Release 5 Preview #1

This page is part of the FHIR Specification (v4.2.0: R5 Preview #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R4 R3 R2

V3-ParticipationType.xml

Vocabulary Work GroupMaturity Level: N/AStandards Status: Informative

Raw XML (canonical form + also see XML Format Specification)

**** MISSING DEFINITIONS ****

<?xml version="1.0" encoding="UTF-8"?>

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v3-ParticipationType"/> 
  <meta> 
    <lastUpdated value="2019-07-31T00:00:00.000+10:00"/> 
    <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> Release Date: 2019-07-31</p> 

      <table class="grid">
 
        <tr> 
          <td> 
            <b> Level</b> 
          </td> 
          <td> 
            <b> Code</b> 
          </td> 
          <td> 
            <b> Display</b> 
          </td> 
          <td> 
            <b> Definition</b> 
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> PART
            <a name="v3-ParticipationType-PART"> </a> 
          </td> 
          <td> Participation</td> 
          <td> 
                        Indicates that the target of the participation is involved in
               some manner in the act, but does not qualify how.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   
            <span style="color: grey">
              <i> (_ParticipationAncillary)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ParticipationType-_ParticipationAncillary"> </a> 
          </td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     ADM
            <a name="v3-ParticipationType-ADM"> </a> 
          </td> 
          <td> admitter</td> 
          <td> 
                        The practitioner who is responsible for admitting a patient to
               a patient encounter.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     ATND
            <a name="v3-ParticipationType-ATND"> </a> 
          </td> 
          <td> attender</td> 
          <td> 
                        The practitioner that has responsibility for overseeing a patient's
               care during a patient encounter.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     CALLBCK
            <a name="v3-ParticipationType-CALLBCK"> </a> 
          </td> 
          <td> callback contact</td> 
          <td> 
                        A person or organization who should be contacted for follow-up
               questions about the act in place of the author.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     CON
            <a name="v3-ParticipationType-CON"> </a> 
          </td> 
          <td> consultant</td> 
          <td> 
                        An advisor participating in the service by performing evaluations
               and making recommendations.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     DIS
            <a name="v3-ParticipationType-DIS"> </a> 
          </td> 
          <td> discharger</td> 
          <td> 
                        The practitioner who is responsible for the discharge of a patient
               from a patient encounter.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     ESC
            <a name="v3-ParticipationType-ESC"> </a> 
          </td> 
          <td> escort</td> 
          <td> 
                        Only with Transportation services.  A person who escorts the patient.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     REF
            <a name="v3-ParticipationType-REF"> </a> 
          </td> 
          <td> referrer</td> 
          <td> 
                        A person having referred the subject of the service to the performer
               (referring physician).  Typically, a referring physician will receive a report.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   
            <span style="color: grey">
              <i> (_ParticipationInformationGenerator)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ParticipationType-_ParticipationInformationGenerator"> </a> 
          </td> 
          <td> 
                        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).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     AUT
            <a name="v3-ParticipationType-AUT"> </a> 
          </td> 
          <td> author (originator)</td> 
          <td> 
                        
                           Definition: A party that originates the Act and therefore has
               responsibility for the information given in the Act and ownership of this Act.
            <br/>  

                        
                           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.
               
            <br/>  

                        Examples of such policies might include:
            <br/>  

                        
                           
                              The author and anyone they explicitly delegate may update
               the report;
            <br/>  

                           
                           
                              All administrators within the same clinic may cancel and
               reschedule appointments created by other administrators within that clinic;
            <br/>  

                           
                        
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     INF
            <a name="v3-ParticipationType-INF"> </a> 
          </td> 
          <td> informant</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     TRANS
            <a name="v3-ParticipationType-TRANS"> </a> 
          </td> 
          <td> Transcriber</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 4</td> 
          <td>       ENT
            <a name="v3-ParticipationType-ENT"> </a> 
          </td> 
          <td> data entry person</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     WIT
            <a name="v3-ParticipationType-WIT"> </a> 
          </td> 
          <td> witness</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   CST
            <a name="v3-ParticipationType-CST"> </a> 
          </td> 
          <td> custodian</td> 
          <td> 
                        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.).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   DIR
            <a name="v3-ParticipationType-DIR"> </a> 
          </td> 
          <td> direct target</td> 
          <td> 
                        Target participant  that is substantially present in the act 
               and which is directly involved in the action (includes consumed material, devices, etc.).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     ALY
            <a name="v3-ParticipationType-ALY"> </a> 
          </td> 
          <td> analyte</td> 
          <td> 
                        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.
            <br/>  

                        
                           Examples: A &quot;plasma porcelain substance concentration&quot;
               has analyte a Role with player substance Entity &quot;porcelain&quot;.
            <br/>  

