Release 5 Preview #2

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V3-ActMood.xml

Vocabulary Work GroupMaturity Level: N/AStandards Status: Informative

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

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.

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

<ValueSet xmlns="http://hl7.org/fhir">
  <id value="v3-ActMood"/> 
  <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> 
            <span style="color: grey">
              <i> (_ActMoodCompletionTrack)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ActMood-_ActMoodCompletionTrack"> </a> 
          </td> 
          <td> 
                        These are moods describing activities as they progress in the
               business cycle, from defined, through planned and ordered to completed.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   
            <span style="color: grey">
              <i> (_ActMoodPotential)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ActMood-_ActMoodPotential"> </a> 
          </td> 
          <td> 
                        
                           Definition: A possible act.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     DEF
            <a name="v3-ActMood-DEF"> </a> 
          </td> 
          <td> definition</td> 
          <td> 
                        
                           Definition: A definition of a kind of act that can occur .
            <br/>  

                        
                           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 &quot;retired&quot; in the future in favor of the more
               general ActMood.CRT.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     PERM
            <a name="v3-ActMood-PERM"> </a> 
          </td> 
          <td> permission</td> 
          <td> 
                        
                           Definition: A kind of act that defines a permission that has
               been granted.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     SLOT
            <a name="v3-ActMood-SLOT"> </a> 
          </td> 
          <td> resource slot</td> 
          <td> 
                        
                           Definition: A kind of act that may occur during the specified
               time period.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   EVN
            <a name="v3-ActMood-EVN"> </a> 
          </td> 
          <td> event (occurrence)</td> 
          <td> 
                        
                           Definition: An act that actually happens (may be an ongoing
               act or a documentation of a past act).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   INT
            <a name="v3-ActMood-INT"> </a> 
          </td> 
          <td> intent</td> 
          <td> 
                        
                           Definition: An intention or plan for an act. 
            <br/>  

                        
                           &gt;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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     
            <span style="color: grey">
              <i> (_ActMoodDesire)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ActMood-_ActMoodDesire"> </a> 
          </td> 
          <td> 
                        
                           Definition:  A desire to have an act occur.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 4</td> 
          <td>       
            <span style="color: grey">
              <i> (_ActMoodActRequest)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ActMood-_ActMoodActRequest"> </a> 
          </td> 
          <td> 
                        
                           Definition: A request (or order) for an act that is part of
               a defined request/fulfillment cycle.
            <br/>  

                        
                           UsageNotes: Use of an HL7 defined request/fulfillment framework
               is not required to use this mood code.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 5</td> 
          <td>         ARQ
            <a name="v3-ActMood-ARQ"> </a> 
          </td> 
          <td> appointment request</td> 
          <td> 
                        
                           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).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 5</td> 
          <td>         PERMRQ
            <a name="v3-ActMood-PERMRQ"> </a> 
          </td> 
          <td> permission request</td> 
          <td> 
                        
                           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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 5</td> 
          <td>         RQO
            <a name="v3-ActMood-RQO"> </a> 
          </td> 
          <td> request</td> 
          <td> 
                        
                           Definition: A request act that is specialized for an event
               request/fulfillment cycle. 
            <br/>  

                        
                           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. 
            <br/>  

                        
                           UsageNotes: The concepts of a &quot;request&quot; and an &quot;order&quot
              ; 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.  &quot;Orders&quot; are commonly refused for
               a variety of clinical and business reasons, and the notion of a &quot;request&quot; 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 &quot;request.&quot;
            <br/>  

                        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 &quot;local&quot; 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.
            <br/>  

                        The critical distinction here, is the difference between this
               concept and an &quot;intent&quot;, 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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 4</td> 
          <td>       PRP
            <a name="v3-ActMood-PRP"> </a> 
          </td> 
          <td> proposal</td> 
          <td> 
                        
                           Definition: A suggestion that an act might be performed. Not
               an explicit request, and professional responsibility may or may not be present.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 5</td> 
          <td>         RMD
            <a name="v3-ActMood-RMD"> </a> 
          </td> 
          <td> recommendation</td> 
          <td> 
                        
                           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. .
            <br/>  

                        
                           UsageNotes: Where there is no clear definition or applicable
               concept of &quot;professional responsibility�, RMD becomes indistinguishable from PRP.
               .
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     PRMS
            <a name="v3-ActMood-PRMS"> </a> 
          </td> 
          <td> promise</td> 
          <td> 
                        
                           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.
            <br/>  

                        
                           UsageNotes: Commitments may be retracted or cancelled.  
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 4</td> 
          <td>       APT
            <a name="v3-ActMood-APT"> </a> 
          </td> 
          <td> appointment</td> 
          <td> 
                        
