxidase, Peroxidase anti-peroxidase complex
sub class of: ObservationMethod
label: Immunoperoxidase, Peroxidase anti-peroxidase complex
comment: Immune stain, Immunoperoxidase, Peroxidase anti-peroxidase complex
description: Immune stain, Immunoperoxidase, Peroxidase anti-peroxidase complex

Immunoperoxidase, Protein A-peroxidase complex
sub class of: ObservationMethod
label: Immunoperoxidase, Protein A-peroxidase complex
comment: Immune stain, Immunoperoxidase, Protein A-peroxidase complex
description: Immune stain, Immunoperoxidase, Protein A-peroxidase complex

Immunoassay
sub class of: ObservationMethod
label: Immunoassay
comment: Immunoassay
description: Immunoassay

Immunoassay, qualitative, multiple step
sub class of: ObservationMethod
label: Immunoassay, qualitative, multiple step
comment: Immunoassay, qualitative, multiple step
description: Immunoassay, qualitative, multiple step

Immunoassay, qualitative, single step
sub class of: ObservationMethod
label: Immunoassay, qualitative, single step
comment: Immunoassay, qualitative, single step
description: Immunoassay, qualitative, single step

Radioimmunoassay
sub class of: ObservationMethod
label: Radioimmunoassay
comment: Immunoassay, Radioimmunoassay
description: Immunoassay, Radioimmunoassay

Immunoassay, semi-quantitative, multiple step
sub class of: ObservationMethod
label: Immunoassay, semi-quantitative, multiple step
comment: Immunoassay, semi-quantitative, multiple step
description: Immunoassay, semi-quantitative, multiple step

Immunoassay, semi-quantitative, single step
sub class of: ObservationMethod
label: Immunoassay, semi-quantitative, single step
comment: Immunoassay, semi-quantitative, single step
description: Immunoassay, semi-quantitative, single step

Microscopy
sub class of: ObservationMethod
label: Microscopy
comment: Microscopy
description: Microscopy

Darkfield microscopy
sub class of: ObservationMethod
label: Darkfield microscopy
comment: Microscopy, Darkfield
description: Microscopy, Darkfield

Electron microscopy
sub class of: ObservationMethod
label: Electron microscopy
comment: Microscopy, Electron
description: Microscopy, Electron

Electron microscopy tomography
sub class of: ObservationMethod
label: Electron microscopy tomography
comment: Microscopy, Electron microscopy tomography
description: Microscopy, Electron microscopy tomography

Electron microscopy, negative stain
sub class of: ObservationMethod
label: Electron microscopy, negative stain
comment: Microscopy, Electron, negative stain
description: Microscopy, Electron, negative stain

Electron microscopy, thick section
sub class of: ObservationMethod
label: Electron microscopy, thick section
comment: Microscopy, Electron, thick section transmission
description: Microscopy, Electron, thick section transmission

Electron microscopy, thin section
sub class of: ObservationMethod
label: Electron microscopy, thin section
comment: Microscopy, Electron, thin section transmission
description: Microscopy, Electron, thin section transmission

Microscopy, Light
sub class of: ObservationMethod
label: Microscopy, Light
comment: Microscopy, Light
description: Microscopy, Light

Polarizing light microscopy
sub class of: ObservationMethod
label: Polarizing light microscopy
comment: Microscopy, Polarized light
description: Microscopy, Polarized light

Scanning electron microscopy
sub class of: ObservationMethod
label: Scanning electron microscopy
comment: Microscopy, Scanning electron
description: Microscopy, Scanning electron

Transmission electron microscopy
sub class of: ObservationMethod
label: Transmission electron microscopy
comment: Microscopy, Transmission electron
description: Microscopy, Transmission electron

Transparent tape direct examination
sub class of: ObservationMethod
label: Transparent tape direct examination
comment: Microscopy, Transparent tape direct examination
description: Microscopy, Transparent tape direct examination

3 Self-Sustaining Sequence Replication
sub class of: ObservationMethod
label: 3 Self-Sustaining Sequence Replication
comment: Molecular, 3 Self-Sustaining Sequence Replication
description: Molecular, 3 Self-Sustaining Sequence Replication

Branched Chain DNA
sub class of: ObservationMethod
label: Branched Chain DNA
comment: Molecular, Branched Chain DNA
description: Molecular, Branched Chain DNA

Hybridization Protection Assay
sub class of: ObservationMethod
label: Hybridization Protection Assay
comment: Molecular, Hybridization Protection Assay
description: Molecular, Hybridization Protection Assay

Immune blot
sub class of: ObservationMethod
label: Immune blot
comment: Molecular, Immune blot
description: Molecular, Immune blot

In-situ hybridization
sub class of: ObservationMethod
label: In-situ hybridization
comment: Molecular, In-situ hybridization
description: Molecular, In-situ hybridization

Ligase Chain Reaction
sub class of: ObservationMethod
label: Ligase Chain Reaction
comment: Molecular, Ligase Chain Reaction
description: Molecular, Ligase Chain Reaction

Ligation Activated Transcription
sub class of: ObservationMethod
label: Ligation Activated Transcription
comment: Molecular, Ligation Activated Transcription
description: Molecular, Ligation Activated Transcription

Nucleic Acid Probe
sub class of: ObservationMethod
label: Nucleic Acid Probe
comment: Molecular, Nucleic Acid Probe
description: Molecular, Nucleic Acid Probe

Nucleic acid probe with amplification
sub class of: ObservationMethod
label: Nucleic acid probe with amplification
comment: Molecular, Nucleic acid probe with amplification Rationale: Duplicate of code 0126. Use code 0126 instead.
description: Molecular, Nucleic acid probe with amplification Rationale: Duplicate of code 0126. Use code 0126 instead.

Nucleic acid probe with target amplification
sub class of: ObservationMethod
label: Nucleic acid probe with target amplification
comment: Molecular, Nucleic acid probe with target amplification
description: Molecular, Nucleic acid probe with target amplification

Nucleic acid reverse transcription
sub class of: ObservationMethod
label: Nucleic acid reverse transcription
comment: Molecular, Nucleic acid reverse transcription
description: Molecular, Nucleic acid reverse transcription

Nucleic Acid Sequence Based Analysis
sub class of: ObservationMethod
label: Nucleic Acid Sequence Based Analysis
comment: Molecular, Nucleic Acid Sequence Based Analysis
description: Molecular, Nucleic Acid Sequence Based Analysis

Polymerase chain reaction
sub class of: ObservationMethod
label: Polymerase chain reaction
comment: Molecular, Polymerase chain reaction
description: Molecular, Polymerase chain reaction

Q-Beta Replicase or probe amplification category method
sub class of: ObservationMethod
label: Q-Beta Replicase or probe amplification category method
comment: Molecular, Q-Beta Replicase or probe amplification category method
description: Molecular, Q-Beta Replicase or probe amplification category method

Restriction Fragment Length Polymorphism
sub class of: ObservationMethod
label: Restriction Fragment Length Polymorphism
comment: Molecular, Restriction Fragment Length Polymorphism
description: Molecular, Restriction Fragment Length Polymorphism

Southern Blot
sub class of: ObservationMethod
label: Southern Blot
comment: Molecular, Southern Blot
description: Molecular, Southern Blot

Strand Displacement Amplification
sub class of: ObservationMethod
label: Strand Displacement Amplification
comment: Molecular, Strand Displacement Amplification
description: Molecular, Strand Displacement Amplification

Transcription Mediated Amplification
sub class of: ObservationMethod
label: Transcription Mediated Amplification
comment: Molecular, Transcription Mediated Amplification
description: Molecular, Transcription Mediated Amplification

Western Blot
sub class of: ObservationMethod
label: Western Blot
comment: Molecular, Western Blot
description: Molecular, Western Blot

Flocculation
sub class of: ObservationMethod
label: Flocculation
comment: Precipitation, Flocculation
description: Precipitation, Flocculation

Immune precipitation
sub class of: ObservationMethod
label: Immune precipitation
comment: Precipitation, Immune precipitation
description: Precipitation, Immune precipitation

Milk ring test
sub class of: ObservationMethod
label: Milk ring test
comment: Precipitation, Milk ring test
description: Precipitation, Milk ring test

Precipitin
sub class of: ObservationMethod
label: Precipitin
comment: Precipitation, Precipitin
description: Precipitation, Precipitin

Acid fast stain
sub class of: ObservationMethod
label: Acid fast stain
comment: Stain, Acid fast
description: Stain, Acid fast

Acid fast stain, fluorochrome
sub class of: ObservationMethod
label: Acid fast stain, fluorochrome
comment: Stain, Acid fast, fluorochrome
description: Stain, Acid fast, fluorochrome

Acid fast stain, Kinyoun's cold carbolfuchsin
sub class of: ObservationMethod
label: Acid fast stain, Kinyoun's cold carbolfuchsin
comment: Stain, Acid fast, Kinyoun's cold carbolfuchsin
description: Stain, Acid fast, Kinyoun's cold carbolfuchsin

Acid fast stain, Ziehl-Neelsen
sub class of: ObservationMethod
label: Acid fast stain, Ziehl-Neelsen
comment: Stain, Acid fast, Ziehl-Neelsen
description: Stain, Acid fast, Ziehl-Neelsen

Acid phosphatase stain
sub class of: ObservationMethod
label: Acid phosphatase stain
comment: Stain, Acid phosphatase
description: Stain, Acid phosphatase

Acridine orange stain
sub class of: ObservationMethod
label: Acridine orange stain
comment: Stain, Acridine orange
description: Stain, Acridine orange

Active brilliant orange KH stain
sub class of: ObservationMethod
label: Active brilliant orange KH stain
comment: Stain, Active brilliant orange KH
description: Stain, Active brilliant orange KH

Alazarin red S stain
sub class of: ObservationMethod
label: Alazarin red S stain
comment: Stain, Alazarin red S
description: Stain, Alazarin red S

Alcian blue stain
sub class of: ObservationMethod
label: Alcian blue stain
comment: Stain, Alcian blue
description: Stain, Alcian blue

Alcian blue with Periodic acid Schiff stain
sub class of: ObservationMethod
label: Alcian blue with Periodic acid Schiff stain
comment: Stain, Alcian blue with Periodic acid Schiff
description: Stain, Alcian blue with Periodic acid Schiff

Argentaffin stain
sub class of: ObservationMethod
label: Argentaffin stain
comment: Stain, Argentaffin
description: Stain, Argentaffin

Argentaffin silver stain
sub class of: ObservationMethod
label: Argentaffin silver stain
comment: Stain, Argentaffin silver
description: Stain, Argentaffin silver

Azure-eosin stain
sub class of: ObservationMethod
label: Azure-eosin stain
comment: Stain, Azure-eosin
description: Stain, Azure-eosin

Basic Fuschin stain
sub class of: ObservationMethod
label: Basic Fuschin stain
comment: Stain, Basic Fuschin
description: Stain, Basic Fuschin

Bennhold stain
sub class of: ObservationMethod
label: Bennhold stain
comment: Stain, Bennhold
description: Stain, Bennhold

Bennhold's Congo red stain
sub class of: ObservationMethod
label: Bennhold's Congo red stain
comment: Stain, Bennhold's Congo red
description: Stain, Bennhold's Congo red

Bielschowsky stain
sub class of: ObservationMethod
label: Bielschowsky stain
comment: Stain, Bielschowsky
description: Stain, Bielschowsky

Bielschowsky's silver stain
sub class of: ObservationMethod
label: Bielschowsky's silver stain
comment: Stain, Bielschowsky's silver
description: Stain, Bielschowsky's silver

Bleach stain
sub class of: ObservationMethod
label: Bleach stain
comment: Stain, Bleach
description: Stain, Bleach

Bodian stain
sub class of: ObservationMethod
label: Bodian stain
comment: Stain, Bodian
description: Stain, Bodian

Brown-Brenn stain
sub class of: ObservationMethod
label: Brown-Brenn stain
comment: Stain, Brown-Brenn
description: Stain, Brown-Brenn

Butyrate-esterase stain
sub class of: ObservationMethod
label: Butyrate-esterase stain
comment: Stain, Butyrate-esterase
description: Stain, Butyrate-esterase

Calcofluor white fluorescent stain
sub class of: ObservationMethod
label: Calcofluor white fluorescent stain
comment: Stain, Calcofluor white fluorescent
description: Stain, Calcofluor white fluorescent

Carbol-fuchsin stain
sub class of: ObservationMethod
label: Carbol-fuchsin stain
comment: Stain, Carbol-fuchsin
description: Stain, Carbol-fuchsin

Carmine stain
sub class of: ObservationMethod
label: Carmine stain
comment: Stain, Carmine
description: Stain, Carmine

Churukian-Schenk stain
sub class of: ObservationMethod
label: Churukian-Schenk stain
comment: Stain, Churukian-Schenk
description: Stain, Churukian-Schenk

Congo red stain
sub class of: ObservationMethod
label: Congo red stain
comment: Stain, Congo red
description: Stain, Congo red

Cresyl echt violet stain
sub class of: ObservationMethod
label: Cresyl echt violet stain
comment: Stain, Cresyl echt violet
description: Stain, Cresyl echt violet

Crystal violet stain
sub class of: ObservationMethod
label: Crystal violet stain
comment: Stain, Crystal violet
description: Stain, Crystal violet

De Galantha stain
sub class of: ObservationMethod
label: De Galantha stain
comment: Stain, De Galantha
description: Stain, De Galantha

Dieterle silver impregnation stain
sub class of: ObservationMethod
label: Dieterle silver impregnation stain
comment: Stain, Dieterle silver impregnation
description: Stain, Dieterle silver impregnation

Fite-Farco stain
sub class of: ObservationMethod
label: Fite-Farco stain
comment: Stain, Fite-Farco
description: Stain, Fite-Farco

Fontana-Masson silver stain
sub class of: ObservationMethod
label: Fontana-Masson silver stain
comment: Stain, Fontana-Masson silver
description: Stain, Fontana-Masson silver

Fouchet stain
sub class of: ObservationMethod
label: Fouchet stain
comment: Stain, Fouchet
description: Stain, Fouchet

Gomori stain
sub class of: ObservationMethod
label: Gomori stain
comment: Stain, Gomori
description: Stain, Gomori

Gomori methenamine silver stain
sub class of: ObservationMethod
label: Gomori methenamine silver stain
comment: Stain, Gomori methenamine silver
description: Stain, Gomori methenamine silver

Gomori-Wheatly trichrome stain
sub class of: ObservationMethod
label: Gomori-Wheatly trichrome stain
comment: Stain, Gomori-Wheatly trichrome
description: Stain, Gomori-Wheatly trichrome

Gridley stain
sub class of: ObservationMethod
label: Gridley stain
comment: Stain, Gridley
description: Stain, Gridley

Grimelius silver stain
sub class of: ObservationMethod
label: Grimelius silver stain
comment: Stain, Grimelius silver
description: Stain, Grimelius silver

Grocott stain
sub class of: ObservationMethod
label: Grocott stain
comment: Stain, Grocott
description: Stain, Grocott

Grocott methenamine silver stain
sub class of: ObservationMethod
label: Grocott methenamine silver stain
comment: Stain, Grocott methenamine silver
description: Stain, Grocott methenamine silver

Hale's colloidal ferric oxide stain
sub class of: ObservationMethod
label: Hale's colloidal ferric oxide stain
comment: Stain, Hale's colloidal ferric oxide
description: Stain, Hale's colloidal ferric oxide

Hale's colloidal iron stain
sub class of: ObservationMethod
label: Hale's colloidal iron stain
comment: Stain, Hale's colloidal iron
description: Stain, Hale's colloidal iron

Hansel stain
sub class of: ObservationMethod
label: Hansel stain
comment: Stain, Hansel
description: Stain, Hansel

Harris regressive hematoxylin and eosin stain
sub class of: ObservationMethod
label: Harris regressive hematoxylin and eosin stain
comment: Stain, Harris regressive hematoxylin and eosin
description: Stain, Harris regressive hematoxylin and eosin

Hematoxylin and eosin stain
sub class of: ObservationMethod
label: Hematoxylin and eosin stain
comment: Stain, Hematoxylin and eosin
description: Stain, Hematoxylin and eosin

Highman stain
sub class of: ObservationMethod
label: Highman stain
comment: Stain, Highman
description: Stain, Highman

Holzer stain
sub class of: ObservationMethod
label: Holzer stain
comment: Stain, Holzer
description: Stain, Holzer

Iron hematoxylin stain
sub class of: ObservationMethod
label: Iron hematoxylin stain
comment: Stain, Iron hematoxylin
description: Stain, Iron hematoxylin

Jones stain
sub class of: ObservationMethod
label: Jones stain
comment: Stain, Jones
description: Stain, Jones

Jones methenamine silver stain
sub class of: ObservationMethod
label: Jones methenamine silver stain
comment: Stain, Jones methenamine silver
description: Stain, Jones methenamine silver

Kossa stain
sub class of: ObservationMethod
label: Kossa stain
comment: Stain, Kossa
description: Stain, Kossa

Lawson-Van Gieson stain
sub class of: ObservationMethod
label: Lawson-Van Gieson stain
comment: Stain, Lawson-Van Gieson
description: Stain, Lawson-Van Gieson

Loeffler methylene blue stain
sub class of: ObservationMethod
label: Loeffler methylene blue stain
comment: Stain, Loeffler methylene blue
description: Stain, Loeffler methylene blue

Luxol fast blue with cresyl violet stain
sub class of: ObservationMethod
label: Luxol fast blue with cresyl violet stain
comment: Stain, Luxol fast blue with cresyl violet
description: Stain, Luxol fast blue with cresyl violet

Luxol fast blue with Periodic acid-Schiff stain
sub class of: ObservationMethod
label: Luxol fast blue with Periodic acid-Schiff stain
comment: Stain, Luxol fast blue with Periodic acid-Schiff
description: Stain, Luxol fast blue with Periodic acid-Schiff

MacNeal's tetrachrome blood stain
sub class of: ObservationMethod
label: MacNeal's tetrachrome blood stain
comment: Stain, MacNeal's tetrachrome blood
description: Stain, MacNeal's tetrachrome blood

Mallory-Heidenhain stain
sub class of: ObservationMethod
label: Mallory-Heidenhain stain
comment: Stain, Mallory-Heidenhain
description: Stain, Mallory-Heidenhain

Masson trichrome stain
sub class of: ObservationMethod
label: Masson trichrome stain
comment: Stain, Masson trichrome
description: Stain, Masson trichrome

Mayer mucicarmine stain
sub class of: ObservationMethod
label: Mayer mucicarmine stain
comment: Stain, Mayer mucicarmine
description: Stain, Mayer mucicarmine

Mayers progressive hematoxylin and eosin stain
sub class of: ObservationMethod
label: Mayers progressive hematoxylin and eosin stain
comment: Stain, Mayers progressive hematoxylin and eosin
description: Stain, Mayers progressive hematoxylin and eosin

May-Grunwald Giemsa stain
sub class of: ObservationMethod
label: May-Grunwald Giemsa stain
comment: Stain, May-Grunwald Giemsa
description: Stain, May-Grunwald Giemsa

Methyl green stain
sub class of: ObservationMethod
label: Methyl green stain
comment: Stain, Methyl green
description: Stain, Methyl green

Methyl green pyronin stain
sub class of: ObservationMethod
label: Methyl green pyronin stain
comment: Stain, Methyl green pyronin
description: Stain, Methyl green pyronin

Modified Gomori-Wheatly trichrome stain
sub class of: ObservationMethod
label: Modified Gomori-Wheatly trichrome stain
comment: Stain, Modified Gomori-Wheatly trichrome
description: Stain, Modified Gomori-Wheatly trichrome

Modified Masson trichrome stain
sub class of: ObservationMethod
label: Modified Masson trichrome stain
comment: Stain, Modified Masson trichrome
description: Stain, Modified Masson trichrome

Modified trichrome stain
sub class of: ObservationMethod
label: Modified trichrome stain
comment: Stain, Modified trichrome
description: Stain, Modified trichrome

Movat pentachrome stain
sub class of: ObservationMethod
label: Movat pentachrome stain
comment: Stain, Movat pentachrome
description: Stain, Movat pentachrome

Mucicarmine stain
sub class of: ObservationMethod
label: Mucicarmine stain
comment: Stain, Mucicarmine
description: Stain, Mucicarmine

Neutral red stain
sub class of: ObservationMethod
label: Neutral red stain
comment: Stain, Neutral red
description: Stain, Neutral red

Night blue stain
sub class of: ObservationMethod
label: Night blue stain
comment: Stain, Night blue
description: Stain, Night blue

Non-specific esterase stain
sub class of: ObservationMethod
label: Non-specific esterase stain
comment: Stain, Non-specific esterase
description: Stain, Non-specific esterase

Oil red-O stain
sub class of: ObservationMethod
label: Oil red-O stain
comment: Stain, Oil red-O
description: Stain, Oil red-O

Orcein stain
sub class of: ObservationMethod
label: Orcein stain
comment: Stain, Orcein
description: Stain, Orcein

Perls' stain
sub class of: ObservationMethod
label: Perls' stain
comment: Stain, Perls'
description: Stain, Perls'

Phosphotungstic acid-hematoxylin stain
sub class of: ObservationMethod
label: Phosphotungstic acid-hematoxylin stain
comment: Stain, Phosphotungstic acid-hematoxylin
description: Stain, Phosphotungstic acid-hematoxylin

Potassium ferrocyanide stain
sub class of: ObservationMethod
label: Potassium ferrocyanide stain
comment: Stain, Potassium ferrocyanide
description: Stain, Potassium ferrocyanide

Prussian blue stain
sub class of: ObservationMethod
label: Prussian blue stain
comment: Stain, Prussian blue
description: Stain, Prussian blue

Putchler modified Bennhold stain
sub class of: ObservationMethod
label: Putchler modified Bennhold stain
comment: Stain, Putchler modified Bennhold
description: Stain, Putchler modified Bennhold

Quinacrine fluorescent stain
sub class of: ObservationMethod
label: Quinacrine fluorescent stain
comment: Stain, Quinacrine fluorescent
description: Stain, Quinacrine fluorescent

Reticulin stain
sub class of: ObservationMethod
label: Reticulin stain
comment: Stain, Reticulin
description: Stain, Reticulin

Rhodamine stain
sub class of: ObservationMethod
label: Rhodamine stain
comment: Stain, Rhodamine
description: Stain, Rhodamine

Safranin stain
sub class of: ObservationMethod
label: Safranin stain
comment: Stain, Safranin
description: Stain, Safranin

Schmorl stain
sub class of: ObservationMethod
label: Schmorl stain
comment: Stain, Schmorl
description: Stain, Schmorl

Seiver-Munger stain
sub class of: ObservationMethod
label: Seiver-Munger stain
comment: Stain, Seiver-Munger
description: Stain, Seiver-Munger

Silver stain
sub class of: ObservationMethod
label: Silver stain
comment: Stain, Silver
description: Stain, Silver

Specific esterase stain
sub class of: ObservationMethod
label: Specific esterase stain
comment: Stain, Specific esterase
description: Stain, Specific esterase

Steiner silver stain
sub class of: ObservationMethod
label: Steiner silver stain
comment: Stain, Steiner silver
description: Stain, Steiner silver

Sudan III stain
sub class of: ObservationMethod
label: Sudan III stain
comment: Stain, Sudan III
description: Stain, Sudan III

Sudan IVI stain
sub class of: ObservationMethod
label: Sudan IVI stain
comment: Stain, Sudan IVI
description: Stain, Sudan IVI

Sulfated alcian blue stain
sub class of: ObservationMethod
label: Sulfated alcian blue stain
comment: Stain, Sulfated alcian blue
description: Stain, Sulfated alcian blue

Supravital stain
sub class of: ObservationMethod
label: Supravital stain
comment: Stain, Supravital
description: Stain, Supravital

Thioflavine-S stain
sub class of: ObservationMethod
label: Thioflavine-S stain
comment: Stain, Thioflavine-S
description: Stain, Thioflavine-S

Three micron Giemsa stain
sub class of: ObservationMethod
label: Three micron Giemsa stain
comment: Stain, Three micron Giemsa
description: Stain, Three micron Giemsa

Vassar-Culling stain
sub class of: ObservationMethod
label: Vassar-Culling stain
comment: Stain, Vassar-Culling
description: Stain, Vassar-Culling

Vital Stain
sub class of: ObservationMethod
label: Vital Stain
comment: Stain, Vital
description: Stain, Vital

von Kossa stain
sub class of: ObservationMethod
label: von Kossa stain
comment: Stain, von Kossa
description: Stain, von Kossa

Minimum bactericidal concentration test, macrodilution
sub class of: ObservationMethod
label: Minimum bactericidal concentration test, macrodilution
comment: Susceptibility, Minimum bactericidal concentration, macrodilution
description: Susceptibility, Minimum bactericidal concentration, macrodilution

Minimum bactericidal concentration test, microdilution
sub class of: ObservationMethod
label: Minimum bactericidal concentration test, microdilution
comment: Susceptibility, Minimum bactericidal concentration, microdilution
description: Susceptibility, Minimum bactericidal concentration, microdilution

Turbidometric
sub class of: ObservationMethod
label: Turbidometric
comment: Turbidometric
description: Turbidometric

Refractometric
sub class of: ObservationMethod
label: Refractometric
comment: Turbidometric, Refractometric
description: Turbidometric, Refractometric

Thin layer chromatography (TLC)
sub class of: ObservationMethod
label: Thin layer chromatography (TLC)
comment: Chromatography, Thin Layer
description: Chromatography, Thin Layer

EMIT
sub class of: ObservationMethod
label: EMIT
comment: Immunoassay, enzyme-multiplied technique (EMIT)
description: Immunoassay, enzyme-multiplied technique (EMIT)

Flow cytometry (FC)
sub class of: ObservationMethod
label: Flow cytometry (FC)
comment: Flow Cytometry
description: Flow Cytometry

Radial immunodiffusion (RID)
sub class of: ObservationMethod
label: Radial immunodiffusion (RID)
comment: Radial Immunodiffusion
description: Radial Immunodiffusion

Fluorescence polarization immunoassay (FPIA)
sub class of: ObservationMethod
label: Fluorescence polarization immunoassay (FPIA)
comment: Immunoassay, Fluorescence Polarization
description: Immunoassay, Fluorescence Polarization

Immunofixation electrophoresis (IFE)
sub class of: ObservationMethod
label: Immunofixation electrophoresis (IFE)
comment: Electrophoresis, Immunofixation
description: Electrophoresis, Immunofixation

Equilibrium dialysis
sub class of: ObservationMethod
label: Equilibrium dialysis
comment: Dialysis, Direct Equilibrium
description: Dialysis, Direct Equilibrium

Kleihauer-Betke acid elution
sub class of: ObservationMethod
label: Kleihauer-Betke acid elution
comment: Acid Elution, Kleihauer-Betke Method
description: Acid Elution, Kleihauer-Betke Method

Anti-complement immunofluorescence (ACIF)
sub class of: ObservationMethod
label: Anti-complement immunofluorescence (ACIF)
comment: Immunofluorescence, Anti-Complement
description: Immunofluorescence, Anti-Complement

GC/MS
sub class of: ObservationMethod
label: GC/MS
comment: Gas Chromatography/Mass Spectroscopy
description: Gas Chromatography/Mass Spectroscopy

Nephelometry
sub class of: ObservationMethod
label: Nephelometry
comment: Light Scatter, Nephelometry
description: Light Scatter, Nephelometry

IgE immunoassay antibody
sub class of: ObservationMethod
label: IgE immunoassay antibody
comment: Immunoassay, IgE Antibody Test
description: Immunoassay, IgE Antibody Test

Lymphocyte Microcytotoxicity Assay
sub class of: ObservationMethod
label: Lymphocyte Microcytotoxicity Assay
comment: Lymphocyte Microcytotoxicity Assay
description: Lymphocyte Microcytotoxicity Assay

Spectrophotometry
sub class of: ObservationMethod
label: Spectrophotometry
comment: Spectrophotometry
description: Spectrophotometry

Atomic absorption spectrophotometry (AAS)
sub class of: ObservationMethod
label: Atomic absorption spectrophotometry (AAS)
comment: Spectrophotometry, Atomic Absorption
description: Spectrophotometry, Atomic Absorption

Ion selective electrode (ISE)
sub class of: ObservationMethod
label: Ion selective electrode (ISE)
comment: Electrochemical, Ion Selective Electrode
description: Electrochemical, Ion Selective Electrode

Gas chromatography (GC)
sub class of: ObservationMethod
label: Gas chromatography (GC)
comment: Chromatography, Gas
description: Chromatography, Gas

Isoelectric focusing (IEF)
sub class of: ObservationMethod
label: Isoelectric focusing (IEF)
comment: Isoelectric Focusing
description: Isoelectric Focusing

Immunochemiluminescence
sub class of: ObservationMethod
label: Immunochemiluminescence
comment: Immunoassay, Chemiluminescent
description: Immunoassay, Chemiluminescent

Microparticle enzyme immunoassay (MEIA)
sub class of: ObservationMethod
label: Microparticle enzyme immunoassay (MEIA)
comment: Immunoassay, Microparticle Enzyme
description: Immunoassay, Microparticle Enzyme

ICP/MS
sub class of: ObservationMethod
label: ICP/MS
comment: Inductively-Coupled Plasma/Mass Spectrometry
description: Inductively-Coupled Plasma/Mass Spectrometry

Immunoradiometric assay (IRMA)
sub class of: ObservationMethod
label: Immunoradiometric assay (IRMA)
comment: Immunoassay, Immunoradiometric Assay
description: Immunoassay, Immunoradiometric Assay

Photo optical clot detection
sub class of: ObservationMethod
label: Photo optical clot detection
comment: Coagulation, Photo Optical Clot Detection
description: Coagulation, Photo Optical Clot Detection

Susceptibility Testing
sub class of: ObservationMethod
label: Susceptibility Testing
comment: Test methods designed to determine a microorganismaTMs susceptibility to being killed by an antibiotic.
description: Test methods designed to determine a microorganismaTMs susceptibility to being killed by an antibiotic.

Antibiotic sensitivity, disk
sub class of: Susceptibility Testing
label: Antibiotic sensitivity, disk
comment: Susceptibility, Antibiotic sensitivity, disk
description: Susceptibility, Antibiotic sensitivity, disk

BACTEC susceptibility test
sub class of: Susceptibility Testing
label: BACTEC susceptibility test
comment: Susceptibility, BACTEC susceptibility test
description: Susceptibility, BACTEC susceptibility test

Disk dilution
sub class of: Susceptibility Testing
label: Disk dilution
comment: Susceptibility, Disk dilution
description: Susceptibility, Disk dilution

Minimum Inhibitory Concentration
sub class of: Susceptibility Testing
label: Minimum Inhibitory Concentration
comment: Testing to measure the minimum concentration of the antibacterial agent in a given culture medium below which bacterial growth is not inhibited.
description: Testing to measure the minimum concentration of the antibacterial agent in a given culture medium below which bacterial growth is not inhibited.

