Release 4

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V3-ParticipationFunction.cs.xml

Vocabulary Work GroupMaturity Level: N/AStandards Status: Informative

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

This code is used to specify the exact function an actor had in a service in all necessary detail. This domain may include local extensions (CWE).

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

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="v3-ParticipationFunction"/> 
  <meta> 
    <lastUpdated value="2018-08-12T00:00:00.000+10:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> Release Date: 2018-08-12</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> (_AuthorizedParticipationFunction)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ParticipationFunction-_AuthorizedParticipationFunction"> </a> 
          </td> 
          <td> 
                        This code is used to specify the exact function an actor is authorized
               to have in a service in all necessary detail.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   
            <span style="color: grey">
              <i> (_AuthorizedReceiverParticipationFunction)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ParticipationFunction-_AuthorizedReceiverParticipationFunction"> </a> 
          </td> 
          <td> 
                        This code is used to specify the exact function an actor is authorized
               to have as a receiver of information that is the subject of a consent directive or consent
               override.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     AUCG
            <a name="v3-ParticipationFunction-AUCG"> </a> 
          </td> 
          <td> caregiver information receiver</td> 
          <td> 
                        
                           Description:Caregiver authorized to receive patient health
               information.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     AULR
            <a name="v3-ParticipationFunction-AULR"> </a> 
          </td> 
          <td> legitimate relationship information receiver</td> 
          <td> 
                        
                           Description:Provider with legitimate relationship authorized
               to receive patient health information.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     AUTM
            <a name="v3-ParticipationFunction-AUTM"> </a> 
          </td> 
          <td> care team information receiver</td> 
          <td> 
                        
                           Description:Member of care team authorized to receive patient
               health information.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     AUWA
            <a name="v3-ParticipationFunction-AUWA"> </a> 
          </td> 
          <td> work area information receiver</td> 
          <td> 
                        
                           Description:Entities within specified work area authorized
               to receive patient health information.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   
            <span style="color: grey">
              <i> (_ConsenterParticipationFunction)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ParticipationFunction-_ConsenterParticipationFunction"> </a> 
          </td> 
          <td> 
                        This code is used to specify the exact function an actor is authorized
               to have in authoring a consent directive.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     GRDCON
            <a name="v3-ParticipationFunction-GRDCON"> </a> 
          </td> 
          <td> legal guardian consent author</td> 
          <td> 
                        
                           Description:Legal guardian of the subject of consent authorized
               to author a consent directive for the subject of consent.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     POACON
            <a name="v3-ParticipationFunction-POACON"> </a> 
          </td> 
          <td> healthcare power of attorney consent author</td> 
          <td> 
                        
                           Description:Person authorized with healthcare power of attorney
               to author a  consent directive for the subject of consent.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     PRCON
            <a name="v3-ParticipationFunction-PRCON"> </a> 
          </td> 
          <td> personal representative consent author</td> 
          <td> 
                        
                           Description:Personal representative of the subject of consent
               authorized to author a consent directive for the subject of consent.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     PROMSK
            <a name="v3-ParticipationFunction-PROMSK"> </a> 
          </td> 
          <td> authorized provider masking author</td> 
          <td> 
                        
                           Definition:Provider authorized to mask information to protect
               the patient, a third party, or to ensure that the provider has consulted with the patient
               prior to release of this information.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     SUBCON
            <a name="v3-ParticipationFunction-SUBCON"> </a> 
          </td> 
          <td> subject of consent author</td> 
          <td> 
                        
                           Description:Subject of consent authorized to author a consent
               directive.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   
            <span style="color: grey">
              <i> (_OverriderParticipationFunction)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ParticipationFunction-_OverriderParticipationFunction"> </a> 
          </td> 
          <td> 
                        This code is used to specify the exact function an actor is authorized
               to have in authoring a consent override.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     AUCOV
            <a name="v3-ParticipationFunction-AUCOV"> </a> 
          </td> 
          <td> consent overrider</td> 
          <td> 
                        