                        
                           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 &quot;plasma porcelain&quot;
               the scoper could be &quot;Plasma&quot;.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     BBY
            <a name="v3-ParticipationType-BBY"> </a> 
          </td> 
          <td> baby</td> 
          <td> 
                        In an obstetric service, the baby.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     CAT
            <a name="v3-ParticipationType-CAT"> </a> 
          </td> 
          <td> catalyst</td> 
          <td> 
                        The catalyst of a chemical reaction, such as an enzyme or a platinum
               surface. In biochemical reactions, connects the enzyme with the molecular interaction
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     CSM
            <a name="v3-ParticipationType-CSM"> </a> 
          </td> 
          <td> consumable</td> 
          <td> 
                        Participant material that is taken up, diminished, altered, or
               disappears in the act.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 4</td> 
          <td>       TPA
            <a name="v3-ParticipationType-TPA"> </a> 
          </td> 
          <td> therapeutic agent</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     DEV
            <a name="v3-ParticipationType-DEV"> </a> 
          </td> 
          <td> device</td> 
          <td> 
                        Participant used in performing the act without being substantially
               affected by the act (i.e. durable or inert with respect to that particular service).
            <br/>  

                        
                           Examples: monitoring equipment, tools, but also access/drainage
               lines, prostheses, pace maker, etc.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 4</td> 
          <td>       NRD
            <a name="v3-ParticipationType-NRD"> </a> 
          </td> 
          <td> non-reuseable device</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 4</td> 
          <td>       RDV
            <a name="v3-ParticipationType-RDV"> </a> 
          </td> 
          <td> reusable device</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     DON
            <a name="v3-ParticipationType-DON"> </a> 
          </td> 
          <td> donor</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     EXPAGNT
            <a name="v3-ParticipationType-EXPAGNT"> </a> 
          </td> 
          <td> ExposureAgent</td> 
          <td> 
                        
                           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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     EXPART
            <a name="v3-ParticipationType-EXPART"> </a> 
          </td> 
          <td> ExposureParticipation</td> 
          <td> 
                        
                           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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 4</td> 
          <td>       EXPTRGT
            <a name="v3-ParticipationType-EXPTRGT"> </a> 
          </td> 
          <td> ExposureTarget</td> 
          <td> 
                        
                           Description: The entity playing the associated role is the
               target (contact) of exposure.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 4</td> 
          <td>       EXSRC
            <a name="v3-ParticipationType-EXSRC"> </a> 
          </td> 
          <td> ExposureSource</td> 
          <td> 
                        
                           Description:The entity playing the associated role is the source
               of exposure.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     PRD
            <a name="v3-ParticipationType-PRD"> </a> 
          </td> 
          <td> product</td> 
          <td> 
                        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). 
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     SBJ
            <a name="v3-ParticipationType-SBJ"> </a> 
          </td> 
          <td> subject</td> 
          <td> 
                        The principle target on which the action happens.
            <br/>  

                        
                           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). 
            <br/>  

                        
                           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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 4</td> 
          <td>       SPC
            <a name="v3-ParticipationType-SPC"> </a> 
          </td> 
          <td> specimen</td> 
          <td> 
                        The subject of non-clinical (e.g. laboratory) observation services
               is a specimen.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   IND
            <a name="v3-ParticipationType-IND"> </a> 
          </td> 
          <td> indirect target</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     BEN
            <a name="v3-ParticipationType-BEN"> </a> 
          </td> 
          <td> beneficiary</td> 
          <td> 
                        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.
            <br/>  

                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     CAGNT
            <a name="v3-ParticipationType-CAGNT"> </a> 
          </td> 
          <td> causative agent</td> 
          <td> 
                        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.
            <br/>  

                        Constraint:  The use of this participation is limited to observations.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     COV
            <a name="v3-ParticipationType-COV"> </a> 
          </td> 
          <td> coverage target</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     GUAR
            <a name="v3-ParticipationType-GUAR"> </a> 
          </td> 
          <td> guarantor party</td> 
          <td> 
                        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
            <br/>  