Minimum Inhibitory Concentration, macrodilution
sub class of: Minimum Inhibitory Concentration
label: Minimum Inhibitory Concentration, macrodilution
comment: Susceptibility, Minimum Inhibitory concentration, macrodilution
description: Susceptibility, Minimum Inhibitory concentration, macrodilution

Minimum Inhibitory Concentration, microdilution
sub class of: Minimum Inhibitory Concentration
label: Minimum Inhibitory Concentration, microdilution
comment: Susceptibility, Minimum Inhibitory concentration, microdilution
description: Susceptibility, Minimum Inhibitory concentration, microdilution

Viral Genotype Susceptibility
sub class of: Susceptibility Testing
label: Viral Genotype Susceptibility
comment: Viral Genotype Susceptibility
description: Viral Genotype Susceptibility

Viral Phenotype Susceptibility
sub class of: Susceptibility Testing
label: Viral Phenotype Susceptibility
comment: Viral Phenotype Susceptibility
description: Viral Phenotype Susceptibility

Gradient Strip
sub class of: Susceptibility Testing
label: Gradient Strip
comment: Gradient Strip
description: Gradient Strip

Minimum Lethal Concentration (MLC)
sub class of: Susceptibility Testing
label: Minimum Lethal Concentration (MLC)
comment: Minimum Lethal Concentration (MLC)
description: Minimum Lethal Concentration (MLC)

Slow Mycobacteria Susceptibility
sub class of: Susceptibility Testing
label: Slow Mycobacteria Susceptibility
comment: Testing to measure the minimum concentration of the antibacterial agent in a given culture medium below which bacterial growth is not inhibited.
description: Testing to measure the minimum concentration of the antibacterial agent in a given culture medium below which bacterial growth is not inhibited.

Serum bactericidal titer
sub class of: Susceptibility Testing
label: Serum bactericidal titer
comment: Serum bactericidal titer
description: Serum bactericidal titer

Agar screen
sub class of: Susceptibility Testing
label: Agar screen
comment: Agar screen
description: Agar screen

Disk induction
sub class of: Susceptibility Testing
label: Disk induction
comment: Disk induction
description: Disk induction

Nucleic acid probe
sub class of: ObservationMethod
label: Nucleic acid probe
comment: Molecular, Nucleic acid probe
description: Molecular, Nucleic acid probe

ObservationType
type: ValueSet
version: 2014-03-26
label: ObservationType
comment: Identifies the kinds of observations that can be performed
description: Identifies the kinds of observations that can be performed
status: active
canonical status: active

v3 Code System ObservationValue
type: ValueSet
version: 2015-11-30
label: v3 Code System ObservationValue
comment: This domain is the root domain to which all HL7-recognized value sets for the Observation.value attribute will be linked when Observation.value has a coded data type. OpenIssue: Description copied from Concept Domain of same name. Must be corrected..
description: This domain is the root domain to which all HL7-recognized value sets for the Observation.value attribute will be linked when Observation.value has a coded data type. OpenIssue: Description copied from Concept Domain of same name. Must be corrected..
date: 2015-11-30
status: active
canonical status: active
include: ObservationValue

v3 Code System ObservationValue
type: CodeSystem
label: v3 Code System ObservationValue
comment: This domain is the root domain to which all HL7-recognized code systems for the Observation.value attribute will be linked when Observation.value has a coded data type. OpenIssue: Description copied from Concept Domain of same name. Must be corrected..
description: This domain is the root domain to which all HL7-recognized code systems for the Observation.value attribute will be linked when Observation.value has a coded data type. OpenIssue: Description copied from Concept Domain of same name. Must be corrected..
date: Mon Nov 30 00:00:00 AEDT 2015

ActCoverageAssessmentObservationValue
sub class of: ObservationValue
label: ActCoverageAssessmentObservationValue
comment: Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.
description: Codes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.

ActFinancialStatusObservationValue
sub class of: ActCoverageAssessmentObservationValue
label: ActFinancialStatusObservationValue
comment: Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.
description: Code specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.

asset
sub class of: ActFinancialStatusObservationValue
label: asset
comment: Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program.
description: Codes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program.

annuity
sub class of: asset
label: annuity
comment: Indicator of annuity ownership or status as beneficiary.
description: Indicator of annuity ownership or status as beneficiary.

real property
sub class of: asset
label: real property
comment: Indicator of real property ownership, e.g., deed or real estate contract.
description: Indicator of real property ownership, e.g., deed or real estate contract.

retirement investment account
sub class of: asset
label: retirement investment account
comment: Indicator of retirement investment account ownership.
description: Indicator of retirement investment account ownership.

trust
sub class of: asset
label: trust
comment: Indicator of status as trust beneficiary.
description: Indicator of status as trust beneficiary.

income
sub class of: ActFinancialStatusObservationValue
label: income
comment: Code specifying income indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay or pension check, child support payments received or provided, and taxes paid.
description: Code specifying income indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay or pension check, child support payments received or provided, and taxes paid.

child support
sub class of: income
label: child support
comment: Indicator of child support payments received or provided.
description: Indicator of child support payments received or provided.

disability pay
sub class of: income
label: disability pay
comment: Indicator of disability income replacement payment.
description: Indicator of disability income replacement payment.

investment income
sub class of: income
label: investment income
comment: Indicator of investment income, e.g., dividend check, annuity payment; real estate rent, investment divestiture proceeds; trust or endowment check.
description: Indicator of investment income, e.g., dividend check, annuity payment; real estate rent, investment divestiture proceeds; trust or endowment check.

paid employment
sub class of: income
label: paid employment
comment: Indicator of paid employment, e.g., letter of hire, contract, employer letter; copy of pay check or pay stub.
description: Indicator of paid employment, e.g., letter of hire, contract, employer letter; copy of pay check or pay stub.

retirement pay
sub class of: income
label: retirement pay
comment: Indicator of retirement payment, e.g., pension check.
description: Indicator of retirement payment, e.g., pension check.

spousal or partner support
sub class of: income
label: spousal or partner support
comment: Indicator of spousal or partner support payments received or provided; e.g., alimony payment; support stipulations in a divorce settlement.
description: Indicator of spousal or partner support payments received or provided; e.g., alimony payment; support stipulations in a divorce settlement.

income supplement
sub class of: income
label: income supplement
comment: Indicator of income supplement, e.g., gifting, parental income support; stipend, or grant.
description: Indicator of income supplement, e.g., gifting, parental income support; stipend, or grant.

tax obligation
sub class of: income
label: tax obligation
comment: Indicator of tax obligation or payment, e.g., statement of taxable income.
description: Indicator of tax obligation or payment, e.g., statement of taxable income.

living expense
sub class of: ActFinancialStatusObservationValue
label: living expense
comment: Codes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program.
description: Codes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program.

clothing expense
sub class of: living expense
label: clothing expense
comment: Indicator of clothing expenses.
description: Indicator of clothing expenses.

food expense
sub class of: living expense
label: food expense
comment: Indicator of transportation expenses.
description: Indicator of transportation expenses.

health expense
sub class of: living expense
label: health expense
comment: Indicator of health expenses; including medication costs, health service costs, financial participations, and health coverage premiums.
description: Indicator of health expenses; including medication costs, health service costs, financial participations, and health coverage premiums.

household expense
sub class of: living expense
label: household expense
comment: Indicator of housing expense, e.g., household appliances, fixtures, furnishings, and maintenance and repairs.
description: Indicator of housing expense, e.g., household appliances, fixtures, furnishings, and maintenance and repairs.

legal expense
sub class of: living expense
label: legal expense
comment: Indicator of legal expenses.
description: Indicator of legal expenses.

mortgage
sub class of: living expense
label: mortgage
comment: Indicator of mortgage amount, interest, and payments.
description: Indicator of mortgage amount, interest, and payments.

rent
sub class of: living expense
label: rent
comment: Indicator of rental or lease payments.
description: Indicator of rental or lease payments.

sundry expense
sub class of: living expense
label: sundry expense
comment: Indicator of transportation expenses.
description: Indicator of transportation expenses.

transportation expense
sub class of: living expense
label: transportation expense
comment: Indicator of transportation expenses, e.g., vehicle payments, vehicle insurance, vehicle fuel, and vehicle maintenance and repairs.
description: Indicator of transportation expenses, e.g., vehicle payments, vehicle insurance, vehicle fuel, and vehicle maintenance and repairs.

utility expense
sub class of: living expense
label: utility expense
comment: Indicator of transportation expenses.
description: Indicator of transportation expenses.

eligibility indicator
sub class of: ActCoverageAssessmentObservationValue
label: eligibility indicator
comment: Code specifying eligibility indicators used to assess or establish eligibility for coverage under a policy or program eligibility status, e.g., certificates of creditable coverage; student enrollment; adoption, marriage or birth certificate.
description: Code specifying eligibility indicators used to assess or establish eligibility for coverage under a policy or program eligibility status, e.g., certificates of creditable coverage; student enrollment; adoption, marriage or birth certificate.

adoption document
sub class of: eligibility indicator
label: adoption document
comment: Indicator of adoption.
description: Indicator of adoption.

birth certificate
sub class of: eligibility indicator
label: birth certificate
comment: Indicator of birth.
description: Indicator of birth.

creditable coverage document
sub class of: eligibility indicator
label: creditable coverage document
comment: Indicator of creditable coverage.
description: Indicator of creditable coverage.

driver license
sub class of: eligibility indicator
label: driver license
comment: Indicator of driving status.
description: Indicator of driving status.

foster child document
sub class of: eligibility indicator
label: foster child document
comment: Indicator of foster child status.
description: Indicator of foster child status.

program or policy member
sub class of: eligibility indicator
label: program or policy member
comment: Indicator of status as covered member under a policy or program, e.g., member id card or coverage document.
description: Indicator of status as covered member under a policy or program, e.g., member id card or coverage document.

military identification
sub class of: eligibility indicator
label: military identification
comment: Indicator of military status.
description: Indicator of military status.

marriage certificate
sub class of: eligibility indicator
label: marriage certificate
comment: Indicator of marriage status.
description: Indicator of marriage status.

passport
sub class of: eligibility indicator
label: passport
comment: Indicator of citizenship.
description: Indicator of citizenship.

student enrollment
sub class of: eligibility indicator
label: student enrollment
comment: Indicator of student status.
description: Indicator of student status.

health status
sub class of: ActCoverageAssessmentObservationValue
label: health status
comment: Code specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues.
description: Code specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues.

disabled
sub class of: health status
label: disabled
comment: Indication of disability.
description: Indication of disability.

drug use
sub class of: health status
label: drug use
comment: Indication of drug use.
description: Indication of drug use.

IV drug use
sub class of: health status
label: IV drug use
comment: Indication of IV drug use .
description: Indication of IV drug use .

pregnant
sub class of: health status
label: pregnant
comment: Non-clinical report of pregnancy.
description: Non-clinical report of pregnancy.

living dependency
sub class of: ActCoverageAssessmentObservationValue
label: living dependency
comment: Code specifying observations related to living dependency, such as dependent upon spouse for activities of daily living.
description: Code specifying observations related to living dependency, such as dependent upon spouse for activities of daily living.

relative dependent
sub class of: living dependency
label: relative dependent
comment: Continued living in private residence requires functional and health care assistance from one or more relatives.
description: Continued living in private residence requires functional and health care assistance from one or more relatives.

spouse dependent
sub class of: living dependency
label: spouse dependent
comment: Continued living in private residence requires functional and health care assistance from spouse or life partner.
description: Continued living in private residence requires functional and health care assistance from spouse or life partner.

unrelated person dependent
sub class of: living dependency
label: unrelated person dependent
comment: Continued living in private residence requires functional and health care assistance from one or more unrelated persons.
description: Continued living in private residence requires functional and health care assistance from one or more unrelated persons.

living situation
sub class of: ActCoverageAssessmentObservationValue
label: living situation
comment: Code specifying observations related to living situation for a person in a private residence.
description: Code specifying observations related to living situation for a person in a private residence.

alone
sub class of: living situation
label: alone
comment: Living alone. Maps to PD1-2 Living arrangement (IS) 00742 [A]
description: Living alone. Maps to PD1-2 Living arrangement (IS) 00742 [A]

dependent children
sub class of: living situation
label: dependent children
comment: Living with one or more dependent children requiring moderate supervision.
description: Living with one or more dependent children requiring moderate supervision.

dependent spouse
sub class of: living situation
label: dependent spouse
comment: Living with disabled spouse requiring functional and health care assistance
description: Living with disabled spouse requiring functional and health care assistance

dependent young children
sub class of: living situation
label: dependent young children
comment: Living with one or more dependent children requiring intensive supervision
description: Living with one or more dependent children requiring intensive supervision

live with family
sub class of: living situation
label: live with family
comment: Living with family. Maps to PD1-2 Living arrangement (IS) 00742 [F]
description: Living with family. Maps to PD1-2 Living arrangement (IS) 00742 [F]

relative
sub class of: living situation
label: relative
comment: Living with one or more relatives. Maps to PD1-2 Living arrangement (IS) 00742 [R]
description: Living with one or more relatives. Maps to PD1-2 Living arrangement (IS) 00742 [R]

spouse only
sub class of: living situation
label: spouse only
comment: Living only with spouse or life partner. Maps to PD1-2 Living arrangement (IS) 00742 [S]
description: Living only with spouse or life partner. Maps to PD1-2 Living arrangement (IS) 00742 [S]

unrelated person
sub class of: living situation
label: unrelated person
comment: Living with one or more unrelated persons.
description: Living with one or more unrelated persons.

socio economic status
sub class of: ActCoverageAssessmentObservationValue
label: socio economic status
comment: Code specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program.
description: Code specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program.

abuse victim
sub class of: socio economic status
label: abuse victim
comment: Indication of abuse victim.
description: Indication of abuse victim.

homeless
sub class of: socio economic status
label: homeless
comment: Indication of status as homeless.
description: Indication of status as homeless.

illegal immigrant
sub class of: socio economic status
label: illegal immigrant
comment: Indication of status as illegal immigrant.
description: Indication of status as illegal immigrant.

incarcerated
sub class of: socio economic status
label: incarcerated
comment: Indication of status as incarcerated.
description: Indication of status as incarcerated.

probation
sub class of: socio economic status
label: probation
comment: Indication of probation status.
description: Indication of probation status.

refugee
sub class of: socio economic status
label: refugee
comment: Indication of refugee status.
description: Indication of refugee status.

unemployed
sub class of: socio economic status
label: unemployed
comment: Indication of unemployed status.
description: Indication of unemployed status.

AllergyTestValue
sub class of: ObservationValue
label: AllergyTestValue
comment: Indicates the result of a particular allergy test. E.g. Negative, Mild, Moderate, Severe
description: Indicates the result of a particular allergy test. E.g. Negative, Mild, Moderate, Severe

no reaction
sub class of: AllergyTestValue
label: no reaction
comment: Description:Patient exhibits no reaction to the challenge agent.
description: Description:Patient exhibits no reaction to the challenge agent.

minimal reaction
sub class of: AllergyTestValue
label: minimal reaction
comment: Description:Patient exhibits a minimal reaction to the challenge agent.
description: Description:Patient exhibits a minimal reaction to the challenge agent.

mild reaction
sub class of: AllergyTestValue
label: mild reaction
comment: Description:Patient exhibits a mild reaction to the challenge agent.
description: Description:Patient exhibits a mild reaction to the challenge agent.

moderate reaction
sub class of: AllergyTestValue
label: moderate reaction
comment: Description:Patient exhibits moderate reaction to the challenge agent.
description: Description:Patient exhibits moderate reaction to the challenge agent.

severe reaction
sub class of: AllergyTestValue
label: severe reaction
comment: Description:Patient exhibits a severe reaction to the challenge agent.
description: Description:Patient exhibits a severe reaction to the challenge agent.

CoverageLimitObservationValue
sub class of: ObservationValue
label: CoverageLimitObservationValue
comment: Description:Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program.
description: Description:Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program.

CoverageLevelObservationValue
sub class of: CoverageLimitObservationValue
label: CoverageLevelObservationValue
comment: Description:Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status.
description: Description:Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status.

adult child
sub class of: CoverageLevelObservationValue
label: adult child
comment: Description:Child over an age as specified by coverage policy or program, e.g., student, differently abled, and income dependent.
description: Description:Child over an age as specified by coverage policy or program, e.g., student, differently abled, and income dependent.

child
sub class of: CoverageLevelObservationValue
label: child
comment: Description:Dependent biological, adopted, foster child as specified by coverage policy or program.
description: Description:Dependent biological, adopted, foster child as specified by coverage policy or program.

dependent
sub class of: CoverageLevelObservationValue
label: dependent
comment: Description:Person requiring functional and/or financial assistance from another person as specified by coverage policy or program.
description: Description:Person requiring functional and/or financial assistance from another person as specified by coverage policy or program.

domestic partner
sub class of: CoverageLevelObservationValue
label: domestic partner
comment: Description:Persons registered as a family unit in a domestic partner registry as specified by law and by coverage policy or program.
description: Description:Persons registered as a family unit in a domestic partner registry as specified by law and by coverage policy or program.

employee
sub class of: CoverageLevelObservationValue
label: employee
comment: Description:An individual employed by an employer who receive remuneration in wages, salary, commission, tips, piece-rates, or pay-in-kind through the employeraTMs payment system (i.e., not a contractor) as specified by coverage policy or program.
description: Description:An individual employed by an employer who receive remuneration in wages, salary, commission, tips, piece-rates, or pay-in-kind through the employeraTMs payment system (i.e., not a contractor) as specified by coverage policy or program.

family coverage
sub class of: CoverageLevelObservationValue
label: family coverage
comment: Description:As specified by coverage policy or program.
description: Description:As specified by coverage policy or program.

individual
sub class of: CoverageLevelObservationValue
label: individual
comment: Description:Person as specified by coverage policy or program.
description: Description:Person as specified by coverage policy or program.

same sex partner
sub class of: CoverageLevelObservationValue
label: same sex partner
comment: Description:A pair of people of the same gender who live together as a family as specified by coverage policy or program, e.g., Naomi and Ruth from the Book of Ruth; Socrates and Alcibiades
description: Description:A pair of people of the same gender who live together as a family as specified by coverage policy or program, e.g., Naomi and Ruth from the Book of Ruth; Socrates and Alcibiades

CriticalityObservationValue
sub class of: ObservationValue
label: CriticalityObservationValue
comment: A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
description: A clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.

high criticality
sub class of: CriticalityObservationValue
label: high criticality
comment: Worst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure.
description: Worst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure.

low criticality
sub class of: CriticalityObservationValue
label: low criticality
comment: Worst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure.
description: Worst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure.

unable to assess criticality
sub class of: CriticalityObservationValue
label: unable to assess criticality
comment: Unable to assess the worst case result of a future exposure.
description: Unable to assess the worst case result of a future exposure.

GeneticObservationValue
sub class of: ObservationValue
label: GeneticObservationValue
comment: Description: The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc.
description: Description: The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc.

HOMO
sub class of: GeneticObservationValue
label: HOMO
comment: Description: An individual having different alleles at one or more loci regarding a specific character
description: Description: An individual having different alleles at one or more loci regarding a specific character

ObservationMeasureScoring
sub class of: ObservationValue
label: ObservationMeasureScoring
comment: Observation values used to indicate the type of scoring (e.g. proportion, ratio) used by a health quality measure.
description: Observation values used to indicate the type of scoring (e.g. proportion, ratio) used by a health quality measure.

cohort measure scoring
sub class of: ObservationMeasureScoring
label: cohort measure scoring
comment: A measure in which either short-term cross-section or long-term longitudinal analysis is performed over a group of subjects defined by a set of common properties or defining characteristics (e.g., Male smokers between the ages of 40 and 50 years, exposure to treatment, exposure duration).
description: A measure in which either short-term cross-section or long-term longitudinal analysis is performed over a group of subjects defined by a set of common properties or defining characteristics (e.g., Male smokers between the ages of 40 and 50 years, exposure to treatment, exposure duration).

continuous variable measure scoring
sub class of: ObservationMeasureScoring
label: continuous variable measure scoring
comment: A measure score in which each individual value for the measure can fall anywhere along a continuous scale (e.g., mean time to thrombolytics which aggregates the time in minutes from a case presenting with chest pain to the time of administration of thrombolytics).
description: A measure score in which each individual value for the measure can fall anywhere along a continuous scale (e.g., mean time to thrombolytics which aggregates the time in minutes from a case presenting with chest pain to the time of administration of thrombolytics).

proportion measure scoring
sub class of: ObservationMeasureScoring
label: proportion measure scoring
comment: A score derived by dividing the number of cases that meet a criterion for quality (the numerator) by the number of eligible cases within a given time frame (the denominator) where the numerator cases are a subset of the denominator cases (e.g., percentage of eligible women with a mammogram performed in the last year).
description: A score derived by dividing the number of cases that meet a criterion for quality (the numerator) by the number of eligible cases within a given time frame (the denominator) where the numerator cases are a subset of the denominator cases (e.g., percentage of eligible women with a mammogram performed in the last year).

ratio measure scoring
sub class of: ObservationMeasureScoring
label: ratio measure scoring
comment: A score that may have a value of zero or greater that is derived by dividing a count of one type of data by a count of another type of data (e.g., the number of patients with central lines who develop infection divided by the number of central line days).
description: A score that may have a value of zero or greater that is derived by dividing a count of one type of data by a count of another type of data (e.g., the number of patients with central lines who develop infection divided by the number of central line days).

ObservationMeasureType
sub class of: ObservationValue
label: ObservationMeasureType
comment: Observation values used to indicate what kind of health quality measure is used.
description: Observation values used to indicate what kind of health quality measure is used.

composite measure type
sub class of: ObservationMeasureType
label: composite measure type
comment: A measure that is composed from one or more other measures and indicates an overall summary of those measures.
description: A measure that is composed from one or more other measures and indicates an overall summary of those measures.

efficiency measure type
sub class of: ObservationMeasureType
label: efficiency measure type
comment: A measure related to the efficiency of medical treatment.
description: A measure related to the efficiency of medical treatment.

experience measure type
sub class of: ObservationMeasureType
label: experience measure type
comment: A measure related to the level of patient engagement or patient experience of care.
description: A measure related to the level of patient engagement or patient experience of care.

outcome measure type
sub class of: ObservationMeasureType
label: outcome measure type
comment: A measure that indicates the result of the performance (or non-performance) of a function or process.
description: A measure that indicates the result of the performance (or non-performance) of a function or process.

process measure type
sub class of: ObservationMeasureType
label: process measure type
comment: A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.
description: A measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.

resource use measure type
sub class of: ObservationMeasureType
label: resource use measure type
comment: A measure related to the extent of use of clinical resources or cost of care.
description: A measure related to the extent of use of clinical resources or cost of care.

structure measure type
sub class of: ObservationMeasureType
label: structure measure type
comment: A measure related to the structure of patient care.
description: A measure related to the structure of patient care.

ObservationPopulationInclusion
sub class of: ObservationValue
label: ObservationPopulationInclusion
comment: Observation values used to assert various populations that a subject falls into.
description: Observation values used to assert various populations that a subject falls into.

denominator exclusions
sub class of: ObservationPopulationInclusion
label: denominator exclusions
comment: Patients who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.
description: Patients who should be removed from the eMeasure population and denominator before determining if numerator criteria are met. Denominator exclusions are used in proportion and ratio measures to help narrow the denominator.

denominator exceptions
sub class of: ObservationPopulationInclusion
label: denominator exceptions
comment: Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories: Medical reasons Patient reasons System reasons
description: Denominator exceptions are those conditions that should remove a patient, procedure or unit of measurement from the denominator only if the numerator criteria are not met. Denominator exceptions allow for adjustment of the calculated score for those providers with higher risk populations. Denominator exceptions are used only in proportion eMeasures. They are not appropriate for ratio or continuous variable eMeasures. Denominator exceptions allow for the exercise of clinical judgment and should be specifically defined where capturing the information in a structured manner fits the clinical workflow. Generic denominator exception reasons used in proportion eMeasures fall into three general categories: Medical reasons Patient reasons System reasons

denominator
sub class of: ObservationPopulationInclusion
label: denominator
comment: It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population.
description: It can be the same as the initial patient population or a subset of the initial patient population to further constrain the population for the purpose of the eMeasure. Different measures within an eMeasure set may have different Denominators. Continuous Variable eMeasures do not have a Denominator, but instead define a Measure Population.

initial population
sub class of: ObservationPopulationInclusion
label: initial population
comment: The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs.
description: The initial population refers to all entities to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs.

initial patient population
sub class of: initial population
label: initial patient population
comment: The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.
description: The initial patient population refers to all patients to be evaluated by a specific quality measure who share a common set of specified characteristics within a specific measurement set to which a given measure belongs. Details often include information based upon specific age groups, diagnoses, diagnostic and procedure codes, and enrollment periods.

measure population
sub class of: ObservationPopulationInclusion
label: measure population
comment: Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. (e.g., all patients seen in the Emergency Department during the measurement period).
description: Measure population is used only in continuous variable eMeasures. It is a narrative description of the eMeasure population. (e.g., all patients seen in the Emergency Department during the measurement period).

numerator
sub class of: ObservationPopulationInclusion
label: numerator
comment: Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).
description: Numerators are used in proportion and ratio eMeasures. In proportion measures the numerator criteria are the processes or outcomes expected for each patient, procedure, or other unit of measurement defined in the denominator. In ratio measures the numerator is related, but not directly derived from the denominator (e.g., a numerator listing the number of central line blood stream infections and a denominator indicating the days per thousand of central line usage in a specific time period).

numerator exclusions
sub class of: ObservationPopulationInclusion
label: numerator exclusions
comment: Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)
description: Numerator Exclusions are used only in ratio eMeasures to define instances that should not be included in the numerator data. (e.g., if the number of central line blood stream infections per 1000 catheter days were to exclude infections with a specific bacterium, that bacterium would be listed as a numerator exclusion.)

PartialCompletionScale
sub class of: ObservationValue
label: PartialCompletionScale
comment: PartialCompletionScale
description: PartialCompletionScale

Great extent
sub class of: PartialCompletionScale
label: Great extent
comment: Value for Act.partialCompletionCode attribute that implies 81-99% completion
description: Value for Act.partialCompletionCode attribute that implies 81-99% completion

Large extent
sub class of: PartialCompletionScale
label: Large extent
comment: Value for Act.partialCompletionCode attribute that implies 61-80% completion
description: Value for Act.partialCompletionCode attribute that implies 61-80% completion

Medium extent
sub class of: PartialCompletionScale
label: Medium extent
comment: Value for Act.partialCompletionCode attribute that implies 41-60% completion
description: Value for Act.partialCompletionCode attribute that implies 41-60% completion

Minimal extent
sub class of: PartialCompletionScale
label: Minimal extent
comment: Value for Act.partialCompletionCode attribute that implies 1-20% completion
description: Value for Act.partialCompletionCode attribute that implies 1-20% completion

None
sub class of: PartialCompletionScale
label: None
comment: Value for Act.partialCompletionCode attribute that implies 0% completion
description: Value for Act.partialCompletionCode attribute that implies 0% completion

Some extent
sub class of: PartialCompletionScale
label: Some extent
comment: Value for Act.partialCompletionCode attribute that implies 21-40% completion
description: Value for Act.partialCompletionCode attribute that implies 21-40% completion

SecurityObservationValue
sub class of: ObservationValue
label: SecurityObservationValue
comment: Observation values used to indicate security observation metadata.
description: Observation values used to indicate security observation metadata.

security integrity
sub class of: SecurityObservationValue
label: security integrity
comment: Abstract security observation values used to indicate security integrity metadata. Examples: Codes conveying integrity status, integrity confidence, and provenance.
description: Abstract security observation values used to indicate security integrity metadata. Examples: Codes conveying integrity status, integrity confidence, and provenance.

alteration integrity
sub class of: security integrity
label: alteration integrity
comment: Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)
description: Abstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)

abstracted
sub class of: alteration integrity
label: abstracted
comment: Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.
description: Security metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.

aggregated
sub class of: alteration integrity
label: aggregated
comment: Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.
description: Security metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.

anonymized
sub class of: alteration integrity
label: anonymized
comment: Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.
description: Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.

mapped
sub class of: alteration integrity
label: mapped
comment: Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another. Usage Note: "MAP" code does not indicate the semantic fidelity of the transformed content. To indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052). Semantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.
description: Security metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another. Usage Note: "MAP" code does not indicate the semantic fidelity of the transformed content. To indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052). Semantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.

masked
sub class of: alteration integrity
label: masked
comment: Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or "shared secret". Usage Note: "MASKED" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.
description: Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or "shared secret". Usage Note: "MASKED" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.

pseudonymized
sub class of: alteration integrity
label: pseudonymized
comment: Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject. Rationale: Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics—Pseudonymization
description: Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject. Rationale: Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics—Pseudonymization

redacted
sub class of: alteration integrity
label: redacted
comment: Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed. Usage Note: "REDACTED" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.
description: Security metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed. Usage Note: "REDACTED" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.

subsetted
sub class of: alteration integrity
label: subsetted
comment: Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update Usage Note: This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.
description: Metadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update Usage Note: This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.

syntactic transform
sub class of: alteration integrity
label: syntactic transform
comment: Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another. Usage Note: "SYNTAC" code does not indicate the syntactical correctness of the syntactically transformed IT resource.
description: Security metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another. Usage Note: "SYNTAC" code does not indicate the syntactical correctness of the syntactically transformed IT resource.

translated
sub class of: alteration integrity
label: translated
comment: Security metadata observation value used to indicate that the IT resource has been translated from one human language to another. Usage Note: "TRSLT" does not indicate the fidelity of the translation or the languages translated. The fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation. To indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)
description: Security metadata observation value used to indicate that the IT resource has been translated from one human language to another. Usage Note: "TRSLT" does not indicate the fidelity of the translation or the languages translated. The fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation. To indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)

versioned
sub class of: alteration integrity
label: versioned
comment: Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy Usage Note: When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.
description: Security metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy Usage Note: When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.

data integrity
sub class of: security integrity
label: data integrity
comment: Abstract security observation values used to indicate data integrity metadata. Examples: Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.
description: Abstract security observation values used to indicate data integrity metadata. Examples: Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.

cryptographic hash function
sub class of: data integrity
label: cryptographic hash function
comment: Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit. Rationale: This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit. Examples: SHA-1 SHA-2 (Secure Hash Algorithm)
description: Security metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit. Rationale: This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit. Examples: SHA-1 SHA-2 (Secure Hash Algorithm)

digital signature
sub class of: data integrity
label: digital signature
comment: Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified. Rationale: This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.
description: Security metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified. Rationale: This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.

