R4 Ballot #1 (Mixed Normative/Trial use)

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Codesystem-contract-signer-type.xml

Financial Management Work GroupMaturity Level: N/ABallot Status: Informative

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Definition for Code System Contract Signer Type Codes

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="contract-signer-type"/> 
  <meta> 
    <lastUpdated value="2018-04-03T12:05:46.262+10:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablecodesystem"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2> Contract Signer Type Codes</h2> 
      <div> 
        <p> This value set includes sample Contract Signer Type codes.</p> 

      </div> 
      <p> 
        <b> Copyright Statement:</b>  This is an example set based on ASTM Standard, E1762-95 (2013) HL7 RoleClass OID 2.16.840.1.113883.
        5.110, HL7 Role Code 2.16.840.1.113883.5.111, HL7 ParticipationType OID: 2.16.840.1.113883.5.90,
         HL7 ParticipationFunction codes at OID: 2.16.840.1.113883.5.88, and HL7 Security and Privacy
         Domain Analysis Model roles classes.
      </p> 
      <p> This code system http://www.hl7.org/fhir/contractsignertypecodes defines the following
         codes:</p> 
      <table class="codes">
        <tr> 
          <td style="white-space:nowrap">
            <b> Code</b> 
          </td> 
          <td> 
            <b> Display</b> 
          </td> 
          <td> 
            <b> Definition</b> 
          </td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">AMENDER
            <a name="contract-signer-type-AMENDER"> </a> 
          </td> 
          <td> Amender</td> 
          <td> A person who has corrected, edited, or amended pre-existing information.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">AUTHN
            <a name="contract-signer-type-AUTHN"> </a> 
          </td> 
          <td> Authenticator</td> 
          <td> A person in the role of verifier who attests to the accuracy of an act, but who does not
             have privileges to legally authenticate information content. An example would be a resident
             physician who sees a patient and dictates a note, then later signs it. The resident's
             signature constitutes an authentication.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">AUT
            <a name="contract-signer-type-AUT"> </a> 
          </td> 
          <td> Author</td> 
          <td> An entity that authored specific content. There can be multiple authors of content, which
             may take such forms as a contract, a healthcare record entry or document, a policy, or
             a consent directive.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">AFFL
            <a name="contract-signer-type-AFFL"> </a> 
          </td> 
          <td> Affiliate</td> 
          <td> An entity that has a business or professional relationship with another entity in accordance
             with an agreement.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">AGNT
            <a name="contract-signer-type-AGNT"> </a> 
          </td> 
          <td> Agent</td> 
          <td> An entity that acts or is authorized to act on behalf of another entity in accordance
             with an agreement.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">ASSIGNED
            <a name="contract-signer-type-ASSIGNED"> </a> 
          </td> 
          <td> Assigned Entity</td> 
          <td> An agent role in which the agent is an Entity acting in the employ of an organization.
             The focus is on functional role on behalf of the organization, unlike the Employee role
             where the focus is on the 'Human Resources' relationship between the employee and the
             organization.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">CIT
            <a name="contract-signer-type-CIT"> </a> 
          </td> 
          <td> Citizen</td> 
          <td> The member of a jurisdiction afforded certain rights and encumbered with certain obligation
             in accordance with jurisdictional policy.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">CLAIMANT
            <a name="contract-signer-type-CLAIMANT"> </a> 
          </td> 
          <td> Claimant</td> 
          <td> A party that makes a claim for coverage under a policy.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">COAUTH
            <a name="contract-signer-type-COAUTH"> </a> 
          </td> 
          <td> Co-Author</td> 
          <td> The entity that co-authored content. There can be multiple co-authors of content,which
             may take such forms as a  such as a contract, a healthcare record entry or document, a
             policy, or a consent directive.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">CONSENTER
            <a name="contract-signer-type-CONSENTER"> </a> 
          </td> 
          <td> Consenter</td> 
          <td> A patient or patient representative who is the grantee in a healthcare related agreement
             such as a consent for healthcare services, advanced directive, or a privacy consent directive
             in accordance with jurisdictional, organizational, or patient policy.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">CONSWIT
            <a name="contract-signer-type-CONSWIT"> </a> 
          </td> 
          <td> Consent Witness</td> 
          <td> A person who has witnessed and attests to observing a patient being counseled about a
             healthcare related agreement such as a consent for healthcare services, advanced directive,
             or a privacy consent directive.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">CONT
            <a name="contract-signer-type-CONT"> </a> 
          </td> 
          <td> Contact</td> 
          <td> A person or an organization that provides or receives information regarding another entity.