                        
                           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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     HLD
            <a name="v3-ParticipationType-HLD"> </a> 
          </td> 
          <td> holder</td> 
          <td> 
                        Participant who posses an instrument such as a financial contract
               (insurance policy) usually based on some agreement with the author.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     RCT
            <a name="v3-ParticipationType-RCT"> </a> 
          </td> 
          <td> record target</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     RCV
            <a name="v3-ParticipationType-RCV"> </a> 
          </td> 
          <td> receiver</td> 
          <td> 
                        The person (or organization) who receives the product of an Act.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   IRCP
            <a name="v3-ParticipationType-IRCP"> </a> 
          </td> 
          <td> information recipient</td> 
          <td> 
                        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.&quot; 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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     NOT
            <a name="v3-ParticipationType-NOT"> </a> 
          </td> 
          <td> ugent notification contact</td> 
          <td> 
                        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).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     PRCP
            <a name="v3-ParticipationType-PRCP"> </a> 
          </td> 
          <td> primary information recipient</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     REFB
            <a name="v3-ParticipationType-REFB"> </a> 
          </td> 
          <td> Referred By</td> 
          <td> 
                        A participant (e.g. provider) who has referred the subject of
               an act (e.g. patient).
            <br/>  

                        Typically, a referred by participant will provide a report (e.g.
               referral).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     REFT
            <a name="v3-ParticipationType-REFT"> </a> 
          </td> 
          <td> Referred to</td> 
          <td> 
                        The person who receives the patient
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     TRC
            <a name="v3-ParticipationType-TRC"> </a> 
          </td> 
          <td> tracker</td> 
          <td> 
                        A secondary information recipient, who receives copies (e.g.,
               a primary care provider receiving copies of results as ordered by specialist).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   LOC
            <a name="v3-ParticipationType-LOC"> </a> 
          </td> 
          <td> location</td> 
          <td> 
                        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.)
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     DST
            <a name="v3-ParticipationType-DST"> </a> 
          </td> 
          <td> destination</td> 
          <td> 
                        The destination for services.  May be a static building (or room
               therein) or a movable facility (e.g., ship).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     ELOC
            <a name="v3-ParticipationType-ELOC"> </a> 
          </td> 
          <td> entry location</td> 
          <td> 
                        A location where data about an Act was entered.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     ORG
            <a name="v3-ParticipationType-ORG"> </a> 
          </td> 
          <td> origin</td> 
          <td> 
                        The location of origin for services.  May be a static building
               (or room therein) or a movable facility (e.g., ship).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     RML
            <a name="v3-ParticipationType-RML"> </a> 
          </td> 
          <td> remote</td> 
          <td> 
                        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
               &quot;remote.&quot;
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     VIA
            <a name="v3-ParticipationType-VIA"> </a> 
          </td> 
          <td> via</td> 
          <td> 
                        For services, an intermediate location that specifies a path between
               origin an destination.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   PRF
            <a name="v3-ParticipationType-PRF"> </a> 
          </td> 
          <td> performer</td> 
          <td> 
                        
                           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.
            <br/>  

                        
                           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.
            <br/>  

                        
                           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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     DIST
            <a name="v3-ParticipationType-DIST"> </a> 
          </td> 
          <td> distributor</td> 
          <td> 
                        Distributes material used in or generated during the act.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     PPRF
            <a name="v3-ParticipationType-PPRF"> </a> 
          </td> 
          <td> primary performer</td> 
          <td> 
                        The principal or primary performer of the act.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     SPRF
            <a name="v3-ParticipationType-SPRF"> </a> 
          </td> 
          <td> secondary performer</td> 
          <td> 
                        A person assisting in an act through his substantial presence
               and involvement   This includes: assistants, technicians, associates, or whatever the
               job titles may be.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   RESP
            <a name="v3-ParticipationType-RESP"> </a> 
          </td> 
          <td> responsible party</td> 
          <td> 
                        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.
            <br/>  

                        
                           Example: A person who is the head of a biochemical laboratory;
               a sponsor for a policy or government program.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   VRF
            <a name="v3-ParticipationType-VRF"> </a> 
          </td> 
          <td> verifier</td> 
          <td> 
                        A person who verifies the correctness and appropriateness of the
               service (plan, order, event, etc.) and hence takes on accountability.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     AUTHEN
            <a name="v3-ParticipationType-AUTHEN"> </a> 
          </td> 
          <td> authenticator</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     LA
            <a name="v3-ParticipationType-LA"> </a> 
          </td> 
          <td> legal authenticator</td> 
          <td> 
                        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.
            <br/>  

                     
          </td> 
        </tr> 

      </table> 

    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="external"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="vocab"/> 
  </extension> 
  <url value="http://terminology.hl7.org/ValueSet/v3-ParticipationType"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.1.11.10901"/> 
  </identifier> 
  <version value="2019-07-31"/> 
  <name value="v3.ParticipationType"/> 
  <title value="v3 Code System ParticipationType"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <date value="2019-07-31"/> 
  <publisher value="HL7, Inc"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org"/> 
    </telecom> 
  </contact> 
  <description value="**** MISSING DEFINITIONS ****"/> 
  <immutable value="true"/> 
  <compose> 
    <include> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> 
    </include> 
  </compose> 
</ValueSet> 

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.