integrity confidence
sub class of: security integrity
label: integrity confidence
comment: Abstract security observation value used to indicate integrity confidence metadata. Examples: Codes conveying the level of reliability and trustworthiness of an IT resource.
description: Abstract security observation value used to indicate integrity confidence metadata. Examples: Codes conveying the level of reliability and trustworthiness of an IT resource.

highly reliable
sub class of: integrity confidence
label: highly reliable
comment: Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.
description: Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.

reliable
sub class of: integrity confidence
label: reliable
comment: Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.
description: Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.

uncertain reliability
sub class of: integrity confidence
label: uncertain reliability
comment: Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.
description: Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.

unreliable
sub class of: integrity confidence
label: unreliable
comment: Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.
description: Security metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.

provenance
sub class of: security integrity
label: provenance
comment: Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability). Examples: Codes conveying the provenance metadata about the entity reporting an IT resource.
description: Abstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability). Examples: Codes conveying the provenance metadata about the entity reporting an IT resource.

provenance asserted by
sub class of: provenance
label: provenance asserted by
comment: Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability). Examples: Codes conveying the provenance metadata about the entity asserting the resource.
description: Abstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability). Examples: Codes conveying the provenance metadata about the entity asserting the resource.

clinician asserted
sub class of: provenance asserted by
label: clinician asserted
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.

device asserted
sub class of: provenance asserted by
label: device asserted
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.

healthcare professional asserted
sub class of: provenance asserted by
label: healthcare professional asserted
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.

patient acquaintance asserted
sub class of: provenance asserted by
label: patient acquaintance asserted
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.

patient asserted
sub class of: provenance asserted by
label: patient asserted
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.

payer asserted
sub class of: provenance asserted by
label: payer asserted
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.

professional asserted
sub class of: provenance asserted by
label: professional asserted
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.

substitute decision maker asserted
sub class of: provenance asserted by
label: substitute decision maker asserted
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.

provenance reported by
sub class of: provenance
label: provenance reported by
comment: Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability). Examples: Codes conveying the provenance metadata about the entity reporting an IT resource.
description: Abstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability). Examples: Codes conveying the provenance metadata about the entity reporting an IT resource.

clinician reported
sub class of: provenance reported by
label: clinician reported
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.

device reported
sub class of: provenance reported by
label: device reported
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.

healthcare professional reported
sub class of: provenance reported by
label: healthcare professional reported
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.

patient acquaintance reported
sub class of: provenance reported by
label: patient acquaintance reported
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.

patient reported
sub class of: provenance reported by
label: patient reported
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.

payer reported
sub class of: provenance reported by
label: payer reported
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.

professional reported
sub class of: provenance reported by
label: professional reported
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.

substitute decision maker reported
sub class of: provenance reported by
label: substitute decision maker reported
comment: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.
description: Security provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.

security trust observation
sub class of: SecurityObservationValue
label: security trust observation
comment: Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).
description: Observation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).

trust accreditation observation
sub class of: security trust observation
label: trust accreditation observation
comment: Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
description: Values for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.

trust agreement observation
sub class of: security trust observation
label: trust agreement observation
comment: Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1] [ISO IEC 10181-1]
description: Values for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. [ISO IEC 10181-1] [ISO IEC 10181-1]

trust certificate observation
sub class of: security trust observation
label: trust certificate observation
comment: Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1] For example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.
description: Values for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). [Based on ISO IEC 10181-1] For example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.

trust assurance observation
sub class of: security trust observation
label: trust assurance observation
comment: Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
description: Values for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.

authentication level of assurance value
sub class of: trust assurance observation
label: authentication level of assurance value
comment: The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] For example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]
description: The value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] For example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies]

low authentication level of assurance
sub class of: authentication level of assurance value
label: low authentication level of assurance
comment: Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] Low authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]
description: Indicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] Low authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]

basic authentication level of assurance
sub class of: authentication level of assurance value
label: basic authentication level of assurance
comment: Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] Basic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued …
description: Indicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] Basic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued …

medium authentication level of assurance
sub class of: authentication level of assurance value
label: medium authentication level of assurance
comment: Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] Medium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used: "soft" cryptographic token, which has the key stored on a general-purpose computer, "hard" cryptographic token, which has the key stored on a special hardware device, and "one-time password" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST. Authentication requires that…
description: Indicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] Medium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used: "soft" cryptographic token, which has the key stored on a general-purpose computer, "hard" cryptographic token, which has the key stored on a special hardware device, and "one-time password" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST. Authentication requires that…

high authentication level of assurance
sub class of: authentication level of assurance value
label: high authentication level of assurance
comment: Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] High authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hardâ€? cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication. Level 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevente…
description: Indicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. [Based on ISO 7498-2] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. [OMB M-04-04 E-Authentication Guidance for Federal Agencies] High authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hardâ€? cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication. Level 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevente…

authentication process level of assurance value
sub class of: trust assurance observation
label: authentication process level of assurance value
comment: The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]
description: The value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2]

low authentication process level of assurance
sub class of: authentication process level of assurance value
label: low authentication process level of assurance
comment: Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2] Low authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]
description: Indicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2] Low authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]

basic authentication process level of assurance
sub class of: authentication process level of assurance value
label: basic authentication process level of assurance
comment: Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2] Basic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]
description: Indicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2] Basic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]

medium authentication process level of assurance
sub class of: authentication process level of assurance value
label: medium authentication process level of assurance
comment: Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2] Medium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP). Authentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.
description: Indicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2] Medium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP). Authentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.

high authentication process level of assurance
sub class of: authentication process level of assurance value
label: high authentication process level of assurance
comment: Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2] High authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]
description: Indicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. [Based on NIST SP 800-63-2] High authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]

assertion level of assurance value
sub class of: trust assurance observation
label: assertion level of assurance value
comment: The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.
description: The value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.

low assertion level of assurance
sub class of: assertion level of assurance value
label: low assertion level of assurance
comment: Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Assertions and assertion references require protection from modification and reuse attacks. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]
description: Indicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Assertions and assertion references require protection from modification and reuse attacks. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]

basic assertion level of assurance
sub class of: assertion level of assurance value
label: basic assertion level of assurance
comment: Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]
description: Indicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]

medium assertion level of assurance
sub class of: assertion level of assurance value
label: medium assertion level of assurance
comment: Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Assertions are protected against repudiation by the verifier. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]
description: Indicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Assertions are protected against repudiation by the verifier. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]

high assertion level of assurance
sub class of: assertion level of assurance value
label: high assertion level of assurance
comment: Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Strongly resistant to man-in-the-middle attacks. "Bearer" assertions are not used. "Holder-of-key" assertions may be used. RP maintains records of the assertions. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]
description: Indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Strongly resistant to man-in-the-middle attacks. "Bearer" assertions are not used. "Holder-of-key" assertions may be used. RP maintains records of the assertions. [Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.]

token and credential management level of assurance value)
sub class of: trust assurance observation
label: token and credential management level of assurance value)
comment: Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

low token and credential management level of assurance
sub class of: token and credential management level of assurance value)
label: low token and credential management level of assurance
comment: Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

basic token and credential management level of assurance
sub class of: token and credential management level of assurance value)
label: basic token and credential management level of assurance
comment: Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

medium token and credential management level of assurance
sub class of: token and credential management level of assurance value)
label: medium token and credential management level of assurance
comment: Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it’s binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it’s binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

high token and credential management level of assurance
sub class of: token and credential management level of assurance value)
label: high token and credential management level of assurance
comment: Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it’s binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it’s binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

identity proofing level of assurance
sub class of: trust assurance observation
label: identity proofing level of assurance
comment: Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.
description: Indicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.

low identity proofing level of assurance
sub class of: identity proofing level of assurance
label: low identity proofing level of assurance
comment: Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

basic identity proofing level of assurance
sub class of: identity proofing level of assurance
label: basic identity proofing level of assurance
comment: Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

medium identity proofing level of assurance
sub class of: identity proofing level of assurance
label: medium identity proofing level of assurance
comment: Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

high identity proofing level of assurance
sub class of: identity proofing level of assurance
label: high identity proofing level of assurance
comment: Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. [Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

non-repudiation level of assurance value
sub class of: trust assurance observation
label: non-repudiation level of assurance value
comment: Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]
description: Indicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]

low non-repudiation level of assurance
sub class of: non-repudiation level of assurance value
label: low non-repudiation level of assurance
comment: Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]
description: Indicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]

basic non-repudiation level of assurance
sub class of: non-repudiation level of assurance value
label: basic non-repudiation level of assurance
comment: Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]
description: Indicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]

medium non-repudiation level of assurance
sub class of: non-repudiation level of assurance value
label: medium non-repudiation level of assurance
comment: Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]
description: Indicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]

high non-repudiation level of assurance
sub class of: non-repudiation level of assurance value
label: high non-repudiation level of assurance
comment: Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]
description: Indicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. [Based on ISO 7498-2]

remote access level of assurance value
sub class of: trust assurance observation
label: remote access level of assurance value
comment: Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]
description: Indicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]

low remote access level of assurance
sub class of: remote access level of assurance value
label: low remote access level of assurance
comment: Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]
description: Indicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]

basic remote access level of assurance
sub class of: remote access level of assurance value
label: basic remote access level of assurance
comment: Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]
description: Indicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]

medium remote access level of assurance
sub class of: remote access level of assurance value
label: medium remote access level of assurance
comment: Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]
description: Indicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. [Based on NIST SP 800-63-2]

high remote access level of assurance
sub class of: remote access level of assurance value
label: high remote access level of assurance
comment: Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. [Based on NIST SP 800-63-2]
description: Indicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. [Based on NIST SP 800-63-2]

token level of assurance value
sub class of: trust assurance observation
label: token level of assurance value
comment: Indicator of the digital quality or reliability of single and multi-token authentication. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of the digital quality or reliability of single and multi-token authentication. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

low token level of assurance
sub class of: token level of assurance value
label: low token level of assurance
comment: Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

basic token level of assurance
sub class of: token level of assurance value
label: basic token level of assurance
comment: Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

medium token level of assurance
sub class of: token level of assurance value
label: medium token level of assurance
comment: Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

high token level of assurance
sub class of: token level of assurance value
label: high token level of assurance
comment: Indicator of the high digital quality or reliability of single and multi-token authentication. Requires token that is a hardware cryptographic module validated at validated at Federal Information Processing Standard (FIPS) 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. Level 4 token requirements can be met by using the PIV authentication key of a FIPS 201 compliant Personal Identity Verification (PIV) Card. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]
description: Indicator of the high digital quality or reliability of single and multi-token authentication. Requires token that is a hardware cryptographic module validated at validated at Federal Information Processing Standard (FIPS) 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. Level 4 token requirements can be met by using the PIV authentication key of a FIPS 201 compliant Personal Identity Verification (PIV) Card. [Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011]

none supplied 6
sub class of: security trust observation
label: none supplied 6
comment: Values for security trust mechanism metadata observation made about a security architecture system component that supports enforcement of security policies.
description: Values for security trust mechanism metadata observation made about a security architecture system component that supports enforcement of security policies.

SeverityObservation
sub class of: ObservationValue
label: SeverityObservation
comment: Potential values for observations of severity.
description: Potential values for observations of severity.

High
sub class of: SeverityObservation
label: High
comment: Indicates the condition may be life-threatening or has the potential to cause permanent injury.
description: Indicates the condition may be life-threatening or has the potential to cause permanent injury.

Low
sub class of: SeverityObservation
label: Low
comment: Indicates the condition may result in some adverse consequences but is unlikely to substantially affect the situation of the subject.
description: Indicates the condition may result in some adverse consequences but is unlikely to substantially affect the situation of the subject.

Moderate
sub class of: SeverityObservation
label: Moderate
comment: Indicates the condition may result in noticable adverse adverse consequences but is unlikely to be life-threatening or cause permanent injury.
description: Indicates the condition may result in noticable adverse adverse consequences but is unlikely to be life-threatening or cause permanent injury.

_SubjectBodyPosition
sub class of: ObservationValue
label: _SubjectBodyPosition
comment: Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted.
description: Contains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted.

left lateral decubitus
sub class of: _SubjectBodyPosition
label: left lateral decubitus
comment: Lying on the left side.
description: Lying on the left side.

prone
sub class of: _SubjectBodyPosition
label: prone
comment: Lying with the front or ventral surface downward; lying face down.
description: Lying with the front or ventral surface downward; lying face down.

right lateral decubitus
sub class of: _SubjectBodyPosition
label: right lateral decubitus
comment: Lying on the right side.
description: Lying on the right side.

Semi-Fowler's
sub class of: _SubjectBodyPosition
label: Semi-Fowler's
comment: A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees.
description: A semi-sitting position in bed with the head of the bed elevated approximately 45 degrees.

sitting
sub class of: _SubjectBodyPosition
label: sitting
comment: Resting the body on the buttocks, typically with upper torso erect or semi erect.
description: Resting the body on the buttocks, typically with upper torso erect or semi erect.

standing
sub class of: _SubjectBodyPosition
label: standing
comment: To be stationary, upright, vertical, on one's legs.
description: To be stationary, upright, vertical, on one's legs.

supine
sub class of: _SubjectBodyPosition
label: supine
comment: supine
description: supine

reverse trendelenburg
sub class of: supine
label: reverse trendelenburg
comment: Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered.
description: Lying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered.

trendelenburg
sub class of: supine
label: trendelenburg
comment: Lying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised.
description: Lying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised.

verification outcome
sub class of: ObservationValue
label: verification outcome
comment: Values for observations of verification act results Examples: Verified, not verified, verified with warning.
description: Values for observations of verification act results Examples: Verified, not verified, verified with warning.

active coverage
sub class of: verification outcome
label: active coverage
comment: Definition: Coverage is in effect for healthcare service(s) and/or product(s).
description: Definition: Coverage is in effect for healthcare service(s) and/or product(s).

active - pending investigation
sub class of: verification outcome
label: active - pending investigation
comment: Definition: Coverage is in effect for healthcare service(s) and/or product(s) - Pending Investigation
description: Definition: Coverage is in effect for healthcare service(s) and/or product(s) - Pending Investigation

eligible
sub class of: verification outcome
label: eligible
comment: Definition: Coverage is in effect for healthcare service(s) and/or product(s).
description: Definition: Coverage is in effect for healthcare service(s) and/or product(s).

inactive
sub class of: verification outcome
label: inactive
comment: Definition: Coverage is not in effect for healthcare service(s) and/or product(s).
description: Definition: Coverage is not in effect for healthcare service(s) and/or product(s).

inactive - pending investigation
sub class of: verification outcome
label: inactive - pending investigation
comment: Definition: Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Investigation.
description: Definition: Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Investigation.

inactive - pending eligibility update
sub class of: verification outcome
label: inactive - pending eligibility update
comment: Definition: Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Eligibility Update.
description: Definition: Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Eligibility Update.

not eligible
sub class of: verification outcome
label: not eligible
comment: Definition: Coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.
description: Definition: Coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.

AnnotationValue
sub class of: ObservationValue
label: AnnotationValue
comment: AnnotationValue
description: AnnotationValue

common clinical observation
sub class of: ObservationValue
label: common clinical observation
comment: Description:Used in a patient care message to value simple clinical (non-lab) observations.
description: Description:Used in a patient care message to value simple clinical (non-lab) observations.

Individual Case Safety Report Value Domains
sub class of: ObservationValue
label: Individual Case Safety Report Value Domains
comment: This domain is established as a parent to a variety of value domains being defined to support the communication of Individual Case Safety Reports to regulatory bodies. Arguably, this aggregation is not taxonomically pure, but the grouping will facilitate the management of these domains.
description: This domain is established as a parent to a variety of value domains being defined to support the communication of Individual Case Safety Reports to regulatory bodies. Arguably, this aggregation is not taxonomically pure, but the grouping will facilitate the management of these domains.

IndicationValue
sub class of: ObservationValue
label: IndicationValue
comment: Indicates the specific observation result which is the reason for the action (prescription, lab test, etc.). E.g. Headache, Ear infection, planned diagnostic image (requiring contrast agent), etc.
description: Indicates the specific observation result which is the reason for the action (prescription, lab test, etc.). E.g. Headache, Ear infection, planned diagnostic image (requiring contrast agent), etc.

v3 Code System ParticipationFunction
type: ValueSet
version: 2015-11-30
label: v3 Code System ParticipationFunction
comment: This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE).
description: This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE).
date: 2015-11-30
status: active
canonical status: active
include: ParticipationFunction

v3 Code System ParticipationFunction
type: CodeSystem
label: v3 Code System ParticipationFunction
comment: This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE).
description: This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE).
date: Mon Nov 30 00:00:00 AEDT 2015

AuthorizedParticipationFunction
sub class of: ParticipationFunction
label: AuthorizedParticipationFunction
comment: This code is used to specify the exact function an actor is authorized to have in a service in all necessary detail.
description: This code is used to specify the exact function an actor is authorized to have in a service in all necessary detail.

AuthorizedReceiverParticipationFunction
sub class of: AuthorizedParticipationFunction
label: AuthorizedReceiverParticipationFunction
comment: This code is used to specify the exact function an actor is authorized to have as a receiver of information that is the subject of a consent directive or consent override.
description: This code is used to specify the exact function an actor is authorized to have as a receiver of information that is the subject of a consent directive or consent override.

caregiver information receiver
sub class of: AuthorizedReceiverParticipationFunction
label: caregiver information receiver
comment: Description:Caregiver authorized to receive patient health information.
description: Description:Caregiver authorized to receive patient health information.

legitimate relationship information receiver
sub class of: AuthorizedReceiverParticipationFunction
label: legitimate relationship information receiver
comment: Description:Provider with legitimate relationship authorized to receive patient health information.
description: Description:Provider with legitimate relationship authorized to receive patient health information.

care team information receiver
sub class of: AuthorizedReceiverParticipationFunction
label: care team information receiver
comment: Description:Member of care team authorized to receive patient health information.
description: Description:Member of care team authorized to receive patient health information.

work area information receiver
sub class of: AuthorizedReceiverParticipationFunction
label: work area information receiver
comment: Description:Entities within specified work area authorized to receive patient health information.
description: Description:Entities within specified work area authorized to receive patient health information.

ConsenterParticipationFunction
sub class of: AuthorizedParticipationFunction
label: ConsenterParticipationFunction
comment: This code is used to specify the exact function an actor is authorized to have in authoring a consent directive.
description: This code is used to specify the exact function an actor is authorized to have in authoring a consent directive.

legal guardian consent author
sub class of: ConsenterParticipationFunction
label: legal guardian consent author
comment: Description:Legal guardian of the subject of consent authorized to author a consent directive for the subject of consent.
description: Description:Legal guardian of the subject of consent authorized to author a consent directive for the subject of consent.

healthcare power of attorney consent author
sub class of: ConsenterParticipationFunction
label: healthcare power of attorney consent author
comment: Description:Person authorized with healthcare power of attorney to author a consent directive for the subject of consent.
description: Description:Person authorized with healthcare power of attorney to author a consent directive for the subject of consent.

personal representative consent author
sub class of: ConsenterParticipationFunction
label: personal representative consent author
comment: Description:Personal representative of the subject of consent authorized to author a consent directive for the subject of consent.
description: Description:Personal representative of the subject of consent authorized to author a consent directive for the subject of consent.

authorized provider masking author
sub class of: ConsenterParticipationFunction
label: authorized provider masking author
comment: Definition:Provider authorized to mask information to protect the patient, a third party, or to ensure that the provider has consulted with the patient prior to release of this information.
description: Definition:Provider authorized to mask information to protect the patient, a third party, or to ensure that the provider has consulted with the patient prior to release of this information.

subject of consent author
sub class of: ConsenterParticipationFunction
label: subject of consent author
comment: Description:Subject of consent authorized to author a consent directive.
description: Description:Subject of consent authorized to author a consent directive.

OverriderParticipationFunction
sub class of: AuthorizedParticipationFunction
label: OverriderParticipationFunction
comment: This code is used to specify the exact function an actor is authorized to have in authoring a consent override.
description: This code is used to specify the exact function an actor is authorized to have in authoring a consent override.

consent overrider
sub class of: OverriderParticipationFunction
label: consent overrider
comment: Description:Entity authorized to override a consent directive.
description: Description:Entity authorized to override a consent directive.

emergency overrider
sub class of: OverriderParticipationFunction
label: emergency overrider
comment: Description:Entity authorized to override a consent directive or privacy policy in an emergency.
description: Description:Entity authorized to override a consent directive or privacy policy in an emergency.

CoverageParticipationFunction
sub class of: ParticipationFunction
label: CoverageParticipationFunction
comment: Definition: Set of codes indicating the manner in which sponsors, underwriters, and payers participate in a policy or program.
description: Definition: Set of codes indicating the manner in which sponsors, underwriters, and payers participate in a policy or program.

PayorParticipationFunction
sub class of: CoverageParticipationFunction
label: PayorParticipationFunction
comment: Definition: Set of codes indicating the manner in which payors participate in a policy or program.</
description: Definition: Set of codes indicating the manner in which payors participate in a policy or program.</

claims adjudication
sub class of: PayorParticipationFunction
label: claims adjudication
comment: Definition: Manages all operations required to adjudicate fee for service claims or managed care encounter reports.
description: Definition: Manages all operations required to adjudicate fee for service claims or managed care encounter reports.

enrollment broker
sub class of: PayorParticipationFunction
label: enrollment broker
comment: Definition: Managing the enrollment of covered parties.
description: Definition: Managing the enrollment of covered parties.

ffs management
sub class of: PayorParticipationFunction
label: ffs management
comment: Definition: Managing all operations required to administer a fee for service or indemnity health plan including enrolling covered parties and providing customer service, provider contracting, claims payment, care management and utilization review.
description: Definition: Managing all operations required to administer a fee for service or indemnity health plan including enrolling covered parties and providing customer service, provider contracting, claims payment, care management and utilization review.

managed care management
sub class of: PayorParticipationFunction
label: managed care management
comment: Definition: Managing all operations required to administer a managed care plan including enrolling covered parties and providing customer service,, provider contracting, claims payment, care management and utilization review.
description: Definition: Managing all operations required to administer a managed care plan including enrolling covered parties and providing customer service,, provider contracting, claims payment, care management and utilization review.

provider management
sub class of: PayorParticipationFunction
label: provider management
comment: Definition: Managing provider contracting, provider services, credentialing, profiling, performance measures, and ensuring network adequacy.
description: Definition: Managing provider contracting, provider services, credentialing, profiling, performance measures, and ensuring network adequacy.

utilization management
sub class of: PayorParticipationFunction
label: utilization management
comment: Definition: Managing utilization of services by ensuring that providers adhere to, e.g., payeraTMs clinical protocols for medical appropriateness and standards of medical necessity. May include management of authorizations for services and referrals.
description: Definition: Managing utilization of services by ensuring that providers adhere to, e.g., payeraTMs clinical protocols for medical appropriateness and standards of medical necessity. May include management of authorizations for services and referrals.

SponsorParticipationFunction
sub class of: CoverageParticipationFunction
label: SponsorParticipationFunction
comment: Definition: Set of codes indicating the manner in which sponsors participate in a policy or program. NOTE: use only when the Sponsor is not further specified with a SponsorRoleType as being either a fully insured sponsor or a self insured sponsor.
description: Definition: Set of codes indicating the manner in which sponsors participate in a policy or program. NOTE: use only when the Sponsor is not further specified with a SponsorRoleType as being either a fully insured sponsor or a self insured sponsor.

fully insured
sub class of: SponsorParticipationFunction
label: fully insured
comment: Definition: Responsibility taken by a sponsor to contract with one or more underwriters for the assumption of full responsibility for the risk and administration of a policy or program.
description: Definition: Responsibility taken by a sponsor to contract with one or more underwriters for the assumption of full responsibility for the risk and administration of a policy or program.

self insured
sub class of: SponsorParticipationFunction
label: self insured
comment: Definition: Responsibility taken by a sponsor to organize the underwriting of risk and administration of a policy or program.
description: Definition: Responsibility taken by a sponsor to organize the underwriting of risk and administration of a policy or program.

UnderwriterParticipationFunction
sub class of: CoverageParticipationFunction
label: UnderwriterParticipationFunction
comment: Definition: Set of codes indicating the manner in which underwriters participate in a policy or program.
description: Definition: Set of codes indicating the manner in which underwriters participate in a policy or program.

payor contracting
sub class of: UnderwriterParticipationFunction
label: payor contracting
comment: Definition: Contracting for the provision and administration of health services to payors while retaining the risk for coverage. Contracting may be for all provision and administration; or for provision of certain types of services; for provision of services by region; and by types of administration, e.g., claims adjudication, enrollment, provider management, and utilization management. Typically done by underwriters for sponsors who need coverage provided to covered parties in multiple regions. The underwriter may act as the payor in some, but not all of the regions in which coverage is provided.
description: Definition: Contracting for the provision and administration of health services to payors while retaining the risk for coverage. Contracting may be for all provision and administration; or for provision of certain types of services; for provision of services by region; and by types of administration, e.g., claims adjudication, enrollment, provider management, and utilization management. Typically done by underwriters for sponsors who need coverage provided to covered parties in multiple regions. The underwriter may act as the payor in some, but not all of the regions in which coverage is provided.

reinsures
sub class of: UnderwriterParticipationFunction
label: reinsures
comment: Definition: Underwriting reinsurance for another underwriter for the policy or program.
description: Definition: Underwriting reinsurance for another underwriter for the policy or program.

retrocessionaires
sub class of: UnderwriterParticipationFunction
label: retrocessionaires
comment: Definition: Underwriting reinsurance for another reinsurer.
description: Definition: Underwriting reinsurance for another reinsurer.

subcontracting risk
sub class of: UnderwriterParticipationFunction
label: subcontracting risk
comment: Definition: Delegating risk for a policy or program to one or more subcontracting underwriters, e.g., a major health insurer may delegate risk for provision of coverage under a national health plan to other underwriters by region .
description: Definition: Delegating risk for a policy or program to one or more subcontracting underwriters, e.g., a major health insurer may delegate risk for provision of coverage under a national health plan to other underwriters by region .

underwriting
sub class of: UnderwriterParticipationFunction
label: underwriting
comment: Definition: Provision of underwriting analysis for another underwriter without assumption of risk.
description: Definition: Provision of underwriting analysis for another underwriter without assumption of risk.

admitting physician
sub class of: ParticipationFunction
label: admitting physician
comment: A physician who admitted a patient to a hospital or other care unit that is the context of this service.
description: A physician who admitted a patient to a hospital or other care unit that is the context of this service.

anesthesist
sub class of: ParticipationFunction
label: anesthesist
comment: In a typical anesthesia setting an anesthesiologist or anesthesia resident in charge of the anesthesia and life support, but only a witness to the surgical procedure itself. To clarify responsibilities anesthesia should always be represented as a separate service related to the surgery.
description: In a typical anesthesia setting an anesthesiologist or anesthesia resident in charge of the anesthesia and life support, but only a witness to the surgical procedure itself. To clarify responsibilities anesthesia should always be represented as a separate service related to the surgery.

anesthesia nurse
sub class of: ParticipationFunction
label: anesthesia nurse
comment: In a typical anesthesia setting the nurse principally assisting the anesthesiologist during the critical periods.
description: In a typical anesthesia setting the nurse principally assisting the anesthesiologist during the critical periods.

assembly software
sub class of: ParticipationFunction
label: assembly software
comment: A device that operates independently of an author on custodian's algorithms for data extraction of existing information for purpose of generating a new artifact. UsageConstraint: ASSEMBLER ParticipationFunction should be used with DEV (device) ParticipationType.
description: A device that operates independently of an author on custodian's algorithms for data extraction of existing information for purpose of generating a new artifact. UsageConstraint: ASSEMBLER ParticipationFunction should be used with DEV (device) ParticipationType.

attending physician
sub class of: ParticipationFunction
label: attending physician
comment: A physician who is primarily responsible for a patient during the hospitalization, which is the context of the service.
description: A physician who is primarily responsible for a patient during the hospitalization, which is the context of the service.

composer software
sub class of: ParticipationFunction
label: composer software
comment: A device used by an author to record new information, which may also be used by the author to select existing information for aggregation with newly recorded information for the purpose of generating a new artifact. UsageConstraint: COMPOSER ParticipationFunction should be used with DEV (device) ParticipationType. Usage Note: This code will enable implementers to more specifically represent the manner in which a Device participated in and facilitated the generation of a CDA Clinical Document or a CDA Entry by the responsible Author, which is comprised of the Author's newly entered content, and may include the pre-existing content selected by the Author, for the purpose of establishing the provenance and accountability for these acts.
description: A device used by an author to record new information, which may also be used by the author to select existing information for aggregation with newly recorded information for the purpose of generating a new artifact. UsageConstraint: COMPOSER ParticipationFunction should be used with DEV (device) ParticipationType. Usage Note: This code will enable implementers to more specifically represent the manner in which a Device participated in and facilitated the generation of a CDA Clinical Document or a CDA Entry by the responsible Author, which is comprised of the Author's newly entered content, and may include the pre-existing content selected by the Author, for the purpose of establishing the provenance and accountability for these acts.

discharging physician
sub class of: ParticipationFunction
label: discharging physician
comment: A physician who discharged a patient from a hospital or other care unit that is the context of this service.
description: A physician who discharged a patient from a hospital or other care unit that is the context of this service.

first assistant surgeon
sub class of: ParticipationFunction
label: first assistant surgeon
comment: In a typical surgery setting the assistant facing the primary surgeon. The first assistant performs parts of the operation and assists in others (e.g., incision, approach, electrocoutering, ligatures, sutures).
description: In a typical surgery setting the assistant facing the primary surgeon. The first assistant performs parts of the operation and assists in others (e.g., incision, approach, electrocoutering, ligatures, sutures).

midwife
sub class of: ParticipationFunction
label: midwife
comment: A person (usually female) helping a woman deliver a baby. Responsibilities vary locally, ranging from a mere optional assistant to a full required participant, responsible for (normal) births and pre- and post-natal care for both mother and baby.
description: A person (usually female) helping a woman deliver a baby. Responsibilities vary locally, ranging from a mere optional assistant to a full required participant, responsible for (normal) births and pre- and post-natal care for both mother and baby.

nurse assistant
sub class of: ParticipationFunction
label: nurse assistant
comment: In a typical surgery setting the non-sterile nurse handles material supply from the stock, forwards specimen to pathology, and helps with other non-sterile tasks (e.g., phone calls, etc.).
description: In a typical surgery setting the non-sterile nurse handles material supply from the stock, forwards specimen to pathology, and helps with other non-sterile tasks (e.g., phone calls, etc.).

primary care physician
sub class of: ParticipationFunction
label: primary care physician
comment: The healthcare provider that holds primary responsibility for the overall care of a patient.
description: The healthcare provider that holds primary responsibility for the overall care of a patient.

primary surgeon
sub class of: ParticipationFunction
label: primary surgeon
comment: In a typical surgery setting the primary performing surgeon.
description: In a typical surgery setting the primary performing surgeon.