             Examples; patient NOK and emergency contacts; guarantor contact; employer contact.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">COPART
            <a name="contract-signer-type-COPART"> </a> 
          </td> 
          <td> Co-Participant</td> 
          <td> A person who participates in the generation of and attest to veracity of content, but
             is not an author or co-author. For example a surgeon who is required by institutional,
             regulatory, or legal rules to sign an operative report, but who was not involved in the
             authorship of that report.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">COVPTY
            <a name="contract-signer-type-COVPTY"> </a> 
          </td> 
          <td> Covered Party</td> 
          <td> An entity, which is the insured, that receives benefits such as healthcare services, reimbursement
             for out-of-pocket expenses, or compensation for losses through coverage under the terms
             of an insurance policy. The underwriter of that policy is the scoping entity. The covered
             party receives coverage because of some contractual or other relationship with the holder
             of that policy. Note that a particular policy may cover several individuals one of whom
             may be, but need not be, the policy holder. Thus the notion of covered party is a role
             that is distinct from that of the policy holder.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">DELEGATEE
            <a name="contract-signer-type-DELEGATEE"> </a> 
          </td> 
          <td> Delegatee</td> 
          <td> A party to whom some right or authority is delegated by a delegator.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">delegator
            <a name="contract-signer-type-delegator"> </a> 
          </td> 
          <td> Delegator</td> 
          <td> A party that delegates a right or authority to another party.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">DEPEND
            <a name="contract-signer-type-DEPEND"> </a> 
          </td> 
          <td> Dependent</td> 
          <td> A person covered under an insurance policy or program based on an association with a subscriber,
             which is recognized by the policy holder. The dependent has an association with the subscriber
             such as a financial dependency or personal relationship such as that of a spouse, or a
             natural or adopted child. The policy holder may be required by law to recognize certain
             associations or may have discretion about the associations. For example, a policy holder
             may dictate the criteria for the dependent status of adult children who are students,
             such as requiring full time enrollment, or may recognize domestic partners as dependents.
             Under certain circumstances, the dependent may be under the indirect authority of a responsible
             party acting as a surrogate for the subscriber, for example, if the subscriber is differently-abled
             or deceased, a guardian ad Lidem or estate executor may be appointed to assume the subscriber's
             legal standing in the relationship with the dependent.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">DPOWATT
            <a name="contract-signer-type-DPOWATT"> </a> 
          </td> 
          <td> Durable Power of Attorney</td> 
          <td> A person who has been granted the authority to represent or act on another's behalf generally
             in a manner which is a legally binding upon the person giving such authority as if he
             or she personally were to do the acts. Unlike ordinary powers of attorney, durable powers
             can survive for long periods of time, and again, unlike standard powers of attorney, durable
             powers can continue after incompetency.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">EMGCON
            <a name="contract-signer-type-EMGCON"> </a> 
          </td> 
          <td> Emergency Contact</td> 
          <td> An entity to be contacted in the event of an emergency</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">EVTWIT
            <a name="contract-signer-type-EVTWIT"> </a> 
          </td> 
          <td> Event Witness</td> 
          <td> A person who attests to observing an occurrence.  For example, the witness has observed
             a procedure and is attesting to this fact.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">EXCEST
            <a name="contract-signer-type-EXCEST"> </a> 
          </td> 
          <td> Executor of Estate</td> 
          <td> A person who has been granted the authority to act as an estate executor for a deceased
             person who was the responsible party.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">GRANTEE
            <a name="contract-signer-type-GRANTEE"> </a> 
          </td> 
          <td> Grantee</td> 
          <td> A person who grants to another person the authority to represent or act on that person's
             behalf.  Examples include (1) exercising specific rights belonging to the grantee; (2)
             performing specific duties on behalf of a grantee; and (3) making specific decisions concerning
             a grantee.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">GRANTOR
            <a name="contract-signer-type-GRANTOR"> </a> 
          </td> 
          <td> Grantor</td> 