                           Description:Entity authorized to override a consent directive.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     AUEMROV
            <a name="v3-ParticipationFunction-AUEMROV"> </a> 
          </td> 
          <td> emergency overrider</td> 
          <td> 
                        
                           Description:Entity  authorized to override a consent directive
               or privacy policy in an emergency.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> 
            <span style="color: grey">
              <i> (_CoverageParticipationFunction)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ParticipationFunction-_CoverageParticipationFunction"> </a> 
          </td> 
          <td> 
                        
                           Definition: Set of codes indicating the manner in which sponsors,
               underwriters, and payers participate in a policy or program.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   
            <span style="color: grey">
              <i> (_PayorParticipationFunction)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ParticipationFunction-_PayorParticipationFunction"> </a> 
          </td> 
          <td> 
                        
                           Definition: Set of codes indicating the manner in which payors
               participate in a policy or program.&lt;/
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     CLMADJ
            <a name="v3-ParticipationFunction-CLMADJ"> </a> 
          </td> 
          <td> claims adjudication</td> 
          <td> 
                        
                           Definition: Manages all operations required to adjudicate fee
               for service claims or managed care encounter reports.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     ENROLL
            <a name="v3-ParticipationFunction-ENROLL"> </a> 
          </td> 
          <td> enrollment broker</td> 
          <td> 
                        
                           Definition: Managing the enrollment of covered parties.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     FFSMGT
            <a name="v3-ParticipationFunction-FFSMGT"> </a> 
          </td> 
          <td> ffs management</td> 
          <td> 
                        
                           Definition: Managing all operations required to administer
               a fee for service or indemnity health plan including enrolling covered parties and providing
               customer service, provider contracting, claims payment, care management and utilization
               review.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     MCMGT
            <a name="v3-ParticipationFunction-MCMGT"> </a> 
          </td> 
          <td> managed care management</td> 
          <td> 
                        
                           Definition: Managing all operations required to administer
               a managed care plan including enrolling covered parties and providing customer service,,
               provider contracting, claims payment, care management and utilization review.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     PROVMGT
            <a name="v3-ParticipationFunction-PROVMGT"> </a> 
          </td> 
          <td> provider management</td> 
          <td> 
                        
                           Definition: Managing provider contracting, provider services,
               credentialing, profiling, performance measures, and ensuring network adequacy.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     UMGT
            <a name="v3-ParticipationFunction-UMGT"> </a> 
          </td> 
          <td> utilization management</td> 
          <td> 
                        
                           Definition: Managing utilization of services by ensuring that
               providers adhere to, e.g., payeraTMs clinical protocols for medical appropriateness and
               standards of medical necessity.  May include management of authorizations for services
               and referrals.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   
            <span style="color: grey">
              <i> (_SponsorParticipationFunction)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ParticipationFunction-_SponsorParticipationFunction"> </a> 
          </td> 
          <td> 
                        
                           Definition: Set of codes indicating the manner in which sponsors
               participate in a policy or program. NOTE: use only when the Sponsor is not further specified
               with a SponsorRoleType as being either a fully insured sponsor or a self insured sponsor.
               
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     FULINRD
            <a name="v3-ParticipationFunction-FULINRD"> </a> 
          </td> 
          <td> fully insured</td> 
          <td> 
                        
                           Definition: Responsibility taken by a sponsor to contract with
               one or more underwriters for the assumption of full responsibility for the risk and administration
               of a policy or program.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     SELFINRD
            <a name="v3-ParticipationFunction-SELFINRD"> </a> 
          </td> 
          <td> self insured</td> 
          <td> 
                        
                           Definition: Responsibility taken by a sponsor to organize the
               underwriting of risk and administration of a policy or program.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 2</td> 
          <td>   
            <span style="color: grey">
              <i> (_UnderwriterParticipationFunction)</i> 
            </span>  
            <b> 
              <i> Abstract</i> 
            </b> 
          </td> 
          <td> 
            <a name="v3-ParticipationFunction-_UnderwriterParticipationFunction"> </a> 
          </td> 
          <td> 
                        