reviewer
sub class of: ParticipationFunction
label: reviewer
comment: A verifier who is accountable for reviewing and asserting that the verification of an Act complies with jurisdictional or organizational policy. UsageConstraint: UsageConstraint: Specifies the exact function that an actor is authorized to have as a verifier of an Act. Connotes that a specialized verifier asserts compliance for veracity of the review per jurisdictional or organizational policy. E.g., The Provider who takes responsibility for authenticity of a record submitted to a payer. REVIEW ParticipationFunction should be used with VFR (verifier)
description: A verifier who is accountable for reviewing and asserting that the verification of an Act complies with jurisdictional or organizational policy. UsageConstraint: UsageConstraint: Specifies the exact function that an actor is authorized to have as a verifier of an Act. Connotes that a specialized verifier asserts compliance for veracity of the review per jurisdictional or organizational policy. E.g., The Provider who takes responsibility for authenticity of a record submitted to a payer. REVIEW ParticipationFunction should be used with VFR (verifier)

rounding physician
sub class of: ParticipationFunction
label: rounding physician
comment: A physician who made rounds on a patient in a hospital or other care center.
description: A physician who made rounds on a patient in a hospital or other care center.

second assistant surgeon
sub class of: ParticipationFunction
label: second assistant surgeon
comment: In a typical surgery setting the assistant who primarily holds the hooks.
description: In a typical surgery setting the assistant who primarily holds the hooks.

scrub nurse
sub class of: ParticipationFunction
label: scrub nurse
comment: In a typical surgery setting the nurse in charge of the instrumentation.
description: In a typical surgery setting the nurse in charge of the instrumentation.

third assistant
sub class of: ParticipationFunction
label: third assistant
comment: In a typical surgery setting there is rarely a third assistant (e.g., in some Hip operations the third assistant postures the affected leg).
description: In a typical surgery setting there is rarely a third assistant (e.g., in some Hip operations the third assistant postures the affected leg).

v3 Code System ParticipationMode
type: ValueSet
version: 2015-11-30
label: v3 Code System ParticipationMode
comment: A set of codes specifying the modality by which the Entity playing the Role is participating in the Act. Examples: Physically present, over the telephone, written communication. Rationale: Particularly for author (originator) participants this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically. Open Issue: There needs to be a reexamination of the hierarchies as there seems to be some muddling between ELECTRONIC and other concepts that involve electronic communication that are in other hierarchies.
description: A set of codes specifying the modality by which the Entity playing the Role is participating in the Act. Examples: Physically present, over the telephone, written communication. Rationale: Particularly for author (originator) participants this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically. Open Issue: There needs to be a reexamination of the hierarchies as there seems to be some muddling between ELECTRONIC and other concepts that involve electronic communication that are in other hierarchies.
date: 2015-11-30
status: active
canonical status: active
include: ParticipationMode

v3 Code System ParticipationMode
type: CodeSystem
label: v3 Code System ParticipationMode
comment: A set of codes specifying the modality by which the Entity playing the Role is participating in the Act. Examples: Physically present, over the telephone, written communication. Rationale: Particularly for author (originator) participants this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically. Open Issue: There needs to be a reexamination of the hierarchies as there seems to be some muddling between ELECTRONIC and other concepts that involve electronic communication that are in other hierarchies.
description: A set of codes specifying the modality by which the Entity playing the Role is participating in the Act. Examples: Physically present, over the telephone, written communication. Rationale: Particularly for author (originator) participants this is used to specify whether the information represented by the act was initially provided verbally, (hand-)written, or electronically. Open Issue: There needs to be a reexamination of the hierarchies as there seems to be some muddling between ELECTRONIC and other concepts that involve electronic communication that are in other hierarchies.
date: Mon Nov 30 00:00:00 AEDT 2015

electronic data
sub class of: ParticipationMode
label: electronic data
comment: Participation by non-human-languaged based electronic signal
description: Participation by non-human-languaged based electronic signal

physical presence
sub class of: ParticipationMode
label: physical presence
comment: Participation by direct action where subject and actor are in the same location. (The participation involves more than communication.)
description: Participation by direct action where subject and actor are in the same location. (The participation involves more than communication.)

remote presence
sub class of: ParticipationMode
label: remote presence
comment: Participation by direct action where subject and actor are in separate locations, and the actions of the actor are transmitted by electronic or mechanical means. (The participation involves more than communication.)
description: Participation by direct action where subject and actor are in separate locations, and the actions of the actor are transmitted by electronic or mechanical means. (The participation involves more than communication.)

verbal
sub class of: ParticipationMode
label: verbal
comment: Participation by voice communication
description: Participation by voice communication

dictated
sub class of: verbal
label: dictated
comment: Participation by pre-recorded voice. Communication is limited to one direction (from the recorder to recipient).
description: Participation by pre-recorded voice. Communication is limited to one direction (from the recorder to recipient).

face-to-face
sub class of: verbal
label: face-to-face
comment: Participation by voice communication where parties speak to each other directly.
description: Participation by voice communication where parties speak to each other directly.

telephone
sub class of: verbal
label: telephone
comment: Participation by voice communication where the voices of the communicating parties are transported over an electronic medium
description: Participation by voice communication where the voices of the communicating parties are transported over an electronic medium

videoconferencing
sub class of: verbal
label: videoconferencing
comment: Participation by voice and visual communication where the voices and images of the communicating parties are transported over an electronic medium
description: Participation by voice and visual communication where the voices and images of the communicating parties are transported over an electronic medium

written
sub class of: ParticipationMode
label: written
comment: Participation by human language recorded on a physical material
description: Participation by human language recorded on a physical material

telefax
sub class of: written
label: telefax
comment: Participation by text or diagrams printed on paper that have been transmitted over a fax device
description: Participation by text or diagrams printed on paper that have been transmitted over a fax device

handwritten
sub class of: written
label: handwritten
comment: Participation by text or diagrams printed on paper or other recording medium
description: Participation by text or diagrams printed on paper or other recording medium

mail
sub class of: written
label: mail
comment: Participation by text or diagrams printed on paper transmitted physically (e.g. by courier service, postal service).
description: Participation by text or diagrams printed on paper transmitted physically (e.g. by courier service, postal service).

online written
sub class of: written
label: online written
comment: Participation by text or diagrams submitted by computer network, e.g. online survey.
description: Participation by text or diagrams submitted by computer network, e.g. online survey.

email
sub class of: online written
label: email
comment: Participation by text or diagrams transmitted over an electronic mail system.
description: Participation by text or diagrams transmitted over an electronic mail system.

typewritten
sub class of: written
label: typewritten
comment: Participation by text or diagrams printed on paper or other recording medium where the recording was performed using a typewriter, typesetter, computer or similar mechanism.
description: Participation by text or diagrams printed on paper or other recording medium where the recording was performed using a typewriter, typesetter, computer or similar mechanism.

v3 Code System ParticipationSignature
type: ValueSet
version: 2015-11-30
label: v3 Code System ParticipationSignature
comment: A set of codes specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed. Examples: A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)
description: A set of codes specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed. Examples: A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)
date: 2015-11-30
status: active
canonical status: active
include: ParticipationSignature

v3 Code System ParticipationSignature
type: CodeSystem
label: v3 Code System ParticipationSignature
comment: A set of codes specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed. Examples: A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)
description: A set of codes specifying whether and how the participant has attested his participation through a signature and or whether such a signature is needed. Examples: A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants. (See also: Participation.signatureText.)
date: Mon Nov 30 00:00:00 AEDT 2015

intended
sub class of: ParticipationSignature
label: intended
comment: The particpant intends to provide a signature.
description: The particpant intends to provide a signature.

signed
sub class of: ParticipationSignature
label: signed
comment: Signature has been affixed, either written on file, or electronic (incl. digital) signature in Participation.signatureText.
description: Signature has been affixed, either written on file, or electronic (incl. digital) signature in Participation.signatureText.

required
sub class of: ParticipationSignature
label: required
comment: A signature for the service is required of this actor.
description: A signature for the service is required of this actor.

v3 Code System ParticipationType
type: ValueSet
version: 2015-11-30
label: v3 Code System ParticipationType
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: ParticipationType

v3 Code System ParticipationType
type: CodeSystem
label: v3 Code System ParticipationType
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

Participation
sub class of: ParticipationType
label: Participation
comment: Indicates that the target of the participation is involved in some manner in the act, but does not qualify how.
description: Indicates that the target of the participation is involved in some manner in the act, but does not qualify how.

ParticipationAncillary
sub class of: Participation
label: ParticipationAncillary
comment: Participations related, but not primary to an act. The Referring, Admitting, and Discharging practitioners must be the same person as those authoring the ControlAct event for their respective trigger events.
description: Participations related, but not primary to an act. The Referring, Admitting, and Discharging practitioners must be the same person as those authoring the ControlAct event for their respective trigger events.

admitter
sub class of: ParticipationAncillary
label: admitter
comment: The practitioner who is responsible for admitting a patient to a patient encounter.
description: The practitioner who is responsible for admitting a patient to a patient encounter.

attender
sub class of: ParticipationAncillary
label: attender
comment: The practitioner that has responsibility for overseeing a patient's care during a patient encounter.
description: The practitioner that has responsibility for overseeing a patient's care during a patient encounter.

callback contact
sub class of: ParticipationAncillary
label: callback contact
comment: A person or organization who should be contacted for follow-up questions about the act in place of the author.
description: A person or organization who should be contacted for follow-up questions about the act in place of the author.

consultant
sub class of: ParticipationAncillary
label: consultant
comment: An advisor participating in the service by performing evaluations and making recommendations.
description: An advisor participating in the service by performing evaluations and making recommendations.

discharger
sub class of: ParticipationAncillary
label: discharger
comment: The practitioner who is responsible for the discharge of a patient from a patient encounter.
description: The practitioner who is responsible for the discharge of a patient from a patient encounter.

escort
sub class of: ParticipationAncillary
label: escort
comment: Only with Transportation services. A person who escorts the patient.
description: Only with Transportation services. A person who escorts the patient.

referrer
sub class of: ParticipationAncillary
label: referrer
comment: A person having referred the subject of the service to the performer (referring physician). Typically, a referring physician will receive a report.
description: A person having referred the subject of the service to the performer (referring physician). Typically, a referring physician will receive a report.

ParticipationInformationGenerator
sub class of: Participation
label: ParticipationInformationGenerator
comment: Parties that may or should contribute or have contributed information to the Act. Such information includes information leading to the decision to perform the Act and how to perform the Act (e.g., consultant), information that the Act itself seeks to reveal (e.g., informant of clinical history), or information about what Act was performed (e.g., informant witness).
description: Parties that may or should contribute or have contributed information to the Act. Such information includes information leading to the decision to perform the Act and how to perform the Act (e.g., consultant), information that the Act itself seeks to reveal (e.g., informant of clinical history), or information about what Act was performed (e.g., informant witness).

author (originator)
sub class of: ParticipationInformationGenerator
label: author (originator)
comment: Definition: A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act. Example: the report writer, the person writing the act definition, the guideline author, the placer of an order, the EKG cart (device) creating a report etc. Every Act should have an author. Authorship is regardless of mood always actual authorship. Examples of such policies might include: The author and anyone they explicitly delegate may update the report; All administrators within the same clinic may cancel and reschedule appointments created by other administrators within that clinic; A party that is neither an author nor a party who is extended authorship maintenance rights by policy, may only amend, reverse, override, replace, or follow up in other ways on this Act, whereby the Act remains intact and is linked to another Act authored by that other party.
description: Definition: A party that originates the Act and therefore has responsibility for the information given in the Act and ownership of this Act. Example: the report writer, the person writing the act definition, the guideline author, the placer of an order, the EKG cart (device) creating a report etc. Every Act should have an author. Authorship is regardless of mood always actual authorship. Examples of such policies might include: The author and anyone they explicitly delegate may update the report; All administrators within the same clinic may cancel and reschedule appointments created by other administrators within that clinic; A party that is neither an author nor a party who is extended authorship maintenance rights by policy, may only amend, reverse, override, replace, or follow up in other ways on this Act, whereby the Act remains intact and is linked to another Act authored by that other party.

informant
sub class of: ParticipationInformationGenerator
label: informant
comment: A source of reported information (e.g., a next of kin who answers questions about the patient's history). For history questions, the patient is logically an informant, yet the informant of history questions is implicitly the subject.
description: A source of reported information (e.g., a next of kin who answers questions about the patient's history). For history questions, the patient is logically an informant, yet the informant of history questions is implicitly the subject.

Transcriber
sub class of: ParticipationInformationGenerator
label: Transcriber
comment: An entity entering the data into the originating system. The data entry entity is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text transcribed into electronic form.
description: An entity entering the data into the originating system. The data entry entity is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text transcribed into electronic form.

data entry person
sub class of: Transcriber
label: data entry person
comment: A person entering the data into the originating system. The data entry person is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text.
description: A person entering the data into the originating system. The data entry person is collected optionally for internal quality control purposes. This includes the transcriptionist for dictated text.

witness
sub class of: ParticipationInformationGenerator
label: witness
comment: Only with service events. A person witnessing the action happening without doing anything. A witness is not necessarily aware, much less approves of anything stated in the service event. Example for a witness is students watching an operation or an advanced directive witness.
description: Only with service events. A person witnessing the action happening without doing anything. A witness is not necessarily aware, much less approves of anything stated in the service event. Example for a witness is students watching an operation or an advanced directive witness.

custodian
sub class of: Participation
label: custodian
comment: An entity (person, organization or device) that is in charge of maintaining the information of this act (e.g., who maintains the report or the master service catalog item, etc.).
description: An entity (person, organization or device) that is in charge of maintaining the information of this act (e.g., who maintains the report or the master service catalog item, etc.).

direct target
sub class of: Participation
label: direct target
comment: Target participant that is substantially present in the act and which is directly involved in the action (includes consumed material, devices, etc.).
description: Target participant that is substantially present in the act and which is directly involved in the action (includes consumed material, devices, etc.).

analyte
sub class of: direct target
label: analyte
comment: The target of an Observation action. Links an observation to a Role whose player is the substance or most specific component entity (material, micro-organism, etc.) being measured within the subject. Examples: A "plasma porcelain substance concentration" has analyte a Role with player substance Entity "porcelain". UsageNotes: The Role that this participation connects to may be any Role whose player is that substance measured. Very often, the scoper may indicate the system in which the component is being measured. E.g., for "plasma porcelain" the scoper could be "Plasma".
description: The target of an Observation action. Links an observation to a Role whose player is the substance or most specific component entity (material, micro-organism, etc.) being measured within the subject. Examples: A "plasma porcelain substance concentration" has analyte a Role with player substance Entity "porcelain". UsageNotes: The Role that this participation connects to may be any Role whose player is that substance measured. Very often, the scoper may indicate the system in which the component is being measured. E.g., for "plasma porcelain" the scoper could be "Plasma".

baby
sub class of: direct target
label: baby
comment: In an obstetric service, the baby.
description: In an obstetric service, the baby.

catalyst
sub class of: direct target
label: catalyst
comment: The catalyst of a chemical reaction, such as an enzyme or a platinum surface. In biochemical reactions, connects the enzyme with the molecular interaction
description: The catalyst of a chemical reaction, such as an enzyme or a platinum surface. In biochemical reactions, connects the enzyme with the molecular interaction

consumable
sub class of: direct target
label: consumable
comment: Participant material that is taken up, diminished, altered, or disappears in the act.
description: Participant material that is taken up, diminished, altered, or disappears in the act.

therapeutic agent
sub class of: consumable
label: therapeutic agent
comment: Something incorporated in the subject of a therapy service to achieve a physiologic effect (e.g., heal, relieve, provoke a condition, etc.) on the subject. In an administration service the therapeutic agent is a consumable, in a preparation or dispense service, it is a product. Thus, consumable or product must be specified in accordance with the kind of service.
description: Something incorporated in the subject of a therapy service to achieve a physiologic effect (e.g., heal, relieve, provoke a condition, etc.) on the subject. In an administration service the therapeutic agent is a consumable, in a preparation or dispense service, it is a product. Thus, consumable or product must be specified in accordance with the kind of service.

device
sub class of: direct target
label: device
comment: Participant used in performing the act without being substantially affected by the act (i.e. durable or inert with respect to that particular service). Examples: monitoring equipment, tools, but also access/drainage lines, prostheses, pace maker, etc.
description: Participant used in performing the act without being substantially affected by the act (i.e. durable or inert with respect to that particular service). Examples: monitoring equipment, tools, but also access/drainage lines, prostheses, pace maker, etc.

non-reuseable device
sub class of: device
label: non-reuseable device
comment: A device that changes ownership due to the service, e.g., a pacemaker, a prosthesis, an insulin injection equipment (pen), etc. Such material may need to be restocked after he service.
description: A device that changes ownership due to the service, e.g., a pacemaker, a prosthesis, an insulin injection equipment (pen), etc. Such material may need to be restocked after he service.

reusable device
sub class of: device
label: reusable device
comment: A device that does not change ownership due to the service, i.e., a surgical instrument or tool or an endoscope. The distinction between reuseable and non-reuseable must be made in order to know whether material must be re-stocked.
description: A device that does not change ownership due to the service, i.e., a surgical instrument or tool or an endoscope. The distinction between reuseable and non-reuseable must be made in order to know whether material must be re-stocked.

donor
sub class of: direct target
label: donor
comment: In some organ transplantation services and rarely in transfusion services a donor will be a target participant in the service. However, in most cases transplantation is decomposed in three services: explantation, transport, and implantation. The identity of the donor (recipient) is often irrelevant for the explantation (implantation) service.
description: In some organ transplantation services and rarely in transfusion services a donor will be a target participant in the service. However, in most cases transplantation is decomposed in three services: explantation, transport, and implantation. The identity of the donor (recipient) is often irrelevant for the explantation (implantation) service.

ExposureAgent
sub class of: direct target
label: ExposureAgent
comment: Description: The entity playing the associated role is the physical (including energy), chemical or biological substance that is participating in the exposure. For example in communicable diseases, the associated playing entity is the disease causing pathogen.
description: Description: The entity playing the associated role is the physical (including energy), chemical or biological substance that is participating in the exposure. For example in communicable diseases, the associated playing entity is the disease causing pathogen.

ExposureParticipation
sub class of: direct target
label: ExposureParticipation
comment: Description:Direct participation in an exposure act where it is unknown that the participant is the source or subject of the exposure. If the participant is known to be the contact of an exposure then the SBJ participation type should be used. If the participant is known to be the source then the EXSRC participation type should be used.
description: Description:Direct participation in an exposure act where it is unknown that the participant is the source or subject of the exposure. If the participant is known to be the contact of an exposure then the SBJ participation type should be used. If the participant is known to be the source then the EXSRC participation type should be used.

ExposureTarget
sub class of: ExposureParticipation
label: ExposureTarget
comment: Description: The entity playing the associated role is the target (contact) of exposure.
description: Description: The entity playing the associated role is the target (contact) of exposure.

ExposureSource
sub class of: ExposureParticipation
label: ExposureSource
comment: Description:The entity playing the associated role is the source of exposure.
description: Description:The entity playing the associated role is the source of exposure.

product
sub class of: direct target
label: product
comment: Participant material that is brought forth (produced) in the act (e.g., specimen in a specimen collection, access or drainage in a placement service, medication package in a dispense service). It does not matter whether the material produced had existence prior to the service, or whether it is created in the service (e.g., in supply services the product is taken from a stock).
description: Participant material that is brought forth (produced) in the act (e.g., specimen in a specimen collection, access or drainage in a placement service, medication package in a dispense service). It does not matter whether the material produced had existence prior to the service, or whether it is created in the service (e.g., in supply services the product is taken from a stock).

subject
sub class of: direct target
label: subject
comment: The principle target on which the action happens. Examples: The patient in physical examination, a specimen in a lab observation. May also be a patient's family member (teaching) or a device or room (cleaning, disinfecting, housekeeping). UsageNotes: Not all direct targets are subjects. Consumables and devices used as tools for an act are not subjects. However, a device may be a subject of a maintenance action.
description: The principle target on which the action happens. Examples: The patient in physical examination, a specimen in a lab observation. May also be a patient's family member (teaching) or a device or room (cleaning, disinfecting, housekeeping). UsageNotes: Not all direct targets are subjects. Consumables and devices used as tools for an act are not subjects. However, a device may be a subject of a maintenance action.

specimen
sub class of: subject
label: specimen
comment: The subject of non-clinical (e.g. laboratory) observation services is a specimen.
description: The subject of non-clinical (e.g. laboratory) observation services is a specimen.

indirect target
sub class of: Participation
label: indirect target
comment: Target that is not substantially present in the act and which is not directly affected by the act, but which will be a focus of the record or documentation of the act.
description: Target that is not substantially present in the act and which is not directly affected by the act, but which will be a focus of the record or documentation of the act.

beneficiary
sub class of: indirect target
label: beneficiary
comment: Target on behalf of whom the service happens, but that is not necessarily present in the service. Can occur together with direct target to indicate that a target is both, as in the case where the patient is the indirect beneficiary of a service rendered to a family member, e.g. counseling or given home care instructions. This concept includes a participant, such as a covered party, who derives benefits from a service act covered by a coverage act. Note that the semantic role of the intended recipient who benefits from the happening denoted by the verb in the clause. Thus, a patient who has no coverage under a policy or program may be a beneficiary of a health service while not being the beneficiary of coverage for that service.
description: Target on behalf of whom the service happens, but that is not necessarily present in the service. Can occur together with direct target to indicate that a target is both, as in the case where the patient is the indirect beneficiary of a service rendered to a family member, e.g. counseling or given home care instructions. This concept includes a participant, such as a covered party, who derives benefits from a service act covered by a coverage act. Note that the semantic role of the intended recipient who benefits from the happening denoted by the verb in the clause. Thus, a patient who has no coverage under a policy or program may be a beneficiary of a health service while not being the beneficiary of coverage for that service.

causative agent
sub class of: indirect target
label: causative agent
comment: Definition: A factor, such as a microorganism, chemical substance, or form of radiation, whose presence, excessive presence, or (in deficiency diseases) relative absence is essential, in whole or in part, for the occurrence of a condition. Constraint: The use of this participation is limited to observations.
description: Definition: A factor, such as a microorganism, chemical substance, or form of radiation, whose presence, excessive presence, or (in deficiency diseases) relative absence is essential, in whole or in part, for the occurrence of a condition. Constraint: The use of this participation is limited to observations.

coverage target
sub class of: indirect target
label: coverage target
comment: The target participation for an individual in a health care coverage act in which the target role is either the policy holder of the coverage, or a covered party under the coverage.
description: The target participation for an individual in a health care coverage act in which the target role is either the policy holder of the coverage, or a covered party under the coverage.

guarantor party
sub class of: indirect target
label: guarantor party
comment: The target person or organization contractually recognized by the issuer as a participant who has assumed fiscal responsibility for another personaTMs financial obligations by guaranteeing to pay for amounts owed to a particular account Example:The subscriber of the patientaTMs health insurance policy signs a contract with the provider to be fiscally responsible for the patient billing account balance amount owed.
description: The target person or organization contractually recognized by the issuer as a participant who has assumed fiscal responsibility for another personaTMs financial obligations by guaranteeing to pay for amounts owed to a particular account Example:The subscriber of the patientaTMs health insurance policy signs a contract with the provider to be fiscally responsible for the patient billing account balance amount owed.

holder
sub class of: indirect target
label: holder
comment: Participant who posses an instrument such as a financial contract (insurance policy) usually based on some agreement with the author.
description: Participant who posses an instrument such as a financial contract (insurance policy) usually based on some agreement with the author.

record target
sub class of: indirect target
label: record target
comment: The record target indicates whose medical record holds the documentation of this act. This is especially important when the subject of a service is not the patient himself.
description: The record target indicates whose medical record holds the documentation of this act. This is especially important when the subject of a service is not the patient himself.

receiver
sub class of: indirect target
label: receiver
comment: The person (or organization) who receives the product of an Act.
description: The person (or organization) who receives the product of an Act.

information recipient
sub class of: Participation
label: information recipient
comment: A party, who may or should receive or who has recieved the Act or subsequent or derivative information of that Act. Information recipient is inert, i.e., independent of mood." Rationale: this is a generalization of a too diverse family that the definition can't be any more specific, and the concept is abstract so one of the specializations should be used.
description: A party, who may or should receive or who has recieved the Act or subsequent or derivative information of that Act. Information recipient is inert, i.e., independent of mood." Rationale: this is a generalization of a too diverse family that the definition can't be any more specific, and the concept is abstract so one of the specializations should be used.

ugent notification contact
sub class of: information recipient
label: ugent notification contact
comment: An information recipient to notify for urgent matters about this Act. (e.g., in a laboratory order, critical results are being called by phone right away, this is the contact to call; or for an inpatient encounter, a next of kin to notify when the patient becomes critically ill).
description: An information recipient to notify for urgent matters about this Act. (e.g., in a laboratory order, critical results are being called by phone right away, this is the contact to call; or for an inpatient encounter, a next of kin to notify when the patient becomes critically ill).

primary information recipient
sub class of: information recipient
label: primary information recipient
comment: Information recipient to whom an act statement is primarily directed. E.g., a primary care provider receiving a discharge letter from a hospitalist, a health department receiving information on a suspected case of infectious disease. Multiple of these participations may exist on the same act without requiring that recipients be ranked as primary vs. secondary.
description: Information recipient to whom an act statement is primarily directed. E.g., a primary care provider receiving a discharge letter from a hospitalist, a health department receiving information on a suspected case of infectious disease. Multiple of these participations may exist on the same act without requiring that recipients be ranked as primary vs. secondary.

Referred By
sub class of: information recipient
label: Referred By
comment: A participant (e.g. provider) who has referred the subject of an act (e.g. patient). Typically, a referred by participant will provide a report (e.g. referral).
description: A participant (e.g. provider) who has referred the subject of an act (e.g. patient). Typically, a referred by participant will provide a report (e.g. referral).

Referred to
sub class of: information recipient
label: Referred to
comment: The person who receives the patient
description: The person who receives the patient

tracker
sub class of: information recipient
label: tracker
comment: A secondary information recipient, who receives copies (e.g., a primary care provider receiving copies of results as ordered by specialist).
description: A secondary information recipient, who receives copies (e.g., a primary care provider receiving copies of results as ordered by specialist).

location
sub class of: Participation
label: location
comment: The facility where the service is done. May be a static building (or room therein) or a moving location (e.g., ambulance, helicopter, aircraft, train, truck, ship, etc.)
description: The facility where the service is done. May be a static building (or room therein) or a moving location (e.g., ambulance, helicopter, aircraft, train, truck, ship, etc.)

destination
sub class of: location
label: destination
comment: The destination for services. May be a static building (or room therein) or a movable facility (e.g., ship).
description: The destination for services. May be a static building (or room therein) or a movable facility (e.g., ship).

entry location
sub class of: location
label: entry location
comment: A location where data about an Act was entered.
description: A location where data about an Act was entered.

origin
sub class of: location
label: origin
comment: The location of origin for services. May be a static building (or room therein) or a movable facility (e.g., ship).
description: The location of origin for services. May be a static building (or room therein) or a movable facility (e.g., ship).

remote
sub class of: location
label: remote
comment: Some services take place at multiple concurrent locations (e.g., telemedicine, telephone consultation). The location where the principal performing actor is located is taken as the primary location (LOC) while the other location(s) are considered "remote."
description: Some services take place at multiple concurrent locations (e.g., telemedicine, telephone consultation). The location where the principal performing actor is located is taken as the primary location (LOC) while the other location(s) are considered "remote."

via
sub class of: location
label: via
comment: For services, an intermediate location that specifies a path between origin an destination.
description: For services, an intermediate location that specifies a path between origin an destination.

performer
sub class of: Participation
label: performer
comment: Definition: A person, non-person living subject, organization or device that who actually and principally carries out the action. Device should only be assigned as a performer in circumstances where the device is performing independent of human intervention. Need not be the principal responsible actor. Exampe: A surgery resident operating under supervision of attending surgeon, a search and rescue dog locating survivors, an electronic laboratory analyzer or the laboratory discipline requested to perform a laboratory test. The performer may also be the patient in self-care, e.g. fingerstick blood sugar. The traditional order filler is a performer. This information should accompany every service event. Note: that existing HL7 designs assign an organization as the playing entity of the Role that is the performer. These designs should be revised in subsequent releases to make this the scooping entity for the role involved.
description: Definition: A person, non-person living subject, organization or device that who actually and principally carries out the action. Device should only be assigned as a performer in circumstances where the device is performing independent of human intervention. Need not be the principal responsible actor. Exampe: A surgery resident operating under supervision of attending surgeon, a search and rescue dog locating survivors, an electronic laboratory analyzer or the laboratory discipline requested to perform a laboratory test. The performer may also be the patient in self-care, e.g. fingerstick blood sugar. The traditional order filler is a performer. This information should accompany every service event. Note: that existing HL7 designs assign an organization as the playing entity of the Role that is the performer. These designs should be revised in subsequent releases to make this the scooping entity for the role involved.

distributor
sub class of: performer
label: distributor
comment: Distributes material used in or generated during the act.
description: Distributes material used in or generated during the act.

primary performer
sub class of: performer
label: primary performer
comment: The principal or primary performer of the act.
description: The principal or primary performer of the act.

secondary performer
sub class of: performer
label: secondary performer
comment: A person assisting in an act through his substantial presence and involvement This includes: assistants, technicians, associates, or whatever the job titles may be.
description: A person assisting in an act through his substantial presence and involvement This includes: assistants, technicians, associates, or whatever the job titles may be.

responsible party
sub class of: Participation
label: responsible party
comment: The person or organization that has primary responsibility for the act. The responsible party is not necessarily present in an action, but is accountable for the action through the power to delegate, and the duty to review actions with the performing actor after the fact. This responsibility may be ethical, legal, contractual, fiscal, or fiduciary in nature. Example: A person who is the head of a biochemical laboratory; a sponsor for a policy or government program.
description: The person or organization that has primary responsibility for the act. The responsible party is not necessarily present in an action, but is accountable for the action through the power to delegate, and the duty to review actions with the performing actor after the fact. This responsibility may be ethical, legal, contractual, fiscal, or fiduciary in nature. Example: A person who is the head of a biochemical laboratory; a sponsor for a policy or government program.

verifier
sub class of: Participation
label: verifier
comment: A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability.
description: A person who verifies the correctness and appropriateness of the service (plan, order, event, etc.) and hence takes on accountability.

authenticator
sub class of: verifier
label: authenticator
comment: A verifier who attests to the accuracy of an act, but who does not have privileges to legally authenticate the act. An example would be a resident physician who sees a patient and dictates a note, then later signs it. Their signature constitutes an authentication.
description: A verifier who attests to the accuracy of an act, but who does not have privileges to legally authenticate the act. An example would be a resident physician who sees a patient and dictates a note, then later signs it. Their signature constitutes an authentication.

legal authenticator
sub class of: verifier
label: legal authenticator
comment: A verifier who legally authenticates the accuracy of an act. An example would be a staff physician who sees a patient and dictates a note, then later signs it. Their signature constitutes a legal authentication.
description: A verifier who legally authenticates the accuracy of an act. An example would be a staff physician who sees a patient and dictates a note, then later signs it. Their signature constitutes a legal authentication.

v3 Code System PatientImportance
type: ValueSet
version: 2015-11-30
label: v3 Code System PatientImportance
comment: Patient VIP code
description: Patient VIP code
date: 2015-11-30
status: active
canonical status: active
include: PatientImportance

v3 Code System PatientImportance
type: CodeSystem
label: v3 Code System PatientImportance
comment: Patient VIP code
description: Patient VIP code
date: Mon Nov 30 00:00:00 AEDT 2015

Board Member
sub class of: PatientImportance
label: Board Member
comment: Board member of health care organization
description: Board member of health care organization

Physician Family Member
sub class of: PatientImportance
label: Physician Family Member
comment: Family member of staff physician
description: Family member of staff physician

Staff Physician
sub class of: PatientImportance
label: Staff Physician
comment: Member of the health care organization physician staff
description: Member of the health care organization physician staff

Financial Donor
sub class of: PatientImportance
label: Financial Donor
comment: Financial donor to the health care organization
description: Financial donor to the health care organization

Foreign Dignitary
sub class of: PatientImportance
label: Foreign Dignitary
comment: Foreign citizen dignitary of interest to the health care organization
description: Foreign citizen dignitary of interest to the health care organization

Government Dignitary
sub class of: PatientImportance
label: Government Dignitary
comment: Government dignitary of interest to the organization
description: Government dignitary of interest to the organization

Staff Family Member
sub class of: PatientImportance
label: Staff Family Member
comment: Family member of staff member
description: Family member of staff member

Staff Member
sub class of: PatientImportance
label: Staff Member
comment: Staff member of the health care organization
description: Staff member of the health care organization

Very Important Person
sub class of: PatientImportance
label: Very Important Person
comment: Very important person of interest to the health care organization
description: Very important person of interest to the health care organization

v3 Code System PaymentTerms
type: ValueSet
version: 2015-11-30
label: v3 Code System PaymentTerms
comment: Describes payment terms for a financial transaction, used in an invoice. This is typically expressed as a responsibility of the acceptor or payor of an invoice.
description: Describes payment terms for a financial transaction, used in an invoice. This is typically expressed as a responsibility of the acceptor or payor of an invoice.
date: 2015-11-30
status: active
canonical status: active
include: PaymentTerms

v3 Code System PaymentTerms
type: CodeSystem
label: v3 Code System PaymentTerms
comment: Describes payment terms for a financial transaction, used in an invoice. This is typically expressed as a responsibility of the acceptor or payor of an invoice.
description: Describes payment terms for a financial transaction, used in an invoice. This is typically expressed as a responsibility of the acceptor or payor of an invoice.
date: Mon Nov 30 00:00:00 AEDT 2015

Cash on Delivery
sub class of: PaymentTerms
label: Cash on Delivery
comment: Payment in full for products and/or services is required as soon as the service is performed or goods delivered.
description: Payment in full for products and/or services is required as soon as the service is performed or goods delivered.