          <td> A person who has been granted the authority to represent or act on another's behalf. Examples
             include (1) exercising specific rights belonging to the grantee; (2) performing specific
             duties on behalf of a grantee; and (3) making specific decisions concerning a grantee.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">GUAR
            <a name="contract-signer-type-GUAR"> </a> 
          </td> 
          <td> Guarantor</td> 
          <td> A person or organization contractually recognized by the issuer as an entity that has
             assumed fiscal responsibility (e.g., by making or giving a promise, assurance, or pledge)
             for another entity's financial obligations by guaranteeing to pay for amounts owed to
             a particular account.  In a healthcare context, the account may be a patient's billing
             account for services rendered by a provider or a health plan premium account.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">GUARD
            <a name="contract-signer-type-GUARD"> </a> 
          </td> 
          <td> Guardian</td> 
          <td> A person or organization legally empowered with responsibility for the care of a ward.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">GUADLTM
            <a name="contract-signer-type-GUADLTM"> </a> 
          </td> 
          <td> Guardian ad lidem</td> 
          <td> A person appointed by the court to look out for the best interests of a minor child during
             the course of legal proceedings.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">INF
            <a name="contract-signer-type-INF"> </a> 
          </td> 
          <td> Informant</td> 
          <td> An entity that is the 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.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">INTPRT
            <a name="contract-signer-type-INTPRT"> </a> 
          </td> 
          <td> Interpreter</td> 
          <td> A person who converts spoken or written language into the language of key participants
             in an event such as when a provider is obtaining a patient's consent to treatment or permission
             to disclose information.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">INSBJ
            <a name="contract-signer-type-INSBJ"> </a> 
          </td> 
          <td> Investigation Subject</td> 
          <td> An entity that is the subject of an investigation. This role is scoped by the party responsible
             for the investigation.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">HPOWATT
            <a name="contract-signer-type-HPOWATT"> </a> 
          </td> 
          <td> Healthcare Power of Attorney</td> 
          <td> A person who has been granted the authority to represent or act on another's behalf for
             healthcare related matters in a manner which is a legally binding upon the person giving
             such authority as if he or she personally were to do the acts. Examples include (1) exercising
             specific healthcare legal rights belonging to the grantee such as signing a consent directive;
             (2) performing specific healthcare related legal duties on behalf of a grantee such as
             claims payment; and (3) making specific healthcare legal decisions concerning a grantee
             such as consenting to healthcare services.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">HPROV
            <a name="contract-signer-type-HPROV"> </a> 
          </td> 
          <td> Healthcare Provider</td> 
          <td> An entity that is authorized to provide health care services by an authorizing organization
             or jurisdiction.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">LEGAUTHN
            <a name="contract-signer-type-LEGAUTHN"> </a> 
          </td> 
          <td> Legal Authenticator</td> 
          <td> A person in the role of verifier who attests to the accuracy of information content, and
             who has privileges to certify the legal authenticity of that content with a signature
             that constitutes a legal authentication.  For example, a licensed physician who signs
             a consult authored by a resident physician who authenticated it.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">NMDINS
            <a name="contract-signer-type-NMDINS"> </a> 
          </td> 
          <td> Named Insured</td> 
          <td> A party to an insurance policy under which the insurer agrees to indemnify for losses,
             provides benefits for, or renders services. A named insured may be either a person, non-person
             living subject, or an organization, or a group of persons, non-person living subject that
             is the named insured under a comprehensive automobile, disability, or property and casualty
             policy.  The named insured and might or might not be the policy holder.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">NOK
            <a name="contract-signer-type-NOK"> </a> 
          </td> 
          <td> Next of Kin</td> 
          <td> A person, who is a type of contact, designated to receive notifications on behalf of another
             person who is a relative.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">NOTARY
            <a name="contract-signer-type-NOTARY"> </a> 
          </td> 
          <td> Notary</td> 
          <td> The party credentialed to legally attest to the contract binding by verifying the identity