                           Definition: Set of codes indicating the manner in which underwriters
               participate in a policy or program.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     PAYORCNTR
            <a name="v3-ParticipationFunction-PAYORCNTR"> </a> 
          </td> 
          <td> payor contracting</td> 
          <td> 
                        
                           Definition: Contracting for the provision and administration
               of health services to payors while retaining the risk for coverage.  Contracting may be
               for all provision and administration; or for provision of certain types of services; for
               provision of services by region; and by types of administration, e.g., claims adjudication,
               enrollment, provider management, and utilization management.  Typically done by underwriters
               for sponsors who need coverage provided to covered parties in multiple regions.  The underwriter
               may act as the payor in some, but not all of the regions in which coverage is provided.
               
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     REINS
            <a name="v3-ParticipationFunction-REINS"> </a> 
          </td> 
          <td> reinsures</td> 
          <td> 
                        
                           Definition: Underwriting reinsurance for another underwriter
               for the policy or program.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     RETROCES
            <a name="v3-ParticipationFunction-RETROCES"> </a> 
          </td> 
          <td> retrocessionaires</td> 
          <td> 
                        
                           Definition: Underwriting reinsurance for another reinsurer.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     SUBCTRT
            <a name="v3-ParticipationFunction-SUBCTRT"> </a> 
          </td> 
          <td> subcontracting risk</td> 
          <td> 
                        
                           Definition: Delegating risk for a policy or program to one
               or more subcontracting underwriters, e.g., a major health insurer may delegate risk for
               provision of coverage under a national health plan to other underwriters by region .
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 3</td> 
          <td>     UNDERWRTNG
            <a name="v3-ParticipationFunction-UNDERWRTNG"> </a> 
          </td> 
          <td> underwriting</td> 
          <td> 
                        
                           Definition: Provision of underwriting analysis for another
               underwriter without assumption of risk.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> ADMPHYS
            <a name="v3-ParticipationFunction-ADMPHYS"> </a> 
          </td> 
          <td> admitting physician</td> 
          <td> 
                        A physician who admitted a patient to a hospital or other care
               unit that is the context of this service.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> ANEST
            <a name="v3-ParticipationFunction-ANEST"> </a> 
          </td> 
          <td> anesthesist</td> 
          <td> 
                        In a typical anesthesia setting an anesthesiologist or anesthesia
               resident in charge of the anesthesia and life support, but only a witness to the surgical
               procedure itself.  To clarify responsibilities anesthesia should always be represented
               as a separate service related to the surgery.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> ANRS
            <a name="v3-ParticipationFunction-ANRS"> </a> 
          </td> 
          <td> anesthesia nurse</td> 
          <td> 
                        In a typical anesthesia setting the nurse principally assisting
               the anesthesiologist during the critical periods.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> ASSEMBLER
            <a name="v3-ParticipationFunction-ASSEMBLER"> </a> 
          </td> 
          <td> assembly software</td> 
          <td> A device that operates independently of an author on custodian's algorithms for data extraction
               of existing information for purpose of generating a new artifact.
                           UsageConstraint: ASSEMBLER ParticipationFunction should be
               used with DEV (device) ParticipationType.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> ATTPHYS
            <a name="v3-ParticipationFunction-ATTPHYS"> </a> 
          </td> 
          <td> attending physician</td> 
          <td> 
                        A physician who is primarily responsible for a patient during
               the hospitalization, which is the context of the service.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> COMPOSER
            <a name="v3-ParticipationFunction-COMPOSER"> </a> 
          </td> 
          <td> composer software</td> 
          <td> A device used by an author to record new information, which may also be used by the author
               to select existing information for aggregation with newly recorded information for the
               purpose of generating a new artifact.
                           UsageConstraint: COMPOSER ParticipationFunction should be used
               with DEV (device) ParticipationType.
            <br/>  