Net 30 days
sub class of: PaymentTerms
label: Net 30 days
comment: Payment in full for products and/or services is required 30 days from the time the service is performed or goods delivered.
description: Payment in full for products and/or services is required 30 days from the time the service is performed or goods delivered.

Net 60 days
sub class of: PaymentTerms
label: Net 60 days
comment: Payment in full for products and/or services is required 60 days from the time the service is performed or goods delivered.
description: Payment in full for products and/or services is required 60 days from the time the service is performed or goods delivered.

Net 90 days
sub class of: PaymentTerms
label: Net 90 days
comment: Payment in full for products and/or services is required 90 days from the time the service is performed or goods delivered.
description: Payment in full for products and/or services is required 90 days from the time the service is performed or goods delivered.

v3 Code System PersonDisabilityType
type: ValueSet
version: 2015-11-30
label: v3 Code System PersonDisabilityType
comment: A code identifying a person's disability.
description: A code identifying a person's disability.
date: 2015-11-30
status: active
canonical status: active
include: PersonDisabilityType

v3 Code System PersonDisabilityType
type: CodeSystem
label: v3 Code System PersonDisabilityType
comment: A code identifying a person's disability.
description: A code identifying a person's disability.
date: Mon Nov 30 00:00:00 AEDT 2015

Vision impaired
sub class of: PersonDisabilityType
label: Vision impaired
comment: Vision impaired
description: Vision impaired

Hearing impaired
sub class of: PersonDisabilityType
label: Hearing impaired
comment: Hearing impaired
description: Hearing impaired

Speech impaired
sub class of: PersonDisabilityType
label: Speech impaired
comment: Speech impaired
description: Speech impaired

Mentally impaired
sub class of: PersonDisabilityType
label: Mentally impaired
comment: Mentally impaired
description: Mentally impaired

Mobility impaired
sub class of: PersonDisabilityType
label: Mobility impaired
comment: Mobility impaired
description: Mobility impaired

Requires crib
sub class of: Mobility impaired
label: Requires crib
comment: A crib is required to move the person
description: A crib is required to move the person

Requires crutches
sub class of: Mobility impaired
label: Requires crutches
comment: Person requires crutches to ambulate
description: Person requires crutches to ambulate

Requires gurney
sub class of: Mobility impaired
label: Requires gurney
comment: A gurney is required to move the person
description: A gurney is required to move the person

Requires wheelchair
sub class of: Mobility impaired
label: Requires wheelchair
comment: Person requires a wheelchair to be ambulatory
description: Person requires a wheelchair to be ambulatory

Requires walker
sub class of: Mobility impaired
label: Requires walker
comment: Person requires a walker to ambulate
description: Person requires a walker to ambulate

PersonalRelationshipRoleType
type: ValueSet
version: 2014-03-26
label: PersonalRelationshipRoleType
comment: Types of personal relationships between two living subjects. Example: Parent, sibling, unrelated friend, neighbor
description: Types of personal relationships between two living subjects. Example: Parent, sibling, unrelated friend, neighbor
status: active
canonical status: active

v3 Code System ProbabilityDistributionType
type: ValueSet
version: 2015-11-30
label: v3 Code System ProbabilityDistributionType
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: ProbabilityDistributionType

v3 Code System ProbabilityDistributionType
type: CodeSystem
label: v3 Code System ProbabilityDistributionType
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

beta
sub class of: ProbabilityDistributionType
label: beta
comment: The beta-distribution is used for data that is bounded on both sides and may or may not be skewed (e.g., occurs when probabilities are estimated.) Two parameters a and b are available to adjust the curve. The mean m and variance s2 relate as follows: m = a/ (a + b) and s2 = ab/((a + b)2 (a + b + 1)).
description: The beta-distribution is used for data that is bounded on both sides and may or may not be skewed (e.g., occurs when probabilities are estimated.) Two parameters a and b are available to adjust the curve. The mean m and variance s2 relate as follows: m = a/ (a + b) and s2 = ab/((a + b)2 (a + b + 1)).

exponential
sub class of: ProbabilityDistributionType
label: exponential
comment: Used for data that describes extinction. The exponential distribution is a special form of g-distribution where a = 1, hence, the relationship to mean m and variance s2 are m = b and s2 = b2.
description: Used for data that describes extinction. The exponential distribution is a special form of g-distribution where a = 1, hence, the relationship to mean m and variance s2 are m = b and s2 = b2.

F
sub class of: ProbabilityDistributionType
label: F
comment: Used to describe the quotient of two c2 random variables. The F-distribution has two parameters n1 and n2, which are the numbers of degrees of freedom of the numerator and denominator variable respectively. The relationship to mean m and variance s2 are: m = n2 / (n2 - 2) and s2 = (2 n2 (n2 + n1 - 2)) / (n1 (n2 - 2)2 (n2 - 4)).
description: Used to describe the quotient of two c2 random variables. The F-distribution has two parameters n1 and n2, which are the numbers of degrees of freedom of the numerator and denominator variable respectively. The relationship to mean m and variance s2 are: m = n2 / (n2 - 2) and s2 = (2 n2 (n2 + n1 - 2)) / (n1 (n2 - 2)2 (n2 - 4)).

(gamma)
sub class of: ProbabilityDistributionType
label: (gamma)
comment: The gamma-distribution used for data that is skewed and bounded to the right, i.e. where the maximum of the distribution curve is located near the origin. The g-distribution has a two parameters a and b. The relationship to mean m and variance s2 is m = a b and s2 = a b2.
description: The gamma-distribution used for data that is skewed and bounded to the right, i.e. where the maximum of the distribution curve is located near the origin. The g-distribution has a two parameters a and b. The relationship to mean m and variance s2 is m = a b and s2 = a b2.

log-normal
sub class of: ProbabilityDistributionType
label: log-normal
comment: The logarithmic normal distribution is used to transform skewed random variable X into a normally distributed random variable U = log X. The log-normal distribution can be specified with the properties mean m and standard deviation s. Note however that mean m and standard deviation s are the parameters of the raw value distribution, not the transformed parameters of the lognormal distribution that are conventionally referred to by the same letters. Those log-normal parameters mlog and slog relate to the mean m and standard deviation s of the data value through slog2 = log (s2/m2 + 1) and mlog = log m - slog2/2.
description: The logarithmic normal distribution is used to transform skewed random variable X into a normally distributed random variable U = log X. The log-normal distribution can be specified with the properties mean m and standard deviation s. Note however that mean m and standard deviation s are the parameters of the raw value distribution, not the transformed parameters of the lognormal distribution that are conventionally referred to by the same letters. Those log-normal parameters mlog and slog relate to the mean m and standard deviation s of the data value through slog2 = log (s2/m2 + 1) and mlog = log m - slog2/2.

normal (Gaussian)
sub class of: ProbabilityDistributionType
label: normal (Gaussian)
comment: This is the well-known bell-shaped normal distribution. Because of the central limit theorem, the normal distribution is the distribution of choice for an unbounded random variable that is an outcome of a combination of many stochastic processes. Even for values bounded on a single side (i.e. greater than 0) the normal distribution may be accurate enough if the mean is "far away" from the bound of the scale measured in terms of standard deviations.
description: This is the well-known bell-shaped normal distribution. Because of the central limit theorem, the normal distribution is the distribution of choice for an unbounded random variable that is an outcome of a combination of many stochastic processes. Even for values bounded on a single side (i.e. greater than 0) the normal distribution may be accurate enough if the mean is "far away" from the bound of the scale measured in terms of standard deviations.

T
sub class of: ProbabilityDistributionType
label: T
comment: Used to describe the quotient of a normal random variable and the square root of a c2 random variable. The t-distribution has one parameter n, the number of degrees of freedom. The relationship to mean m and variance s2 are: m = 0 and s2 = n / (n - 2)
description: Used to describe the quotient of a normal random variable and the square root of a c2 random variable. The t-distribution has one parameter n, the number of degrees of freedom. The relationship to mean m and variance s2 are: m = 0 and s2 = n / (n - 2)

uniform
sub class of: ProbabilityDistributionType
label: uniform
comment: The uniform distribution assigns a constant probability over the entire interval of possible outcomes, while all outcomes outside this interval are assumed to have zero probability. The width of this interval is 2s sqrt(3). Thus, the uniform distribution assigns the probability densities f(x) = sqrt(2 s sqrt(3)) to values m - s sqrt(3) >= x <= m + s sqrt(3) and f(x) = 0 otherwise.
description: The uniform distribution assigns a constant probability over the entire interval of possible outcomes, while all outcomes outside this interval are assumed to have zero probability. The width of this interval is 2s sqrt(3). Thus, the uniform distribution assigns the probability densities f(x) = sqrt(2 s sqrt(3)) to values m - s sqrt(3) >= x <= m + s sqrt(3) and f(x) = 0 otherwise.

chi square
sub class of: ProbabilityDistributionType
label: chi square
comment: Used to describe the sum of squares of random variables which occurs when a variance is estimated (rather than presumed) from the sample. The only parameter of the c2-distribution is n, so called the number of degrees of freedom (which is the number of independent parts in the sum). The c2-distribution is a special type of g-distribution with parameter a = n /2 and b = 2. Hence, m = n and s2 = 2 n.
description: Used to describe the sum of squares of random variables which occurs when a variance is estimated (rather than presumed) from the sample. The only parameter of the c2-distribution is n, so called the number of degrees of freedom (which is the number of independent parts in the sum). The c2-distribution is a special type of g-distribution with parameter a = n /2 and b = 2. Hence, m = n and s2 = 2 n.

v3 Code System ProcessingID
type: ValueSet
version: 2015-11-30
label: v3 Code System ProcessingID
comment: Codes used to specify whether a message is part of a production, training, or debugging system.
description: Codes used to specify whether a message is part of a production, training, or debugging system.
date: 2015-11-30
status: active
canonical status: active
include: ProcessingID

v3 Code System ProcessingID
type: CodeSystem
label: v3 Code System ProcessingID
comment: Codes used to specify whether a message is part of a production, training, or debugging system.
description: Codes used to specify whether a message is part of a production, training, or debugging system.
date: Mon Nov 30 00:00:00 AEDT 2015

Debugging
sub class of: ProcessingID
label: Debugging
comment: Identifies debugging type of processing.
description: Identifies debugging type of processing.

Production
sub class of: ProcessingID
label: Production
comment: Identifies production type of processing.
description: Identifies production type of processing.

Training
sub class of: ProcessingID
label: Training
comment: Identifies training type of processing.
description: Identifies training type of processing.

v3 Code System ProcessingMode
type: ValueSet
version: 2015-11-30
label: v3 Code System ProcessingMode
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: ProcessingMode

v3 Code System ProcessingMode
type: CodeSystem
label: v3 Code System ProcessingMode
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

Archive
sub class of: ProcessingMode
label: Archive
comment: Identifies archive mode of processing.
description: Identifies archive mode of processing.

Initial load
sub class of: ProcessingMode
label: Initial load
comment: Identifies initial load mode of processing.
description: Identifies initial load mode of processing.

Restore from archive
sub class of: ProcessingMode
label: Restore from archive
comment: Identifies restore mode of processing.
description: Identifies restore mode of processing.

Current processing
sub class of: ProcessingMode
label: Current processing
comment: Identifies on-line mode of processing.
description: Identifies on-line mode of processing.

ProvenanceEventCurrentState
type: ValueSet
version: 2014-08-07
label: ProvenanceEventCurrentState
comment: Specifies the state change of a target Act, such as a document or an entry, from its previous state as a predecessor Act. For example, if the target Act is the result of a predecessor Act being "obsoleted" and replaced with the target Act, the source ProvenanceEventCurrentState Act code would be "obsoleted".
description: Specifies the state change of a target Act, such as a document or an entry, from its previous state as a predecessor Act. For example, if the target Act is the result of a predecessor Act being "obsoleted" and replaced with the target Act, the source ProvenanceEventCurrentState Act code would be "obsoleted".
status: active
canonical status: active

ProvenanceEventCurrentState-AS
type: ValueSet
version: 2014-08-07
label: ProvenanceEventCurrentState-AS
comment: Specifies the state change of a target Act, using ActStatus codes, from its previous state as a predecessor Act. For example, if the target Act is the result of a predecessor Act being "obsoleted" and replaced with the target Act, the source ProvenanceEventCurrentState Act code would be "obsoleted".
description: Specifies the state change of a target Act, using ActStatus codes, from its previous state as a predecessor Act. For example, if the target Act is the result of a predecessor Act being "obsoleted" and replaced with the target Act, the source ProvenanceEventCurrentState Act code would be "obsoleted".
status: active
canonical status: active

ProvenanceEventCurrentState-DC
type: ValueSet
version: 2014-08-07
label: ProvenanceEventCurrentState-DC
comment: Specifies the state change of a target Act using DocuymentCompletion codes, from its previous state as a predecessor Act. For example, if the target Act is the result of a predecessor Act being "obsoleted" and replaced with the target Act, the source ProvenanceEventCurrentState Act code would be "obsoleted".
description: Specifies the state change of a target Act using DocuymentCompletion codes, from its previous state as a predecessor Act. For example, if the target Act is the result of a predecessor Act being "obsoleted" and replaced with the target Act, the source ProvenanceEventCurrentState Act code would be "obsoleted".
status: active
canonical status: active

PurposeOfUse
type: ValueSet
version: 2014-03-26
label: PurposeOfUse
comment: Supports communication of purpose of use at a general level.
description: Supports communication of purpose of use at a general level.
status: active
canonical status: active

v3 Code System QueryParameterValue
type: ValueSet
version: 2015-11-30
label: v3 Code System QueryParameterValue
comment: The domain of coded values used as parameters within QueryByParameter queries.
description: The domain of coded values used as parameters within QueryByParameter queries.
date: 2015-11-30
status: active
canonical status: active
include: QueryParameterValue

v3 Code System QueryParameterValue
type: CodeSystem
label: v3 Code System QueryParameterValue
comment: The domain of coded values used as parameters within QueryByParameter queries.
description: The domain of coded values used as parameters within QueryByParameter queries.
date: Mon Nov 30 00:00:00 AEDT 2015

dispense query filter code
sub class of: QueryParameterValue
label: dispense query filter code
comment: Description:Filter codes used to manage volume of dispenses returned by a parameter-based queries.
description: Description:Filter codes used to manage volume of dispenses returned by a parameter-based queries.

all dispenses
sub class of: dispense query filter code
label: all dispenses
comment: Description:Returns all dispenses to date for a prescription.
description: Description:Returns all dispenses to date for a prescription.

last dispense
sub class of: dispense query filter code
label: last dispense
comment: Description:Returns the most recent dispense for a prescription.
description: Description:Returns the most recent dispense for a prescription.

no dispense
sub class of: dispense query filter code
label: no dispense
comment: Description:Returns no dispense for a prescription.
description: Description:Returns no dispense for a prescription.

_OrderFilterCode
sub class of: QueryParameterValue
label: _OrderFilterCode
comment: Filter codes used to manage types of orders being returned by a parameter-based query.
description: Filter codes used to manage types of orders being returned by a parameter-based query.

all orders
sub class of: _OrderFilterCode
label: all orders
comment: Return all orders.
description: Return all orders.

orders without results
sub class of: _OrderFilterCode
label: orders without results
comment: Return only those orders that do not have results.
description: Return only those orders that do not have results.

orders with results
sub class of: _OrderFilterCode
label: orders with results
comment: Return only those orders that have results.
description: Return only those orders that have results.

Prescription Dispense Filter Code
sub class of: QueryParameterValue
label: Prescription Dispense Filter Code
comment: A "helper" vocabulary used to construct complex query filters based on how and whether a prescription has been dispensed.
description: A "helper" vocabulary used to construct complex query filters based on how and whether a prescription has been dispensed.

Completely dispensed
sub class of: Prescription Dispense Filter Code
label: Completely dispensed
comment: Filter to only include SubstanceAdministration orders which have no remaining quantity authorized to be dispensed.
description: Filter to only include SubstanceAdministration orders which have no remaining quantity authorized to be dispensed.

Never Dispensed
sub class of: Prescription Dispense Filter Code
label: Never Dispensed
comment: Filter to only include SubstanceAdministration orders which have no fulfilling supply events performed.
description: Filter to only include SubstanceAdministration orders which have no fulfilling supply events performed.

Dispensed with remaining fills
sub class of: Prescription Dispense Filter Code
label: Dispensed with remaining fills
comment: Filter to only include SubstanceAdministration orders which have had at least one fulfilling supply event, but which still have outstanding quantity remaining to be authorized.
description: Filter to only include SubstanceAdministration orders which have had at least one fulfilling supply event, but which still have outstanding quantity remaining to be authorized.

QueryParameterValue
sub class of: QueryParameterValue
label: QueryParameterValue
comment: Description:Indicates how result sets should be filtered based on whether they have associated issues.
description: Description:Indicates how result sets should be filtered based on whether they have associated issues.

all
sub class of: QueryParameterValue
label: all
comment: Description:Result set should not be filtered based on the presence of issues.
description: Description:Result set should not be filtered based on the presence of issues.

with issues
sub class of: QueryParameterValue
label: with issues
comment: Description:Result set should be filtered to only include records with associated issues.
description: Description:Result set should be filtered to only include records with associated issues.

with unmanaged issues
sub class of: QueryParameterValue
label: with unmanaged issues
comment: Description:Result set should be filtered to only include records with associated unmanaged issues.
description: Description:Result set should be filtered to only include records with associated unmanaged issues.

v3 Code System QueryPriority
type: ValueSet
version: 2015-11-30
label: v3 Code System QueryPriority
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: 2015-11-30
status: active
canonical status: active
include: QueryPriority

v3 Code System QueryPriority
type: CodeSystem
label: v3 Code System QueryPriority
comment: **** MISSING DEFINITIONS ****
description: **** MISSING DEFINITIONS ****
date: Mon Nov 30 00:00:00 AEDT 2015

Deferred
sub class of: QueryPriority
label: Deferred
comment: Query response is deferred.
description: Query response is deferred.

Immediate
sub class of: QueryPriority
label: Immediate
comment: Query response is immediate.
description: Query response is immediate.

v3 Code System QueryRequestLimit
type: ValueSet
version: 2015-11-30
label: v3 Code System QueryRequestLimit
comment: Definition: Defines the units associated with the magnitude of the maximum size limit of a query response that can be accepted by the requesting application.
description: Definition: Defines the units associated with the magnitude of the maximum size limit of a query response that can be accepted by the requesting application.
date: 2015-11-30
status: active
canonical status: active
include: QueryRequestLimit

v3 Code System QueryRequestLimit
type: CodeSystem
label: v3 Code System QueryRequestLimit
comment: Definition: Defines the units associated with the magnitude of the maximum size limit of a query response that can be accepted by the requesting application.
description: Definition: Defines the units associated with the magnitude of the maximum size limit of a query response that can be accepted by the requesting application.
date: Mon Nov 30 00:00:00 AEDT 2015

QueryRequestLimit
sub class of: QueryRequestLimit
label: QueryRequestLimit
comment: Definition: The number of matching instances (number of focal classes). The document header class is the focal class of a document, a record would therefore be equal to a document.
description: Definition: The number of matching instances (number of focal classes). The document header class is the focal class of a document, a record would therefore be equal to a document.

record
sub class of: QueryRequestLimit
label: record
comment: Definition: The number of matching instances (number of focal classes). The document header class is the focal class of a document, a record would therefore be equal to a document.
description: Definition: The number of matching instances (number of focal classes). The document header class is the focal class of a document, a record would therefore be equal to a document.

v3 Code System QueryResponse
type: ValueSet
version: 2015-11-30
label: v3 Code System QueryResponse
comment: A code classifying the general nature of the response to a given query. Includes whether or not data was found, or whether an error occurred.
description: A code classifying the general nature of the response to a given query. Includes whether or not data was found, or whether an error occurred.
date: 2015-11-30
status: active
canonical status: active
include: QueryResponse

v3 Code System QueryResponse
type: CodeSystem
label: v3 Code System QueryResponse
comment: A code classifying the general nature of the response to a given query. Includes whether or not data was found, or whether an error occurred.
description: A code classifying the general nature of the response to a given query. Includes whether or not data was found, or whether an error occurred.
date: Mon Nov 30 00:00:00 AEDT 2015

ApplicationError
sub class of: QueryResponse
label: ApplicationError
comment: Query Error. Application Error.
description: Query Error. Application Error.

No data found
sub class of: QueryResponse
label: No data found
comment: No errors, but no data was found matching the query request specification.
description: No errors, but no data was found matching the query request specification.

Data found
sub class of: QueryResponse
label: Data found
comment: Query reponse data found for 1 or more result sets matching the query request specification.
description: Query reponse data found for 1 or more result sets matching the query request specification.

QueryParameterError
sub class of: QueryResponse
label: QueryParameterError
comment: QueryError. Problem with input ParmetersError
description: QueryError. Problem with input ParmetersError

v3 Code System QueryStatusCode
type: ValueSet
version: 2015-11-30
label: v3 Code System QueryStatusCode
comment: A code specifying the state of the Query.
description: A code specifying the state of the Query.
date: 2015-11-30
status: active
canonical status: active
include: QueryStatusCode

v3 Code System QueryStatusCode
type: CodeSystem
label: v3 Code System QueryStatusCode
comment: A code specifying the state of the Query.
description: A code specifying the state of the Query.
date: Mon Nov 30 00:00:00 AEDT 2015

aborted
sub class of: QueryStatusCode
label: aborted
comment: Query status aborted
description: Query status aborted

deliveredResponse
sub class of: QueryStatusCode
label: deliveredResponse
comment: Query Status delivered response
description: Query Status delivered response

executing
sub class of: QueryStatusCode
label: executing
comment: Query Status executing
description: Query Status executing

new
sub class of: QueryStatusCode
label: new
comment: Query Status new
description: Query Status new

waitContinuedQueryResponse
sub class of: QueryStatusCode
label: waitContinuedQueryResponse
comment: Query Status wait continued
description: Query Status wait continued

v3 Code System Race
type: ValueSet
version: 2015-11-30
label: v3 Code System Race
comment: In the United States, federal standards for classifying data on race determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define race, and they recognize the absence of an anthropological or scientific basis for racial classification. Instead, the federal standards acknowledge that race is a social-political construct in which an individual's own identification with one more race categories is preferred to observer identification. The standards use a variety of features to define five minimum race categories. Among these features are descent from "the original peoples" of a specified region or nation. The minimum race categories are American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White. The federal standards stipulate that race data need not be limited to the five minimum categories, but any expansion must be collapsible to those categories.
description: In the United States, federal standards for classifying data on race determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define race, and they recognize the absence of an anthropological or scientific basis for racial classification. Instead, the federal standards acknowledge that race is a social-political construct in which an individual's own identification with one more race categories is preferred to observer identification. The standards use a variety of features to define five minimum race categories. Among these features are descent from "the original peoples" of a specified region or nation. The minimum race categories are American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White. The federal standards stipulate that race data need not be limited to the five minimum categories, but any expansion must be collapsible to those categories.
date: 2015-11-30
status: active
canonical status: active
include: Race

v3 Code System Race
type: CodeSystem
label: v3 Code System Race
comment: In the United States, federal standards for classifying data on race determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define race, and they recognize the absence of an anthropological or scientific basis for racial classification. Instead, the federal standards acknowledge that race is a social-political construct in which an individual's own identification with one more race categories is preferred to observer identification. The standards use a variety of features to define five minimum race categories. Among these features are descent from "the original peoples" of a specified region or nation. The minimum race categories are American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White. The federal standards stipulate that race data need not be limited to the five minimum categories, but any expansion must be collapsible to those categories.
description: In the United States, federal standards for classifying data on race determine the categories used by federal agencies and exert a strong influence on categorization by state and local agencies and private sector organizations. The federal standards do not conceptually define race, and they recognize the absence of an anthropological or scientific basis for racial classification. Instead, the federal standards acknowledge that race is a social-political construct in which an individual's own identification with one more race categories is preferred to observer identification. The standards use a variety of features to define five minimum race categories. Among these features are descent from "the original peoples" of a specified region or nation. The minimum race categories are American Indian or Alaska Native, Asian, Black or African American, Native Hawaiian or Other Pacific Islander, and White. The federal standards stipulate that race data need not be limited to the five minimum categories, but any expansion must be collapsible to those categories.
date: Mon Nov 30 00:00:00 AEDT 2015

American Indian or Alaska Native
sub class of: Race
label: American Indian or Alaska Native
comment: American Indian or Alaska Native
description: American Indian or Alaska Native

American Indian
sub class of: American Indian or Alaska Native
label: American Indian
comment: American Indian
description: American Indian

Abenaki
sub class of: American Indian
label: Abenaki
comment: Abenaki
description: Abenaki

Algonquian
sub class of: American Indian
label: Algonquian
comment: Algonquian
description: Algonquian

Apache
sub class of: American Indian
label: Apache
comment: Apache
description: Apache

Chiricahua
sub class of: Apache
label: Chiricahua
comment: Chiricahua
description: Chiricahua

Fort Sill Apache
sub class of: Apache
label: Fort Sill Apache
comment: Fort Sill Apache
description: Fort Sill Apache

Jicarilla Apache
sub class of: Apache
label: Jicarilla Apache
comment: Jicarilla Apache
description: Jicarilla Apache

Lipan Apache
sub class of: Apache
label: Lipan Apache
comment: Lipan Apache
description: Lipan Apache

Mescalero Apache
sub class of: Apache
label: Mescalero Apache
comment: Mescalero Apache
description: Mescalero Apache

Oklahoma Apache
sub class of: Apache
label: Oklahoma Apache
comment: Oklahoma Apache
description: Oklahoma Apache

Payson Apache
sub class of: Apache
label: Payson Apache
comment: Payson Apache
description: Payson Apache

San Carlos Apache
sub class of: Apache
label: San Carlos Apache
comment: San Carlos Apache
description: San Carlos Apache

White Mountain Apache
sub class of: Apache
label: White Mountain Apache
comment: White Mountain Apache
description: White Mountain Apache

Arapaho
sub class of: American Indian
label: Arapaho
comment: Arapaho
description: Arapaho

Northern Arapaho
sub class of: Arapaho
label: Northern Arapaho
comment: Northern Arapaho
description: Northern Arapaho

Southern Arapaho
sub class of: Arapaho
label: Southern Arapaho
comment: Southern Arapaho
description: Southern Arapaho

Wind River Arapaho
sub class of: Arapaho
label: Wind River Arapaho
comment: Wind River Arapaho
description: Wind River Arapaho

Arikara
sub class of: American Indian
label: Arikara
comment: Arikara
description: Arikara

Assiniboine
sub class of: American Indian
label: Assiniboine
comment: Assiniboine
description: Assiniboine

Assiniboine Sioux
sub class of: American Indian
label: Assiniboine Sioux
comment: Assiniboine Sioux
description: Assiniboine Sioux

Fort Peck Assiniboine Sioux
sub class of: Assiniboine Sioux
label: Fort Peck Assiniboine Sioux
comment: Fort Peck Assiniboine Sioux
description: Fort Peck Assiniboine Sioux

Bannock
sub class of: American Indian
label: Bannock
comment: Bannock
description: Bannock

Blackfeet
sub class of: American Indian
label: Blackfeet
comment: Blackfeet
description: Blackfeet

Brotherton
sub class of: American Indian
label: Brotherton
comment: Brotherton
description: Brotherton

Burt Lake Band
sub class of: American Indian
label: Burt Lake Band
comment: Burt Lake Band
description: Burt Lake Band

Caddo
sub class of: American Indian
label: Caddo
comment: Caddo
description: Caddo