             and capacity of the grantor and grantee, and witnessing their signing of the contract
             or agreement such as a real estate transaction, pre-nuptial agreement, or a will.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">PAT
            <a name="contract-signer-type-PAT"> </a> 
          </td> 
          <td> Patient</td> 
          <td> A person, animal, or other living subject that is the actual or potential recipient of
             health care services.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">POWATT
            <a name="contract-signer-type-POWATT"> </a> 
          </td> 
          <td> Power of Attorney</td> 
          <td> A person who has been granted the authority to represent or act on another's behalf generally
             in a manner which is a legally binding upon the person giving such authority as if he
             or she personally were to do the acts. Examples include (1) exercising specific legal
             rights belonging to the grantee such as signing a contract; (2) performing specific legal
             duties on behalf of a grantee such as making loan payments; and (3) making specific legal
             decisions concerning a grantee such as financial investment decisions.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">PRIMAUTH
            <a name="contract-signer-type-PRIMAUTH"> </a> 
          </td> 
          <td> Primary Author</td> 
          <td> An entity that is the primary or sole author of information content.  In the healthcare
             context, there can be only one primary author of health information content in a record
             entry or document.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">PRIRECIP
            <a name="contract-signer-type-PRIRECIP"> </a> 
          </td> 
          <td> Primary Responsible Party </td> 
          <td> An entity that may, should receive, or has received information or an object to which
             it was primarily addressed.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">RECIP
            <a name="contract-signer-type-RECIP"> </a> 
          </td> 
          <td> Recipient</td> 
          <td> An entity that may, should receive, or has received information or an object, which might
             not have been primarily addressed to it. For example, the staff of a provider, a clearinghouse,
             or other intermediary.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">RESPRSN
            <a name="contract-signer-type-RESPRSN"> </a> 
          </td> 
          <td> Responsible Party</td> 
          <td> An entity that has legal responsibility for another party.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">REVIEWER
            <a name="contract-signer-type-REVIEWER"> </a> 
          </td> 
          <td> Reviewer</td> 
          <td> A person, device, or algorithm that has used approved criteria for filtered data for inclusion
             into the patient record.  Examples: (1) a medical records clerk who scans a document for
             inclusion in the medical record, enters header information, or catalogues and classifies
             the data, or a combination thereof; (2) a gateway that receives data from another computer
             system and interprets that data or changes its format, or both, before entering it into
             the patient record.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">TRANS
            <a name="contract-signer-type-TRANS"> </a> 
          </td> 
          <td> Transcriber</td> 
          <td> An entity entering the data into the originating system. This includes the transcriptionist
             for dictated text transcribed into electronic form.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">SOURCE
            <a name="contract-signer-type-SOURCE"> </a> 
          </td> 
          <td> Source</td> 
          <td> An automated data source that generates a signature along with content. Examples: (1)
             the signature for an image that is generated by a device for inclusion in the patient
             record; (2) the signature for an ECG derived by an ECG system for inclusion in the patient
             record; (3) the data from a biomedical monitoring device or system that is for inclusion
             in the patient record.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">SPOWATT
            <a name="contract-signer-type-SPOWATT"> </a> 
          </td> 
          <td> Special Power of Attorney</td> 
          <td> A person who has been granted the authority to represent or act on another's behalf for
             a limited set of specific matters in a manner which is a legally binding upon the person
             giving such authority as if he or she personally were to do the acts. Examples include
             (1) exercising specific legal rights belonging to the grantee such as drafting a will;
             (2) performing specific legal duties on behalf of a grantee such as making a reversible
             mortgage to pay for end of life expenses; and (3) making specific legal decisions concerning
             a grantee such as managing a trust.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">VALID
            <a name="contract-signer-type-VALID"> </a> 
          </td> 
          <td> Validator</td> 
          <td> A person who validates a health information document for inclusion in the patient record.