                        
                           Usage Note: This code will enable implementers to more specifically
               represent the manner in which a Device participated in and facilitated the generation
               of a CDA Clinical Document or a CDA Entry by the responsible Author, which is comprised
               of the Author's newly entered content, and may include the pre-existing content selected
               by the Author, for the purpose of establishing the provenance and accountability for these
               acts. 
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> DISPHYS
            <a name="v3-ParticipationFunction-DISPHYS"> </a> 
          </td> 
          <td> discharging physician</td> 
          <td> 
                        A physician who discharged a patient from a hospital or other
               care unit that is the context of this service.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> FASST
            <a name="v3-ParticipationFunction-FASST"> </a> 
          </td> 
          <td> first assistant surgeon</td> 
          <td> 
                        In a typical surgery setting the assistant facing the primary
               surgeon.  The first assistant performs parts of the operation and assists in others (e.g.,
               incision, approach, electrocoutering, ligatures, sutures).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> MDWF
            <a name="v3-ParticipationFunction-MDWF"> </a> 
          </td> 
          <td> midwife</td> 
          <td> 
                        A person (usually female) helping a woman deliver a baby. Responsibilities
               vary locally, ranging from a mere optional assistant to a full required participant, responsible
               for (normal) births and pre- and post-natal care for both mother and baby.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> NASST
            <a name="v3-ParticipationFunction-NASST"> </a> 
          </td> 
          <td> nurse assistant</td> 
          <td> 
                        In a typical surgery setting the non-sterile nurse handles material
               supply from the stock, forwards specimen to pathology, and helps with other non-sterile
               tasks (e.g., phone calls, etc.).
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> PCP
            <a name="v3-ParticipationFunction-PCP"> </a> 
          </td> 
          <td> primary care physician</td> 
          <td> 
                        The healthcare provider that holds primary responsibility for
               the overall care of a patient.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> PRISURG
            <a name="v3-ParticipationFunction-PRISURG"> </a> 
          </td> 
          <td> primary surgeon</td> 
          <td> 
                        In a typical surgery setting the primary performing surgeon.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> REVIEWER
            <a name="v3-ParticipationFunction-REVIEWER"> </a> 
          </td> 
          <td> reviewer</td> 
          <td> 
                        A verifier who is accountable for reviewing and asserting that
               the verification of an Act complies with jurisdictional or organizational policy.
            <br/>  

                        
                           UsageConstraint: UsageConstraint:  Specifies the exact function
               that an actor is authorized to have as a verifier of an Act.  Connotes that a specialized
               verifier asserts compliance for veracity of the review per jurisdictional or organizational
               policy.  E.g., The Provider who takes responsibility for authenticity of a record submitted
               to a payer.
            <br/>  

                        REVIEW ParticipationFunction should be used with VFR (verifier)
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> RNDPHYS
            <a name="v3-ParticipationFunction-RNDPHYS"> </a> 
          </td> 
          <td> rounding physician</td> 
          <td> 
                        A physician who made rounds on a patient in a hospital or other
               care center.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> SASST
            <a name="v3-ParticipationFunction-SASST"> </a> 
          </td> 
          <td> second assistant surgeon</td> 
          <td> 
                        In a typical surgery setting the assistant who primarily holds
               the hooks.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> SNRS
            <a name="v3-ParticipationFunction-SNRS"> </a> 
          </td> 
          <td> scrub nurse</td> 
          <td> 
                        In a typical surgery setting the nurse in charge of the instrumentation.
            <br/>  