Oklahoma Cado
sub class of: Caddo
label: Oklahoma Cado
comment: Oklahoma Cado
description: Oklahoma Cado

Cahuilla
sub class of: American Indian
label: Cahuilla
comment: Cahuilla
description: Cahuilla

Agua Caliente Cahuilla
sub class of: Cahuilla
label: Agua Caliente Cahuilla
comment: Agua Caliente Cahuilla
description: Agua Caliente Cahuilla

Augustine
sub class of: Cahuilla
label: Augustine
comment: Augustine
description: Augustine

Cabazon
sub class of: Cahuilla
label: Cabazon
comment: Cabazon
description: Cabazon

Los Coyotes
sub class of: Cahuilla
label: Los Coyotes
comment: Los Coyotes
description: Los Coyotes

Morongo
sub class of: Cahuilla
label: Morongo
comment: Morongo
description: Morongo

Santa Rosa Cahuilla
sub class of: Cahuilla
label: Santa Rosa Cahuilla
comment: Santa Rosa Cahuilla
description: Santa Rosa Cahuilla

Torres-Martinez
sub class of: Cahuilla
label: Torres-Martinez
comment: Torres-Martinez
description: Torres-Martinez

California Tribes
sub class of: American Indian
label: California Tribes
comment: California Tribes
description: California Tribes

Cahto
sub class of: California Tribes
label: Cahto
comment: Cahto
description: Cahto

Chimariko
sub class of: California Tribes
label: Chimariko
comment: Chimariko
description: Chimariko

Coast Miwok
sub class of: California Tribes
label: Coast Miwok
comment: Coast Miwok
description: Coast Miwok

Digger
sub class of: California Tribes
label: Digger
comment: Digger
description: Digger

Kawaiisu
sub class of: California Tribes
label: Kawaiisu
comment: Kawaiisu
description: Kawaiisu

Kern River
sub class of: California Tribes
label: Kern River
comment: Kern River
description: Kern River

Mattole
sub class of: California Tribes
label: Mattole
comment: Mattole
description: Mattole

Red Wood
sub class of: California Tribes
label: Red Wood
comment: Red Wood
description: Red Wood

Santa Rosa
sub class of: California Tribes
label: Santa Rosa
comment: Santa Rosa
description: Santa Rosa

Takelma
sub class of: California Tribes
label: Takelma
comment: Takelma
description: Takelma

Wappo
sub class of: California Tribes
label: Wappo
comment: Wappo
description: Wappo

Yana
sub class of: California Tribes
label: Yana
comment: Yana
description: Yana

Yuki
sub class of: California Tribes
label: Yuki
comment: Yuki
description: Yuki

Canadian and Latin American Indian
sub class of: American Indian
label: Canadian and Latin American Indian
comment: Canadian and Latin American Indian
description: Canadian and Latin American Indian

Canadian Indian
sub class of: Canadian and Latin American Indian
label: Canadian Indian
comment: Canadian Indian
description: Canadian Indian

Central American Indian
sub class of: Canadian and Latin American Indian
label: Central American Indian
comment: Central American Indian
description: Central American Indian

French American Indian
sub class of: Canadian and Latin American Indian
label: French American Indian
comment: French American Indian
description: French American Indian

Mexican American Indian
sub class of: Canadian and Latin American Indian
label: Mexican American Indian
comment: Mexican American Indian
description: Mexican American Indian

South American Indian
sub class of: Canadian and Latin American Indian
label: South American Indian
comment: South American Indian
description: South American Indian

Spanish American Indian
sub class of: American Indian
label: Spanish American Indian
comment: Spanish American Indian
description: Spanish American Indian

Catawba
sub class of: American Indian
label: Catawba
comment: Catawba
description: Catawba

Alatna
sub class of: Catawba
label: Alatna
comment: Alatna
description: Alatna

Alexander
sub class of: Catawba
label: Alexander
comment: Alexander
description: Alexander

Allakaket
sub class of: Catawba
label: Allakaket
comment: Allakaket
description: Allakaket

Alanvik
sub class of: Catawba
label: Alanvik
comment: Alanvik
description: Alanvik

Anvik
sub class of: Catawba
label: Anvik
comment: Anvik
description: Anvik

Arctic
sub class of: Catawba
label: Arctic
comment: Arctic
description: Arctic

Beaver
sub class of: Catawba
label: Beaver
comment: Beaver
description: Beaver

Birch Creek
sub class of: Catawba
label: Birch Creek
comment: Birch Creek
description: Birch Creek

Cantwell
sub class of: Catawba
label: Cantwell
comment: Cantwell
description: Cantwell

Chalkyitsik
sub class of: Catawba
label: Chalkyitsik
comment: Chalkyitsik
description: Chalkyitsik

Chickaloon
sub class of: Catawba
label: Chickaloon
comment: Chickaloon
description: Chickaloon

Chistochina
sub class of: Catawba
label: Chistochina
comment: Chistochina
description: Chistochina

Chitina
sub class of: Catawba
label: Chitina
comment: Chitina
description: Chitina

Circle
sub class of: Catawba
label: Circle
comment: Circle
description: Circle

Cook Inlet
sub class of: Catawba
label: Cook Inlet
comment: Cook Inlet
description: Cook Inlet

Copper Center
sub class of: Catawba
label: Copper Center
comment: Copper Center
description: Copper Center

Copper River
sub class of: Catawba
label: Copper River
comment: Copper River
description: Copper River

Dot Lake
sub class of: Catawba
label: Dot Lake
comment: Dot Lake
description: Dot Lake

Doyon
sub class of: Catawba
label: Doyon
comment: Doyon
description: Doyon

Eagle
sub class of: Catawba
label: Eagle
comment: Eagle
description: Eagle

Eklutna
sub class of: Catawba
label: Eklutna
comment: Eklutna
description: Eklutna

Evansville
sub class of: Catawba
label: Evansville
comment: Evansville
description: Evansville

Fort Yukon
sub class of: Catawba
label: Fort Yukon
comment: Fort Yukon
description: Fort Yukon

Gakona
sub class of: Catawba
label: Gakona
comment: Gakona
description: Gakona

Galena
sub class of: Catawba
label: Galena
comment: Galena
description: Galena

Grayling
sub class of: Catawba
label: Grayling
comment: Grayling
description: Grayling

Gulkana
sub class of: Catawba
label: Gulkana
comment: Gulkana
description: Gulkana

Healy Lake
sub class of: Catawba
label: Healy Lake
comment: Healy Lake
description: Healy Lake

Holy Cross
sub class of: Catawba
label: Holy Cross
comment: Holy Cross
description: Holy Cross

Hughes
sub class of: Catawba
label: Hughes
comment: Hughes
description: Hughes

Huslia
sub class of: Catawba
label: Huslia
comment: Huslia
description: Huslia

Iliamna
sub class of: Catawba
label: Iliamna
comment: Iliamna
description: Iliamna

Kaltag
sub class of: Catawba
label: Kaltag
comment: Kaltag
description: Kaltag

Kluti Kaah
sub class of: Catawba
label: Kluti Kaah
comment: Kluti Kaah
description: Kluti Kaah

Knik
sub class of: Catawba
label: Knik
comment: Knik
description: Knik

Koyukuk
sub class of: Catawba
label: Koyukuk
comment: Koyukuk
description: Koyukuk

Lake Minchumina
sub class of: Catawba
label: Lake Minchumina
comment: Lake Minchumina
description: Lake Minchumina

Lime
sub class of: Catawba
label: Lime
comment: Lime
description: Lime

Mcgrath
sub class of: Catawba
label: Mcgrath
comment: Mcgrath
description: Mcgrath

Manley Hot Springs
sub class of: Catawba
label: Manley Hot Springs
comment: Manley Hot Springs
description: Manley Hot Springs

Mentasta Lake
sub class of: Catawba
label: Mentasta Lake
comment: Mentasta Lake
description: Mentasta Lake

Minto
sub class of: Catawba
label: Minto
comment: Minto
description: Minto

Nenana
sub class of: Catawba
label: Nenana
comment: Nenana
description: Nenana

Nikolai
sub class of: Catawba
label: Nikolai
comment: Nikolai
description: Nikolai

Ninilchik
sub class of: Catawba
label: Ninilchik
comment: Ninilchik
description: Ninilchik

Nondalton
sub class of: Catawba
label: Nondalton
comment: Nondalton
description: Nondalton

Northway
sub class of: Catawba
label: Northway
comment: Northway
description: Northway

Nulato
sub class of: Catawba
label: Nulato
comment: Nulato
description: Nulato

Pedro Bay
sub class of: Catawba
label: Pedro Bay
comment: Pedro Bay
description: Pedro Bay

Rampart
sub class of: Catawba
label: Rampart
comment: Rampart
description: Rampart

Ruby
sub class of: Catawba
label: Ruby
comment: Ruby
description: Ruby

Salamatof
sub class of: Catawba
label: Salamatof
comment: Salamatof
description: Salamatof

Seldovia
sub class of: Catawba
label: Seldovia
comment: Seldovia
description: Seldovia

Slana
sub class of: Catawba
label: Slana
comment: Slana
description: Slana

Shageluk
sub class of: Catawba
label: Shageluk
comment: Shageluk
description: Shageluk

Stevens
sub class of: Catawba
label: Stevens
comment: Stevens
description: Stevens

Stony River
sub class of: Catawba
label: Stony River
comment: Stony River
description: Stony River

Takotna
sub class of: Catawba
label: Takotna
comment: Takotna
description: Takotna

Tanacross
sub class of: Catawba
label: Tanacross
comment: Tanacross
description: Tanacross

Tanaina
sub class of: Catawba
label: Tanaina
comment: Tanaina
description: Tanaina

Tanana
sub class of: Catawba
label: Tanana
comment: Tanana
description: Tanana

Tanana Chiefs
sub class of: Catawba
label: Tanana Chiefs
comment: Tanana Chiefs
description: Tanana Chiefs

Tazlina
sub class of: Catawba
label: Tazlina
comment: Tazlina
description: Tazlina

Telida
sub class of: Catawba
label: Telida
comment: Telida
description: Telida

Tetlin
sub class of: Catawba
label: Tetlin
comment: Tetlin
description: Tetlin

Tok
sub class of: Catawba
label: Tok
comment: Tok
description: Tok

Tyonek
sub class of: Catawba
label: Tyonek
comment: Tyonek
description: Tyonek

Venetie
sub class of: Catawba
label: Venetie
comment: Venetie
description: Venetie

Wiseman
sub class of: Catawba
label: Wiseman
comment: Wiseman
description: Wiseman

Cayuse
sub class of: American Indian
label: Cayuse
comment: Cayuse
description: Cayuse

Chehalis
sub class of: American Indian
label: Chehalis
comment: Chehalis
description: Chehalis

Chemakuan
sub class of: American Indian
label: Chemakuan
comment: Chemakuan
description: Chemakuan

Hoh
sub class of: Chemakuan
label: Hoh
comment: Hoh
description: Hoh

Quileute
sub class of: Chemakuan
label: Quileute
comment: Quileute
description: Quileute

Chemehuevi
sub class of: American Indian
label: Chemehuevi
comment: Chemehuevi
description: Chemehuevi

Cherokee
sub class of: American Indian
label: Cherokee
comment: Cherokee
description: Cherokee

Cherokee Alabama
sub class of: Cherokee
label: Cherokee Alabama
comment: Cherokee Alabama
description: Cherokee Alabama

Cherokees of Northeast Alabama
sub class of: Cherokee
label: Cherokees of Northeast Alabama
comment: Cherokees of Northeast Alabama
description: Cherokees of Northeast Alabama

Cherokees of Southeast Alabama
sub class of: Cherokee
label: Cherokees of Southeast Alabama
comment: Cherokees of Southeast Alabama
description: Cherokees of Southeast Alabama

Eastern Cherokee
sub class of: Cherokee
label: Eastern Cherokee
comment: Eastern Cherokee
description: Eastern Cherokee

Echota Cherokee
sub class of: Cherokee
label: Echota Cherokee
comment: Echota Cherokee
description: Echota Cherokee

Etowah Cherokee
sub class of: Cherokee
label: Etowah Cherokee
comment: Etowah Cherokee
description: Etowah Cherokee

Northern Cherokee
sub class of: Cherokee
label: Northern Cherokee
comment: Northern Cherokee
description: Northern Cherokee

Tuscola
sub class of: Cherokee
label: Tuscola
comment: Tuscola
description: Tuscola

United Keetowah Band of Cherokee
sub class of: Cherokee
label: United Keetowah Band of Cherokee
comment: United Keetowah Band of Cherokee
description: United Keetowah Band of Cherokee

Western Cherokee
sub class of: Cherokee
label: Western Cherokee
comment: Western Cherokee
description: Western Cherokee

Cherokee Shawnee
sub class of: American Indian
label: Cherokee Shawnee
comment: Cherokee Shawnee
description: Cherokee Shawnee

Cheyenne
sub class of: American Indian
label: Cheyenne
comment: Cheyenne
description: Cheyenne

Northern Cheyenne
sub class of: Cheyenne
label: Northern Cheyenne
comment: Northern Cheyenne
description: Northern Cheyenne

Southern Cheyenne
sub class of: Cheyenne
label: Southern Cheyenne
comment: Southern Cheyenne
description: Southern Cheyenne

Cheyenne-Arapaho
sub class of: American Indian
label: Cheyenne-Arapaho
comment: Cheyenne-Arapaho
description: Cheyenne-Arapaho

Chickahominy
sub class of: American Indian
label: Chickahominy
comment: Chickahominy
description: Chickahominy

Eastern Chickahominy
sub class of: Chickahominy
label: Eastern Chickahominy
comment: Eastern Chickahominy
description: Eastern Chickahominy

Western Chickahominy
sub class of: Chickahominy
label: Western Chickahominy
comment: Western Chickahominy
description: Western Chickahominy

Chickasaw
sub class of: American Indian
label: Chickasaw
comment: Chickasaw
description: Chickasaw

Chinook
sub class of: American Indian
label: Chinook
comment: Chinook
description: Chinook

Clatsop
sub class of: Chinook
label: Clatsop
comment: Clatsop
description: Clatsop

Columbia River Chinook
sub class of: Chinook
label: Columbia River Chinook
comment: Columbia River Chinook
description: Columbia River Chinook

Kathlamet
sub class of: Chinook
label: Kathlamet
comment: Kathlamet
description: Kathlamet

Upper Chinook
sub class of: Chinook
label: Upper Chinook
comment: Upper Chinook
description: Upper Chinook

Wakiakum Chinook
sub class of: Chinook
label: Wakiakum Chinook
comment: Wakiakum Chinook
description: Wakiakum Chinook

Willapa Chinook
sub class of: Chinook
label: Willapa Chinook
comment: Willapa Chinook
description: Willapa Chinook

Wishram
sub class of: Chinook
label: Wishram
comment: Wishram
description: Wishram

Chippewa
sub class of: American Indian
label: Chippewa
comment: Chippewa
description: Chippewa

Bad River
sub class of: Chippewa
label: Bad River
comment: Bad River
description: Bad River

Bay Mills Chippewa
sub class of: Chippewa
label: Bay Mills Chippewa
comment: Bay Mills Chippewa
description: Bay Mills Chippewa

Bois Forte
sub class of: Chippewa
label: Bois Forte
comment: Bois Forte
description: Bois Forte

Burt Lake Chippewa
sub class of: Chippewa
label: Burt Lake Chippewa
comment: Burt Lake Chippewa
description: Burt Lake Chippewa

Fond du Lac
sub class of: Chippewa
label: Fond du Lac
comment: Fond du Lac
description: Fond du Lac

Grand Portage
sub class of: Chippewa
label: Grand Portage
comment: Grand Portage
description: Grand Portage

Grand Traverse Band of Ottawa-Chippewa
sub class of: Chippewa
label: Grand Traverse Band of Ottawa-Chippewa
comment: Grand Traverse Band of Ottawa-Chippewa
description: Grand Traverse Band of Ottawa-Chippewa

Keweenaw
sub class of: Chippewa
label: Keweenaw
comment: Keweenaw
description: Keweenaw

Lac Courte Oreilles
sub class of: Chippewa
label: Lac Courte Oreilles
comment: Lac Courte Oreilles
description: Lac Courte Oreilles

Lac du Flambeau
sub class of: Chippewa
label: Lac du Flambeau
comment: Lac du Flambeau
description: Lac du Flambeau

Lac Vieux Desert Chippewa
sub class of: Chippewa
label: Lac Vieux Desert Chippewa
comment: Lac Vieux Desert Chippewa
description: Lac Vieux Desert Chippewa

Lake Superior
sub class of: Chippewa
label: Lake Superior
comment: Lake Superior
description: Lake Superior

Leech Lake
sub class of: Chippewa
label: Leech Lake
comment: Leech Lake
description: Leech Lake

Little Shell Chippewa
sub class of: Chippewa
label: Little Shell Chippewa
comment: Little Shell Chippewa
description: Little Shell Chippewa

Mille Lacs
sub class of: Chippewa
label: Mille Lacs
comment: Mille Lacs
description: Mille Lacs

Minnesota Chippewa
sub class of: Chippewa
label: Minnesota Chippewa
comment: Minnesota Chippewa
description: Minnesota Chippewa

Ontonagon
sub class of: Chippewa
label: Ontonagon
comment: Ontonagon
description: Ontonagon

Red Cliff Chippewa
sub class of: Chippewa
label: Red Cliff Chippewa
comment: Red Cliff Chippewa
description: Red Cliff Chippewa

Red Lake Chippewa
sub class of: Chippewa
label: Red Lake Chippewa
comment: Red Lake Chippewa
description: Red Lake Chippewa

Saginaw Chippewa
sub class of: Chippewa
label: Saginaw Chippewa
comment: Saginaw Chippewa
description: Saginaw Chippewa

St. Croix Chippewa
sub class of: Chippewa
label: St. Croix Chippewa
comment: St. Croix Chippewa
description: St. Croix Chippewa

Sault Ste. Marie Chippewa
sub class of: Chippewa
label: Sault Ste. Marie Chippewa
comment: Sault Ste. Marie Chippewa
description: Sault Ste. Marie Chippewa

Sokoagon Chippewa
sub class of: Chippewa
label: Sokoagon Chippewa
comment: Sokoagon Chippewa
description: Sokoagon Chippewa

Turtle Mountain
sub class of: Chippewa
label: Turtle Mountain
comment: Turtle Mountain
description: Turtle Mountain

White Earth
sub class of: Chippewa
label: White Earth
comment: White Earth
description: White Earth

Chippewa Cree
sub class of: American Indian
label: Chippewa Cree
comment: Chippewa Cree
description: Chippewa Cree

Rocky Boy's Chippewa Cree
sub class of: Chippewa Cree
label: Rocky Boy's Chippewa Cree
comment: Rocky Boy's Chippewa Cree
description: Rocky Boy's Chippewa Cree

Chitimacha
sub class of: American Indian
label: Chitimacha
comment: Chitimacha
description: Chitimacha

Choctaw
sub class of: American Indian
label: Choctaw
comment: Choctaw
description: Choctaw

Clifton Choctaw
sub class of: Choctaw
label: Clifton Choctaw
comment: Clifton Choctaw
description: Clifton Choctaw

Jena Choctaw
sub class of: Choctaw
label: Jena Choctaw
comment: Jena Choctaw
description: Jena Choctaw

Mississippi Choctaw
sub class of: Choctaw
label: Mississippi Choctaw
comment: Mississippi Choctaw
description: Mississippi Choctaw

Mowa Band of Choctaw
sub class of: Choctaw
label: Mowa Band of Choctaw
comment: Mowa Band of Choctaw
description: Mowa Band of Choctaw

Oklahoma Choctaw
sub class of: Choctaw
label: Oklahoma Choctaw
comment: Oklahoma Choctaw
description: Oklahoma Choctaw

Chumash
sub class of: American Indian
label: Chumash
comment: Chumash
description: Chumash

Santa Ynez
sub class of: Chumash
label: Santa Ynez
comment: Santa Ynez
description: Santa Ynez

Clear Lake
sub class of: American Indian
label: Clear Lake
comment: Clear Lake
description: Clear Lake

Coeur D'Alene
sub class of: American Indian
label: Coeur D'Alene
comment: Coeur D'Alene
description: Coeur D'Alene

Coharie
sub class of: American Indian
label: Coharie
comment: Coharie
description: Coharie

Colorado River
sub class of: American Indian
label: Colorado River
comment: Colorado River
description: Colorado River

Colville
sub class of: American Indian
label: Colville
comment: Colville
description: Colville

Comanche
sub class of: American Indian
label: Comanche
comment: Comanche
description: Comanche

Oklahoma Comanche
sub class of: Comanche
label: Oklahoma Comanche
comment: Oklahoma Comanche
description: Oklahoma Comanche

Coos, Lower Umpqua, Siuslaw
sub class of: American Indian
label: Coos, Lower Umpqua, Siuslaw
comment: Coos, Lower Umpqua, Siuslaw
description: Coos, Lower Umpqua, Siuslaw

Coos
sub class of: American Indian
label: Coos
comment: Coos
description: Coos

Coquilles
sub class of: American Indian
label: Coquilles
comment: Coquilles
description: Coquilles

Costanoan
sub class of: American Indian
label: Costanoan
comment: Costanoan
description: Costanoan

Coushatta
sub class of: American Indian
label: Coushatta
comment: Coushatta
description: Coushatta

Alabama Coushatta
sub class of: Coushatta
label: Alabama Coushatta
comment: Alabama Coushatta
description: Alabama Coushatta

Cowlitz
sub class of: American Indian
label: Cowlitz
comment: Cowlitz
description: Cowlitz

Cree
sub class of: American Indian
label: Cree
comment: Cree
description: Cree

Creek
sub class of: American Indian
label: Creek
comment: Creek
description: Creek

Alabama Creek
sub class of: Creek
label: Alabama Creek
comment: Alabama Creek
description: Alabama Creek

Alabama Quassarte
sub class of: Creek
label: Alabama Quassarte
comment: Alabama Quassarte
description: Alabama Quassarte

Eastern Creek
sub class of: Creek
label: Eastern Creek
comment: Eastern Creek
description: Eastern Creek

Eastern Muscogee
sub class of: Creek
label: Eastern Muscogee
comment: Eastern Muscogee
description: Eastern Muscogee

Kialegee
sub class of: Creek
label: Kialegee
comment: Kialegee
description: Kialegee

Lower Muscogee
sub class of: Creek
label: Lower Muscogee
comment: Lower Muscogee
description: Lower Muscogee

Machis Lower Creek Indian
sub class of: Creek
label: Machis Lower Creek Indian
comment: Machis Lower Creek Indian
description: Machis Lower Creek Indian

Poarch Band
sub class of: Creek
label: Poarch Band
comment: Poarch Band
description: Poarch Band

Principal Creek Indian Nation
sub class of: Creek
label: Principal Creek Indian Nation
comment: Principal Creek Indian Nation
description: Principal Creek Indian Nation

Star Clan of Muscogee Creeks
sub class of: Creek
label: Star Clan of Muscogee Creeks
comment: Star Clan of Muscogee Creeks
description: Star Clan of Muscogee Creeks

Thlopthlocco
sub class of: Creek
label: Thlopthlocco
comment: Thlopthlocco
description: Thlopthlocco

Tuckabachee
sub class of: Creek
label: Tuckabachee
comment: Tuckabachee
description: Tuckabachee

Croatan
sub class of: American Indian
label: Croatan
comment: Croatan
description: Croatan

Crow
sub class of: American Indian
label: Crow
comment: Crow
description: Crow

Cupeno
sub class of: American Indian
label: Cupeno
comment: Cupeno
description: Cupeno

Agua Caliente
sub class of: Cupeno
label: Agua Caliente
comment: Agua Caliente
description: Agua Caliente

Delaware
sub class of: American Indian
label: Delaware
comment: Delaware
description: Delaware

Eastern Delaware
sub class of: Delaware
label: Eastern Delaware
comment: Eastern Delaware
description: Eastern Delaware

Lenni-Lenape
sub class of: Delaware
label: Lenni-Lenape
comment: Lenni-Lenape
description: Lenni-Lenape

Munsee
sub class of: Delaware
label: Munsee
comment: Munsee
description: Munsee

Oklahoma Delaware
sub class of: Delaware
label: Oklahoma Delaware
comment: Oklahoma Delaware
description: Oklahoma Delaware

Rampough Mountain
sub class of: Delaware
label: Rampough Mountain
comment: Rampough Mountain
description: Rampough Mountain

Sand Hill
sub class of: Delaware
label: Sand Hill
comment: Sand Hill
description: Sand Hill

Diegueno
sub class of: American Indian
label: Diegueno
comment: Diegueno
description: Diegueno

Campo
sub class of: Diegueno
label: Campo
comment: Campo
description: Campo

Capitan Grande
sub class of: Diegueno
label: Capitan Grande
comment: Capitan Grande
description: Capitan Grande

Cuyapaipe
sub class of: Diegueno
label: Cuyapaipe
comment: Cuyapaipe
description: Cuyapaipe

La Posta
sub class of: Diegueno
label: La Posta
comment: La Posta
description: La Posta

Manzanita
sub class of: Diegueno
label: Manzanita
comment: Manzanita
description: Manzanita

Mesa Grande
sub class of: Diegueno
label: Mesa Grande
comment: Mesa Grande
description: Mesa Grande

San Pasqual
sub class of: Diegueno
label: San Pasqual
comment: San Pasqual
description: San Pasqual

Santa Ysabel
sub class of: Diegueno
label: Santa Ysabel
comment: Santa Ysabel
description: Santa Ysabel

Sycuan
sub class of: Diegueno
label: Sycuan
comment: Sycuan
description: Sycuan

Eastern Tribes
sub class of: American Indian
label: Eastern Tribes
comment: Eastern Tribes
description: Eastern Tribes

Attacapa
sub class of: Eastern Tribes
label: Attacapa
comment: Attacapa
description: Attacapa

Biloxi
sub class of: Eastern Tribes
label: Biloxi
comment: Biloxi
description: Biloxi

Georgetown
sub class of: Eastern Tribes
label: Georgetown
comment: Georgetown
description: Georgetown

Moor
sub class of: Eastern Tribes
label: Moor
comment: Moor
description: Moor

Nansemond
sub class of: Eastern Tribes
label: Nansemond
comment: Nansemond
description: Nansemond

Natchez
sub class of: Eastern Tribes
label: Natchez
comment: Natchez
description: Natchez

Nausu Waiwash
sub class of: Eastern Tribes
label: Nausu Waiwash
comment: Nausu Waiwash
description: Nausu Waiwash

Nipmuc
sub class of: Eastern Tribes
label: Nipmuc
comment: Nipmuc
description: Nipmuc

Paugussett
sub class of: Eastern Tribes
label: Paugussett
comment: Paugussett
description: Paugussett

Pocomoke Acohonock
sub class of: Eastern Tribes
label: Pocomoke Acohonock
comment: Pocomoke Acohonock
description: Pocomoke Acohonock

Southeastern Indians
sub class of: Eastern Tribes
label: Southeastern Indians
comment: Southeastern Indians
description: Southeastern Indians

Susquehanock
sub class of: Eastern Tribes
label: Susquehanock
comment: Susquehanock
description: Susquehanock

Tunica Biloxi
sub class of: Eastern Tribes
label: Tunica Biloxi
comment: Tunica Biloxi
description: Tunica Biloxi

Waccamaw-Siousan
sub class of: Eastern Tribes
label: Waccamaw-Siousan
comment: Waccamaw-Siousan
description: Waccamaw-Siousan

Wicomico
sub class of: Eastern Tribes
label: Wicomico
comment: Wicomico
description: Wicomico

Esselen
sub class of: American Indian
label: Esselen
comment: Esselen
description: Esselen

Fort Belknap
sub class of: American Indian
label: Fort Belknap
comment: Fort Belknap
description: Fort Belknap

Fort Berthold
sub class of: American Indian
label: Fort Berthold
comment: Fort Berthold
description: Fort Berthold

Fort Mcdowell
sub class of: American Indian
label: Fort Mcdowell
comment: Fort Mcdowell
description: Fort Mcdowell

Fort Hall
sub class of: American Indian
label: Fort Hall
comment: Fort Hall
description: Fort Hall

Gabrieleno
sub class of: American Indian
label: Gabrieleno
comment: Gabrieleno
description: Gabrieleno

Grand Ronde
sub class of: American Indian
label: Grand Ronde
comment: Grand Ronde
description: Grand Ronde

Gros Ventres
sub class of: American Indian
label: Gros Ventres
comment: Gros Ventres
description: Gros Ventres

Atsina
sub class of: Gros Ventres
label: Atsina
comment: Atsina
description: Atsina

Haliwa
sub class of: American Indian
label: Haliwa
comment: Haliwa
description: Haliwa

Hidatsa
sub class of: American Indian
label: Hidatsa
comment: Hidatsa
description: Hidatsa

Hoopa
sub class of: American Indian
label: Hoopa
comment: Hoopa
description: Hoopa

Trinity
sub class of: Hoopa
label: Trinity
comment: Trinity
description: Trinity

Whilkut
sub class of: Hoopa
label: Whilkut
comment: Whilkut
description: Whilkut

Hoopa Extension
sub class of: American Indian
label: Hoopa Extension
comment: Hoopa Extension
description: Hoopa Extension

Houma
sub class of: American Indian
label: Houma
comment: Houma
description: Houma

Inaja-Cosmit
sub class of: American Indian
label: Inaja-Cosmit
comment: Inaja-Cosmit
description: Inaja-Cosmit

Iowa
sub class of: American Indian
label: Iowa
comment: Iowa
description: Iowa

Iowa of Kansas-Nebraska
sub class of: Iowa
label: Iowa of Kansas-Nebraska
comment: Iowa of Kansas-Nebraska
description: Iowa of Kansas-Nebraska

Iowa of Oklahoma
sub class of: Iowa
label: Iowa of Oklahoma
comment: Iowa of Oklahoma
description: Iowa of Oklahoma

Iroquois
sub class of: American Indian
label: Iroquois
comment: Iroquois
description: Iroquois

Cayuga
sub class of: Iroquois
label: Cayuga
comment: Cayuga
description: Cayuga

Mohawk
sub class of: Iroquois
label: Mohawk
comment: Mohawk
description: Mohawk

Oneida
sub class of: Iroquois
label: Oneida
comment: Oneida
description: Oneida

Onondaga
sub class of: Iroquois
label: Onondaga
comment: Onondaga
description: Onondaga

Seneca
sub class of: Iroquois
label: Seneca
comment: Seneca
description: Seneca

Seneca Nation
sub class of: Iroquois
label: Seneca Nation
comment: Seneca Nation
description: Seneca Nation

Seneca-Cayuga
sub class of: Iroquois
label: Seneca-Cayuga
comment: Seneca-Cayuga
description: Seneca-Cayuga