             For example, a medical student or resident is credentialed to perform history or physical
             examinations and to write progress notes. The attending physician signs the history and
             physical examination to validate the entry for inclusion in the patient's medical record.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">VERF
            <a name="contract-signer-type-VERF"> </a> 
          </td> 
          <td> Verifier</td> 
          <td> A person who asserts the correctness and appropriateness of an act or the recording of
             the act, and is accountable for the assertion that the act or the recording of the act
             complies with jurisdictional or organizational policy. For example, a physician is required
             to countersign a verbal order that has previously been recorded in the medical record
             by a registered nurse who has carried out the verbal order.</td> 
        </tr> 
        <tr> 
          <td style="white-space:nowrap">WIT
            <a name="contract-signer-type-WIT"> </a> 
          </td> 
          <td> Witness</td> 
          <td> A person witnessing the signature of another party. A witness is not knowledgeable about
             the content being signed, much less approves of anything stated in the content. For example,
             an advanced directive witness or a witness that a party to a contract signed that certain
             demographic or financial information is truthful.</td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-ballot-status">
    <valueString value="Trial Use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="1"/> 
  </extension> 
  <url value="http://www.hl7.org/fhir/contractsignertypecodes"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.4.642.1.738"/> 
  </identifier> 
  <version value="3.3.0"/> 
  <name value="Contract Signer Type Codes"/> 
  <status value="draft"/> 
  <experimental value="true"/> 
  <publisher value="Financial Management"/> 
  <description value="This value set includes sample Contract Signer Type codes."/> 
  <copyright value="This is an example set based on ASTM Standard, E1762-95 (2013) HL7 RoleClass OID 2.16.840.1.113883.5
  .110, HL7 Role Code 2.16.840.1.113883.5.111, HL7 ParticipationType OID: 2.16.840.1.113883.5.90,
   HL7 ParticipationFunction codes at OID: 2.16.840.1.113883.5.88, and HL7 Security and Privacy
   Domain Analysis Model roles classes."/> 
  <caseSensitive value="true"/> 
  <valueSet value="http://hl7.org/fhir/ValueSet/contract-signer-type"/> 
  <content value="complete"/> 
  <concept> 
    <code value="AMENDER"/> 
    <display value="Amender"/> 
    <definition value="A person who has corrected, edited, or amended pre-existing information."/> 
  </concept> 
  <concept> 
    <code value="AUTHN"/> 
    <display value="Authenticator"/> 
    <definition value="A person in the role of verifier who attests to the accuracy of an act, but who does not
     have privileges to legally authenticate information content. An example would be a resident
     physician who sees a patient and dictates a note, then later signs it. The resident's
     signature constitutes an authentication."/> 
  </concept> 
  <concept> 
    <code value="AUT"/> 
    <display value="Author"/> 
    <definition value="An entity that authored specific content. There can be multiple authors of content, which
     may take such forms as a contract, a healthcare record entry or document, a policy, or
     a consent directive."/> 
  </concept> 
  <concept> 
    <code value="AFFL"/> 
    <display value="Affiliate"/> 
    <definition value="An entity that has a business or professional relationship with another entity in accordance
     with an agreement."/> 
  </concept> 
  <concept> 
    <code value="AGNT"/> 
    <display value="Agent"/> 
    <definition value="An entity that acts or is authorized to act on behalf of another entity in accordance
     with an agreement."/> 
  </concept> 
  <concept> 
    <code value="ASSIGNED"/> 
    <display value="Assigned Entity"/> 
    <definition value="An agent role in which the agent is an Entity acting in the employ of an organization.
     The focus is on functional role on behalf of the organization, unlike the Employee role
     where the focus is on the 'Human Resources' relationship between the employee and the
     organization."/> 
  </concept> 
  <concept> 
    <code value="CIT"/> 
    <display value="Citizen"/> 
    <definition value="The member of a jurisdiction afforded certain rights and encumbered with certain obligation
     in accordance with jurisdictional policy."/> 
  </concept> 
  <concept> 
    <code value="CLAIMANT"/> 
    <display value="Claimant"/> 
    <definition value="A party that makes a claim for coverage under a policy."/> 
  </concept> 
  <concept> 
    <code value="COAUTH"/> 
    <display value="Co-Author"/> 
    <definition value="The entity that co-authored content. There can be multiple co-authors of content,which
     may take such forms as a  such as a contract, a healthcare record entry or document, a
     policy, or a consent directive."/> 
  </concept> 
  <concept> 
    <code value="CONSENTER"/> 
    <display value="Consenter"/> 
    <definition value="A patient or patient representative who is the grantee in a healthcare related agreement
     such as a consent for healthcare services, advanced directive, or a privacy consent directive
     in accordance with jurisdictional, organizational, or patient policy."/> 
  </concept> 
  <concept> 
    <code value="CONSWIT"/> 
    <display value="Consent Witness"/> 
    <definition value="A person who has witnessed and attests to observing a patient being counseled about a
     healthcare related agreement such as a consent for healthcare services, advanced directive,
     or a privacy consent directive."/> 
  </concept> 
  <concept> 
    <code value="CONT"/> 
    <display value="Contact"/> 
    <definition value="A person or an organization that provides or receives information regarding another entity.