                     
          </td> 
        </tr> 
 
        <tr> 
          <td> 1</td> 
          <td> TASST
            <a name="v3-ParticipationFunction-TASST"> </a> 
          </td> 
          <td> third assistant</td> 
          <td> 
                        In a typical surgery setting there is rarely a third assistant
               (e.g., in some Hip operations the third assistant postures the affected leg).
            <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> 
  <url value="http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction"/> 
  <identifier> 
    <system value="urn:ietf:rfc:3986"/> 
    <value value="urn:oid:2.16.840.1.113883.5.88"/> 
  </identifier> 
  <version value="2018-08-12"/> 
  <name value="v3.ParticipationFunction"/> 
  <title value="v3 Code System ParticipationFunction"/> 
  <status value="active"/> 
  <experimental value="false"/> 
  <date value="2018-08-12T00:00:00+10:00"/> 
  <publisher value="HL7, Inc"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org"/> 
    </telecom> 
  </contact> 
  <description value=" This code is used to specify the exact function an actor had in a service in all necessary
     detail. This domain may include local extensions (CWE)."/> 
  <caseSensitive value="true"/> 
  <valueSet value="http://terminology.hl7.org/ValueSet/v3-ParticipationFunction"/> 
  <hierarchyMeaning value="is-a"/> 
  <content value="complete"/> 
  <property> 
    <code value="notSelectable"/> 
    <uri value="http://hl7.org/fhir/concept-properties#notSelectable"/> 
    <description value="Indicates that the code is abstract - only intended to be used as a selector for other
       concepts"/> 
    <type value="boolean"/> 
  </property> 
  <concept> 
    <code value="_AuthorizedParticipationFunction"/> 
    <display value="AuthorizedParticipationFunction"/> 
    <definition value="This code is used to specify the exact function an actor is authorized to have in a service
       in all necessary detail."/> 
    <property> 
      <code value="notSelectable"/> 
      <valueBoolean value="true"/> 
    </property> 
    <concept> 
      <code value="_AuthorizedReceiverParticipationFunction"/> 
      <display value="AuthorizedReceiverParticipationFunction"/> 
      <definition value="This code is used to specify the exact function an actor is authorized to have as a receiver
         of information that is the subject of a consent directive or consent override."/> 
      <property> 
        <code value="notSelectable"/> 
        <valueBoolean value="true"/> 
      </property> 
      <concept> 
        <code value="AUCG"/> 
        <display value="caregiver information receiver"/> 
        <definition value="Description:Caregiver authorized to receive patient health information."/> 
      </concept> 
      <concept> 
        <code value="AULR"/> 
        <display value="legitimate relationship information receiver"/> 
        <definition value="Description:Provider with legitimate relationship authorized to receive patient health
           information."/> 
      </concept> 
      <concept> 
        <code value="AUTM"/> 
        <display value="care team information receiver"/> 
        <definition value="Description:Member of care team authorized to receive patient health information."/> 
      </concept> 
      <concept> 
        <code value="AUWA"/> 
        <display value="work area information receiver"/> 
        <definition value="Description:Entities within specified work area authorized to receive patient health information."/> 
      </concept> 
    </concept> 
    <concept> 
      <code value="_ConsenterParticipationFunction"/> 
      <display value="ConsenterParticipationFunction"/> 
      <definition value="This code is used to specify the exact function an actor is authorized to have in authoring
         a consent directive."/> 
      <property> 
        <code value="notSelectable"/> 
        <valueBoolean value="true"/> 
      </property> 
      <concept> 
        <code value="GRDCON"/> 
        <display value="legal guardian consent author"/> 
        <definition value="Description:Legal guardian of the subject of consent authorized to author a consent directive
           for the subject of consent."/> 
      </concept> 
      <concept> 
        <code value="POACON"/> 
        <display value="healthcare power of attorney consent author"/> 
        <definition value="Description:Person authorized with healthcare power of attorney to author a  consent directive
           for the subject of consent."/> 
      </concept> 
      <concept> 
        <code value="PRCON"/> 
        <display value="personal representative consent author"/> 
        <definition value="Description:Personal representative of the subject of consent authorized to author a consent
           directive for the subject of consent."/> 
      </concept> 
      <concept> 