Tonawanda Seneca
sub class of: Iroquois
label: Tonawanda Seneca
comment: Tonawanda Seneca
description: Tonawanda Seneca

Tuscarora
sub class of: Iroquois
label: Tuscarora
comment: Tuscarora
description: Tuscarora

Wyandotte
sub class of: Iroquois
label: Wyandotte
comment: Wyandotte
description: Wyandotte

Juaneno
sub class of: American Indian
label: Juaneno
comment: Juaneno
description: Juaneno

Kalispel
sub class of: American Indian
label: Kalispel
comment: Kalispel
description: Kalispel

Karuk
sub class of: American Indian
label: Karuk
comment: Karuk
description: Karuk

Kaw
sub class of: American Indian
label: Kaw
comment: Kaw
description: Kaw

Kickapoo
sub class of: American Indian
label: Kickapoo
comment: Kickapoo
description: Kickapoo

Oklahoma Kickapoo
sub class of: Kickapoo
label: Oklahoma Kickapoo
comment: Oklahoma Kickapoo
description: Oklahoma Kickapoo

Texas Kickapoo
sub class of: Kickapoo
label: Texas Kickapoo
comment: Texas Kickapoo
description: Texas Kickapoo

Kiowa
sub class of: American Indian
label: Kiowa
comment: Kiowa
description: Kiowa

Oklahoma Kiowa
sub class of: Kiowa
label: Oklahoma Kiowa
comment: Oklahoma Kiowa
description: Oklahoma Kiowa

Klallam
sub class of: American Indian
label: Klallam
comment: Klallam
description: Klallam

Jamestown
sub class of: Klallam
label: Jamestown
comment: Jamestown
description: Jamestown

Lower Elwha
sub class of: Klallam
label: Lower Elwha
comment: Lower Elwha
description: Lower Elwha

Port Gamble Klallam
sub class of: Klallam
label: Port Gamble Klallam
comment: Port Gamble Klallam
description: Port Gamble Klallam

Klamath
sub class of: American Indian
label: Klamath
comment: Klamath
description: Klamath

Konkow
sub class of: American Indian
label: Konkow
comment: Konkow
description: Konkow

Kootenai
sub class of: American Indian
label: Kootenai
comment: Kootenai
description: Kootenai

Lassik
sub class of: American Indian
label: Lassik
comment: Lassik
description: Lassik

Long Island
sub class of: American Indian
label: Long Island
comment: Long Island
description: Long Island

Matinecock
sub class of: Long Island
label: Matinecock
comment: Matinecock
description: Matinecock

Montauk
sub class of: Long Island
label: Montauk
comment: Montauk
description: Montauk

Poospatuck
sub class of: Long Island
label: Poospatuck
comment: Poospatuck
description: Poospatuck

Setauket
sub class of: Long Island
label: Setauket
comment: Setauket
description: Setauket

Luiseno
sub class of: American Indian
label: Luiseno
comment: Luiseno
description: Luiseno

La Jolla
sub class of: Luiseno
label: La Jolla
comment: La Jolla
description: La Jolla

Pala
sub class of: Luiseno
label: Pala
comment: Pala
description: Pala

Pauma
sub class of: Luiseno
label: Pauma
comment: Pauma
description: Pauma

Pechanga
sub class of: Luiseno
label: Pechanga
comment: Pechanga
description: Pechanga

Soboba
sub class of: Luiseno
label: Soboba
comment: Soboba
description: Soboba

Twenty-Nine Palms
sub class of: Luiseno
label: Twenty-Nine Palms
comment: Twenty-Nine Palms
description: Twenty-Nine Palms

Temecula
sub class of: Luiseno
label: Temecula
comment: Temecula
description: Temecula

Lumbee
sub class of: American Indian
label: Lumbee
comment: Lumbee
description: Lumbee

Lummi
sub class of: American Indian
label: Lummi
comment: Lummi
description: Lummi

Maidu
sub class of: American Indian
label: Maidu
comment: Maidu
description: Maidu

Mountain Maidu
sub class of: Maidu
label: Mountain Maidu
comment: Mountain Maidu
description: Mountain Maidu

Nishinam
sub class of: Maidu
label: Nishinam
comment: Nishinam
description: Nishinam

Makah
sub class of: American Indian
label: Makah
comment: Makah
description: Makah

Maliseet
sub class of: American Indian
label: Maliseet
comment: Maliseet
description: Maliseet

Mandan
sub class of: American Indian
label: Mandan
comment: Mandan
description: Mandan

Mattaponi
sub class of: American Indian
label: Mattaponi
comment: Mattaponi
description: Mattaponi

Menominee
sub class of: American Indian
label: Menominee
comment: Menominee
description: Menominee

Miami
sub class of: American Indian
label: Miami
comment: Miami
description: Miami

Illinois Miami
sub class of: Miami
label: Illinois Miami
comment: Illinois Miami
description: Illinois Miami

Indiana Miami
sub class of: Miami
label: Indiana Miami
comment: Indiana Miami
description: Indiana Miami

Oklahoma Miami
sub class of: Miami
label: Oklahoma Miami
comment: Oklahoma Miami
description: Oklahoma Miami

Miccosukee
sub class of: American Indian
label: Miccosukee
comment: Miccosukee
description: Miccosukee

Micmac
sub class of: American Indian
label: Micmac
comment: Micmac
description: Micmac

Aroostook
sub class of: Micmac
label: Aroostook
comment: Aroostook
description: Aroostook

Mission Indians
sub class of: American Indian
label: Mission Indians
comment: Mission Indians
description: Mission Indians

Miwok
sub class of: American Indian
label: Miwok
comment: Miwok
description: Miwok

Modoc
sub class of: American Indian
label: Modoc
comment: Modoc
description: Modoc

Mohegan
sub class of: American Indian
label: Mohegan
comment: Mohegan
description: Mohegan

Mono
sub class of: American Indian
label: Mono
comment: Mono
description: Mono

Nanticoke
sub class of: American Indian
label: Nanticoke
comment: Nanticoke
description: Nanticoke

Narragansett
sub class of: American Indian
label: Narragansett
comment: Narragansett
description: Narragansett

Navajo
sub class of: American Indian
label: Navajo
comment: Navajo
description: Navajo

Alamo Navajo
sub class of: Navajo
label: Alamo Navajo
comment: Alamo Navajo
description: Alamo Navajo

Canoncito Navajo
sub class of: Navajo
label: Canoncito Navajo
comment: Canoncito Navajo
description: Canoncito Navajo

Ramah Navajo
sub class of: Navajo
label: Ramah Navajo
comment: Ramah Navajo
description: Ramah Navajo

Nez Perce
sub class of: American Indian
label: Nez Perce
comment: Nez Perce
description: Nez Perce

Nomalaki
sub class of: American Indian
label: Nomalaki
comment: Nomalaki
description: Nomalaki

Northwest Tribes
sub class of: American Indian
label: Northwest Tribes
comment: Northwest Tribes
description: Northwest Tribes

Alsea
sub class of: Northwest Tribes
label: Alsea
comment: Alsea
description: Alsea

Celilo
sub class of: Northwest Tribes
label: Celilo
comment: Celilo
description: Celilo

Columbia
sub class of: Northwest Tribes
label: Columbia
comment: Columbia
description: Columbia

Kalapuya
sub class of: Northwest Tribes
label: Kalapuya
comment: Kalapuya
description: Kalapuya

Molala
sub class of: Northwest Tribes
label: Molala
comment: Molala
description: Molala

Talakamish
sub class of: Northwest Tribes
label: Talakamish
comment: Talakamish
description: Talakamish

Tenino
sub class of: Northwest Tribes
label: Tenino
comment: Tenino
description: Tenino

Tillamook
sub class of: Northwest Tribes
label: Tillamook
comment: Tillamook
description: Tillamook

Wenatchee
sub class of: Northwest Tribes
label: Wenatchee
comment: Wenatchee
description: Wenatchee

Yahooskin
sub class of: Northwest Tribes
label: Yahooskin
comment: Yahooskin
description: Yahooskin

Omaha
sub class of: American Indian
label: Omaha
comment: Omaha
description: Omaha

Oregon Athabaskan
sub class of: American Indian
label: Oregon Athabaskan
comment: Oregon Athabaskan
description: Oregon Athabaskan

Osage
sub class of: American Indian
label: Osage
comment: Osage
description: Osage

Otoe-Missouria
sub class of: American Indian
label: Otoe-Missouria
comment: Otoe-Missouria
description: Otoe-Missouria

Ottawa
sub class of: American Indian
label: Ottawa
comment: Ottawa
description: Ottawa

Burt Lake Ottawa
sub class of: Ottawa
label: Burt Lake Ottawa
comment: Burt Lake Ottawa
description: Burt Lake Ottawa

Michigan Ottawa
sub class of: Ottawa
label: Michigan Ottawa
comment: Michigan Ottawa
description: Michigan Ottawa

Oklahoma Ottawa
sub class of: Ottawa
label: Oklahoma Ottawa
comment: Oklahoma Ottawa
description: Oklahoma Ottawa

Paiute
sub class of: American Indian
label: Paiute
comment: Paiute
description: Paiute

Bishop
sub class of: Paiute
label: Bishop
comment: Bishop
description: Bishop

Bridgeport
sub class of: Paiute
label: Bridgeport
comment: Bridgeport
description: Bridgeport

Burns Paiute
sub class of: Paiute
label: Burns Paiute
comment: Burns Paiute
description: Burns Paiute

Cedarville
sub class of: Paiute
label: Cedarville
comment: Cedarville
description: Cedarville

Fort Bidwell
sub class of: Paiute
label: Fort Bidwell
comment: Fort Bidwell
description: Fort Bidwell

Fort Independence
sub class of: Paiute
label: Fort Independence
comment: Fort Independence
description: Fort Independence

Kaibab
sub class of: Paiute
label: Kaibab
comment: Kaibab
description: Kaibab

Las Vegas
sub class of: Paiute
label: Las Vegas
comment: Las Vegas
description: Las Vegas

Lone Pine
sub class of: Paiute
label: Lone Pine
comment: Lone Pine
description: Lone Pine

Lovelock
sub class of: Paiute
label: Lovelock
comment: Lovelock
description: Lovelock

Malheur Paiute
sub class of: Paiute
label: Malheur Paiute
comment: Malheur Paiute
description: Malheur Paiute

Moapa
sub class of: Paiute
label: Moapa
comment: Moapa
description: Moapa

Northern Paiute
sub class of: Paiute
label: Northern Paiute
comment: Northern Paiute
description: Northern Paiute

Owens Valley
sub class of: Paiute
label: Owens Valley
comment: Owens Valley
description: Owens Valley

Pyramid Lake
sub class of: Paiute
label: Pyramid Lake
comment: Pyramid Lake
description: Pyramid Lake

San Juan Southern Paiute
sub class of: Paiute
label: San Juan Southern Paiute
comment: San Juan Southern Paiute
description: San Juan Southern Paiute

Southern Paiute
sub class of: Paiute
label: Southern Paiute
comment: Southern Paiute
description: Southern Paiute

Summit Lake
sub class of: Paiute
label: Summit Lake
comment: Summit Lake
description: Summit Lake

Utu Utu Gwaitu Paiute
sub class of: Paiute
label: Utu Utu Gwaitu Paiute
comment: Utu Utu Gwaitu Paiute
description: Utu Utu Gwaitu Paiute

Walker River
sub class of: Paiute
label: Walker River
comment: Walker River
description: Walker River

Yerington Paiute
sub class of: Paiute
label: Yerington Paiute
comment: Yerington Paiute
description: Yerington Paiute

Pamunkey
sub class of: American Indian
label: Pamunkey
comment: Pamunkey
description: Pamunkey

Passamaquoddy
sub class of: American Indian
label: Passamaquoddy
comment: Passamaquoddy
description: Passamaquoddy

Indian Township
sub class of: Passamaquoddy
label: Indian Township
comment: Indian Township
description: Indian Township

Pleasant Point Passamaquoddy
sub class of: Passamaquoddy
label: Pleasant Point Passamaquoddy
comment: Pleasant Point Passamaquoddy
description: Pleasant Point Passamaquoddy

Pawnee
sub class of: American Indian
label: Pawnee
comment: Pawnee
description: Pawnee

Oklahoma Pawnee
sub class of: Pawnee
label: Oklahoma Pawnee
comment: Oklahoma Pawnee
description: Oklahoma Pawnee

Penobscot
sub class of: American Indian
label: Penobscot
comment: Penobscot
description: Penobscot

Peoria
sub class of: American Indian
label: Peoria
comment: Peoria
description: Peoria

Oklahoma Peoria
sub class of: Peoria
label: Oklahoma Peoria
comment: Oklahoma Peoria
description: Oklahoma Peoria

Pequot
sub class of: American Indian
label: Pequot
comment: Pequot
description: Pequot

Marshantucket Pequot
sub class of: Pequot
label: Marshantucket Pequot
comment: Marshantucket Pequot
description: Marshantucket Pequot

Pima
sub class of: American Indian
label: Pima
comment: Pima
description: Pima

Gila River Pima-Maricopa
sub class of: Pima
label: Gila River Pima-Maricopa
comment: Gila River Pima-Maricopa
description: Gila River Pima-Maricopa

Salt River Pima-Maricopa
sub class of: Pima
label: Salt River Pima-Maricopa
comment: Salt River Pima-Maricopa
description: Salt River Pima-Maricopa

Piscataway
sub class of: American Indian
label: Piscataway
comment: Piscataway
description: Piscataway

Pit River
sub class of: American Indian
label: Pit River
comment: Pit River
description: Pit River

Pomo
sub class of: American Indian
label: Pomo
comment: Pomo
description: Pomo

Central Pomo
sub class of: Pomo
label: Central Pomo
comment: Central Pomo
description: Central Pomo

Dry Creek
sub class of: Pomo
label: Dry Creek
comment: Dry Creek
description: Dry Creek

Eastern Pomo
sub class of: Pomo
label: Eastern Pomo
comment: Eastern Pomo
description: Eastern Pomo

Kashia
sub class of: Pomo
label: Kashia
comment: Kashia
description: Kashia

Northern Pomo
sub class of: Pomo
label: Northern Pomo
comment: Northern Pomo
description: Northern Pomo

Scotts Valley
sub class of: Pomo
label: Scotts Valley
comment: Scotts Valley
description: Scotts Valley

Stonyford
sub class of: Pomo
label: Stonyford
comment: Stonyford
description: Stonyford

Sulphur Bank
sub class of: Pomo
label: Sulphur Bank
comment: Sulphur Bank
description: Sulphur Bank

Ponca
sub class of: American Indian
label: Ponca
comment: Ponca
description: Ponca

Nebraska Ponca
sub class of: Ponca
label: Nebraska Ponca
comment: Nebraska Ponca
description: Nebraska Ponca

Oklahoma Ponca
sub class of: Ponca
label: Oklahoma Ponca
comment: Oklahoma Ponca
description: Oklahoma Ponca

Potawatomi
sub class of: American Indian
label: Potawatomi
comment: Potawatomi
description: Potawatomi

Citizen Band Potawatomi
sub class of: Potawatomi
label: Citizen Band Potawatomi
comment: Citizen Band Potawatomi
description: Citizen Band Potawatomi

Forest County
sub class of: Potawatomi
label: Forest County
comment: Forest County
description: Forest County

Hannahville
sub class of: Potawatomi
label: Hannahville
comment: Hannahville
description: Hannahville

Huron Potawatomi
sub class of: Potawatomi
label: Huron Potawatomi
comment: Huron Potawatomi
description: Huron Potawatomi

Pokagon Potawatomi
sub class of: Potawatomi
label: Pokagon Potawatomi
comment: Pokagon Potawatomi
description: Pokagon Potawatomi

Prairie Band
sub class of: Potawatomi
label: Prairie Band
comment: Prairie Band
description: Prairie Band

Wisconsin Potawatomi
sub class of: Potawatomi
label: Wisconsin Potawatomi
comment: Wisconsin Potawatomi
description: Wisconsin Potawatomi

Powhatan
sub class of: American Indian
label: Powhatan
comment: Powhatan
description: Powhatan

Pueblo
sub class of: American Indian
label: Pueblo
comment: Pueblo
description: Pueblo

Acoma
sub class of: Pueblo
label: Acoma
comment: Acoma
description: Acoma

Arizona Tewa
sub class of: Pueblo
label: Arizona Tewa
comment: Arizona Tewa
description: Arizona Tewa

Cochiti
sub class of: Pueblo
label: Cochiti
comment: Cochiti
description: Cochiti

Hopi
sub class of: Pueblo
label: Hopi
comment: Hopi
description: Hopi

Isleta
sub class of: Pueblo
label: Isleta
comment: Isleta
description: Isleta

Jemez
sub class of: Pueblo
label: Jemez
comment: Jemez
description: Jemez

Keres
sub class of: Pueblo
label: Keres
comment: Keres
description: Keres

Laguna
sub class of: Pueblo
label: Laguna
comment: Laguna
description: Laguna

Nambe
sub class of: Pueblo
label: Nambe
comment: Nambe
description: Nambe

Picuris
sub class of: Pueblo
label: Picuris
comment: Picuris
description: Picuris

Piro
sub class of: Pueblo
label: Piro
comment: Piro
description: Piro

Pojoaque
sub class of: Pueblo
label: Pojoaque
comment: Pojoaque
description: Pojoaque

San Felipe
sub class of: Pueblo
label: San Felipe
comment: San Felipe
description: San Felipe

San Ildefonso
sub class of: Pueblo
label: San Ildefonso
comment: San Ildefonso
description: San Ildefonso

San Juan Pueblo
sub class of: Pueblo
label: San Juan Pueblo
comment: San Juan Pueblo
description: San Juan Pueblo

San Juan De
sub class of: Pueblo
label: San Juan De
comment: San Juan De
description: San Juan De

San Juan
sub class of: Pueblo
label: San Juan
comment: San Juan
description: San Juan

Sandia
sub class of: Pueblo
label: Sandia
comment: Sandia
description: Sandia

Santa Ana
sub class of: Pueblo
label: Santa Ana
comment: Santa Ana
description: Santa Ana

Santa Clara
sub class of: Pueblo
label: Santa Clara
comment: Santa Clara
description: Santa Clara

Santo Domingo
sub class of: Pueblo
label: Santo Domingo
comment: Santo Domingo
description: Santo Domingo

Taos
sub class of: Pueblo
label: Taos
comment: Taos
description: Taos

Tesuque
sub class of: Pueblo
label: Tesuque
comment: Tesuque
description: Tesuque

Tewa
sub class of: Pueblo
label: Tewa
comment: Tewa
description: Tewa

Tigua
sub class of: Pueblo
label: Tigua
comment: Tigua
description: Tigua

Zia
sub class of: Pueblo
label: Zia
comment: Zia
description: Zia

Zuni
sub class of: Pueblo
label: Zuni
comment: Zuni
description: Zuni

Puget Sound Salish
sub class of: American Indian
label: Puget Sound Salish
comment: Puget Sound Salish
description: Puget Sound Salish

Duwamish
sub class of: Puget Sound Salish
label: Duwamish
comment: Duwamish
description: Duwamish

Kikiallus
sub class of: Puget Sound Salish
label: Kikiallus
comment: Kikiallus
description: Kikiallus

Lower Skagit
sub class of: Puget Sound Salish
label: Lower Skagit
comment: Lower Skagit
description: Lower Skagit

Muckleshoot
sub class of: Puget Sound Salish
label: Muckleshoot
comment: Muckleshoot
description: Muckleshoot

Nisqually
sub class of: Puget Sound Salish
label: Nisqually
comment: Nisqually
description: Nisqually

Nooksack
sub class of: Puget Sound Salish
label: Nooksack
comment: Nooksack
description: Nooksack

Port Madison
sub class of: Puget Sound Salish
label: Port Madison
comment: Port Madison
description: Port Madison

Puyallup
sub class of: Puget Sound Salish
label: Puyallup
comment: Puyallup
description: Puyallup

Samish
sub class of: Puget Sound Salish
label: Samish
comment: Samish
description: Samish

Sauk-Suiattle
sub class of: Puget Sound Salish
label: Sauk-Suiattle
comment: Sauk-Suiattle
description: Sauk-Suiattle

Skokomish
sub class of: Puget Sound Salish
label: Skokomish
comment: Skokomish
description: Skokomish

Skykomish
sub class of: Puget Sound Salish
label: Skykomish
comment: Skykomish
description: Skykomish

Snohomish
sub class of: Puget Sound Salish
label: Snohomish
comment: Snohomish
description: Snohomish

Snoqualmie
sub class of: Puget Sound Salish
label: Snoqualmie
comment: Snoqualmie
description: Snoqualmie

Squaxin Island
sub class of: Puget Sound Salish
label: Squaxin Island
comment: Squaxin Island
description: Squaxin Island

Steilacoom
sub class of: Puget Sound Salish
label: Steilacoom
comment: Steilacoom
description: Steilacoom

Stillaguamish
sub class of: Puget Sound Salish
label: Stillaguamish
comment: Stillaguamish
description: Stillaguamish

Suquamish
sub class of: Puget Sound Salish
label: Suquamish
comment: Suquamish
description: Suquamish

Swinomish
sub class of: Puget Sound Salish
label: Swinomish
comment: Swinomish
description: Swinomish

Tulalip
sub class of: Puget Sound Salish
label: Tulalip
comment: Tulalip
description: Tulalip

Upper Skagit
sub class of: Puget Sound Salish
label: Upper Skagit
comment: Upper Skagit
description: Upper Skagit

Quapaw
sub class of: American Indian
label: Quapaw
comment: Quapaw
description: Quapaw

Quinault
sub class of: American Indian
label: Quinault
comment: Quinault
description: Quinault

Rappahannock
sub class of: American Indian
label: Rappahannock
comment: Rappahannock
description: Rappahannock

Reno-Sparks
sub class of: American Indian
label: Reno-Sparks
comment: Reno-Sparks
description: Reno-Sparks

Round Valley
sub class of: American Indian
label: Round Valley
comment: Round Valley
description: Round Valley

Sac and Fox
sub class of: American Indian
label: Sac and Fox
comment: Sac and Fox
description: Sac and Fox

Iowa Sac and Fox
sub class of: Sac and Fox
label: Iowa Sac and Fox
comment: Iowa Sac and Fox
description: Iowa Sac and Fox

Missouri Sac and Fox
sub class of: Sac and Fox
label: Missouri Sac and Fox
comment: Missouri Sac and Fox
description: Missouri Sac and Fox

Oklahoma Sac and Fox
sub class of: Sac and Fox
label: Oklahoma Sac and Fox
comment: Oklahoma Sac and Fox
description: Oklahoma Sac and Fox

Salinan
sub class of: American Indian
label: Salinan
comment: Salinan
description: Salinan

Salish
sub class of: American Indian
label: Salish
comment: Salish
description: Salish

Salish and Kootenai
sub class of: American Indian
label: Salish and Kootenai
comment: Salish and Kootenai
description: Salish and Kootenai

Schaghticoke
sub class of: American Indian
label: Schaghticoke
comment: Schaghticoke
description: Schaghticoke

Scott Valley
sub class of: American Indian
label: Scott Valley
comment: Scott Valley
description: Scott Valley

Seminole
sub class of: American Indian
label: Seminole
comment: Seminole
description: Seminole

Big Cypress
sub class of: Seminole
label: Big Cypress
comment: Big Cypress
description: Big Cypress

Brighton
sub class of: Seminole
label: Brighton
comment: Brighton
description: Brighton

Florida Seminole
sub class of: Seminole
label: Florida Seminole
comment: Florida Seminole
description: Florida Seminole

Hollywood Seminole
sub class of: Seminole
label: Hollywood Seminole
comment: Hollywood Seminole
description: Hollywood Seminole

Oklahoma Seminole
sub class of: Seminole
label: Oklahoma Seminole
comment: Oklahoma Seminole
description: Oklahoma Seminole

Serrano
sub class of: American Indian
label: Serrano
comment: Serrano
description: Serrano

San Manual
sub class of: Serrano
label: San Manual
comment: San Manual
description: San Manual

Shasta
sub class of: American Indian
label: Shasta
comment: Shasta
description: Shasta

Shawnee
sub class of: American Indian
label: Shawnee
comment: Shawnee
description: Shawnee

Absentee Shawnee
sub class of: Shawnee
label: Absentee Shawnee
comment: Absentee Shawnee
description: Absentee Shawnee

Eastern Shawnee
sub class of: Shawnee
label: Eastern Shawnee
comment: Eastern Shawnee
description: Eastern Shawnee

Shinnecock
sub class of: American Indian
label: Shinnecock
comment: Shinnecock
description: Shinnecock

Shoalwater Bay
sub class of: American Indian
label: Shoalwater Bay
comment: Shoalwater Bay
description: Shoalwater Bay

Shoshone
sub class of: American Indian
label: Shoshone
comment: Shoshone
description: Shoshone

Battle Mountain
sub class of: Shoshone
label: Battle Mountain
comment: Battle Mountain
description: Battle Mountain

Duckwater
sub class of: Shoshone
label: Duckwater
comment: Duckwater
description: Duckwater

Elko
sub class of: Shoshone
label: Elko
comment: Elko
description: Elko

Ely
sub class of: Shoshone
label: Ely
comment: Ely
description: Ely

Goshute
sub class of: Shoshone
label: Goshute
comment: Goshute
description: Goshute

Panamint
sub class of: Shoshone
label: Panamint
comment: Panamint
description: Panamint

Ruby Valley
sub class of: Shoshone
label: Ruby Valley
comment: Ruby Valley
description: Ruby Valley

Skull Valley
sub class of: Shoshone
label: Skull Valley
comment: Skull Valley
description: Skull Valley

South Fork Shoshone
sub class of: Shoshone
label: South Fork Shoshone
comment: South Fork Shoshone
description: South Fork Shoshone

Te-Moak Western Shoshone
sub class of: Shoshone
label: Te-Moak Western Shoshone
comment: Te-Moak Western Shoshone
description: Te-Moak Western Shoshone

Timbi-Sha Shoshone
sub class of: Shoshone
label: Timbi-Sha Shoshone
comment: Timbi-Sha Shoshone
description: Timbi-Sha Shoshone

Washakie
sub class of: Shoshone
label: Washakie
comment: Washakie
description: Washakie

Wind River Shoshone
sub class of: Shoshone
label: Wind River Shoshone
comment: Wind River Shoshone
description: Wind River Shoshone

Yomba
sub class of: Shoshone
label: Yomba
comment: Yomba
description: Yomba

Shoshone Paiute
sub class of: American Indian
label: Shoshone Paiute
comment: Shoshone Paiute
description: Shoshone Paiute

Duck Valley
sub class of: Shoshone Paiute
label: Duck Valley
comment: Duck Valley
description: Duck Valley

Fallon
sub class of: Shoshone Paiute
label: Fallon
comment: Fallon
description: Fallon

Fort McDermitt
sub class of: Shoshone Paiute
label: Fort McDermitt
comment: Fort McDermitt
description: Fort McDermitt

Siletz
sub class of: American Indian
label: Siletz
comment: Siletz
description: Siletz

Sioux
sub class of: American Indian
label: Sioux
comment: Sioux
description: Sioux

Blackfoot Sioux
sub class of: Sioux
label: Blackfoot Sioux
comment: Blackfoot Sioux
description: Blackfoot Sioux

Brule Sioux
sub class of: Sioux
label: Brule Sioux
comment: Brule Sioux
description: Brule Sioux

Cheyenne River Sioux
sub class of: Sioux
label: Cheyenne River Sioux
comment: Cheyenne River Sioux
description: Cheyenne River Sioux

Crow Creek Sioux
sub class of: Sioux
label: Crow Creek Sioux
comment: Crow Creek Sioux
description: Crow Creek Sioux

Dakota Sioux
sub class of: Sioux
label: Dakota Sioux
comment: Dakota Sioux
description: Dakota Sioux

Flandreau Santee
sub class of: Sioux
label: Flandreau Santee
comment: Flandreau Santee
description: Flandreau Santee

Fort Peck
sub class of: Sioux
label: Fort Peck
comment: Fort Peck
description: Fort Peck

Lake Traverse Sioux
sub class of: Sioux
label: Lake Traverse Sioux
comment: Lake Traverse Sioux
description: Lake Traverse Sioux

Lower Brule Sioux
sub class of: Sioux
label: Lower Brule Sioux
comment: Lower Brule Sioux
description: Lower Brule Sioux

Lower Sioux
sub class of: Sioux
label: Lower Sioux
comment: Lower Sioux
description: Lower Sioux

Mdewakanton Sioux
sub class of: Sioux
label: Mdewakanton Sioux
comment: Mdewakanton Sioux
description: Mdewakanton Sioux

Miniconjou
sub class of: Sioux
label: Miniconjou
comment: Miniconjou
description: Miniconjou

Oglala Sioux
sub class of: Sioux
label: Oglala Sioux
comment: Oglala Sioux
description: Oglala Sioux

Pine Ridge Sioux
sub class of: Sioux
label: Pine Ridge Sioux
comment: Pine Ridge Sioux
description: Pine Ridge Sioux

Pipestone Sioux
sub class of: Sioux
label: Pipestone Sioux
comment: Pipestone Sioux
description: Pipestone Sioux

Prairie Island Sioux
sub class of: Sioux
label: Prairie Island Sioux
comment: Prairie Island Sioux
description: Prairie Island Sioux

Prior Lake Sioux
sub class of: Sioux
label: Prior Lake Sioux
comment: Prior Lake Sioux
description: Prior Lake Sioux

Rosebud Sioux
sub class of: Sioux
label: Rosebud Sioux
comment: Rosebud Sioux
description: Rosebud Sioux

Sans Arc Sioux
sub class of: Sioux
label: Sans Arc Sioux
comment: Sans Arc Sioux
description: Sans Arc Sioux

Santee Sioux
sub class of: Sioux
label: Santee Sioux
comment: Santee Sioux
description: Santee Sioux

Sisseton-Wahpeton
sub class of: Sioux
label: Sisseton-Wahpeton
comment: Sisseton-Wahpeton
description: Sisseton-Wahpeton

Sisseton Sioux
sub class of: Sioux
label: Sisseton Sioux
comment: Sisseton Sioux
description: Sisseton Sioux

Spirit Lake Sioux
sub class of: Sioux
label: Spirit Lake Sioux
comment: Spirit Lake Sioux
description: Spirit Lake Sioux

Standing Rock Sioux
sub class of: Sioux
label: Standing Rock Sioux
comment: Standing Rock Sioux
description: Standing Rock Sioux

Teton Sioux
sub class of: Sioux
label: Teton Sioux
comment: Teton Sioux
description: Teton Sioux

Two Kettle Sioux
sub class of: Sioux
label: Two Kettle Sioux
comment: Two Kettle Sioux
description: Two Kettle Sioux