     Examples; patient NOK and emergency contacts; guarantor contact; employer contact."/> 
  </concept> 
  <concept> 
    <code value="COPART"/> 
    <display value="Co-Participant"/> 
    <definition value="A person who participates in the generation of and attest to veracity of content, but
     is not an author or co-author. For example a surgeon who is required by institutional,
     regulatory, or legal rules to sign an operative report, but who was not involved in the
     authorship of that report."/> 
  </concept> 
  <concept> 
    <code value="COVPTY"/> 
    <display value="Covered Party"/> 
    <definition value="An entity, which is the insured, that receives benefits such as healthcare services, reimbursement
     for out-of-pocket expenses, or compensation for losses through coverage under the terms
     of an insurance policy. The underwriter of that policy is the scoping entity. The covered
     party receives coverage because of some contractual or other relationship with the holder
     of that policy. Note that a particular policy may cover several individuals one of whom
     may be, but need not be, the policy holder. Thus the notion of covered party is a role
     that is distinct from that of the policy holder."/> 
  </concept> 
  <concept> 
    <code value="DELEGATEE"/> 
    <display value="Delegatee"/> 
    <definition value="A party to whom some right or authority is delegated by a delegator."/> 
  </concept> 
  <concept> 
    <code value="delegator"/> 
    <display value="Delegator"/> 
    <definition value="A party that delegates a right or authority to another party."/> 
  </concept> 
  <concept> 
    <code value="DEPEND"/> 
    <display value="Dependent"/> 
    <definition value="A person covered under an insurance policy or program based on an association with a subscriber,
     which is recognized by the policy holder. The dependent has an association with the subscriber
     such as a financial dependency or personal relationship such as that of a spouse, or a
     natural or adopted child. The policy holder may be required by law to recognize certain
     associations or may have discretion about the associations. For example, a policy holder
     may dictate the criteria for the dependent status of adult children who are students,
     such as requiring full time enrollment, or may recognize domestic partners as dependents.
     Under certain circumstances, the dependent may be under the indirect authority of a responsible
     party acting as a surrogate for the subscriber, for example, if the subscriber is differently-abled
     or deceased, a guardian ad Lidem or estate executor may be appointed to assume the subscriber's
     legal standing in the relationship with the dependent."/> 
  </concept> 
  <concept> 
    <code value="DPOWATT"/> 
    <display value="Durable Power of Attorney"/> 
    <definition value="A person who has been granted the authority to represent or act on another's behalf generally
     in a manner which is a legally binding upon the person giving such authority as if he
     or she personally were to do the acts. Unlike ordinary powers of attorney, durable powers
     can survive for long periods of time, and again, unlike standard powers of attorney, durable
     powers can continue after incompetency."/> 
  </concept> 
  <concept> 
    <code value="EMGCON"/> 
    <display value="Emergency Contact"/> 
    <definition value="An entity to be contacted in the event of an emergency"/> 
  </concept> 
  <concept> 
    <code value="EVTWIT"/> 
    <display value="Event Witness"/> 
    <definition value="A person who attests to observing an occurrence.  For example, the witness has observed
     a procedure and is attesting to this fact."/> 
  </concept> 
  <concept> 
    <code value="EXCEST"/> 
    <display value="Executor of Estate"/> 
    <definition value="A person who has been granted the authority to act as an estate executor for a deceased
     person who was the responsible party."/> 
  </concept> 
  <concept> 
    <code value="GRANTEE"/> 
    <display value="Grantee"/> 
    <definition value="A person who grants to another person the authority to represent or act on that person's
     behalf.  Examples include (1) exercising specific rights belonging to the grantee; (2)
     performing specific duties on behalf of a grantee; and (3) making specific decisions concerning
     a grantee."/> 
  </concept> 
  <concept> 
    <code value="GRANTOR"/> 
    <display value="Grantor"/> 
    <definition value="A person who has been granted the authority to represent or act on another's behalf. Examples
     include (1) exercising specific rights belonging to the grantee; (2) performing specific
     duties on behalf of a grantee; and (3) making specific decisions concerning a grantee."/> 
  </concept> 
  <concept> 
    <code value="GUAR"/> 
    <display value="Guarantor"/> 
    <definition value="A person or organization contractually recognized by the issuer as an entity that has