        <code value="PROMSK"/> 
        <display value="authorized provider masking author"/> 
        <definition value="Definition:Provider authorized to mask information to protect the patient, a third party,
           or to ensure that the provider has consulted with the patient prior to release of this
           information."/> 
      </concept> 
      <concept> 
        <code value="SUBCON"/> 
        <display value="subject of consent author"/> 
        <definition value="Description:Subject of consent authorized to author a consent directive."/> 
      </concept> 
    </concept> 
    <concept> 
      <code value="_OverriderParticipationFunction"/> 
      <display value="OverriderParticipationFunction"/> 
      <definition value="This code is used to specify the exact function an actor is authorized to have in authoring
         a consent override."/> 
      <property> 
        <code value="notSelectable"/> 
        <valueBoolean value="true"/> 
      </property> 
      <concept> 
        <code value="AUCOV"/> 
        <display value="consent overrider"/> 
        <definition value="Description:Entity authorized to override a consent directive."/> 
      </concept> 
      <concept> 
        <code value="AUEMROV"/> 
        <display value="emergency overrider"/> 
        <definition value="Description:Entity  authorized to override a consent directive or privacy policy in an
           emergency."/> 
      </concept> 
    </concept> 
  </concept> 
  <concept> 
    <code value="_CoverageParticipationFunction"/> 
    <display value="CoverageParticipationFunction"/> 
    <definition value="Definition: Set of codes indicating the manner in which sponsors, underwriters, and payers
       participate in a policy or program."/> 
    <property> 
      <code value="notSelectable"/> 
      <valueBoolean value="true"/> 
    </property> 
    <concept> 
      <code value="_PayorParticipationFunction"/> 
      <display value="PayorParticipationFunction"/> 
      <definition value="Definition: Set of codes indicating the manner in which payors participate in a policy
         or program.&lt;/"/> 
      <property> 
        <code value="notSelectable"/> 
        <valueBoolean value="true"/> 
      </property> 
      <concept> 
        <code value="CLMADJ"/> 
        <display value="claims adjudication"/> 
        <definition value="Definition: Manages all operations required to adjudicate fee for service claims or managed
           care encounter reports."/> 
      </concept> 
      <concept> 
        <code value="ENROLL"/> 
        <display value="enrollment broker"/> 
        <definition value="Definition: Managing the enrollment of covered parties."/> 
      </concept> 
      <concept> 
        <code value="FFSMGT"/> 
        <display value="ffs management"/> 
        <definition value="Definition: Managing all operations required to administer a fee for service or indemnity
           health plan including enrolling covered parties and providing customer service, provider
           contracting, claims payment, care management and utilization review."/> 
      </concept> 
      <concept> 
        <code value="MCMGT"/> 
        <display value="managed care management"/> 
        <definition value="Definition: Managing all operations required to administer a managed care plan including
           enrolling covered parties and providing customer service,, provider contracting, claims
           payment, care management and utilization review."/> 
      </concept> 
      <concept> 
        <code value="PROVMGT"/> 
        <display value="provider management"/> 
        <definition value="Definition: Managing provider contracting, provider services, credentialing, profiling,
           performance measures, and ensuring network adequacy."/> 
      </concept> 
      <concept> 
        <code value="UMGT"/> 
        <display value="utilization management"/> 
        <definition value="Definition: Managing utilization of services by ensuring that providers adhere to, e.g.,
           payeraTMs clinical protocols for medical appropriateness and standards of medical necessity.
            May include management of authorizations for services and referrals."/> 
      </concept> 
    </concept> 
    <concept> 
      <code value="_SponsorParticipationFunction"/> 
      <display value="SponsorParticipationFunction"/> 
      <definition value="Definition: Set of codes indicating the manner in which sponsors participate in a policy
         or program. NOTE: use only when the Sponsor is not further specified with a SponsorRoleType
         as being either a fully insured sponsor or a self insured sponsor."/> 
      <property> 
        <code value="notSelectable"/> 
        <valueBoolean value="true"/> 
      </property> 
      <concept> 
        <code value="FULINRD"/> 
        <display value="fully insured"/> 