Upper Sioux
sub class of: Sioux
label: Upper Sioux
comment: Upper Sioux
description: Upper Sioux

Wahpekute Sioux
sub class of: Sioux
label: Wahpekute Sioux
comment: Wahpekute Sioux
description: Wahpekute Sioux

Wahpeton Sioux
sub class of: Sioux
label: Wahpeton Sioux
comment: Wahpeton Sioux
description: Wahpeton Sioux

Wazhaza Sioux
sub class of: Sioux
label: Wazhaza Sioux
comment: Wazhaza Sioux
description: Wazhaza Sioux

Yankton Sioux
sub class of: Sioux
label: Yankton Sioux
comment: Yankton Sioux
description: Yankton Sioux

Yanktonai Sioux
sub class of: Sioux
label: Yanktonai Sioux
comment: Yanktonai Sioux
description: Yanktonai Sioux

Siuslaw
sub class of: American Indian
label: Siuslaw
comment: Siuslaw
description: Siuslaw

Spokane
sub class of: American Indian
label: Spokane
comment: Spokane
description: Spokane

Stewart
sub class of: American Indian
label: Stewart
comment: Stewart
description: Stewart

Stockbridge
sub class of: American Indian
label: Stockbridge
comment: Stockbridge
description: Stockbridge

Susanville
sub class of: American Indian
label: Susanville
comment: Susanville
description: Susanville

Tohono O'Odham
sub class of: American Indian
label: Tohono O'Odham
comment: Tohono O'Odham
description: Tohono O'Odham

Ak-Chin
sub class of: Tohono O'Odham
label: Ak-Chin
comment: Ak-Chin
description: Ak-Chin

Gila Bend
sub class of: Tohono O'Odham
label: Gila Bend
comment: Gila Bend
description: Gila Bend

San Xavier
sub class of: Tohono O'Odham
label: San Xavier
comment: San Xavier
description: San Xavier

Sells
sub class of: Tohono O'Odham
label: Sells
comment: Sells
description: Sells

Tolowa
sub class of: American Indian
label: Tolowa
comment: Tolowa
description: Tolowa

Tonkawa
sub class of: American Indian
label: Tonkawa
comment: Tonkawa
description: Tonkawa

Tygh
sub class of: American Indian
label: Tygh
comment: Tygh
description: Tygh

Umatilla
sub class of: American Indian
label: Umatilla
comment: Umatilla
description: Umatilla

Umpqua
sub class of: American Indian
label: Umpqua
comment: Umpqua
description: Umpqua

Cow Creek Umpqua
sub class of: Umpqua
label: Cow Creek Umpqua
comment: Cow Creek Umpqua
description: Cow Creek Umpqua

Ute
sub class of: American Indian
label: Ute
comment: Ute
description: Ute

Allen Canyon
sub class of: Ute
label: Allen Canyon
comment: Allen Canyon
description: Allen Canyon

Uintah Ute
sub class of: Ute
label: Uintah Ute
comment: Uintah Ute
description: Uintah Ute

Ute Mountain Ute
sub class of: Ute
label: Ute Mountain Ute
comment: Ute Mountain Ute
description: Ute Mountain Ute

Wailaki
sub class of: American Indian
label: Wailaki
comment: Wailaki
description: Wailaki

Walla-Walla
sub class of: American Indian
label: Walla-Walla
comment: Walla-Walla
description: Walla-Walla

Wampanoag
sub class of: American Indian
label: Wampanoag
comment: Wampanoag
description: Wampanoag

Gay Head Wampanoag
sub class of: Wampanoag
label: Gay Head Wampanoag
comment: Gay Head Wampanoag
description: Gay Head Wampanoag

Mashpee Wampanoag
sub class of: Wampanoag
label: Mashpee Wampanoag
comment: Mashpee Wampanoag
description: Mashpee Wampanoag

Warm Springs
sub class of: American Indian
label: Warm Springs
comment: Warm Springs
description: Warm Springs

Wascopum
sub class of: American Indian
label: Wascopum
comment: Wascopum
description: Wascopum

Washoe
sub class of: American Indian
label: Washoe
comment: Washoe
description: Washoe

Alpine
sub class of: Washoe
label: Alpine
comment: Alpine
description: Alpine

Carson
sub class of: Washoe
label: Carson
comment: Carson
description: Carson

Dresslerville
sub class of: Washoe
label: Dresslerville
comment: Dresslerville
description: Dresslerville

Wichita
sub class of: American Indian
label: Wichita
comment: Wichita
description: Wichita

Wind River
sub class of: American Indian
label: Wind River
comment: Wind River
description: Wind River

Winnebago
sub class of: American Indian
label: Winnebago
comment: Winnebago
description: Winnebago

Ho-chunk
sub class of: Winnebago
label: Ho-chunk
comment: Ho-chunk
description: Ho-chunk

Nebraska Winnebago
sub class of: Winnebago
label: Nebraska Winnebago
comment: Nebraska Winnebago
description: Nebraska Winnebago

Winnemucca
sub class of: American Indian
label: Winnemucca
comment: Winnemucca
description: Winnemucca

Wintun
sub class of: American Indian
label: Wintun
comment: Wintun
description: Wintun

Wiyot
sub class of: American Indian
label: Wiyot
comment: Wiyot
description: Wiyot

Table Bluff
sub class of: Wiyot
label: Table Bluff
comment: Table Bluff
description: Table Bluff

Yakama
sub class of: American Indian
label: Yakama
comment: Yakama
description: Yakama

Yakama Cowlitz
sub class of: American Indian
label: Yakama Cowlitz
comment: Yakama Cowlitz
description: Yakama Cowlitz

Yaqui
sub class of: American Indian
label: Yaqui
comment: Yaqui
description: Yaqui

Barrio Libre
sub class of: Yaqui
label: Barrio Libre
comment: Barrio Libre
description: Barrio Libre

Pascua Yaqui
sub class of: Yaqui
label: Pascua Yaqui
comment: Pascua Yaqui
description: Pascua Yaqui

Yavapai Apache
sub class of: American Indian
label: Yavapai Apache
comment: Yavapai Apache
description: Yavapai Apache

Yokuts
sub class of: American Indian
label: Yokuts
comment: Yokuts
description: Yokuts

Chukchansi
sub class of: Yokuts
label: Chukchansi
comment: Chukchansi
description: Chukchansi

Tachi
sub class of: Yokuts
label: Tachi
comment: Tachi
description: Tachi

Tule River
sub class of: Yokuts
label: Tule River
comment: Tule River
description: Tule River

Yuchi
sub class of: American Indian
label: Yuchi
comment: Yuchi
description: Yuchi

Yuman
sub class of: American Indian
label: Yuman
comment: Yuman
description: Yuman

Cocopah
sub class of: Yuman
label: Cocopah
comment: Cocopah
description: Cocopah

Havasupai
sub class of: Yuman
label: Havasupai
comment: Havasupai
description: Havasupai

Hualapai
sub class of: Yuman
label: Hualapai
comment: Hualapai
description: Hualapai

Maricopa
sub class of: Yuman
label: Maricopa
comment: Maricopa
description: Maricopa

Mohave
sub class of: Yuman
label: Mohave
comment: Mohave
description: Mohave

Quechan
sub class of: Yuman
label: Quechan
comment: Quechan
description: Quechan

Yavapai
sub class of: Yuman
label: Yavapai
comment: Yavapai
description: Yavapai

Yurok
sub class of: American Indian
label: Yurok
comment: Yurok
description: Yurok

Coast Yurok
sub class of: Yurok
label: Coast Yurok
comment: Coast Yurok
description: Coast Yurok

Alaska Native
sub class of: American Indian or Alaska Native
label: Alaska Native
comment: Alaska Native
description: Alaska Native

Alaska Indian
sub class of: Alaska Native
label: Alaska Indian
comment: Alaska Indian
description: Alaska Indian

Alaskan Athabascan
sub class of: Alaska Indian
label: Alaskan Athabascan
comment: Alaskan Athabascan
description: Alaskan Athabascan

Ahtna
sub class of: Alaskan Athabascan
label: Ahtna
comment: Ahtna
description: Ahtna

Southeast Alaska
sub class of: Alaska Indian
label: Southeast Alaska
comment: Southeast Alaska
description: Southeast Alaska

Tlingit-Haida
sub class of: Southeast Alaska
label: Tlingit-Haida
comment: Tlingit-Haida
description: Tlingit-Haida

Angoon
sub class of: Tlingit-Haida
label: Angoon
comment: Angoon
description: Angoon

Central Council of Tlingit and Haida Tribes
sub class of: Tlingit-Haida
label: Central Council of Tlingit and Haida Tribes
comment: Central Council of Tlingit and Haida Tribes
description: Central Council of Tlingit and Haida Tribes

Chilkat
sub class of: Tlingit-Haida
label: Chilkat
comment: Chilkat
description: Chilkat

Chilkoot
sub class of: Tlingit-Haida
label: Chilkoot
comment: Chilkoot
description: Chilkoot

Craig
sub class of: Tlingit-Haida
label: Craig
comment: Craig
description: Craig

Douglas
sub class of: Tlingit-Haida
label: Douglas
comment: Douglas
description: Douglas

Haida
sub class of: Tlingit-Haida
label: Haida
comment: Haida
description: Haida

Hoonah
sub class of: Tlingit-Haida
label: Hoonah
comment: Hoonah
description: Hoonah

Hydaburg
sub class of: Tlingit-Haida
label: Hydaburg
comment: Hydaburg
description: Hydaburg

Kake
sub class of: Tlingit-Haida
label: Kake
comment: Kake
description: Kake

Kasaan
sub class of: Tlingit-Haida
label: Kasaan
comment: Kasaan
description: Kasaan

Kenaitze
sub class of: Tlingit-Haida
label: Kenaitze
comment: Kenaitze
description: Kenaitze

Ketchikan
sub class of: Tlingit-Haida
label: Ketchikan
comment: Ketchikan
description: Ketchikan

Klawock
sub class of: Tlingit-Haida
label: Klawock
comment: Klawock
description: Klawock

Pelican
sub class of: Tlingit-Haida
label: Pelican
comment: Pelican
description: Pelican

Petersburg
sub class of: Tlingit-Haida
label: Petersburg
comment: Petersburg
description: Petersburg

Saxman
sub class of: Tlingit-Haida
label: Saxman
comment: Saxman
description: Saxman

Sitka
sub class of: Tlingit-Haida
label: Sitka
comment: Sitka
description: Sitka

Tenakee Springs
sub class of: Tlingit-Haida
label: Tenakee Springs
comment: Tenakee Springs
description: Tenakee Springs

Tlingit
sub class of: Tlingit-Haida
label: Tlingit
comment: Tlingit
description: Tlingit

Wrangell
sub class of: Tlingit-Haida
label: Wrangell
comment: Wrangell
description: Wrangell

Yakutat
sub class of: Tlingit-Haida
label: Yakutat
comment: Yakutat
description: Yakutat

Tsimshian
sub class of: Southeast Alaska
label: Tsimshian
comment: Tsimshian
description: Tsimshian

Metlakatla
sub class of: Tsimshian
label: Metlakatla
comment: Metlakatla
description: Metlakatla

Eskimo
sub class of: Alaska Native
label: Eskimo
comment: Eskimo
description: Eskimo

Greenland Eskimo
sub class of: Eskimo
label: Greenland Eskimo
comment: Greenland Eskimo
description: Greenland Eskimo

Inupiat Eskimo
sub class of: Eskimo
label: Inupiat Eskimo
comment: Inupiat Eskimo
description: Inupiat Eskimo

Ambler
sub class of: Inupiat Eskimo
label: Ambler
comment: Ambler
description: Ambler

Anaktuvuk
sub class of: Inupiat Eskimo
label: Anaktuvuk
comment: Anaktuvuk
description: Anaktuvuk

Anaktuvuk Pass
sub class of: Inupiat Eskimo
label: Anaktuvuk Pass
comment: Anaktuvuk Pass
description: Anaktuvuk Pass

Arctic Slope Inupiat
sub class of: Inupiat Eskimo
label: Arctic Slope Inupiat
comment: Arctic Slope Inupiat
description: Arctic Slope Inupiat

Arctic Slope Corporation
sub class of: Inupiat Eskimo
label: Arctic Slope Corporation
comment: Arctic Slope Corporation
description: Arctic Slope Corporation

Atqasuk
sub class of: Inupiat Eskimo
label: Atqasuk
comment: Atqasuk
description: Atqasuk

Barrow
sub class of: Inupiat Eskimo
label: Barrow
comment: Barrow
description: Barrow

Bering Straits Inupiat
sub class of: Inupiat Eskimo
label: Bering Straits Inupiat
comment: Bering Straits Inupiat
description: Bering Straits Inupiat

Brevig Mission
sub class of: Inupiat Eskimo
label: Brevig Mission
comment: Brevig Mission
description: Brevig Mission

Buckland
sub class of: Inupiat Eskimo
label: Buckland
comment: Buckland
description: Buckland

Chinik
sub class of: Inupiat Eskimo
label: Chinik
comment: Chinik
description: Chinik

Council
sub class of: Inupiat Eskimo
label: Council
comment: Council
description: Council

Deering
sub class of: Inupiat Eskimo
label: Deering
comment: Deering
description: Deering

Elim
sub class of: Inupiat Eskimo
label: Elim
comment: Elim
description: Elim

Golovin
sub class of: Inupiat Eskimo
label: Golovin
comment: Golovin
description: Golovin

Inalik Diomede
sub class of: Inupiat Eskimo
label: Inalik Diomede
comment: Inalik Diomede
description: Inalik Diomede

Inupiaq
sub class of: Inupiat Eskimo
label: Inupiaq
comment: Inupiaq
description: Inupiaq

Kaktovik
sub class of: Inupiat Eskimo
label: Kaktovik
comment: Kaktovik
description: Kaktovik

Kawerak
sub class of: Inupiat Eskimo
label: Kawerak
comment: Kawerak
description: Kawerak

Kiana
sub class of: Inupiat Eskimo
label: Kiana
comment: Kiana
description: Kiana

Kivalina
sub class of: Inupiat Eskimo
label: Kivalina
comment: Kivalina
description: Kivalina

Kobuk
sub class of: Inupiat Eskimo
label: Kobuk
comment: Kobuk
description: Kobuk

Kotzebue
sub class of: Inupiat Eskimo
label: Kotzebue
comment: Kotzebue
description: Kotzebue

Koyuk
sub class of: Inupiat Eskimo
label: Koyuk
comment: Koyuk
description: Koyuk

Kwiguk
sub class of: Inupiat Eskimo
label: Kwiguk
comment: Kwiguk
description: Kwiguk

Mauneluk Inupiat
sub class of: Inupiat Eskimo
label: Mauneluk Inupiat
comment: Mauneluk Inupiat
description: Mauneluk Inupiat

Nana Inupiat
sub class of: Inupiat Eskimo
label: Nana Inupiat
comment: Nana Inupiat
description: Nana Inupiat

Noatak
sub class of: Inupiat Eskimo
label: Noatak
comment: Noatak
description: Noatak

Nome
sub class of: Inupiat Eskimo
label: Nome
comment: Nome
description: Nome

Noorvik
sub class of: Inupiat Eskimo
label: Noorvik
comment: Noorvik
description: Noorvik

Nuiqsut
sub class of: Inupiat Eskimo
label: Nuiqsut
comment: Nuiqsut
description: Nuiqsut

Point Hope
sub class of: Inupiat Eskimo
label: Point Hope
comment: Point Hope
description: Point Hope

Point Lay
sub class of: Inupiat Eskimo
label: Point Lay
comment: Point Lay
description: Point Lay

Selawik
sub class of: Inupiat Eskimo
label: Selawik
comment: Selawik
description: Selawik

Shaktoolik
sub class of: Inupiat Eskimo
label: Shaktoolik
comment: Shaktoolik
description: Shaktoolik

Shishmaref
sub class of: Inupiat Eskimo
label: Shishmaref
comment: Shishmaref
description: Shishmaref

Shungnak
sub class of: Inupiat Eskimo
label: Shungnak
comment: Shungnak
description: Shungnak

Solomon
sub class of: Inupiat Eskimo
label: Solomon
comment: Solomon
description: Solomon

Teller
sub class of: Inupiat Eskimo
label: Teller
comment: Teller
description: Teller

Unalakleet
sub class of: Inupiat Eskimo
label: Unalakleet
comment: Unalakleet
description: Unalakleet

Wainwright
sub class of: Inupiat Eskimo
label: Wainwright
comment: Wainwright
description: Wainwright

Wales
sub class of: Inupiat Eskimo
label: Wales
comment: Wales
description: Wales

White Mountain
sub class of: Inupiat Eskimo
label: White Mountain
comment: White Mountain
description: White Mountain

White Mountain Inupiat
sub class of: Inupiat Eskimo
label: White Mountain Inupiat
comment: White Mountain Inupiat
description: White Mountain Inupiat

Mary's Igloo
sub class of: Inupiat Eskimo
label: Mary's Igloo
comment: Mary's Igloo
description: Mary's Igloo

Siberian Eskimo
sub class of: Eskimo
label: Siberian Eskimo
comment: Siberian Eskimo
description: Siberian Eskimo

Gambell
sub class of: Siberian Eskimo
label: Gambell
comment: Gambell
description: Gambell

Savoonga
sub class of: Siberian Eskimo
label: Savoonga
comment: Savoonga
description: Savoonga

Siberian Yupik
sub class of: Siberian Eskimo
label: Siberian Yupik
comment: Siberian Yupik
description: Siberian Yupik

Yupik Eskimo
sub class of: Eskimo
label: Yupik Eskimo
comment: Yupik Eskimo
description: Yupik Eskimo

Akiachak
sub class of: Yupik Eskimo
label: Akiachak
comment: Akiachak
description: Akiachak

Akiak
sub class of: Yupik Eskimo
label: Akiak
comment: Akiak
description: Akiak

Alakanuk
sub class of: Yupik Eskimo
label: Alakanuk
comment: Alakanuk
description: Alakanuk

Aleknagik
sub class of: Yupik Eskimo
label: Aleknagik
comment: Aleknagik
description: Aleknagik

Andreafsky
sub class of: Yupik Eskimo
label: Andreafsky
comment: Andreafsky
description: Andreafsky

Aniak
sub class of: Yupik Eskimo
label: Aniak
comment: Aniak
description: Aniak

Atmautluak
sub class of: Yupik Eskimo
label: Atmautluak
comment: Atmautluak
description: Atmautluak

Bethel
sub class of: Yupik Eskimo
label: Bethel
comment: Bethel
description: Bethel

Bill Moore's Slough
sub class of: Yupik Eskimo
label: Bill Moore's Slough
comment: Bill Moore's Slough
description: Bill Moore's Slough

Bristol Bay Yupik
sub class of: Yupik Eskimo
label: Bristol Bay Yupik
comment: Bristol Bay Yupik
description: Bristol Bay Yupik

Calista Yupik
sub class of: Yupik Eskimo
label: Calista Yupik
comment: Calista Yupik
description: Calista Yupik

Chefornak
sub class of: Yupik Eskimo
label: Chefornak
comment: Chefornak
description: Chefornak

Chevak
sub class of: Yupik Eskimo
label: Chevak
comment: Chevak
description: Chevak

Chuathbaluk
sub class of: Yupik Eskimo
label: Chuathbaluk
comment: Chuathbaluk
description: Chuathbaluk

Clark's Point
sub class of: Yupik Eskimo
label: Clark's Point
comment: Clark's Point
description: Clark's Point

Crooked Creek
sub class of: Yupik Eskimo
label: Crooked Creek
comment: Crooked Creek
description: Crooked Creek

Dillingham
sub class of: Yupik Eskimo
label: Dillingham
comment: Dillingham
description: Dillingham

Eek
sub class of: Yupik Eskimo
label: Eek
comment: Eek
description: Eek

Ekuk
sub class of: Yupik Eskimo
label: Ekuk
comment: Ekuk
description: Ekuk

Ekwok
sub class of: Yupik Eskimo
label: Ekwok
comment: Ekwok
description: Ekwok

Emmonak
sub class of: Yupik Eskimo
label: Emmonak
comment: Emmonak
description: Emmonak

Goodnews Bay
sub class of: Yupik Eskimo
label: Goodnews Bay
comment: Goodnews Bay
description: Goodnews Bay

Hooper Bay
sub class of: Yupik Eskimo
label: Hooper Bay
comment: Hooper Bay
description: Hooper Bay

Iqurmuit (Russian Mission)
sub class of: Yupik Eskimo
label: Iqurmuit (Russian Mission)
comment: Iqurmuit (Russian Mission)
description: Iqurmuit (Russian Mission)

Kalskag
sub class of: Yupik Eskimo
label: Kalskag
comment: Kalskag
description: Kalskag

Kasigluk
sub class of: Yupik Eskimo
label: Kasigluk
comment: Kasigluk
description: Kasigluk

Kipnuk
sub class of: Yupik Eskimo
label: Kipnuk
comment: Kipnuk
description: Kipnuk

Koliganek
sub class of: Yupik Eskimo
label: Koliganek
comment: Koliganek
description: Koliganek

Kongiganak
sub class of: Yupik Eskimo
label: Kongiganak
comment: Kongiganak
description: Kongiganak

Kotlik
sub class of: Yupik Eskimo
label: Kotlik
comment: Kotlik
description: Kotlik

Kwethluk
sub class of: Yupik Eskimo
label: Kwethluk
comment: Kwethluk
description: Kwethluk

Kwigillingok
sub class of: Yupik Eskimo
label: Kwigillingok
comment: Kwigillingok
description: Kwigillingok

Levelock
sub class of: Yupik Eskimo
label: Levelock
comment: Levelock
description: Levelock

Lower Kalskag
sub class of: Yupik Eskimo
label: Lower Kalskag
comment: Lower Kalskag
description: Lower Kalskag

Manokotak
sub class of: Yupik Eskimo
label: Manokotak
comment: Manokotak
description: Manokotak

Marshall
sub class of: Yupik Eskimo
label: Marshall
comment: Marshall
description: Marshall

Mekoryuk
sub class of: Yupik Eskimo
label: Mekoryuk
comment: Mekoryuk
description: Mekoryuk

Mountain Village
sub class of: Yupik Eskimo
label: Mountain Village
comment: Mountain Village
description: Mountain Village

Naknek
sub class of: Yupik Eskimo
label: Naknek
comment: Naknek
description: Naknek

Napaumute
sub class of: Yupik Eskimo
label: Napaumute
comment: Napaumute
description: Napaumute

Napakiak
sub class of: Yupik Eskimo
label: Napakiak
comment: Napakiak
description: Napakiak

Napaskiak
sub class of: Yupik Eskimo
label: Napaskiak
comment: Napaskiak
description: Napaskiak

Newhalen
sub class of: Yupik Eskimo
label: Newhalen
comment: Newhalen
description: Newhalen

New Stuyahok
sub class of: Yupik Eskimo
label: New Stuyahok
comment: New Stuyahok
description: New Stuyahok

Newtok
sub class of: Yupik Eskimo
label: Newtok
comment: Newtok
description: Newtok

Nightmute
sub class of: Yupik Eskimo
label: Nightmute
comment: Nightmute
description: Nightmute

Nunapitchukv
sub class of: Yupik Eskimo
label: Nunapitchukv
comment: Nunapitchukv
description: Nunapitchukv

Oscarville
sub class of: Yupik Eskimo
label: Oscarville
comment: Oscarville
description: Oscarville

Pilot Station
sub class of: Yupik Eskimo
label: Pilot Station
comment: Pilot Station
description: Pilot Station

Pitkas Point
sub class of: Yupik Eskimo
label: Pitkas Point
comment: Pitkas Point
description: Pitkas Point

Platinum
sub class of: Yupik Eskimo
label: Platinum
comment: Platinum
description: Platinum

Portage Creek
sub class of: Yupik Eskimo
label: Portage Creek
comment: Portage Creek
description: Portage Creek

Quinhagak
sub class of: Yupik Eskimo
label: Quinhagak
comment: Quinhagak
description: Quinhagak

Red Devil
sub class of: Yupik Eskimo
label: Red Devil
comment: Red Devil
description: Red Devil

St. Michael
sub class of: Yupik Eskimo
label: St. Michael
comment: St. Michael
description: St. Michael

Scammon Bay
sub class of: Yupik Eskimo
label: Scammon Bay
comment: Scammon Bay
description: Scammon Bay

Sheldon's Point
sub class of: Yupik Eskimo
label: Sheldon's Point
comment: Sheldon's Point
description: Sheldon's Point

Sleetmute
sub class of: Yupik Eskimo
label: Sleetmute
comment: Sleetmute
description: Sleetmute

Stebbins
sub class of: Yupik Eskimo
label: Stebbins
comment: Stebbins
description: Stebbins

Togiak
sub class of: Yupik Eskimo
label: Togiak
comment: Togiak
description: Togiak

Toksook
sub class of: Yupik Eskimo
label: Toksook
comment: Toksook
description: Toksook

Tulukskak
sub class of: Yupik Eskimo
label: Tulukskak
comment: Tulukskak
description: Tulukskak

Tuntutuliak
sub class of: Yupik Eskimo
label: Tuntutuliak
comment: Tuntutuliak
description: Tuntutuliak

Tununak
sub class of: Yupik Eskimo
label: Tununak
comment: Tununak
description: Tununak

Twin Hills
sub class of: Yupik Eskimo
label: Twin Hills
comment: Twin Hills
description: Twin Hills

Georgetown
sub class of: Yupik Eskimo
label: Georgetown
comment: Georgetown
description: Georgetown

St. Mary's
sub class of: Yupik Eskimo
label: St. Mary's
comment: St. Mary's
description: St. Mary's

Umkumiate
sub class of: Yupik Eskimo
label: Umkumiate
comment: Umkumiate
description: Umkumiate

Aleut
sub class of: Alaska Native
label: Aleut
comment: Aleut
description: Aleut

Alutiiq Aleut
sub class of: Aleut
label: Alutiiq Aleut
comment: Alutiiq Aleut
description: Alutiiq Aleut

Tatitlek
sub class of: Alutiiq Aleut
label: Tatitlek
comment: Tatitlek
description: Tatitlek

Ugashik
sub class of: Alutiiq Aleut
label: Ugashik
comment: Ugashik
description: Ugashik

Bristol Bay Aleut
sub class of: Aleut
label: Bristol Bay Aleut
comment: Bristol Bay Aleut
description: Bristol Bay Aleut

Chignik
sub class of: Bristol Bay Aleut
label: Chignik
comment: Chignik
description: Chignik

Chignik Lake
sub class of: Bristol Bay Aleut
label: Chignik Lake
comment: Chignik Lake
description: Chignik Lake

Egegik
sub class of: Bristol Bay Aleut
label: Egegik
comment: Egegik
description: Egegik

Igiugig
sub class of: Bristol Bay Aleut
label: Igiugig
comment: Igiugig
description: Igiugig

Ivanof Bay
sub class of: Bristol Bay Aleut
label: Ivanof Bay
comment: Ivanof Bay
description: Ivanof Bay

King Salmon
sub class of: Bristol Bay Aleut
label: King Salmon
comment: King Salmon
description: King Salmon

Kokhanok
sub class of: Bristol Bay Aleut
label: Kokhanok
comment: Kokhanok
description: Kokhanok

Perryville
sub class of: Bristol Bay Aleut
label: Perryville
comment: Perryville
description: Perryville

Pilot Point
sub class of: Bristol Bay Aleut
label: Pilot Point
comment: Pilot Point
description: Pilot Point

Port Heiden
sub class of: Bristol Bay Aleut
label: Port Heiden
comment: Port Heiden
description: Port Heiden

Chugach Aleut
sub class of: Aleut
label: Chugach Aleut
comment: Chugach Aleut
description: Chugach Aleut

Chenega
sub class of: Chugach Aleut
label: Chenega
comment: Chenega
description: Chenega

Chugach Corporation
sub class of: Chugach Aleut
label: Chugach Corporation
comment: Chugach Corporation
description: Chugach Corporation

English Bay
sub class of: Chugach Aleut
label: English Bay
comment: English Bay
description: English Bay

Port Graham
sub class of: Chugach Aleut
label: Port Graham
comment: Port Graham
description: Port Graham

Eyak
sub class of: Aleut
label: Eyak
comment: Eyak
description: Eyak

Koniag Aleut
sub class of: Aleut
label: Koniag Aleut
comment: Koniag Aleut
description: Koniag Aleut

Akhiok
sub class of: Koniag Aleut
label: Akhiok
comment: Akhiok
description: Akhiok

Agdaagux
sub class of: Koniag Aleut
label: Agdaagux
comment: Agdaagux
description: Agdaagux

Karluk
sub class of: Koniag Aleut
label: Karluk
comment: Karluk
description: Karluk

Kodiak
sub class of: Koniag Aleut
label: Kodiak
comment: Kodiak
description: Kodiak

Larsen Bay
sub class of: Koniag Aleut
label: Larsen Bay
comment: Larsen Bay
description: Larsen Bay

Old Harbor
sub class of: Koniag Aleut
label: Old Harbor
comment: Old Harbor
description: Old Harbor

Ouzinkie
sub class of: Koniag Aleut
label: Ouzinkie
comment: Ouzinkie
description: Ouzinkie

Port Lions
sub class of: Koniag Aleut
label: Port Lions
comment: Port Lions
description: Port Lions

Sugpiaq
sub class of: Aleut
label: Sugpiaq
comment: Sugpiaq
description: Sugpiaq

Suqpigaq
sub class of: Aleut
label: Suqpigaq
comment: Suqpigaq
description: Suqpigaq

Unangan Aleut
sub class of: Aleut
label: Unangan Aleut
comment: Unangan Aleut
description: Unangan Aleut

Akutan
sub class of: Unangan Aleut
label: Akutan
comment: Akutan
description: Akutan

Aleut Corporation
sub class of: Unangan Aleut
label: Aleut Corporation
comment: Aleut Corporation
description: Aleut Corporation

Aleutian
sub class of: Unangan Aleut
label: Aleutian
comment: Aleutian
description: Aleutian

Aleutian Islander
sub class of: Unangan Aleut
label: Aleutian Islander
comment: Aleutian Islander
description: Aleutian Islander

Atka
sub class of: Unangan Aleut
label: Atka
comment: Atka
description: Atka

Belkofski
sub class of: Unangan Aleut
label: Belkofski
comment: Belkofski
description: Belkofski

Chignik Lagoon
sub class of: Unangan Aleut
label: Chignik Lagoon
comment: Chignik Lagoon
description: Chignik Lagoon

King Cove
sub class of: Unangan Aleut
label: King Cove
comment: King Cove
description: King Cove

False Pass
sub class of: Unangan Aleut
label: False Pass
comment: False Pass
description: False Pass

Nelson Lagoon
sub class of: Unangan Aleut
label: Nelson Lagoon
comment: Nelson Lagoon
description: Nelson Lagoon