     assumed fiscal responsibility (e.g., by making or giving a promise, assurance, or pledge)
     for another entity's financial obligations by guaranteeing to pay for amounts owed to
     a particular account.  In a healthcare context, the account may be a patient's billing
     account for services rendered by a provider or a health plan premium account."/> 
  </concept> 
  <concept> 
    <code value="GUARD"/> 
    <display value="Guardian"/> 
    <definition value="A person or organization legally empowered with responsibility for the care of a ward."/> 
  </concept> 
  <concept> 
    <code value="GUADLTM"/> 
    <display value="Guardian ad lidem"/> 
    <definition value="A person appointed by the court to look out for the best interests of a minor child during
     the course of legal proceedings."/> 
  </concept> 
  <concept> 
    <code value="INF"/> 
    <display value="Informant"/> 
    <definition value="An entity that is the 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."/> 
  </concept> 
  <concept> 
    <code value="INTPRT"/> 
    <display value="Interpreter"/> 
    <definition value="A person who converts spoken or written language into the language of key participants
     in an event such as when a provider is obtaining a patient's consent to treatment or permission
     to disclose information."/> 
  </concept> 
  <concept> 
    <code value="INSBJ"/> 
    <display value="Investigation Subject"/> 
    <definition value="An entity that is the subject of an investigation. This role is scoped by the party responsible
     for the investigation."/> 
  </concept> 
  <concept> 
    <code value="HPOWATT"/> 
    <display value="Healthcare Power of Attorney"/> 
    <definition value="A person who has been granted the authority to represent or act on another's behalf for
     healthcare related matters in a manner which is a legally binding upon the person giving
     such authority as if he or she personally were to do the acts. Examples include (1) exercising
     specific healthcare legal rights belonging to the grantee such as signing a consent directive;
     (2) performing specific healthcare related legal duties on behalf of a grantee such as
     claims payment; and (3) making specific healthcare legal decisions concerning a grantee
     such as consenting to healthcare services."/> 
  </concept> 
  <concept> 
    <code value="HPROV"/> 
    <display value="Healthcare Provider"/> 
    <definition value="An entity that is authorized to provide health care services by an authorizing organization
     or jurisdiction."/> 
  </concept> 
  <concept> 
    <code value="LEGAUTHN"/> 
    <display value="Legal Authenticator"/> 
    <definition value="A person in the role of verifier who attests to the accuracy of information content, and
     who has privileges to certify the legal authenticity of that content with a signature
     that constitutes a legal authentication.  For example, a licensed physician who signs
     a consult authored by a resident physician who authenticated it."/> 
  </concept> 
  <concept> 
    <code value="NMDINS"/> 
    <display value="Named Insured"/> 
    <definition value="A party to an insurance policy under which the insurer agrees to indemnify for losses,
     provides benefits for, or renders services. A named insured may be either a person, non-person
     living subject, or an organization, or a group of persons, non-person living subject that
     is the named insured under a comprehensive automobile, disability, or property and casualty
     policy.  The named insured and might or might not be the policy holder."/> 
  </concept> 
  <concept> 
    <code value="NOK"/> 
    <display value="Next of Kin"/> 
    <definition value="A person, who is a type of contact, designated to receive notifications on behalf of another
     person who is a relative."/> 
  </concept> 
  <concept> 
    <code value="NOTARY"/> 
    <display value="Notary"/> 
    <definition value="The party credentialed to legally attest to the contract binding by verifying the identity
     and capacity of the grantor and grantee, and witnessing their signing of the contract
     or agreement such as a real estate transaction, pre-nuptial agreement, or a will."/> 
  </concept> 
  <concept> 
    <code value="PAT"/> 
    <display value="Patient"/> 
    <definition value="A person, animal, or other living subject that is the actual or potential recipient of
     health care services."/> 
  </concept> 
  <concept> 
    <code value="POWATT"/> 
    <display value="Power of Attorney"/> 
    <definition value="A person who has been granted the authority to represent or act on another's behalf generally
     in a manner which is a legally binding upon the person giving such authority as if he
     or she personally were to do the acts. Examples include (1) exercising specific legal
     rights belonging to the grantee such as signing a contract; (2) performing specific legal