        <definition value="Definition: Responsibility taken by a sponsor to contract with one or more underwriters
           for the assumption of full responsibility for the risk and administration of a policy
           or program."/> 
      </concept> 
      <concept> 
        <code value="SELFINRD"/> 
        <display value="self insured"/> 
        <definition value="Definition: Responsibility taken by a sponsor to organize the underwriting of risk and
           administration of a policy or program."/> 
      </concept> 
    </concept> 
    <concept> 
      <code value="_UnderwriterParticipationFunction"/> 
      <display value="UnderwriterParticipationFunction"/> 
      <definition value="Definition: Set of codes indicating the manner in which underwriters participate in a
         policy or program."/> 
      <property> 
        <code value="notSelectable"/> 
        <valueBoolean value="true"/> 
      </property> 
      <concept> 
        <code value="PAYORCNTR"/> 
        <display value="payor contracting"/> 
        <definition value="Definition: Contracting for the provision and administration of health services to payors
           while retaining the risk for coverage.  Contracting may be for all provision and administration;
           or for provision of certain types of services; for provision of services by region; and
           by types of administration, e.g., claims adjudication, enrollment, provider management,
           and utilization management.  Typically done by underwriters for sponsors who need coverage
           provided to covered parties in multiple regions.  The underwriter may act as the payor
           in some, but not all of the regions in which coverage is provided."/> 
      </concept> 
      <concept> 
        <code value="REINS"/> 
        <display value="reinsures"/> 
        <definition value="Definition: Underwriting reinsurance for another underwriter for the policy or program."/> 
      </concept> 
      <concept> 
        <code value="RETROCES"/> 
        <display value="retrocessionaires"/> 
        <definition value="Definition: Underwriting reinsurance for another reinsurer."/> 
      </concept> 
      <concept> 
        <code value="SUBCTRT"/> 
        <display value="subcontracting risk"/> 
        <definition value="Definition: Delegating risk for a policy or program to one or more subcontracting underwriters,
           e.g., a major health insurer may delegate risk for provision of coverage under a national
           health plan to other underwriters by region ."/> 
      </concept> 
      <concept> 
        <code value="UNDERWRTNG"/> 
        <display value="underwriting"/> 
        <definition value="Definition: Provision of underwriting analysis for another underwriter without assumption
           of risk."/> 
      </concept> 
    </concept> 
  </concept> 
  <concept> 
    <code value="ADMPHYS"/> 
    <display value="admitting physician"/> 
    <definition value="A physician who admitted a patient to a hospital or other care unit that is the context
       of this service."/> 
  </concept> 
  <concept> 
    <code value="ANEST"/> 
    <display value="anesthesist"/> 
    <definition value="In a typical anesthesia setting an anesthesiologist or anesthesia resident in charge of
       the anesthesia and life support, but only a witness to the surgical procedure itself.
        To clarify responsibilities anesthesia should always be represented as a separate service
       related to the surgery."/> 
  </concept> 
  <concept> 
    <code value="ANRS"/> 
    <display value="anesthesia nurse"/> 
    <definition value="In a typical anesthesia setting the nurse principally assisting the anesthesiologist during
       the critical periods."/> 
  </concept> 
  <concept> 
    <code value="ASSEMBLER"/> 
    <display value="assembly software"/> 
    <definition value="A device that operates independently of an author on custodian's algorithms for data extraction
       of existing information for purpose of generating a new artifact.
                           UsageConstraint: ASSEMBLER ParticipationFunction should be
       used with DEV (device) ParticipationType."/> 
  </concept> 
  <concept> 
    <code value="ATTPHYS"/> 
    <display value="attending physician"/> 
    <definition value="A physician who is primarily responsible for a patient during the hospitalization, which
       is the context of the service."/> 
  </concept> 
  <concept> 
    <code value="COMPOSER"/> 
    <display value="composer software"/> 
    <definition value="A device used by an author to record new information, which may also be used by the author
       to select existing information for aggregation with newly recorded information for the
       purpose of generating a new artifact.
                           UsageConstraint: COMPOSER ParticipationFunction should be used
       with DEV (device) ParticipationType.