                           Definition: An act that has been scheduled to be performed
               at a specific place and time.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> 
            <span style="color: grey">
              <i> (_ActMoodPredicate)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ActMood-_ActMoodPredicate"> </a> 
          </td> 
          <td> 
                        
                           Definition: An act that expresses condition statements for
               other acts.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr style="background: #EFEFEF">
          <td> 2</td> 
          <td>   CRT
            <a name="v3-ActMood-CRT"> </a>  
            <b> 
              <i> Deprecated</i> 
            </b> 
          </td> 
          <td> criterion</td> 
          <td> 
                        
                           
                              Deprecation Comment: 
                           This concept This codes should no longer be used.  Instead,
               set attribute Act.isCriterionInd to &quot;true&quot; and use the desired mood for your
               criterion.
            <br/>  

                        
                           Definition: A condition that must be true for the source act
               to be considered.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr style="background: #EFEFEF">
          <td> 3</td> 
          <td>     EVN.CRT
            <a name="v3-ActMood-EVN.46CRT"> </a>  
            <b> 
              <i> Deprecated</i> 
            </b> 
          </td> 
          <td> event criterion</td> 
          <td> 
                        
                           
                              Deprecation Comment: 
                           This concept This codes should no longer be used.  Instead,
               set attribute Act.isCriterionInd to &quot;true&quot; and use the desired mood for your
               criterion.
            <br/>  

                        
                           Definition: A criterion (CRT) that has_match = an event (EVN).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     GOL.CRT
            <a name="v3-ActMood-GOL.46CRT"> </a> 
          </td> 
          <td> goal criterion</td> 
          <td> 
                        A criterion expressed over goals (ActMood.GOL).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     INT.CRT
            <a name="v3-ActMood-INT.46CRT"> </a> 
          </td> 
          <td> intent criterion</td> 
          <td> 
                        A criterion expressed over intents (ActMood.INT).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 4</td> 
          <td>       PRMS.CRT
            <a name="v3-ActMood-PRMS.46CRT"> </a> 
          </td> 
          <td> promise criterion</td> 
          <td> 
                        A criterion expressed over promises (ActMood.PRMS).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 4</td> 
          <td>       RQO.CRT
            <a name="v3-ActMood-RQO.46CRT"> </a> 
          </td> 
          <td> request criterion</td> 
          <td> 
                        A criterion expressed over requests or orders (ActMood.RQO).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     RSK.CRT
            <a name="v3-ActMood-RSK.46CRT"> </a> 
          </td> 
          <td> risk criterion</td> 
          <td> 
                        A criterion expressed over risks (ActMood.RSK).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   EXPEC
            <a name="v3-ActMood-EXPEC"> </a> 
          </td> 
          <td> expectation</td> 
          <td> 
                        
                           Definition: An act that is considered to have some noteworthy
               likelihood of occurring in the future (has_match = event).
            <br/>  

                        
                           Examples:Prognosis of a condition, Expected date of discharge
               from hospital, patient will likely need an emergency decompression of the intracranial
               pressure by morning.
            <br/>  

                        
                           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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     GOL
            <a name="v3-ActMood-GOL"> </a> 
          </td> 
          <td> Goal</td> 
          <td> 
                        
                           Definition: An expectation that is considered to be desirable
               to occur in the future 
            <br/>  

                        
                           Examples:Target weight below 80Kg, Stop smoking, Regain ability
               to walk, goal is to administer thrombolytics to candidate patients presenting with acute
               myocardial infarction.
            <br/>  

                        
                           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.  &quot;I will reduce the dose of drug x to 20mg&quot; is an
               intent.  &quot;I hope to be able to get the patient to the point where I can reduce the
               dose of drug x to 20mg&quot; is a goal. EXPEC (expectation) reflects a prediction rather
               than a hope. RSK (risk) reflects a potential negative event rather than a hope.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     RSK
            <a name="v3-ActMood-RSK"> </a> 
          </td> 
          <td> risk</td> 
          <td> 
                        
                           Definition:An act that may occur in the future and which is
               regarded as undesirable 
            <br/>  

                        
                           Examples:Increased risk of DVT, at risk for sub-acute bacterial
               endocarditis.
            <br/>  

                        
                           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.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   OPT
            <a name="v3-ActMood-OPT"> </a> 
          </td> 
          <td> option</td> 
          <td> 
                        
                           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.
            <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-ActMood"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.1.11.10196"/> 
  </identifier> 
  <version value="2019-07-31"/> 
  <name value="v3.ActMood"/> 
  <title value="v3 Code System ActMood"/> 
  <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=" 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 &quot;Persuasive
     With Mod&quot;, with the understanding that M and M would undertake a detailed review
     of these concept definitions for a future release of the RIM."/> 
  <immutable value="true"/> 
  <compose> 
    <include> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActMood"/> 
    </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.