     duties on behalf of a grantee such as making loan payments; and (3) making specific legal
     decisions concerning a grantee such as financial investment decisions."/> 
  </concept> 
  <concept> 
    <code value="PRIMAUTH"/> 
    <display value="Primary Author"/> 
    <definition value="An entity that is the primary or sole author of information content.  In the healthcare
     context, there can be only one primary author of health information content in a record
     entry or document."/> 
  </concept> 
  <concept> 
    <code value="PRIRECIP"/> 
    <display value="Primary Responsible Party "/> 
    <definition value="An entity that may, should receive, or has received information or an object to which
     it was primarily addressed."/> 
  </concept> 
  <concept> 
    <code value="RECIP"/> 
    <display value="Recipient"/> 
    <definition value="An entity that may, should receive, or has received information or an object, which might
     not have been primarily addressed to it. For example, the staff of a provider, a clearinghouse,
     or other intermediary."/> 
  </concept> 
  <concept> 
    <code value="RESPRSN"/> 
    <display value="Responsible Party"/> 
    <definition value="An entity that has legal responsibility for another party."/> 
  </concept> 
  <concept> 
    <code value="REVIEWER"/> 
    <display value="Reviewer"/> 
    <definition value="A person, device, or algorithm that has used approved criteria for filtered data for inclusion
     into the patient record.  Examples: (1) a medical records clerk who scans a document for
     inclusion in the medical record, enters header information, or catalogues and classifies
     the data, or a combination thereof; (2) a gateway that receives data from another computer
     system and interprets that data or changes its format, or both, before entering it into
     the patient record."/> 
  </concept> 
  <concept> 
    <code value="TRANS"/> 
    <display value="Transcriber"/> 
    <definition value="An entity entering the data into the originating system. This includes the transcriptionist
     for dictated text transcribed into electronic form."/> 
  </concept> 
  <concept> 
    <code value="SOURCE"/> 
    <display value="Source"/> 
    <definition value="An automated data source that generates a signature along with content. Examples: (1)
     the signature for an image that is generated by a device for inclusion in the patient
     record; (2) the signature for an ECG derived by an ECG system for inclusion in the patient
     record; (3) the data from a biomedical monitoring device or system that is for inclusion
     in the patient record."/> 
  </concept> 
  <concept> 
    <code value="SPOWATT"/> 
    <display value="Special Power of Attorney"/> 
    <definition value="A person who has been granted the authority to represent or act on another's behalf for
     a limited set of specific matters in a manner which is a legally binding upon the person
     giving such authority as if he or she personally were to do the acts. Examples include
     (1) exercising specific legal rights belonging to the grantee such as drafting a will;
     (2) performing specific legal duties on behalf of a grantee such as making a reversible
     mortgage to pay for end of life expenses; and (3) making specific legal decisions concerning
     a grantee such as managing a trust."/> 
  </concept> 
  <concept> 
    <code value="VALID"/> 
    <display value="Validator"/> 
    <definition value="A person who validates a health information document for inclusion in the patient record.
     For example, a medical student or resident is credentialed to perform history or physical
     examinations and to write progress notes. The attending physician signs the history and
     physical examination to validate the entry for inclusion in the patient's medical record."/> 
  </concept> 
  <concept> 
    <code value="VERF"/> 
    <display value="Verifier"/> 
    <definition value="A person who asserts the correctness and appropriateness of an act or the recording of
     the act, and is accountable for the assertion that the act or the recording of the act
     complies with jurisdictional or organizational policy. For example, a physician is required
     to countersign a verbal order that has previously been recorded in the medical record
     by a registered nurse who has carried out the verbal order."/> 
  </concept> 
  <concept> 
    <code value="WIT"/> 
    <display value="Witness"/> 
    <definition value="A person witnessing the signature of another party. A witness is not knowledgeable about
     the content being signed, much less approves of anything stated in the content. For example,
     an advanced directive witness or a witness that a party to a contract signed that certain
     demographic or financial information is truthful."/> 
  </concept> 
</CodeSystem> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.