                        
                           Usage Note: This code will enable implementers to more specifically
       represent the manner in which a Device participated in and facilitated the generation
       of a CDA Clinical Document or a CDA Entry by the responsible Author, which is comprised
       of the Author's newly entered content, and may include the pre-existing content selected
       by the Author, for the purpose of establishing the provenance and accountability for these
       acts."/> 
  </concept> 
  <concept> 
    <code value="DISPHYS"/> 
    <display value="discharging physician"/> 
    <definition value="A physician who discharged a patient from a hospital or other care unit that is the context
       of this service."/> 
  </concept> 
  <concept> 
    <code value="FASST"/> 
    <display value="first assistant surgeon"/> 
    <definition value="In a typical surgery setting the assistant facing the primary surgeon.  The first assistant
       performs parts of the operation and assists in others (e.g., incision, approach, electrocoutering,
       ligatures, sutures)."/> 
  </concept> 
  <concept> 
    <code value="MDWF"/> 
    <display value="midwife"/> 
    <definition value="A person (usually female) helping a woman deliver a baby. Responsibilities vary locally,
       ranging from a mere optional assistant to a full required participant, responsible for
       (normal) births and pre- and post-natal care for both mother and baby."/> 
  </concept> 
  <concept> 
    <code value="NASST"/> 
    <display value="nurse assistant"/> 
    <definition value="In a typical surgery setting the non-sterile nurse handles material supply from the stock,
       forwards specimen to pathology, and helps with other non-sterile tasks (e.g., phone calls,
       etc.)."/> 
  </concept> 
  <concept> 
    <code value="PCP"/> 
    <display value="primary care physician"/> 
    <definition value="The healthcare provider that holds primary responsibility for the overall care of a patient."/> 
  </concept> 
  <concept> 
    <code value="PRISURG"/> 
    <display value="primary surgeon"/> 
    <definition value="In a typical surgery setting the primary performing surgeon."/> 
  </concept> 
  <concept> 
    <code value="REVIEWER"/> 
    <display value="reviewer"/> 
    <definition value="A verifier who is accountable for reviewing and asserting that the verification of an
       Act complies with jurisdictional or organizational policy.

                        
                           UsageConstraint: UsageConstraint:  Specifies the exact function
       that an actor is authorized to have as a verifier of an Act.  Connotes that a specialized
       verifier asserts compliance for veracity of the review per jurisdictional or organizational
       policy.  E.g., The Provider who takes responsibility for authenticity of a record submitted
       to a payer.

                        REVIEW ParticipationFunction should be used with VFR (verifier)"/> 
  </concept> 
  <concept> 
    <code value="RNDPHYS"/> 
    <display value="rounding physician"/> 
    <definition value="A physician who made rounds on a patient in a hospital or other care center."/> 
  </concept> 
  <concept> 
    <code value="SASST"/> 
    <display value="second assistant surgeon"/> 
    <definition value="In a typical surgery setting the assistant who primarily holds the hooks."/> 
  </concept> 
  <concept> 
    <code value="SNRS"/> 
    <display value="scrub nurse"/> 
    <definition value="In a typical surgery setting the nurse in charge of the instrumentation."/> 
  </concept> 
  <concept> 
    <code value="TASST"/> 
    <display value="third assistant"/> 
    <definition value="In a typical surgery setting there is rarely a third assistant (e.g., in some Hip operations
       the third assistant postures the affected leg)."/> 
  </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.